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www.mbagdpi.com Page 1 Last updated on 5/January/2012

COMBINED APPLICATION FORM(Single Application Form for appearing in 75+ B Schools GD-PI/Admission process)

For 2 Year Full Time Management Programme (2012-2014)MBA / PGDM / PGP / PGPM / PGDBM

Concept of Combined Application FormHow can you afford to take Admission for MBA/PG without comparing / applying in

At least 8 to 10 Institutes, where you may get admission?

-----------------------------

Its All about You and Your Career

Dont Just Park 2 years, Opt an Institute as per your preferences

Concept: Concept is simple. You appeared for one or more entrance exam and scored or did not scored well, you

must be getting GD-PI calls from number of institutes saying lot of things about their institute, few of them are

new, some are old. Obliviously you can not take right decision without appearing or applying for some of theselected institutes (as per your location, academic, budget and other preferences), but applying for 1 (one)

Institute cost you approx 1000 Rupees and you can't take decision without actually visiting/applying for an

institute. Here Combined Application Form comes into the picture, if finally admission is to be taken in just one

institute why to pay for just checking weather institute is suitable for you or not ? Do you actually deserve a seat in

an esteemed institute or not? Why to pay if institute does not find you fit for their admission process? Now all you

need to do is pay for Combined Application Form, select 10 Institutes out of 75+ Institute, Apply, analyze your

result and go ahead for admission. Save your money and valuable time for collecting information and working out

with GD-PI Schedules. Combined Application Form team will inform you about GD-PI schedule as per preferences

given by you. Once you are short listed by any institute and you accept their offer to join, then only you need to

purchase their application form, in short you do not need to pay for appearing in admission process. Your maximum

investment is 500 Rupees (Application Fees) + (Application fees of Institute where you decide to take FINALadmission).

A Concept for true value of your Money and Time

Pioneer & Leader in simplifying MBA/PG Admission Process (GD-PI)

Send your duly filled Combined Application Form to:

DRONACHARYA Group, Association of Combined Application Form

Lokpida Complex, Love Garden Road, Bhilwara-311 001 (Rajasthan)

For More details contact:

JAIPUR: 92514-55133, 92144-45099 GUJARAT:- 92275-22499

JAMMU: 97960-06000, 0-92143-22499 RAIPUR:- 98268-86633, 0-92144 22499

JAMSHEDPUR: 94313-73146, 0-92143-22499 MADHYA PRADESH:- 9829092225, 9214445099

JABALPUR: 94243-94242, 0-92144-45099 PANIPAT-SONIPAT:- 98968-94794, 0-98285-79215

JALANDHAR: 98158-28422, 0-92144-45099 MAHARASHTRA:-0-92144-45099, 0-9799886699

KANPUR:- 87565-55552, 0-92143-22499 UTTAR PRADESH:- 09828579215, 092514-55133

All India Help Lines For information & admission in

Maharashtra, M. P. & West Bengal:Mr. Atul Bapna-9829092225, 9214445099

Delhi-NCR, Rajasthan & U. P.: Mr. Nitin Bapna-9828579215, 9214322499

Gujarat, Andhra Pradesh & rest of South: Mr. Arun Bapna-9214422499, 9227522499

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INFORMATION & GUIDELINES

Dear MBA/PG Aspirant,

Greetings from DRONACHARYA Group, we wish you prosperous career and we also appreciate your desire to pursuemanagement education. We are pioneer and leader in simplifying admission process for MBA/PG, since 2003 we areconsulting MBA/PG Aspirants for selecting suitable institute. We have successfully organized more than 250 MBA/PGAwareness Fair and Admission Process (GD-PI).

Combined Application Form is focused on MBA/PG Aspirants who are willing to appear for admission process of more than 8-

10 Institutes, by paying charges for just one Admission Process, It's all about saving your time and money. It is important

to understand that Combined Application Form is not the guarantee of Admission in any Institute. Applicationform without required documents, photographs and demand draft will not be accepted. Last date of receivingapplication form is 15th FEBRUARY 2012. Forms will not be entertained after given date.

