Form No.
Bharati Vidyapeeth’s
Institute of Management & Information Technology,
Sector – 8, C.B.D., Belapur, Navi Mumbai – 400 614.
Application for PGDBM Admission
To,
The Director,
Bharati Vidyapeeth’s,
Institute of Management & Information Technology,
Affix 1 passport size
Sector – 8, C.B.D., Belapur, photograph here
Navi Mumbai – 400 614. +
send 2 extra copies
of the photograph
A. CAT / ATMA / MAT / MH-CET / GMAT Score: ______________
Q.1) How did you come to know about BVIMIT? __________________________________________________
_________________________________________________________________________________________
Q.2) Why do you want to pursue your Management Studies at BVIMIT? _______________________________
_________________________________________________________________________________________
Q.3) How do you want to use your PGDBM qualification in future? ____________________________________
_________________________________________________________________________________________
B. NAME ______________________________________________________________________
(In block capital letters beginning with surname)
Date Month Year Years Months
C. 1 DATE OF BIRTH AGE
2 Male Unmarried RELIGION
_____________________________
Female Married PLACE OF BIRTH _______________________
NATIONALITY __________________________
3. DEGREE Appeared ______________________________________________________________________
Passed ______________________________________________________________________
4. MAIN SUBJECT(S) / BRANCH _____________________________________________________________
5. UNIVERSITY __________________________________ State of Origin _____________________________
6. ACADEMIC AWARD(S) if any ______________________________________________________________
7. EXTRA CURRICULAR ACTIVITIES __________________________________________________________
(Distinction / Award if any)
8. WORK EXPERIENCE, if any _______________________________________________________________
(Provide Certificates)
Name of Organisation _____________________________________________________________________
Position ________________________________________________________________________________
Date of Joining _________________________________ Years of Experience ________________________
D. ACADEMIC PERFORMANCE (Stages of Education)
Examination University / BoardMonth & year of passingClass / DivisionPercentage of Marks obtainedInstitution1.
S.S.C. / S.S.L.C2. HIGHER
SECONDARY /
PRE-UNIVERSITY3. INTERMEDIATE ./
PROFESSIONAL4. BACHELOR’S DEGREE
Enter marks only if final
result is declared5. MASTER’S DEGREE
Enter marks only if final
result is declared6. OTHER DEGREES /
DIPLOMA CERTIFICATES
Only if passed
E. 1. Father’s Guardian’s Name ___________________________________________________________
2. Occupation ___________________________________________________________
3. Address ___________________________________________________________
___________________________________________________________
Pin Code _____________________ Tel/Mob: ______________________
4. Annual Income (from all sources) ___________________________________________________________
E. Applicant’s Permanent Address: ___________________________________________________________
___________________________________________________________
Pin Code _____________________ Tel/Mob: ______________________
For Correspondence ___________________________________________________________
___________________________________________________________
Pin Code _____________________ Tel/Mob: ______________________
I have checked all the entries in this application and they are true. I have kept all enclosures ready to be
presented on demand.
Place: ______________________
Date: _______________________
* Please also attach a self – addressed envelope Signature of the applicant
FOR OFFICE USE ONLY (Candidate Evaluation)
1 BVIMIT Score ___________________________________________________________
2 Remarks on GD & PI ___________________________________________________________
___________________________________________________________
