Online Application Form PGDM 2017-19
logo
sdmimd
 Application Form: PGDM 2017-19
Please Note: There is NO APPLICATION FEE
          Name *
Parent Name *

Registration No. CAT/XAT/GMAT/CMAT *
CAT :
XAT :
GMAT :
CMAT :
 
Date of Birth :                             Gender : Male Female
Photo ID Card Number *

Photo ID Card indicated is to be produced at the time of personal interview
SKYPE ID (Mandatory if opting for Skype Interview)

Address for Correspondence :
House No *            Street *
Area :
City *              Pincode *
State *
Applicant’s Mobile No *
  Email id (Registered with CAT /XAT/Others) *
Parent/Guardian Contact No.

Academic Details :
Examination
Specify CBSE/ICSE/State/Others
Name of
Degree
Marks (%) /
Grade Point *
Specialization
Year of
Passing *
10th / Matriculation
NA
NA
II PUC / +2 /
Intermediate
NA
NA
Degree
Post-graduation/Others
(if applicable)
Work Experience in months (if applicable)  :

Preference for Interview Centre (1,2,3) Personal Interviews to be held in February March 2017
(SKYPE interview will be held in specific cases at the discretion of the Institute)
Preference 1 :              Preference 2 :            Preference 3 :

Upload Photo *



Note : Please ensure that the format of the Photograph is JPG. Also Size of the Photograph should be less than 100 kb and the dimension should be 180*240 pixels (width = 180 pixels and height = 240 pixels). You may use image tools like paint to adjust the dimension.

Please enter the characters displayed in the above image for verification *