GD form

1. INFORMATION SHEET FOR GD & PI FOR ADMISSION INTO MBA
A. PERSONAL INFORMATION:
1. Name of the Candidate
(As per 10th Certificate)
:
2. Date of Birth :
3. Father’s Name
(As per 10th Certificate)
:
4. Father’s Occupation :
5. Mother’s Occupation :
6. Gender :
7. Communication Address :
8. Email ID (Father) :
9. Email ID (Mother) :
10. Phone Number (Self) :
11. Phone Number (Father) :
12. Phone Number (Mother) :
13. Name of Entrance Exam. given :
B. EDUCATIONAL DETAILS:
Name of the
Examination
Board/
University
Name of the
College/ Institute
Year of
Passing
Stream Division
(1st
/2nd
/
3rd
)
% of Aggregate
Marks including
all optional
Matriculation/
Secondary
School Exam.
+2/Higher
Secondary Exam.
Graduation
(Please indicate
if you have
appeared the
degree exam. &
result not
declared)
Specify Post
Graduate Degree,
if any
* Please bring all mark sheet & certificate (original and Xerox) for verification
Paste your
recent
passport size
photograph
Index No…………………..….…
(For official use)

2. C. WORK EXPERIENCE: (write latest experience first; attach separate sheet, if necessary)
Name of the
Organization
Duration Designation Responsibilities
From
(Month/Year)
To
(Month/Year)
D. OTHER INFORMATION: Please think very carefully before answering the question below.
Ensure that each answer is atleast 60 words long.
1. How do you expect MBA to benefit you?
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2. Give an example of something that you did well. Why do you think you succeeded?
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3. Give an example of something you have failed in. Why did you fail?
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4. How did you come to know about KSOM?
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Date: Place: Signature of the candidate in full