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2/22/2018

Management Development Institute Gurugram


APPLICATION FORM PGPM / PGP - HRM / PGP - IM (2018-20)
Cat Reg No.: 7058425 Photo
MDI Application 1137898
No.:
Name: ABHISHEK SHARMA
Programme Applied
Preference 1: PGPM
Preference 2: PGP-IM
PGP-HRM
Hand written preferences in application form or modification done by hand will not be accepted.
Payment Details
Payment Type Credit Card/Debit Card/Net Banking
Amount 2596.00
Status Application completed and Payment Received at Institute

I,____________________________, certify that I satisfy the eligibility requirements of the programme(s)


applied for and that all entries made in this application form are true to the best of my knowledge and
belief. I am willing to produce original certificate(s) in support thereof if asked to do so at any stage during
the programme. I agree to abide by the decisions of Management Development Institute, Gurugram on all
matters regarding this application.

Date:
Place:

Signature of Candidate
Name in Full:

Interview Details:
Venue: Management Development Institute, Mehrauli Gurgaon Road, Sukhrali, Gurgaon
Date: 23.02.2018
Time: 1:00:00 PM

You are also required to bring the self attested photocopies of the following documents at the time of
Personal Interview
1. CAT 2017 Score Card
2. Xth Board Certificate – Date of Birth Proof
3. X Board Marksheet
4. XII Board Marksheet
5. Graduation Marksheet
6. Work Experience Proof *
a) Pay Slip (December 2017)
b) Job Offer Letter (s)
*If you have worked for more than one company, provide the complete documents to prove your work
experience.

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Management Development Institute Gurugram

APPLICATION FORM PGPM / PGP - HRM / PGP - IM (2018-20)


7058425
1) MDI Application No.: 1137898
2) Name (as per X class certificate): ABHISHEK SHARMA
3) Father's Name: K P SHARMA
4) Mother's Name: SHERLY SHARMA
5) Date of Birth (dd/mm/yy): 20-Jul-93
6) Gender: Male
7) Nationality Status: Indian
8) Exam: CAT
9) Mailing Address: P-3/4
ARUN KHETARPAL ENCLAVE MEERUT CANTT
MEERUT
Uttar Pradesh - 250001
10) Contact No.: 9161720404
9161720404
11) Email: abhishek20793@gmail.com
12)Passport No: N1153904
13)Academic Qualification :
Name of Institute/ Name of the Board/ Year of Degree with
Marks %
Professional Body University Completion discipline
English
92/100
Hindi / any other
98/100
Kendriya Vidyalaya language
90/100
X No. 2 CBSE 2009 Science/Commerce
99/100
Port Blair Maths
92/100
Social Studies
94.2
Total
78/100 English
93/100 Physics
Dewan Public School 96/100 Mathematics
XII CBSE 2011
Meerut Cantt 97/100 Chemistry
91/100 Computer Science
91 Total
Harcourt Butler Harcourt Butler Technological
Graduate
Technological Institute University(Former Gautam Buddh Technical 2016 67.76 B.E(Others)
Degree
Kanpur University)
Post
Graduate
Degree
Professional
Degree

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Work Experience

S.No. 1
Organistion name:
Sapient Consulting Pvt Ltd
Designation: Associate Technology L1
Nature of Duties:
ETL Developer with an asset management company responsible for transfo
Period (DD/MM/YY) [From - To] 10/10/16-Present
Annual Emoluments (Rs. lacs)
6.19
Industry IT CONSULTING

Work experience (in months as on 31st December 2017): 15

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Awards

S.No: 1
Name of Award:
Certificate Of Merit
Awarding Institution
Central Board of Secondary Education
Level National
Basis of Award
Academic
Year(s) [####]
2009
S.No: 2
Name of Award: Certificate for Badminton
Awarding Institution
Harcourt Butler Technological Institute
Level
College
Basis of Award Sports
Year(s) [####]
2015
S.No: 3
Name of Award:
Certificate for Coordinator of Organizing Cell of College Festival
Awarding Institution Harcourt Butler Technological Institute
Level
College
Basis of Award
Cultural
Year(s) [####] 2013

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Extra Curricular
S.No. Activity
1 Poker
2
Watching Movies
3
Playing Badminton

Print

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