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Application Form for Admission
April 2007 - March 2008 Batch
Last Date for Receiving Applications
November 20, 2006
APPLICATION GUIDELINES AND CHECK-LIST
1. Filling the Application Form [This is the Revised Application Form]
A. Please enter your name as it appears in all official documents submitted/will be submitted and ensure that it is entered consistently across all formal communication. Do not use abbreviated versions of your full name unless your name is abbreviated in your official documents.
B. Please fill ‘N.A.’ in the fields which are not applicable to you. Do not leave any field blank. If you leave blanks, the form will not be processed for admission.
C. Please be sure to fill dates in full in the format DD/MM/YY. Failure to do so may affect the assessment of your application.
D. The application form may be submitted either online or as hard copy. The relevant documents would be required at the time of personal interview and/or during admission.
E. Candidates who expect to be sponsored by the Department of Personnel & Training of the Government of India (DoPT), may like to see the circular of the DoPT for full details. (please click on ‘DoPT’ on the PGP-PMP webpage at www.iimahd.ernet.in).
F. Public sector candidates may like to pursue their sponsorship with their HR Departments. IIMA could facilitate this process.
To send the form online, you will have to download a doc version of the form, enter your application details, and send the same as a doc file back to [email protected]. You will receive an auto-generated acknowledgement email from PGP-PMP Office. In case of non-receipt of acknowledgement within 24 hours of submission, please contact the PGP-PMP Office.
To send hard copy, please take a doc version of the application form, enter details in print handwriting and send the same by mail to “Manager – PGP-PMP, Indian Institute of Management, Vastrapur, Ahmedabad 380 015”.
2. Documents to be provided with the Application
A. A recent passport size photograph, pasted on the application form (or sent as an electronic picture file with sufficient clarity).
B. Copy of valid passport in case the applicant is not an Indian national (hard or soft scanned copies)
C. Certificates and transcript copies (hard or soft scanned copies) of graduation.
D. Proof / certificate of having been employed in a supervisory / managerial / administrative position for seven years. This may also be provided in hard or soft (scanned) form. Civil servant candidates need to mention their batch, cadre, and state / organization where they have worked.
3. Documents for Verification at the Time of Personal Interview
The original documents listed below may be required to be produced at the time of personal interview:
A. One recent photograph.
B. Valid passport (for international applicants only).
C. A transcript of each entry in the Academic Background section The transcript must be in English. If your School/ College/University does not follow the transcript system, you may submit photocopies of all your mark-sheets and degree certificates. However, original documents need to be submitted (hand delivered) for verification at the time of interview and registration, if offered admission.
D. Original certificates/documents of
- Prizes/Awards/Honours/Scholarships listed in Section (8) of the form - Awards/Recognition listed in Section (9) of the form- Course/Programme listed in Self Improvement/Career Advancement Section (11)
of the form- Awards/Recognition listed in Section (12) of the form.
E. Documentary Proof of Employment History listed in Section (10a) of the form. (Any of the following or equivalent may suffice: Salary Slip, Income-Tax Return, Employer’s Certificate, Provident Fund Certificate or equivalent).
Please note that failure to produce the said documents may adversely affect your prospects of admission and/or may even result in exclusion from further consideration in the application process:
4. Documents for Verification during Admission
A. The original documents listed above (A. to E. in Section 3 of Application Guidelines and Check-list) would be required to be produced for verification during admission.
B. Information on three referees who are professionals and who know you well (preferably a colleague or a supervisor). They could be from
- three recent organizations that you have worked for (at least one in this category)
- key clients- academic institutions that you have been associated with.
Please furnish name, designation, organization, address, relationship, contact telephone numbers, and email ID for each.
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5. Documentation not Mandatory but Preferred
If you have answered yes to either question (1) or (2) in Section (15), a letter of support from the organization is required to be furnished (at the time of personal interview). In the event that there is a change in commitment from the organization subsequent to the submission of the form, please convey the same in writing. Please note that this is not likely to adversely affect your prospects of admission.
