application form : entrepreneurship development institute of india

8/6/2019 Application Form : Entrepreneurship Development Institute of India

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ENTREPREURSHIP DEVELOPMENT INSTITUTE OF INDIA

AHMEDABAD, GUJARAT, INDIA

APPLICATION FORM: 2011-13

Instructions

I. Fill the Application Form legibly. Incomplete forms will not be considered.

II. Do not attach copies of any certificate and mark sheet to this form.

III. Decision of the Institute shall be binding in all matters regarding admission to the programme.

IV. Enclose Demand Draft/Cash Deposit Receipt/Proof of Remittance of Rs.1000 only

DD No/: Bank Name:

DD should be drawn in favour of Entrepreneurship Development Institute of India payable at Ahmedabad

Cash Deposit Receipt No.:

Remittance No:

V. Read the Information Booklet before filling up the form. The booklet is available at EDI on paymentof Rupees Hundred only.

A. Personal Details

1. Application for the Programme: (please put a tick () mark in the appropriate box)

(i) Post Graduate Diploma in Management Business Entrepreneurship

(ii) Post Graduate Diploma in Management Development Sector & Social Entrepreneurship

2. Whether appearing through:

(i) CAT/ MAT / XAT Yes Ye No

(ii) EDI Entrance Exam (EEE): Yes No

(iii) Any Other National Test (Mention Details)

Form No.


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In case of 2 (i):

Registration No.: CAT__________________MAT _______________ XAT ______________

(iv) Will be enrolled in EDI as: Residential Candidate Non-Residential Candidate

3. Name (Block Letters): ______________________________________________________

Last Name First Name Middle Name

4. Address (For Correspondence): _________________________________________________

_________________________________________________

___________________________________________________________________________________Pin ____________

Telephone _______________________Mobile____________

E-mail ____________________________________________

5. Gender: Male Female

6. Date of Birth: __________________, Age (as on July 1, 2011): ____________ years

7. Contact Details of Father/Guardian:

Name: ____________________________________ Contact No.:_________________________

8. Category (please put a tick mark):

SC ST OBC General Differently Able

B. Education

Name of Examination Year Aggregate

Percentage

Major Subjects University/Board

Matriculation/Secondary

Higher Secondary

Bachelors Degree

Other Degree/

Examination

(Final year student should indicate aggregate percentage obtained in previous year/last semester)

C. Work Experience (indicate only full-time job after Graduation)

Sr. No. Position Organisation Period (in months)

From To Total


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D. Achievements in Extra Curricular / Co-curricular Activities:

Event Achievement

E. Why do you want to pursue this course? (Attach a separate sheet if required):

Describe:

F. Family Occupation (please put a tick mark)

Business Service Professional Agriculture Others (specify)

G. Details of Family Business, if applicable

Name, Address and Nature of Business Products and Other Relevant Details

H. Referee: Give the name and address of a person who is not a family member or close relative. S/heis in a position to comment on the applicants suitability for this course

Name

In what capacity the referee knows you


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Address of the referee

Telephone Nos. (with STD Code)

OfficeResidence

Mobile

Email

I. Please Mention Source of Information(mark relevant option)

Newspaper Advertisement

(please mention name of Newspaper)

Newspaper Article

(please mention name of article )

Internet Search

Friends / Relatives

EDIs Current Batch Students/Alumni

Brochures/Posters/Leaflets

Presentation in College

CAT / MAT / XAT BulletinTuition/Coaching Class

Any Other Source (PleaseSpecify)

J. Centre for Written Test and Personal Interview :

Exam Centre Date

Ahmedabad June 26, 2011

(EDI reserves the right to change the Written Test and Personal Interview Center)

Declaration:

I hereby declare that the entries in this form are true to the best of my knowledge and belief. If at anystage, the entries are found to be incorrect, I will withdraw from the programme and forfeit claim on

refund of fees.

I will abide by rules and discipline of EDI. I will make on time payment of fees.

All disputes are subject to the jurisdiction of Ahmedabad court only.

Ragging is prohibited as per the decision of the Supreme Court of India Writ Petition No (C)

656/1998. Any student involved in ragging will be punished and may be rusticated fromEntrepreneurship Development Institute of India, Ahmedabad.

Date: Signature


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Affix your recentpassport sized photo

here and sign across thesame

Place:

Signature of Guardian/Parent

ACKNOWLEDGEMENT-CUM-ADMIT CARD

(For office use)

Received your application form no. for admission to

..Programme

2011- 2013. The Written Test and Personal Interview is scheduled on

at .

Please report to by 9.30 a.m. on the

above date. For details of the Written Test and Personal Interview, please visit our website at

www.ediindia.org/www.ediindia.ac.in

(to be filled in by the candidate)

Name & Address of the Candidate (please write your name & address legibly in the space provided in

BLOCK letters):

Mobile No

application form : entrepreneurship development institute of india

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