SVIMS Application Form 2017

SIR M VISVESVARAYA INSTITUTE
OF MANAGEMENT STUDIES & RESEARCH
APPLICATION FORM FOR ADMISSION
App.No.
COURSE:
FOR THE YEAR:
PART I - Personal Particulars
NAME
FIRST NAME MIDDLE NAME SURNAME
GENDER: MALE FEMALE DATE OF BIRTH:
MARITAL STATUS: SINGLE MARRIED PLACE OF BIRTH/DISTRICT
STATE:
RELIGION: NATIONALITY :
WHETHER BELONG TO RESERVE CATEGORY : Y/N
IF Yes, Which category: SC/ST/OBC/Others:
If others, specify:
Residential Address:
Permanent Address:
Phone No.: Mob.No.: Alt.No.:
Email id:
Alternate email id:
PAN No.: Driving Licence No. Adhaar No.:
Passport No.
Place of Issue:
Parents’ Details: FATHER MOTHER
Name:
Qualification
Occupation Service Business Govt Professional Service Business Govt Professional
Phone Nos
Email id:
Annual Family Income: < 5 Lacs 5-10 Lacs 15-20 Lacs >20 Lacs

PART II – Academic Details
Course / Program
Name of Institute
/ University
Specialization
Year (From
MMYY-MMYY)
% of Marks and
Class
SSLC
HSC/Pre-Degree
Degree (specify)
Diploma / Others
MMS / MBA / Management Entrance Details:
Name of Test Appeared: MH-CET CMAT ATMA CAT AMMI OTHER
Score obtained : Percentile :
PART III – Work Experience / Gaps if any in study
From To Designation Organization Reason for leaving
Study
Gaps/Reason
PART IV – Computer Proficiency
Course/Diploma
Name of
Inst/University
Modules/Languages
Duration of Course
Comfort Level
OK/Good/V Good

PART V – Statement of Purpose (SOP)
In not less than 400 words – Give your statement of Purpose why you want to pursue Management
Education
(Explain how your strength, weakness and skills will enable you to perform in the SVIMS Program over 2 years)

Notes:
The application must be hand written legibly by the applicant himself/herself in blue/black pen.
Application will have to be completed in all respects. The management may reject the application
form if some information is missing or found incorrect.
Eligibility: Bachelor’s degree with at least 50% aggregate marks or equivalent CGPA. Candidates
appearing for the final exam of graduation this year also can apply but must prove their eligibility
by 30 th September of this year. Those not producing eligibility certificate as per the date mentioned
will be disqualified /deregistered irrespective of their having joined the program provisionally.
Applicants need to have valid CMAT/GMAT/CAT/XAT/MAT/ATMA/ MHMBA-CET score or should
qualify for the admission obtaining a valid score in any of the above exams before the close of the
admission process as decided by the competent authority.
Declaration:
I declare that all information provided by me in this application for admission is correct and
complete. I also understand that I have read the notes above & submission of this form does not
automatically qualify for me for admission. The application fee is not refundable under any
circumstances.
Name : Date:
Signature : Place:
Address: #117,, Road No 7A, Beside Indulal D Bhuva Park, Near SIWS, ICT & VJTI College, Wadala (W), Mumbai-31
Website: www.svims.com
Email: svims2@gmail.com