Application form for admission
Post Graduate Diploma in Management (PGDM)
(Recognised by all India Council for Technical Education, Government of India)

Personal Details
First Name*   Middle Name   Surname*
Date of Birth*   Mailing Address    
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PIN Code   Tel No.   Fax No:
E-mail*   Permanent Address    
Telephone No. Resi.   Off   Fax:
Father's/Husband's Name   Profession/Business   Designation
Name of Organization   Office Address    
Tel No.   Fax No.   E-mail
Nationality   Are you an NRI ?   If yes, in which country you reside ?
Other Details
Are you employed ?   If yes, since when ?   Name of the Organization
Your Designation   Address of the Organization    
Total Experience (No. of yrs.)   Do you require Hostel Accommodation ?
Academic Qualification (Tenth Standard onwards):    
Examination / Course (Mention Stream of Study) Science, Commerce / Arts / Engg. Pharmacy) Year of Passing School / College Attended Board / University % Of Marks Obtained / Grade Area of Specialisation / Subjects, If any
(Upload copies of mark sheets of the degree/graduation should be enclosed with the Application From.)
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Special Achievements (If Any)   Extra Curricular Activities/Hobbies    
Why you want to join the programme of PGDM (Write a note not exceeding 150 words)
Declaration by applicant    
I declare that the particulars given above are correct to the best of my knowledge and belief. I understand that admission on the basis of incorrect and misleading information shall be cancelled at any stage. I will, on admission, submit to the rules and discipline of CMD. I hold myself responsible for the dues and prompt payment of fees, if selected. I have noted that fees once paid are not refundable, under any circumstances.