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D.A.V. School of Business Management

UG and PG College

Bhubaneswar, Odisha, 751012

NAAC B++ Accredited College


APPLICATION FORM FOR ADMISSION INTO POST GRADUATE DIPLOMA IN MANAGEMENT - SESSION : 2023-24

PERSONAL INFORMATION

FORM NO : 13
Name of the Applicant (in Capital Letters) *
Gender*
Nationality*
Date of Birth*
Age
Category *
Religion
Blood Group
Mobile No.*
Email ID*
Annual Family Income

ADDRESS FOR COMMUNICATION

Present Address *
City*
State*
Pin Code*
Same as Present Address
Permanent Address *
City*
State*
Pin Code*
(Note :-Upload photo with .JPEG, .PNG, .JPG etc format and size not more than 1MB)

Full Signature of the Candidate (Note :- Upload signature with .JPEG, .PNG, .JPG etc format and size not more than 1MB)

Upload Identification Card (Note :- PDF, JPG, PNG only and size not more than 1MB)

DETAIL INFORMATION OF PARENTS

  MOTHER FATHER
(i) Name
(ii) Occupation
(iii) Mobile No.

Educational Details

Examination Board / University Name of the Institute Year of Passing / Graduating Division % of Marks Upload Certificate (.PDF, .JPG, .PNG only)(Maximum Size 1MB) Upload Marksheet (.PDF, .JPG, .PNG only)(Maximum Size 1MB)
Class X *
Class XII / +2*
Graduation *
NB: The students graduating in the year 2023 should mention the % of marks secured in the last published UG semester examination declared by the university. In such a case the certificate upload is optional.
Additional Qualification (if any)

DETAILS OF THE TEST APPEARED / APPEARING (IF ANY)

Please indicate the score(s) / validity(s) of the test(s) taken
Name of Test
Score
Validity up-to

PREVIOUS WORK EXPERIENCE (IF ANY)

Position
Employer (with Address)
From
To

DECLARATION

I understand and accept the terms that govern the admission procedure and participation in any programme of the D.A.V. School of Business Management. I accept that in case of withdrawal, the tuition fees already paid will not be refunded.
I hereby declared that the information furnished in this application form is true to the best of my knowledge. I understand that my application may be rejected and admission may be cancelled at any point of time if any information & documents provided herein are found to be incorrect.