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9/9/2016

FORE School of Managment, New Delhi

Post Graduate Diploma in Management


BATCH:FMG-25 & IMG-10(2016-2018)
Registration Form

Personal Information
Roll No 251036 CAT/XAT/GMAT ID
Full Name Parth Dhingra Form No
Date of Birth 1991-11-17 Gender Male
Physically
No Category General
Handicapped
Nationality Indian Marital Status Unmarried
Self/Company
Self Sponsored Name as in Passport Parth Dhingra
Sponsored
Passport
L7393983 Passport Valid Upto 2024-03-04
Number
Passport Issue
2014-03-05 Passport Issuing Ofce Delhi
Date
Correspondence Flat E-3, Goel New Appts IGNOU Road,
Permanent Address H.No. 152 Sector 15 Haryana Faridabad 121007
Address Saidulajab , Saket Delhi Delhi 110030
Tel. No.(with
- Mobile No. 9899237273
STD Code)
Religion Hinduism E-mail 251036@fsm.ac.in
Academic Qualications
Course Degree with
Year of Passing Board/University Subjects Percentage
Completed stream
Central Board of Secondary
Secondary (10th) 2008 N/A ENG,HIN,MATH,Science,Sst86.4
Education(CBSE)
Sr. Secondary Central Board of Secondary
2010 N/A StreamScience 87.2
(12th) Education(CBSE)
Graduation 2014 Engg/TechnologyDeemed University Chemical Engineering 66.4
Post Graduation
Any other
Diploma/Degree
Work Experience Details
Designation Nature of From(MM- To(MM-
Name of the Organization No.of Months Salary(Monthly)
Held Responsibilites YYYY) YYYY)
Web
Systems
Infosys Limited Application 07-2014 05-2016 22 31568
Engineer
Development
Total Experience (in Months)
Particulars of Parents Local Guardian Details
Father Mother Guardian Info
Name Rohit Dhingra Bindu Dhingra Name Rohit Dhingra
Occupation Chartered Accountant Relation with the Student Father
Organisation's
HUDCO Residence Address H.No. 152 Sector 15, Faridabad
Name
H.No. 152 Sector 15,
Corres. Address Landline Number 4081005
Faridabad
Mobile Number 9891125171 Mobile Number 9891125171
Email rohitdev257@gmail.com Email rohitdev257@gmail.com
Documents Details Uploaded
Passport Yes
Secondary (10th) Certicate Yes
Secondary (10th) Marksheet Yes
Sr. Secondary (12th) Certicate Yes
Sr. Secondary (12th) Marksheet Yes
Graduation Certicate Yes
Graduation Marksheet Yes
Experience Certicate Yes

Signature of the Student

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