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Application Form
Post-Graduate Program in Business Management
2011-13
ww w .praxis.ac.in
Instructions
1. This form is an integral part of the admission process. Please provide correct information. Admission granted on the basis of
incorrect information will be ipso facto null and void.
2. Details are to be filled in !"#$ !%TT%&' and in the candidate(s own handwriting.
). The completed application form should reach Praxis usiness 'chool* a+rahat &oad , #hara+tala* P.". , &asapun-a*
2. Parganas , 'outh* $ol+ata , /00 10..
.. Please enclose a photocopy of the 1AT 2 #AT 'corecard and2or 34AT 2 3&% 'core &eport. 5f the scorecard6s) is2are not
available* please enclose a photocopy of the 1AT and2or #AT admit card6s).
7. Please do not attach academic certificates and mar+ sheets or their true copies to this form.
8. Please note that incomplete forms will be re-ected.
/. 5f you have downloaded the form* please mention your Transaction 5D in all your correspondence with us. Any change in your
address2e,mail2contact number should be intimated to us immediately.
9. The application form for the 4A,5ndustry 5nteractive program would be available on enrolment to the Post 3raduate Program
in usiness 4anagement at Praxis usiness 'chool.
:. 5n all matters regarding admission to the program* the decision of Praxis will be final and binding on the applicant. ;o
correspondence from the applicant with respect to his2her non,selection will be entertained.
A Admission Test 6you can submit one or more of the following. est score will be considered)
Please mention the year in which you wrote the test.
1AT 5D ;o. #AT &egistration ;o. 1AT Percentile2<ear #AT Percentile2<ear 34AT 'core2<ear 3&% 'core2<ear
B Personal Details
;ame 6!"#$ !%TT%&')
!ast ;ame =irst ;ame 4iddle ;ame
Address >
6for correspondence)
Pin
Telephone > 6 ) 4obile > =ax >
%mail > 3ender> 4ale =emale
Date of irth > Age > 4arital 'tatus >
;ationality > #ategory > 3en '#
'T


"#
;ame of =ather24other23uardian >
"ccupation of =ather24other23uardian >
Academic ?ualification of =ather24other23uardian >
'.'.#. @.'.#. 3raduate Post 3raduate "thers 6'p
Affix a recent
passport siAe
photograph*
not more than
three months
old
C anguage!s" #no$n -- Please tic# !P" as applica%le
!anguage &ead Brite 'pea+
D &ducation
;ame of
%xamination
Actual2expected
year of passing
4ar+s2
3rade 6C)D
4a-or
sub-ects2discipline
5nstitute Academic oard2
Eniversity
#lass 1
#lass 155
achelor(s Degree
.A.2.'c.2.#om.2
..A.2.%.
"ther 6please specify)
6Tic+ on the right degree)
4aster(s Degree
4.A.24.'c.24.#om.
4.Tech.
"ther 6please specify)
6Tic+ on the right degree)
"ther %xamination
6please specify)
D
!
The percentage of mar+s obtained should be rounded,off to two decimal places
!
!etter grades2grade points should be converted to percentage of mar+s
!
Percentage should be computed in accordance with the norms of the candidate(s oard2Eniversity25nstitute.
!
#andidates in the final year of graduation2post graduation should indicate the aggregate mar+s obtained till the latest
examination for which results are available
of the centers.
& Training programs'courses !ot(er t(an )our academic courses" t(at )ou (a*e completed and consider important !i+ an)"
,erial
-o.
Programs'Courses Period Institution
From To
F /or# &0perience !onl) +ull-time1 a+ter graduation"
,erial
-o.
Position 2rgani3ation Period
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G &0tra-curricular Acti*ities !i+ an)"
4 An) ot(er in+ormation t(at )ou consider important !not co*ered in t(e +orm"
I Indicate )our c(oice o+ centre +or t(e Group Discussion and Personal Inter*ie$
angalore hubaneshwar
#handigarh #hennai 3uwahati
@yderabad
Pune
$ol+ata 4umbai
;ew Delhi
Patna
Praxis reserves the right to cancel any 3D 2 P5 center and invite the students to any