Founded in 1962
(An Autonomous Institution affiliated to Madurai Kamaraj University)
Pamban Swamy Nagar, Thirupparankundram, Madurai, Tamil Nadu- 625 005.
Tel: 0452-2484099, 2485014/ Mobile: 9655500925, 9585957366, 9585957388
E-mail: URL: www.tsm.ac.in
Post Graduate Diploma in Management (PGDM) / Master of Business Administration (MBA)
2017 - 2019 Batch
(TSM PGDM is a 2-year programme approved by AICTE, accredited by NBA & recognized by AIU. TSM MBA is approved by AICTE & accredited by NBA)
APPLICATION FORM Application Number
7. Academic Record
* If B.tech/B.E , please mention the Branch such as mechanical, ECE etc.
Academic awards, if anyDid you Pass all subjects in the first attempt? If no, specify subjects and number of attempts.
Overall percentage of Marks
Medium of Instruction
Month and Year of Passing
Name of Institution (School or College)
Name of Degree or Board/ University, Major and Ancillary Subjects *
X Standard / XII Standard / Bachelor’s Degree / Master’s Degree / PG Diploma / Other Academic Qualifications
7 A. Total number of history of arrears (cumulative) in your under graduation:
7 B. Number of standing arrears in your under graduation at the time of applying:
8. Scholarships/ grants received (if any):
9. Extracurricular Activities & Hobbies:
10. Extracurricular Achievements & Awards:
12. Work Experience (starting with most recent assignment):
# / Period / Name of the organization / Designation & Nature of Responsibility / Place of Posting / Salary Last Drawn (Rs. / month)
From / To
1.
2.
3.
13. Please identify the source(s) that helped you to apply to TSM (Tick the source(s) applicable to you)
A. Newspaper advertisement (Name and date)
B. Internet (Mention the name of the website)
C. Present Student of TSM
D. Alumni of TSM
E. Friends
F. Relatives
G. TSM Website
H. Coaching centre (please specify)
I. Any other source (please specify)
14. Admission Test Results
v Candidates who have taken more than one test are requested to furnish ALL their test scores. The best test score after moderation will be considered for evaluation.
Name of Test / Date of Test / Registration Number / Overall Score / Overall Percentile
CAT
MAT
CMAT
XAT
TANCET
Others
15. Community Details (Tick appropriate column)
Open Category / General (OC)
Backward Class (BC)
Most Backward Class (MBC)
Scheduled Caste (SC)
Scheduled Tribes (ST)
17. Application Fee Details:
Application fee of Rs. 600/ - to be paid in the form of demand draft drawn in favour of Thiagarajar School of Management payable at Madurai. Attach DD to the filled -in-application form.
Name of the Bank / Branch / Demand draft number / DD date / Amount
Rs. 600/-
I hereby declare that all the information given above are correct to the best of my knowledge. I have not misrepresented any facts or particulars furnished in this application form. I am aware that such a misrepresentation may result in rejection of my candidature and if admitted, may also result in cancellation of my enrolment. I further undertake that I will abide by the rules and code of conduct of Thiagarajar School of Management, as amended from time to time. I am also aware that any contravention could result in disciplinary action including discharge from the programme.
Date: Signature of the applicant
The downloaded application form duly filled-in along with the demand draft is to be sent by courier/registered post to the following address:
The Admissions Office,
Thiagarajar School of Management,
Pamban Swamy Nagar,
Thirupparankundram, MADURAI, TAMIL NADU -625005.
The last date for receipt of MBA / PGDM form, duly filled is 11th FEBRUARY 2017.
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