Guidelines for filling Combined Application form

Read Application Form carefully before filling. You can select 10 B-Schools for Admission Process (GD-PI). Applicants aresupposed to select 4 locations for appearing in Admission process (GD-PI), Admission process will be held at Following

Locations:

State Cities State Cities

Rajasthan Jaipur, Udaipur, Kota Uttar Pradesh Lucknow, Kanpur, Agra

Gujarat Ahmedabad, Rajkot, Surat Andhra Pradesh Hyderabad

Madhya Pradesh Indore, Bhopal, Jabalpur, Gwalior New Delhi New Delhi & Delhi NCR

Maharastra Mumbai, Pune, Nagpur, Nasik Karnataka Bangalore

West Bengal Kolkatta Bihar Patna

Hariyana Sonipat-Panipat Panjab Jalandhar, Chandigarh,Jharkhand Ranchi, Jamshedpur Chhattisgarh Raipur

Use tick mark for selection and write in capital letters wherever asked. You are supposed to fill Combined ApplicationForm with blue or black ball point pan only. Affixed one recent passport size photograph on space given in form.

Attach 2 recent passport size photographs with required documents. Confirm that you read, understood and signed Combined Application Form properly. Once we receive your filled form with required documents and demand draft, you will receive SMS/Email/Call from our

side confirming that your application is received. We will inform you about Admission Process (GD-PI) Schedule, as perpreferences (Institutes, locations, months) given by you. We will also inform you about your result, further process andavailable option for education loan (if required). Keep Xerox copy of filled Combined Application Form with you. Sendfilled application form along with demand draft in 24X14 CMs size envelope, Address is already given at first page.

Once you are short listed by any institute and you accept institutes offer to join, then only you need to purchaseinstitutes application form, which is available at DRONACHARYA offices (Jaipur/Jamshedpur/Jammu/Bhilwara/ Kanpur/Kolkata/Mumbai/Ludhiana) or in events of DRONACHARYA Group i.e. MBA SAGAR or can be download fromwww.mbagdpi.com. In short you do not need to pay for appearing in admission process. Your maximum investmentis 500 Rupees + (Application fees of Institute where you decide to take admission).

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List of Associate B-SchoolGive your preference no. (Up to 10) in appropriate box (example 1, 2, 3) before marking any institute ensures that youhave checked institute name and location written with it. DRONACHARYA Group reserves the right to change, add orremove any institutes name and other information.

S.N. Name of B-School City State Preference No.

