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Basic Information

NAME (MR./MS.) *

E-mail Id *

Aadhaar Card No

Mobile No *

Father's Information

FATHER’S NAME *

Organization Name & Address *

Designation *

Mobile No *

Mother's Information

MOTHER'S NAME *

Organization Name & Address

Designation

Mobile No

Other Information

Date of Birth *

Religion *

Category (SC/ST/OBC/Genral) *

Nationality *

Marital Status *MarriedSingle

Gender *MaleFemale

Permanent Address (with City) *

State *

Pin Code *

Present Address (with City)

State

Pin Code

Qualification

1. High School

Board / University *

Year of Passing *

Percentage / Grade *

Specialization/Stream *

2. Intermediate

Board / University *

Year of Passing *

Percentage / Grade *

Specialization/Stream *

3. Graduation

Board / University *

Year of Passing *

Percentage / Grade *

Specialization/Stream *

Any other qualification

Board / University

Year of Passing

Percentage / Grade

Specialization/Stream

Entrance Examination Details

Exam Name

Reg./Roll No.

Score

Percentile

Professional Experience (if Any)

Name of the Company

Designation

Period From-To

Exp. in Year(s)

Responsibilities

Submission

Where did you come to know about the Institute and the program? *

I confirm that to the best of my knowledge the information contained in this application form is true and accurate. I have gone through the contents of the Prospectus and agree to all the conditions stipulated therein and if admitted, will also abide by the rules and regulations SSIM as may be in force from time to time.

About Us

PGDM

Admission

Faculty

Placements

Testmonials

Admission Open 2023-24

Basic Information

Father's Information

Mother's Information

Other Information

Qualification

1. High School

2. Intermediate

3. Graduation

Any other qualification

Entrance Examination Details

Professional Experience (if Any)

Submission