6. Important Application Deadlines and Decision Dates
A. Last date for receipt of filled-in application form November 20, 2006
B. Intimation to short-listed candidates for test and/or interviews (A list of candidates short-listed for test and/or interviews will be available on the PGP-PMP pages in the IIMA Website by November 30, 2006)
By November 30, 2006
C. Test and/or Personal interviews December 2006
D. Intimation to selected candidates for admission(A list of successful candidates will be posted on the PGP-PMP pages in the IIMA website on December 31, 2006).
By December 31, 2006
7. Additional Write-ups to be Sent by Candidates Short-listed for Interview
Short-listed candidates for interviews are required to send us a write-up on the following topics (about 500 words each):
A. What do you expect to gain from the PGP-PMP course at IIMA?
B. Describe a situation that has demonstrated your leadership qualities.
C. Give a description of yourself stressing the personal characteristics that you feel are your strengths and weaknesses.
D. Any other information that you believe will help us make a favourable decision on your application.
For additional information, please contact:
Manager, PGP-PMP(One Year Post-Graduate Programme in Public Management & Policy) Indian Institute of Management, Ahmedabad – 380 015, IndiaTel: +91-79-2632 4886, 6522 4886 Fax: +91-79-2632 4586, 2630 6896Mobiles: +91-9898242612 Email: [email protected]
Web: www.iimahd.ernet.in
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Application Form for AdmissionPGP-PMP 2007-08
Last Date for Receiving Applications
is November 20, 2006
Application Reference Number IIMA/PGP-PMP/07-08/(1) Biographical Information
Title Mr. Ms. Dr. Others
(Please specify)
Name
(First Name)
(Middle Name)
(Last Name/Family Name)
Gender Date of Birth Age as on March 31, 2007
Male Female Date Month Year Years Months
Place of Birth: Country ___________ State____________ City_________
Nationality ___________ Other Citizenship_________________ORPermanent Residency____________
Current Country of Residence/Work ____________________________
Address for Correspondence
First line of your mailing address
Second line
Third line
Page 4 of 19
Please attach a passport size photograph here.
Post/Zip/Pin Code
Country State City
Email Address 1.______@___________ 2. __________@__________
Mobile Phone (Include country and city code, each separated by a single space)
Phone (Home)
Phone (Office)
Fax
(Tick at least two primary contact numbers)
Information about PGP-PMP
Please tell us where you learnt about the PGP-PMP 2007-08 from.(Please rate the media in the order in which you were exposed to them, rating the first source as 1 and so on). Also, please mention the source.
Newspaper article in ……………………………. Newspaper advertisement in ………………….. Magazine article in ……………………………… Magazine advertisement in …………………… On the web ……………………………………… In a Management Development Programme (MDP) at IIMA……………………… By word of mouth PGP-PMP brochure PGP-PMP poster Others (Please specify) ……………………………………………………..
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(2) Preferred Locations for Personal Interview*
Please state your order of preference (1 for first preference, 2 for second preference and so on) for interview location. . IIMA Bangalore, Delhi Kolkatta Kuala Colombo campus, India India India Lumpur Sri Lanka Ahmedabad, India
* We strongly recommend you to choose IIMA campus, Ahmedabad, as your interview centre, since this will allow you to have a first hand feel of the campus and interact with participants in other programmes.
(3) Qualifying Exam Score
(a) GMAT Score
Please be sure to indicate the IIMA PGP-PMP Code: CQQ-RR-62 as the automatic recipient of your official GMAT score report.
IIMA must receive your GMAT scores directly from the test authority for your application to be processed further. Photocopies of test results are not acceptable. Please note that your application will be considered incomplete unless the GMAT scores are received from Pearson.
Please furnish your GMAT scores obtained between April 1, 2004 and November 20, 2006.
Date of GMAT Verbal Quantitative Total (out of 800)
AWA(out of 6.00)
(b) CAT Score Please furnish your CAT Percentile obtained between 2003 and 2005 CATs
Year of CAT Logic & Data Interpretation
Verbal Quantitative Total
(c) GRE Score
Please furnish your GRE Score obtained between April 1, 2004 and November 20, 2006.
Date of GRE Verbal % Quantitative % Analytical %
(d) Please note that as per the revised criteria, candidates can apply withoutPage 6 of 19
GMAT/GRE/CAT score and such candidates as who are short listed (based on their professional and academic qualifications and work experience) would have to clear a specially designed test prior to their interview. Please tick below if you are applying without GMAT/GRE/CAT.
