Application Form St. Josephs 2015-17 PDF

ST.
JOSEPHS COLLEGE OF BUSINESS ADMINISTRATION

18, RESIDENCY ROAD, BANGALORE 560 025
Mobile: +91 99722 52765
E- Mail :admissions@sjcba.edu.in
Appl. No.
APPLICATION FOR TWO YEAR FULL TIME

POST GRADUATE DIPLOMA IN MANAGEMENT
(Filled in by office)
2015-17
(AICTE Approved)
ATTACH RECENT
PASSPORT SIZE
PHOTOGRAPH
FOR OFFICE USE ONLY
(in formal dress) Reg. No.
: .
Director
Name of the Applicant:

(in block letters)
.............................
(As per degree marks card)
Date of Birth:
...............................................
Gender (M/F) ................
(dd/mm/yyyy)
Religion : .......................................................
Are you a Catholic?

ST:
SC:
OBC:
Candidates Permanent Address
..
Address for Communication
E mail id: . ........

Tel Code: ..No..
FATHER
Name
Occupation
Organisation
Designation
Annual Income
Mobile Number
Mobile No. ......

MOTHER
GUARDIAN
(If parents are non-resident)
Educational qualifications
Name of
Examination/Degree
Name of the Institution
Name of
University/Board
State
Year of
Passing
Percentage
Year/Semester
Mode of Study
Full-time
Post-graduate degree
(if any)
Part-time
Correspondence
I
.........................................................................................................................................................................
.
..........................................................................................................
II
..........................................................................................................
Bachelors degree
III
..........................................................................................................
IV
Full-time
..........................................................................................................
Part-time
..........................................................................................................
..
VI
Correspondence
..........................................................................................................
VII
..........................................................................................................
VIII
..........................................................................................................
Aggregate
XII
CBSE
ICSE
State Board
CBSE
ICSE
State Board
Other professional
qualifications
Aptitude Test Scores: MAT / XAT /ATMA / CAT / CMAT. Indicate all tests taken
Exam Taken
Test Date
Percentile Score
Composite score
Indicate the subjects that you had to repeat in graduation:

Subject Repeated
S. No.
1
2
3
Subject Repeated
S. No.
4
5
6
Is there any break in your studies since SSLC?
Yes
No
If yes, give reasons
WORK EXPERIENCE: (Include full time employment only)

Company
Designation
From
To
No. of
months
Monthly
Remuneration
YOUR PARTICIPATION IN EXTRA CURRICULAR ACTIVITIES: College Level onwards

a. Sports and games / NSS / NCC
b. Debates / Quiz
c. Any other
Write in about 100 words what you expect from this course:
How do you propose to finance your studies?
NAME, DESIGNATION, ADDRESS AND CONTACT NO. OF TWO REFEREES:

If you are employed for more than one year submit reference letter from a) your immediate supervisor and b) employer.
In other cases, reference letters should be from your college teachers.
To be submitted in sealed envelopes.
1.
2.
How did you come to know about SJCBA?

DECLARATION
a) By the Applicant
I have read the rules and regulations governing the PGDM Course and hereby undertake to follow them
and any other the college may enact, and assure that I will participate effectively in the Course.
I certify that the particulars given by me in this application form are to true the best of my knowledge and
belief.
Date :---------------------
--------------------------------------------Signature of the Applicant
b) By the Parent / Guardian

I assure the College authorities that my son / daughter / ward will abide by the rules and regulations of the
College and ensure that he / she will participate effectively in the Course.
Date : ---------------------
--------------------------------------------Signature of the Parent / Guardian
Name:
Documents to be attached with the application

Applicants are requested to submit their filled in Application Form along with attested copies of the below
mentioned documents:
1.
2.
3.
4.
5.
6.
7.
8.
Standard X mark sheet

Standard XII mark sheet
Bachelor's degree mark sheets of all years (available as on date)
Degree Certificate (Provisional or Final)
Post-graduate degree mark sheets (if any)
Work experience certificates and latest pay slip (if any)
Entrance exam score card, if available.
DD - Rs 1000 in the name of St. Joseph's College of Business Administration A/C no 1097 7255 535
payable in Bangalore (for downloaded application only)
Important Instructions
Original certificates must be produced at the time of interview.
St. Joseph's College of Business Administration

Residency Road, Bangalore 560 025
REFERENCE LETTER
1. Name of the Applicant
: ..
2. Application No. (Filled in by office) : ..