1 Aurora Business School Hyderabad Andhra Pradesh

2 Food & Agri Business School Hyderabad Andhra Pradesh

3 Guru Nanak Institute of Management Hyderabad Andhra Pradesh

4 Holymerry Business School Hyderabad Andhra Pradesh

5 Sagar Global Business School (SGBS) Hyderabad Andhra Pradesh

6 Shiva Shivani Institute of Management Hyderabad Andhra Pradesh

7 Vishwa Vishwani Institute of Management Hyderabad Andhra Pradesh

8 Disha School of Management (DSM) Raipur Chhattisgarh

9 IMAGE Raipur Chhattisgarh

10 Asia Pacific Institute of Management New Delhi Delhi

11 EMPI Business School New Delhi Delhi

12 Millennium Academy of Professional Studies (MAPS) New Delhi Delhi

13 Netaji Subhash Institute of Management Studies (NIMS) New Delhi Delhi

14 Delhi Business School (DBS) New Delhi Delhi

15 Era Business School New Delhi Delhi

16 Fortune Institute of International Business New Delhi Delhi

17 Indian School of Business & Finance (ISBF) New Delhi Delhi

18 New Delhi Institute of Management (NDIM) New Delhi Delhi

19 New Delhi Institute of Management Studies (NDIMS) New Delhi Delhi

20 NIILM School of Business (NSB) New Delhi Delhi

21 Auro University Surat Gujarat

22 Narayana Business School Ahmedabad Gujarat

23 Xcellon School of Business Ahmedabad Gujarat

24 Parul Institute of Management Vadodara Gujarat

25 Sanskruti School of Business Vadodara Gujarat

26 GIDC Rofel Business School (GRBS) Vapi Gujarat

27 Rawal Institute of Management Faridabad Haryana

28 Indraprastha Institute of Management (IIM) Gurgaon Haryana

29 J. K. Business School Gurgaon Haryana

30 Delhi Business School (DBS) Srinagar Jammu & Kashmir

31 Millennium Academy of Professional Studies (MAPS) Bangalore Karnataka

32 NITTE School of Management (NSOM) Bangalore Karnataka

33 Institute of Business Management & Technology (IBMT) Bangalore Karnataka

34 Intech IBM Bangalore Karnataka

35 International School of Business & Research (ISBR) Bangalore Karnataka

36 Kirloskar Institute of Advanced Management Studies Harihar Karnataka

37 Bhartiya Vidya Bhawan's Kochi Kerala

38 CH Institute of Management Indore Madhya Pradesh

39 CORE Business School Indore Madhya Pradesh

40 Jaipuria Institute of Management Indore Madhya Pradesh

41 Chanakya Institute of Management Studies & Research Mumbai Maharashtra

42 DSIMS Mumbai Maharashtra

43 Libration Schools of Business Mumbai Maharashtra

44 Mahatma Gandhi Mission University (MGM) Mumbai Maharashtra

45 IBSAR Navi Mumbai Maharashtra

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46 Indira School of Career Studies (ISCS) Navi Mumbai Maharashtra