I am applying without GMAT/GRE/CAT and would be taking the specially designed test.
Such candidates are also expected to provide a statement of intent on why they would like to do a programme in public management and policy. Please see section 16 of the form. (4) Professional Exposure (Up to April 30, 2006)
Total length of full-time professional (managerial + non-managerial) experience Years Months Days
Total length of experience in managerial positions Years Months Days
(5) Areas of Expertise (Please mark your own assessment of your level of expertise)
High Moderate None High Moderate NoneGeneral Management
Production/Operations
Strategic Planning Service Operations
Accounting and Control
Human Resource Management
Finance and Financial Analysis
Information Technology
Project Management Research and Development
Marketing Others (Please specify)
Sales Others (Please specify)
(6) Current Employment Status
Employed Self-employed
Currently not employed (Ignore 6a and 6b)
(6a) Details of Current/Self-employment
Current designation ________________________ since Date Month Year
Name of the employer _________________________________________________
Brief description of the activities of your employer:
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Address of the employer ________________________________________ ___________________________________________________
___________________________________________________
Post/Zip/Pin Code
/Pin Country State City
Include country and city code, each separated by a single space)
Phone*
Fax*
URL of company website
* These numbers will not be used without your permission (unless specified in Section 1)
Your current employment/employer description:
1 Class I Civil Services of GoI1A Class I Civil Services of State
Governments2 In Navratna/Miniratna PSU of GoI3 Other PSUs of GoI4 Other public organization (regulatory bodies,
departmental enterprise, commissions, etc.)5 Public Financial Sector including Regulatory6 Foreign Civil Service7 Foreign Public Enterprise / State Owned
Enterprise8 Non Government Organization (in India or
elsewhere)9 Private Sector in India10 Private Sector Abroad11 Currently not employed12 Other (please mention)
Main field of activity of the organization where you are currently employed / last employed.
1 Energy/PowerPage 8 of 19
2 Education3 Financial Services4 FMCG5 Government Engineering6 Government Services7 Hospitality Services8 Information Technology9 Logistics/Supply Chain Management10 Management Consultancy11 Manufacturing Engineering12 Manufacturing Process13 Media14 Social Service/Voluntary Action15 Others (please specify)16 Projects/Design/Construction17 Shipping/Transportation18 Telecommunications
(6b) Your Current Responsibilities
Please describe as briefly as possible your current responsibilities:
Number of people reporting to you
Designation of the person you report to _______________________________________(if in a company or organization)
Annual turnover of the company Currency Unit
Assets under your management Currency Unit
Your current gross
Annual salary Currency Unit
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(7) Academic Background
7(a) Please list your School graduation details below (Higher Secondary in India, School leaving degree elsewhere)
From School / Institution University/ Board
To
Country State City Exam/ Degree Area of Specialization
Principal subjects taken Results/ Grade/ Marks(%)
Medium of Instruction
7(b) Please list your Bachelor’s Degree(s) (equivalent to Under-Graduate Degree in North America and Europe). Dual Degree or Integrated Courses (Degree + Masters) must also be listed here. Any additional training must be mentioned in Section 11 only.(Transcripts for each entry may be required to be produced at the time of interview.)
S.No.
From College / Institution University
To
Country State City Exam/ Degree Area of Specialization
Principal subjects taken Results/ Grade/ Marks(%)
Medium of Instruction
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S.No.
From College / Institution University
To
Country State City Exam/ Degree Area of Specialization
Principal subjects taken Results/ Grade/ Marks(%)
Medium of Instruction
7(c) Please list your Post-Graduation Diplomas, Post-Graduation Degrees (equivalent to Graduate Studies in North America and Europe) and Doctoral qualifications starting from the highest. Any additional training must be mentioned in Section 11 only. (Transcripts for each entry may be required to be produced at the time of interview.)
S.No.
From College / Institution University
To
Country State City Exam/ Degree Area of Specialization
Principal subjects taken Results/ Grade/ Marks(%)
Medium of Instruction
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S.No.
From School / Institution University
To
Country State City Exam/ Degree Area of Specialization
Principal subjects taken Results/ Grade/ Marks(%)
Medium of Instruction
(8) Prizes, Awards, Honours, Scholarships Received or other academic distinctions Please list those received post-school education only.