3. Address
: ..
..
..
..
TO THE REFEREE
1. How long and in what capacity do you know the applicant?
.
.
2. The ratings given below are related to a class of smart students to which the applicant should
belong.
a. Ability to grasp concepts and reason analytically: (Tick off)
Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
Top 40%
No opportunity
to assess
b. Ability to use statistical techniques:

Top 5%
Top 10%
Top 25%
c. Motivation and perseverance in achieving objectives:

Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
d. Capacity to work independently with only limited supervision

Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
e. Creativity and originality of thought and expression

Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
f. Ability to cope with the demands of curricular, co-curricular and extracurricular activities:
Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
Top 25%
Top 40%
No opportunity
to assess
Top 40%
No opportunity
to assess
g. Capacity for working in a team

Top 5%
Top 10%
h. Written and oral communication skills:

Top 5%
Top 10%
Any other remarks
Top 25%
: ..
.
.
.
Referee's Name
Position
Institute / Company
..
Signature & Date
: ..
To the referee: Kindly fill in this form. Be objective; that will be a great help to us. Kindly
seal the envelope and hand it over to the applicant. Thank you for your co-operation.
Director
18, Residency Road
Bangalore 560 025

Residency Road, Bangalore 560 025
REFERENCE LETTER
1. Name of the Applicant
: ..
2. Application No.(Filled in by office) : ..

3. Address
: ..
..
..
..
TO THE REFEREE
1. How long and in what capacity do you know the applicant?
.
.
2. The ratings given below are related to a class of smart students to which the applicant should
belong.
a. Ability to grasp concepts and reason analytically: (Tick off)
Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
Top 40%
No opportunity
to assess
b. Ability to use statistical techniques:

Top 5%
Top 10%
Top 25%
c. Motivation and perseverance in achieving objectives:

Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
d. Capacity to work independently with only limited supervision

Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
e. Creativity and originality of thought and expression

Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
f. Ability to cope with the demands of curricular, co-curricular and extracurricular activities:
Top 5%
Top 10%
Top 25%
Top 40%
No opportunity
to assess
Top 25%
Top 40%
No opportunity
to assess
Top 40%
No opportunity
to assess
g. Capacity for working in a team

Top 5%
Top 10%
h. Written and oral communication skills:

Top 5%
Top 10%
Any other remarks
Top 25%
: ..
.
.
.
Referee's Name
Position
Institute / Company
..
Signature & Date
: ..
To the referee: Kindly fill in this form. Be objective; that will be a great help to us. Kindly
seal the envelope and hand it over to the applicant. Thank you for your co-operation.
Director
18, Residency Road
Bangalore 560 025

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ST.

JOSEPHS COLLEGE OF BUSINESS ADMINISTRATION

APPLICATION FOR TWO YEAR FULL TIME

FOR OFFICE USE ONLY

(in formal dress) Reg. No.

Name of the Applicant:

Gender (M/F) ................

Are you a Catholic?

Address for Communication

E mail id: . ........

Mobile No. ......

Name of the Institution

Indicate the subjects that you had to repeat in graduation:

Is there any break in your studies since SSLC?

If yes, give reasons

WORK EXPERIENCE: (Include full time employment only)

YOUR PARTICIPATION IN EXTRA CURRICULAR ACTIVITIES: College Level onwards

How do you propose to finance your studies?

NAME, DESIGNATION, ADDRESS AND CONTACT NO. OF TWO REFEREES:

How did you come to know about SJCBA?

--------------------------------------------Signature of the Applicant

b) By the Parent / Guardian

--------------------------------------------Signature of the Parent / Guardian

Documents to be attached with the application

Standard X mark sheet

St. Joseph's College of Business Administration

2. Application No. (Filled in by office) : ..

b. Ability to use statistical techniques:

c. Motivation and perseverance in achieving objectives:

d. Capacity to work independently with only limited supervision

e. Creativity and originality of thought and expression

g. Capacity for working in a team

h. Written and oral communication skills:

Any other remarks

Signature & Date

St. Joseph's College of Business Administration

2. Application No.(Filled in by office) : ..

b. Ability to use statistical techniques:

c. Motivation and perseverance in achieving objectives:

d. Capacity to work independently with only limited supervision

e. Creativity and originality of thought and expression

g. Capacity for working in a team

h. Written and oral communication skills:

Any other remarks

Signature & Date

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