Affix a Photograph of Size 35mm X 35mm (An Autonomous College affiliated to Madurai Kamaraj University) Pamban Swamy Nagar,

Thirupparankundram, Madurai 625 005 Tel: 0452-2484099, 2485014/fax: 2483099 Email: admission@tsm.ac.in|URL:www.tsm.ac.in

Post Graduate Diploma in Management (PGDM) / Master of Business Administration (MBA)

(TSM PGDM is 2 years programme approved by AICTE and equivalent to MBA. TSM MBA is approved by AICTE & accredited By NBA, AICTE)

APPLICATION FORM

Application No (To be filled by office)

Instructions:
Please read the admission brochure and application form and follow the instructions therein. Candidates may apply for either PGDM or MBA or for both by indicating their preference in the space provided in the application form. It is clarified that there is no additional processing fee required even if candidates apply for both PGDM and MBA programmes. Fill the application in block capital letters using black ballpoint pen. Tick appropriate boxes and write not applicable (N.A) wherever necessary. Do not attach originals; attach only copies of all mark statements and certificates. Attach copy of the marks obtained in admission test. Incomplete applications are liable to be rejected.

1. Programme applied for:

PGDM

MBA

Both MBA & PGDM

2.

Name of the Candidate (as in the Mark Sheet of Class X)

3. Date of Birth (dd/mm/yyyy)

4. Gender

Male

Female

5. a. Name of Parent or Guardian: b. If Guardian, relationship with Guardian: c. Occupation of Parent/ Guardian: d. Annual Income of Parent/ Guardian: 6. Contact Details a. Address:

b. City: c. PIN d. Telephone: (With STD Code) e. Mobile Number f. Email:

7. Academic History

Name of Degree or Board, Major and Ancillary Subjects

Name of Institution and Board or University

Month and Year of Passing

Medium of Instruction

Overall percentage of Marks

Did you Pass all subjects in the first attempt? If no, specify subjects and number of attempts.

Academic awards, if any

X Standard

XII Standard

Bachelor's Degree

Master's Degree

PG Diploma

Other Academic Qualifications

8. Scholarships/aid received (if any):

9. Extracurricular achievements:

10. Work Experience: Period From To

Name of the organisation

Designation & Nature of responsibility

Place of posting

Last drawn salary

1. 2. 3.

11. Please identify the source that helped you to apply to TSM (Tick) A. Newspaper advertisement (Name and date) B. Poster displayed in college C. Present Student of TSM D. Alumni of TSM E. Friends F. Relatives G. Website H. Coaching centre I. Any other source

12. Admission test details Name of test

Registration Number

Roll Number

13. Admission test results: Name of test CAT MAT CMAT XAT Date of test Overall score Overall percentile

14. Caste details (Tick appropriate column) Open Category / General (OC) Backward Class (BC) Most Backward Class (MBC) Scheduled Caste (SC) Scheduled Tribes (ST)

15. Application fee details:

Application fee to be paid in the form of demand draft drawn in favour of Thiagarajar School of Management payable at Madurai. Attach DD to the filled -in-application form.

Name of the Bank

Branch

Demand draft number

DD date

Amount Rs. 950/-

I hereby declare that all the information given above are correct to the best of my knowledge. I have not misrepresented any facts or particulars furnished in this application form. I am aware that such a misrepresentation may result in rejection of my candidature and if admitted, may also result in cancellation of my enrolment. I further undertake that I will abide by the rules and code of conduct of the Thiagarajar School of Management, as amended from time to time. I am also aware that any contravention could result in disciplinary action including discharge from the programme.

Date:

Signature of the applicant

The downloaded application form duly filled-in along with the demand draft is to be sent by courier/registered post to the following address: The Admissions Office, Thiagarajar School of Management, Pamban Swamy Nagar, Thirupparankundram, MADURAI-625005.
The Last date for receipt of MBA / PGDM filled in application is 17th March 2012.