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    Application Form ITM PGDM 2022 12559

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    amanrpurwar
    The document contains an application form for Aman Rajesh Purwar to the ITM Business School PGDM program for 2022-2024, including his personal details, address, parent and educational details, test scores, work experience, and declaration. It lists his name, date of birth, gender, contact information, addresses, parent occupations, educational qualifications from SSC to BE with percentages, a state CET score of 90 percentile, and experience as a data specialist at Here Technology. He declares that the information provided is true to the best of his knowledge.

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    Application Form ITM PGDM 2022 12559

    Uploaded by

    amanrpurwar
    15 views2 pages
    The document contains an application form for Aman Rajesh Purwar to the ITM Business School PGDM program for 2022-2024, including his personal details, address, parent and educational details, test scores, work experience, and declaration. It lists his name, date of birth, gender, contact information, addresses, parent occupations, educational qualifications from SSC to BE with percentages, a state CET score of 90 percentile, and experience as a data specialist at Here Technology. He declares that the information provided is true to the best of his knowledge.

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    The document contains an application form for Aman Rajesh Purwar to the ITM Business School PGDM program for 2022-2024, including his personal details, address, parent and educational details, test scores, work experience, and declaration. It lists his name, date of birth, gender, contact information, addresses, parent occupations, educational qualifications from SSC to BE with percentages, a state CET score of 90 percentile, and experience as a data specialist at Here Technology. He declares that the information provided is true to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    15 views2 pages

    Application Form ITM PGDM 2022 12559

    Uploaded by

    amanrpurwar
    The document contains an application form for Aman Rajesh Purwar to the ITM Business School PGDM program for 2022-2024, including his personal details, address, parent and educational details, test scores, work experience, and declaration. It lists his name, date of birth, gender, contact information, addresses, parent occupations, educational qualifications from SSC to BE with percentages, a state CET score of 90 percentile, and experience as a data specialist at Here Technology. He declares that the information provided is true to the best of his knowledge.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    ITM BUSINESS SCHOOL

    APPLICATION FORM 2022-24


    ONLINE FORM SERIAL NO:ITM-PGDM-2022-12559

    Applicant's Personal Details


    Title
    First Name AMAN
    Middle Name RAJESH
    Last Name PURWAR
    Mobile No. +91-7738636635
    Email ID AMANRPURWAR@GMAIL.COM
    Date Of Birth 10/09/1999
    Gender MALE
    Facebook User ID/ Login ID
    Aadhar Card Number

    Address Details
    Is Permanent Address Same as Communication Address: YES
    Communication Address Permanent Address
    Address Line 1 SANGHVI ESTATE B WING FLAT NO 601 SANGHVI ESTATE B WING FLAT NO 601
    Address Line 2 NEAR CINEMAX KALYAN W NEAR CINEMAX KALYAN W
    Country Name INDIA INDIA
    State Name MAHARASHTRA MAHARASHTRA
    District Name THANE THANE
    City Name KALYAN KALYAN
    Pin Code 421301 421301

    Parent's Details
    Father's Details Mother's Details
    Name RAJESH PURWAR ARCHANA PURWAR
    Email Address RAJESHPURWAR@YAHOO.COM ARCHANARPURWAR@GMAIL.COM
    Mobile Number +91-9967532352 +91-9892552550
    Occupation PRIVATE SECTOR HOUSEWIFE

    Preference Details
    Campus Preference Specialization
    1 ITM BUSINESS SCHOOL, KHARGHAR (NAVI MUMBAI)
    2
    Process Location (GD/PI Centre): NAVI MUMBAI (KHARGHAR)

    Educational Qualifications
    10th 12th Graduation Post-Graduation
    GURU NANAK ENGLISH HIGH A P SHAH INSTITUTE OF
    Institution K M AGRAWAL COLLEGE
    SCHOOL TECHNOLOGY
    City KALYAN KALYAN THANE
    Mode of
    REGULAR REGULAR REGULAR
    Education
    MAHARASTRA STATE BOARD MAHARASTRA STATE BOARD
    Board/Univer
    OF SECONDARY AND HIGHER OF SECONDARY AND HIGHER MUMBAI UNIVERSITY
    sity
    SECONDARY EDUCATION SECONDARY EDUCATION
    Stream _ SCIENCE MECHANICAL ENGINEERING
    Degree SSC HSC B.E
    Year of
    2015 2017 2021
    Passing
    Marking
    PERCENTAGE PERCENTAGE CGPA OUT OF 10
    Scheme
    Percentage/C
    86 66 7.42
    GPA

    Additional Qualifications
    Type of Qualification Name of the Institution Year of Completion Percentage of Marks
    1
    2
    3
    4

    Test Scores:
    Result
    Registration Date of Test Rank Score Obtained Percentile Obtained
    Status
    CAT
    XAT
    GMAT
    CMAT
    MAT
    ATMA
    STATE CET MB21101680 18/09/2021 DECLARED 1766 90 92.43
    NMAT BY GMAC

    Work Experience & Referral Information


    Monthly
    Company Designation From Year To Year Reason of Leaving
    Remuneration
    1 HERE TECHNOLOGY DATA SPECIALIST 20000
    2
    3
    Total Period of Work Experience (In Months):
    Referrer Details:
    Referrer
    Referrer Is Referrer Name
    Mobile No.

    Declaration
    The Admissions Committee Of ITM Has Final Authority Over All Admission Matters. All Disputes Pertaining To Matters Of Admission And Its
    Terms And Conditions Are Subject To Mumbai Jurisdiction And No Other Court Shall Have Jurisdiction In This Matter.
    I Hereby Certify That The Above Information Is True To The Best Of My Knowledge. I Authorize INSTITUTE FOR TECHNOLOGY AND
    MANAGEMENT And Any Of Its Employees To Use The Information Contained In This Application In Any Manner Its Seems Necessary For The
    Purpose Of Admission Into Its Programs.

    AMAN RAJESH PURWAR


    RAJESH PURWAR
    21/01/2022

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