Prizes, Awards, Honours or Scholarships Received
Year Accomplishment Awarded by Country State City
(9) Activities and InterestsPage 12 of 19
Please list in order of importance any extra-curricular activity you are/have been involved with (Sports, politics, charitable causes, performing arts, hobbies, community activities, etc.)
Duration Activity Role Played Awards/Recognition Country StateFrom To
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(10 a) Employment History
Please list the entire details of your full-time employment only (including internship but excluding work experience during studies). List your current position first.
Dates of Employment
Employer Job TitleMajor
Product/Service of the Employer
Annual Turnover
(Currency)(Unit)
Highest GrossAnnual Salary
Drawn (Currency)
(Unit)
Responsibilities(Maximum 100 words)
Number of People
Reportingto YouFrom To
Page 14 of 19
(10 b) AccomplishmentsMention your major accomplishments during each of the above jobs
Dates of Employment Employer Job Title Accomplishments
From To
Page 15 of 19
10 c) Details of examinations* you may have taken for selection into(a) Indian Civil Services Group (A) Services/other services/state services; (b) Indian Armed Forces / Reserve Bank of India / Public Sector /Bank Probationary Officers:
(i) Name of the Examination : (ii) Year of Examination : (iii) Your Rank in the Exam / Selection (iv) Particular service / cadre/ organization to which recruited : (v) If you have passed / been recruited into more than one such exam / service / cadre, please provide further details:
_____* Following is a list (not comprehensive) of examinations / services / cadres for which information is sought from the candidates: IAS, IPS, IFS, IA&AS. I.Br.(E), ICAS, IC&CES, IcoG, IDAS, IELS(P&T). IES, IEngg.S, IForest S, IIS, ILS, INAS, IOFS, IP&TAFS, IPOS, IRAS, IREngg.S, IRPS, IRS, IRSEE&IRSE, IRSME, IRSS, IRTS, ISS, ITrS, ITS, AFHQCS, CE&MES, CES(CPWD), CISF, DANICS, DQAS, GCS, MES&BCS, SSB, UTCS, Bank Probationary Officers Exam, Exams for Engg. Trainees / Management Trainees of Public Enterprise, Exams to the Indian Army and various Army Corps, RBI Officers Selection, etc.
10 d) Your current major responsibilities or any major projects / assignments you had been responsible for:
(11) History of Self Improvement/Career Improvement Efforts(Please list history post-education only)
Page 16 of 19
Duration Professional Body/Training Organization
Course/Programme Benefits Gained Country State CityFrom To
(12) International Exposure (study visits / courses gone through / work carried out / assignments, etc.)
Duration Activity Description Awards/Recognition Country State CityFrom To
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(13) Language Proficiency
Mother tongue/Native language ______________________________ Rate your proficiency in languages including mother tongue/native language: Fluent, Good (working knowledge), Fair (simple conversation only), Beginner (some understanding)
Language Reading Writing Speaking
(14) Payment Details
Please give details of how you propose to pay for the course:
Fully sponsored by employer Own funds
Partially sponsored by employer Bank loan
Applying to employer for sponsorship Others _______ (Please specify)
(15) Organizational Endorsement
(Only to be filled in by applicants who expect to be in full-time employment during this programme.)
YES NO
1. Is your organization willing to provide you with financial assistance to meet the costs of the programme?
2. Are they agreeable to provide you with facilities to undertake an in-company project during the programme in case youwant to take up a project on your company/organization?
If yes to (1) or (2), in case you want to take up a project on your company / organization, a letter to this effect from the Company may be required to be furnished at the time of interview,
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(16) Kindly provide a statement of intent, explaining why you would like to do a programme in public management and policy. This statement could also cover your career goals. This item is equivalent to item 7(A). Candidates applying without GMAT/GRE/CAT should provide this information now when applying.
(17) Candidate’s Statement of Integrity
I hereby certify that I have provided accurate information in this application. I authorize IIMA/PGP-PMP Office to verify my credentials. I understand that any misrepresentation or omission of facts in my application may justify denial or cancellation of admission from the One-year Post Graduate Programme in Public Management and Policy
Date ___________________ Signature_________________
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