Executive PGDM

APPLICATION FORM

 Form No.   283

Instructions :
  • Please read the instructions carefully before submitting the form.
  • Please fill up all relevant sections carefully.
  • Improperly filled up forms will not be considered.
  • After submission, a copy of the form will be mailed to you at your email id.
  • Please submit a DD of Rs 300/- in favour of "Globsyn Technologies Ltd." payable at Kolkata, within 7 working days of applying online.
    (For TechnoCampus Address- Refer to the bottom of the Form).
  • Mention the form number at the back of the DD.
  • Program prospectus will be mailed to you as soon as we receive the DD.
  • In case of non-receipt of the DD within next 7 working days, your application will be cancelled.

Personal Information:
Name:     
       First Name                Middle Name         Last Name
Date of Birth:  (DD ) (MM ) (YYYY)
Father's / Guardian's Name:   
  

Correspondence Address:
Address:  
City:  Pin: Email:
Phone: Mobile:
If your mailing address and permanent address are same then Click in the Checkbox.

Permanent Address:
Address:  
City:  Pin: Email:
Phone: Mobile:

ACADEMIC RECORDS: (Starting with the most recent)
Qualification Major Subjects Medium of
Instruction		 Board/University Marks(%)/Grade Year of Passing

EMPLOYMENT DETAILS [if employed]:
Company Name Designation Duration of Service (months) Area of Work

I Agree that all the information in this application form is true, accurate and complete to the best of my knowledge.
Globsyn Business School, Globsyn Crystals, X1- 11 & 12 ,Block EP
Sector V, Salt Lake, Kolkata 700091. Phone :(033) 4000-3600