47 Pillai Institute of Management Navi Mumbai Maharashtra

48 Revera School of Management Navi Mumbai Maharashtra

49 Bharati Vidyapeeth-DITM-Amplify Mindware Pune Maharashtra

50 Globus Group of Institutions Pune Maharashtra

51 Indira Global Business School (PGDM) Pune Maharashtra

52 Indira Group of Institutes- ISCD-Wakad (MMM/MPM+PGP) Pune Maharashtra

53 Indira Institute of Management Pune (IIMP) Pune Maharashtra

54 Indira School of Business Studies (PGDM) Pune Maharashtra

55 Institute of Business Management & Res. (IBMR-ASM Group) Pune Maharashtra

56 Institute of International Business & Res. (IIBR-ASM Group) Pune Maharashtra

57 International Institute of Management Studies (IIMS) Pune Maharashtra

58 ISMS Pune Maharashtra

59 Jayawant Shikshan Prasarak Mandal Pune Maharashtra

60 Kirloskar Institute of Advanced Management Studies Pune Maharashtra

61 MIT School of Telecom (MITSOT) Pune Maharashtra

62 MITCON Institute of Management Pune Maharashtra

63 Suryadatta Group of Institutes (SIBMT & SIMMC) Pune Maharashtra

64 Bhubaneshwar Institute of Management Bhubaneshwar Orissa

65 IILM Academy of Higher Learning Jaipur Rajasthan

66 Jaipuria Institute of Management Jaipur Rajasthan

67 Dr. K.N. Modi University Newai-Tonk Rajasthan

68 International School of Business & Research (ISBR) Chennai Tamil Nadu

69 Park Global Business School Chennai Tamil Nadu

70 Aegis School of Business-Essar R Group Coimbatore Tamil Nadu

71 Park Global Business School Coimbatore Tamil Nadu

72 Institute of Management Technology Dubai UAE

73 Institute of Advance Management And Research Ghaziabad Uttar Pradesh

74 Institute of Technology & Science (ITS) Ghaziabad Uttar Pradesh

75 Trinity Business School Ghaziabad Uttar Pradesh

76 Accurate Institute of Management Greater Noida Uttar Pradesh

77 Business School for Women (BSW) Only for Women Greater Noida Uttar Pradesh

78 Business School of Delhi (BSD) Greater Noida Uttar Pradesh

79 Indus Business Academy (IBA) Greater Noida Uttar Pradesh

80 INJ Business School Greater Noida Uttar Pradesh

81 Institute of Technology & Science (ITS) Greater Noida Uttar Pradesh

82 JRE Group of Institutes (Educomp Raffles) Greater Noida Uttar Pradesh

83 NIILM CMS Greater Noida Uttar Pradesh

84 Sri Ram Business School Greater Noida Uttar Pradesh

85 Aurous Institute of Management Lucknow Uttar Pradesh

86 Techno Institute of Management Sciences Lucknow Uttar Pradesh

87 Master School of Management (MSM) Meerut Uttar Pradesh

88 Shobhit University Meerut Uttar Pradesh

89 AKS Institute of Management Excellence Noida Uttar Pradesh

90 Jaipuria Institute of Management Noida Uttar Pradesh

91 EIILM-Institute of Management Kolkata West Bangal

92 Globsyn Business School Kolkata West Bangal

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Payment Details

Select Payment Method

(A) Demand Draft [ ] (B) Cash [ ] (C) Online Payment [ ]

User ID ofwww.mbagdpi.com: ____________Order No. ______________

Demand draft of Rs. 500 in favour ofCOMBINED APPLICATION FORM, payable at BHILWARA.

Bank Name_________________________________________ Branch _________________________

Dated ______________________ Demand Draft No. _______________________________________

Personal Details:

Surname (in CAPITAL Letters) _______________________________________________________________

First Name (in CAPITAL Letters) ______________________________________________________________

Gender: Male [ ] Female [ ] Blood Group _____ Date of Birth (DD/MM/YY) _____________________

Fathers Name _____________________________________________________________________________

Mailing Address ____________________________________________________________________________

_________________________________________________________________________________________

City or Town __________________________ State __________________ PIN_________________________

Permanent Home Phone No. (STD) __________ (Phone No. 1) _______________ (Phone No. 1) ___________

Mobile No. : (1st) ____________________________ (2nd) __________________________________________

E-mail Address

Work Experience (If any)

Organization__________________________________Designation ________________________________

Duration __________________ Job Profile ___________________________________________________

Academic Qualification

Class Percentage Subject Year of Passing Board

X

XII

Graduation Details

Name of the College ________________________________________________________________________

Name of the University ______________________________________________________________________

Name of Degree awarded _____________________ Specialization (if applicable) ________________________

Total Marks / Aggregate %age till date _________________________________________________________

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GRADUATION DETAILS

Class %age Subject Year of Passing

1st Year

2nd Year

3rd Year

4

th

Year

MBA/Management Entrance Test Information-If you have taken any of the following testscompletes this section and submit photocopy of score card (MAT, CAT, XAT, CMAT, ATMA)

Name of Test Date Taken Roll No. Total Percentile Total Score

Preferred Location of GD-PI (Where you want to appear in GD-PI): You have to select first location

where college campus is situated like Pune/ Mumbai/ Delhi/ Bangalore/ Ahmedabad etc.

Delhi-NCR( ) Pune ( ) Mumbai ( ) Ahmedabad ( )

Bangalore ( ) Hyderabad ( ) Jaipur ( ) Indore ( ) Campus at: .

(2) _________________ (3) _________________ (4) _________________

Preference

Do you need bank loan facility? Yes [ ] No [ ]

Do you need hostel facility? Yes [ ] No [ ]

Declaration by Applicant:

I declare that all information in my application is complete, factually correct, and honestly presented. I have

read the rules and regulations mentioned in the prospectus and will adhere to the same. I also understand thatfees once paid will not be refunded under any circumstance.

Check List

Photocopies of Class X mark-sheet and date of birth certificate. ( ) Photocopies of Class XII mark-sheet and certificate. ( ) Photocopies of University degree or mark sheet of two/three years for provisional candidate. ( ) Photocopies of MAT/CAT/ CMAT/ATMA/ XAT test result (if applicable). ( ) Two passport size photographs. ( ) Photocopies of 1 Valid Identification Proof (Voter Card/Driving License/Passport/PAN Card etc.) ( )

Student Signature Place Date

Information given in this form will be used for the purpose of processing your application, if you are shortlisted, same information will be sent to respective institutes for further process.

End of Combined Application Form

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