PGDM - Event Management Admission Form


( * ) Mandatory/Compulsory Fields

Part "A"
Personal Information

Please enter Your Surname Please enter only capital letters/alphabets Surname cannot be longer than 50 digits
Please enter Your First Name Please enter only capital letters/alphabets First Name cannot be longer than 50 digits
Please enter Your Fathers's Name/Second Name Please enter only capital letters/alphabets Fathers's Name/Second Name cannot be longer than 50 digits

Please enter Your Full Name Please enter CAPITAL LETTERS only Full Name cannot be longer than 100 digits


Please enter Your Age Please enter only digits Age cannot be longer than 2 digits

Please enter Your Place of Birth Please enter only alphabets Birth place cannot be longer than 100 characters

   
Please tick one

   
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Please enter Your address


Please enter Your State Please enter valid State

Please enter Your Taluka Please enter valid Taluka

Please enter Your City

Please enter Your Pin code Please enter only digits Please enter a valid PIN CODE


Same As Local Address
Please enter Your address


Please enter Your State Please enter valid State

Please enter Your Taluka Please enter valid Taluka

Please enter Your City

Please enter Your Pin code Please enter only digits Please enter a valid PIN CODE

(Provide your or your family member's number at which you can be contacted)
Please enter Your mobile Number Please enter only digits Mobile Number cannot be Greater than 10 digits Mobile Number cannot be Lesser than 10 digits
Please enter Your mobile Number Please enter only digits Number cannot be Greater than 11 digits Mobile Number cannot be Lesser than 10 digits

Invalid Aadhaar Number cannot be Greater than 12 character Aadhaar Number cannot be Lesser than 12 character
(AADHAAR number will be required for further procedures with Goa University. If you do not have it, kindly provide immediately after admission.)

(Enter lower case)
(This email ID will be used by Goa University to confirm your admission and allot University enrollment number. You are required to remember the username and password of this email for further procedures.)







Part "B"
Academic Record


Please enter Name of Institute Please enter only alphabets
Please enter Place of Institute Please enter only alphabets

Please enter Board Name Please enter only alphabets


Please enter Seat No. Please enter only digits

Please enter number of attempts Please enter only digits & attempt cannot be less than 1 Cannot be more than 1 digit

Please enter Marks Obtained Please enter only digits
Please enter Out of Marks Please enter only digits
Please enter your percentage Please enter only digits





Please enter Name of Institute Please enter only alphabets
Please enter Place of Institute Please enter only alphabets

Please enter Board Name Please enter only alphabets


*
Please enter Seat No. Please enter only digits

*
Please enter number of attempts Please enter only digits & attempt cannot be less than 1 Cannot be more than 1 digit

*
Please enter Marks Obtained Please enter only digits
Please enter Out of Marks Please enter only digits
Please enter your percentage Please enter only digits


Please enter Name of Institute Please enter only alphabets
Please enter Place of Institute Please enter only alphabets

Please enter Board Name Please enter only alphabets


*
Please enter Seat No. Please enter only digits

*
Please enter your no of attempts Please enter only digits Cannot be more than 1 digit

*
Please enter Letter Grade Please enter only Alphabets(Capital Letters Only)
Please enter Point Grade Please enter only digits
Please enter your percentage Please enter only digits
(Point Grade*10)
   

Please enter Name of Institute Please enter only alphabets
Please enter Place of Institute Please enter only alphabets

Please enter Board Name Please enter only alphabets


*
Please enter Seat No. Name Please enter only digits
Please enter Seat No. Name Please enter only digits

*
Please enter your no of attempts Sem V Please enter only digits Cannot be more than 1 Digit
Please enter your no of attempts Sem VI Please enter only digits Cannot be more than 1 Digit

*
Please enter Marks Obtained Please enter only digits
Please enter Out of Marks Please enter only digits
*
Please enter Marks Obtained Please enter only digits
Please enter Out of Marks Please enter only digits
Please enter your percentage Please enter only digits

Please enter Name of Institute Please enter only alphabets
Please enter Place of Institute Please enter only alphabets

Please enter Board Name Please enter only alphabets


*
Please enter Seat No. Name Please enter only digits

*
Please enter your no of attempts Please enter only digits Cannot be more than 1 Digit
Please enter your no of attempts Please enter only digits Cannot be more than 1 Digit

*
Please enter Letter Grade Please enter only alphabets
Please enter only digits
Please enter your percentage Please enter only digits
(Point Grade*10)
   
*
Please enter Letter Grade Please enter only alphabets
Please enter Point Grade Please enter only digits
Please enter your percentage Please enter only digits
(Point Grade*10)
   


Please enter Name of Institute Please enter only alphabets
Please enter Place of Institute Please enter only alphabets

Please enter Board Name Please enter only alphabets


Please enter Seat No. Name Please enter only digits

Please enter your no of attempts Please enter only digits Cannot be more than 1 Digit

Please enter Marks Obtained Please enter only digits
Please enter Out of Marks Please enter only digits
Please enter your percentage Please enter only digits


Part "C "
PARTICULARS OF PARENTS/GUARDIANS

Please enter {{father_husband_name}} Please enter only alphabets {{father_husband_name}} cannot be longer than 50 characters
Please enter Mother's Name Please enter only alphabets Mother's Name cannot be longer than 50 characters

Please enter only alphabets {{father_husband_qualification}} cannot be longer than 50 characters
Please enter only alphabets Mother's Qualification cannot be longer than 50 characters

Please enter only alphabets {{father_husband_occupation}} cannot be longer than 50 characters
Please enter only alphabets Mother's Occupation cannot be longer than 50 characters

Please enter Contact Number Please enter only digits Parents mobile number cannot be longer than 10 characters
Please enter only digits Parents Number (Residential) cannot be longer than 10 characters

Please enter only digits Parents number (office) cannot be longer than 10 characters

Please enter Guardian's Name Please enter only alphabets Guardian's Name cannot be longer than 50 characters
Please enter Guardian's Relation Please enter only alphabets Guardian's Relation cannot be longer than 50 characters

Please enter only digits Guardian's Number cannot be longer than 10 digits

*


Part "D"
WORK EXPERIENCE DETAILS




Part "E"
COURSE DETAILS:




Part "F"
STRENGTHS AND WEAKNESSES:




Part "F"
ATTACH DOCUMENTS


(Front and Back to be merged and uploaded as 1 single PDF)



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Upload Student Signature

   

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Upload Parent/Guardian Signature





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I hereby declare that the information provided by me is true, complete and correct to the best of my knowledge and understand that my admission is liable to be cancelled in the event of any information found to be incorrect.
By Clicking on the submit button below, I acknowledge that I have read and agree to be bound by all the terms and declaration mentioned in this admission form

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Your application form has been successfully submitted. Please read the instructions carefully mentioned below. Kindly get the Printed copy of this pdf form on the day of admission in college. Kindly attach your photo, if not generated in the pdf. Student and Parent/Guardian signature if uploaded, will not be generated in the PDF. Click button "Generate Pdf and Print" above to generate pdf file of the submitted form and to send the copy of the same to your email address(Please Check spam folder, if email is not received).



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