Student Details Form
Instructions:
Please read the instructions carefully before filling:
● Kindly fill all the details carefully in the tables provided below by adding additional rows for each achievement.
● Please leave the table blank for the questions that are not applicable.
● Filling the student detail form and producing all the mentioned achievement proofs is Mandatory failing which
achievements cannot be validated.
● Please do not paste the certificate proofs within this document. All the certificate proofs are to be submitted as
seperate attachements in the same mail.
● The completed Student Detail Form along with the Certificate Proofs has to be submitted together in one mail to your
respective mentor and get it verified by the mentor.
●The Students who fail to submit the updated form and enclosures at the end of each trimester will not be permitted to
write any exams.
Name of the Student:
Contact Number:
Email Address:
Batch:
Enrolment No:
1. Do you have any work experience before joining ICBM SBE? No
(Answer in Yes Or No)
Enrolment Months/ Years of Work
[Link] Name of Student Name of the organization
Number experience
1 0 0
Add a Row
2. Internship Details
Pre-
Name of Enrolmen Name of Organization Duration Of Appointment Letter Placement Add a
Sl. No.
Student t Number Internship Reference No. with date Offered
(Yes/ No)
1 0 0
Add a Row
3. Placement Details
Name of Enrolmen Employee Date of Appointment Letter
Sl. No. Name of the Employer Designation
Student t No. ID joining Reference No
1 0 0
Add a Row
4. Did you pursue any higher education program after PGDM @ ICBM-SBE: Yes
(Answer in Yes Or No)
Enrolment No. in the new College/
[Link] Name of the Student Course Details
course University
1 0
Add a Row
5. Did you become an Entrepreneur after PGDM?
(Answer in Yes Or No)
[Link]. Name of the Student Nature of Business
1 0
Yes
GST No. with Year of
Establishment
Add a Row
6. Please provide details of any Participation in Professional
Yes
societies / chapters:
Name of the Status of membership
Sl. No. Name of Professional body
Student (Active/ Inactive)
1 0
Add a Row
7. Participation Details in various Inter/ Intra College events (Conferences, workshops, seminars,
webinars, symposiums, etc.):
Name of the Role (Prize / Participation /
[Link]. Organizer Activity
student Volunteer)
1 0
Add a Row
8. Participation in various Trainings/ Courses in online or offline mode:
Mode
Student Organizer/ Duration
[Link] Topic Date (Online/
Name University In Weeks
Offline)
1 0
Add a Row
9. Participation in Extra Curricular Events (Sports / Arts / Social Service /
Any other co-curricular events)
Student Enrolment Role (Prize/ Participation/
[Link]. Activity Organizer
Name No Volunteer)
1 0 0
Add a Row
10. Publication Details
10. a. Journal Publications
Academic Date of Name of the Name of the
[Link]. Year Publication student Publication
Title of the paper ISSN
1 0
Add a Row
10. b. Conference Proceedings Publications
Academic Date of Name of the Name of the
[Link]. Year Publication student Publication
Title of the paper ISBN
1 0
Add a Row
11. Paper Presentations
Date of Name of the
[Link]. Name of the Conference Conference Organizer Title of the paper
Conference student
1 0
Add a Row
12. What is your Present professional Status: Employed
(Employed/ Unemployed/ Entrepreneur)
(a) If employed / Entrepreneur please provide the details of Position held and Organization:
Enrolment Name Of Present
SI. No Organization Designation
Number Student professional Status
1 0 0 Employed
Add a Row
The following Enclodures are to be submitted for Documented
[Link]
1
2
3
4
5
6
7
8
9
10
11
12
13
Total Number of Documents to be uploaded/submitted along with this document
The following Enclodures are to be submitted for Documented Evide
Document Particulars
Service Certificate/s of Work Experience before joinoing PGDM
Internship Completion Certificate/s or Letter/s
Appointment order/s of Job Offer/s attained during or after PGDM
Proof of Higher Education after PGDM (ID Card, Admission Card, Bonafied Certificate or any others)
Proof of Entreprenureship (Any Relevant Document to prove your enterprise ownership)
Receipts of membership in professional bodies/ Chapters
Certificates of Professional events (organised by ICBM or any other institutions)
Certificates of Prarticipation in training or courses (Online/Offline)
Certificates of Extra circular activies
Copy of Journal Article
Copy of Conference Proceedings with your name and details
Certificates of Paper presentations
Latest Offer letter in case of Job change
Total Number of Documents to be uploaded/submitted along with this document
Documented Evidence
Refer Based on data No of Certificates as Are you
Document
Sheet No Requirement per your data submitting
1 No 0
2 No 0
3 No 0
4 No 0
5 No 0
6 No 0
7 No 0
8 No 0
9 No 0
10 No 0
11 No 0
12 No 0
13 No 0
ocument 0
