..:: Jagan Institute of Management Studies, Delhi ::..

Jagan Institute of Management Studies, Delhi
3, Institutional Area, Sector-5, Rohini Delhi- 110085
E-mail: jims@vsnl.com, admissions@jimsindia.org, Website: www.jimsindia.org

( For registered Candidates)

JIMS PGDM Application Form

Important Instructions:
Payment Options:
		Fee for JIMS PGDM Application Form is Rs. 1000/- (Rs. One thousand only)
		For online payment, Use the link given below to pay from your bank/Credit Card.
		Or Pay by Demand Draft. Please fill up your Demand Draft details and take print of this acknowledgement receipt which should be sent along with the Demand Draft of Rs. 1000/- in favour of "Jagan Institute Of Management Studies" payable at Delhi within seven days from Last Registration Date. Also at the back of Demand Draft, please mention your Name, Phone number and Registration Number.
Enquiry:
		If you have any enquiry regarding registration, you may contact : Jagan Institute of Management Studies 3, Institutional Area, Sector-5, Rohini Delhi - 110085 Tel : 45184000 / 01 / 02 / 03 Fax : 45184032 e-mail : admissions@jimsindia.org
		+91-9871097501

(Fields with *are compulsary and have to be filled completely.)

Note:
Please read the form carefully before filling it. Incomplete forms will be rejected without any intimation.

*A student can opt for more than one program in the same application form with no additional cost.

*Please check your eligibility before choosing the appropriate course from the drop down menu.

**The institute reserves the right to change/cancel any centre for GD/PI other than JIMS premises.

Particulars	PGDM	PGDM (Retail & Marketing)	PGDM (International Business)
Minimum Marks in Graduation***	50%	50%	50%
Minimum MAT Composite Score	600	500	500
Minimum CAT Percentile	70	50	50

***Students appearing in final year can also apply.

i. Course Applied For * PGDM PGDM (Retail & Marketing) PGDM (International Business)

ii. Details of the Qualifying examination* :

MAT	CAT
Roll No. ( eg.20000017 )	Roll No. ( eg.20000017 )
Composite Score	Percentile %
Examination Date	Examination Date

iii. Preference for GD/PI Centre *

1. Name Mr./Ms. * ( eg.Raj Kumar )

[The name should be as in the certificate of the last exam passed]

2. Personal Details:

Date of Birth : *

( eg.31/12/2001 ) Age:

Blood Group

Marital Status*

Married Unmarried

Gender*

Male Female

Nationality

Any Permanent Disability

Languages Known other than English

E.Mail. *

Mobile No.*

3. Parent's Details:

Father's Name *

Occupation/ Designation

Name of the Organization and Address

Office Tel

Email

Mobile No.

Mother's Name*

Occupation/ Designation

Name of the Organization and Address

Office Tel

Email

Mobile No.

4. Parent's Monthly Income-Rs.

5. (a) Permanent Address *

Tel. No. *

( eg.7042296 )

(b) Address for communication *

(c) Name & Address of Local Contact Person

Tel. No.

6. In case of emergency(other than parents)

Name of Contact Person	Address	Tel. or Mobile.

7. Academic Qualifications *
Exam Passed	Name Of School/College	Board/University	Year	Subjects/Stream	Marks	% of Marks (overall)	Degree with stream *
*Degree with stream(please specify,like BE/B.Tech/B.Com.(Hons.)/B.Com (Pass) etc.)
Secondary (10^th)*
Sr.Secondary(12^th)*
Graduation*
Post Graduation
Any Other Degree/ Diploma
(Note: * If not yet completed, Please give the details of the present status and aggregate percentage in graduation obtained till now. In case of percentage less than 50, the admission will automatically stand cancelled and no claim for refund of fees will be entertained.)

8. Participation in Extracurricular Activites

9. Hobbies / Special Interest

10. Professional Experience
Name of Company	Address of the Company	From...To.	Designation	Job Profile	Salary

11. Where did you come to know about the Institute and the programmes: *

Friend/Family Newspaper Magazine Website other Sources
Specify the name of magazine / newspaper / website / other sources:

Jagan Institute of Management Studies
Rohini,Delhi-110085

Sir,

I wish to apply for admission to Jagan Institute of Management Studies, Delhi and promise to abide by the Rules & Regulations of the Institute. I certify that the information given by me in this application form is correct and complete to the best of my knowledge and belief. I understand and agree that misrepresentation or omission of facts will justify the denial or cancellation of admission, or expulsion. I further declare that I shall submit myself to the disciplinary jurisdiction of the Director of the Institute.

I have read and do hereby consent to the terms and the conditions for the admission mentioned above.

Place *	( eg.Delhi )
Date (dd/mm/yyyy)