1 Form No Grooming program – July 2006 Common Application Form Instructions 1 This form is an integral part of the admission process Please provide correct information Admission granted on i by qpeoru8364

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    Form No:

                                  Grooming program – July 2006
                                    Common Application Form

Instructions
   1. This form is an integral part of the admission process. Please provide correct information.
      Admission granted on incorrect information will be ipso facto null and void.
   2. Fill in the application form legibly. Incomplete forms may not be considered.
   3. All applicants are required to appear for written tests & personal interviews as intimated to
      you.
   4. Do not attach any certificates and mark sheets or their copies to this form.
   5. In all matters regarding admission to the program, the decision of the management will be
      final and binding on the applicant. No correspondence from the applicant with respect to
      his/her non-selection will be entertained.
   6. Enclose a draft for Rs. 500/- drawn in favour of JGInetwork and payable at Bangalore.
      (Non-returnable)

                                              DD Details:
      DD No.:                    Bank:                           Date:


      A. Personal Details

      Name (Block Letters):
      _______________________________________________
      Last Name             First Name     Middle Name

      Correspondence Address
                          __________________________________________
                              __________________________________________
                              __________________________________________
                              ____________________ Pin __________________

                              Telephone ______________ Fax________________

                              E-mail ____________________________________
      Permanent Address
                              __________________________________________
                              __________________________________________
                              __________________________________________
                              ____________________ Pin __________________

                              Telephone ______________ Fax________________

      Sex                     Male [ ]            Female [ ]

      Date of Birth     Date __________ Month ____________ Year _________

      Age               __________ years

      Marital Status:   Married [ ]   Unmarried [ ]      Separated [ ]

      Nationality:      _______________________

      Father’s /
      Guardian’s Name:    _____________________________________________________
   B. Education

   Name of Examination                  Aggregate
                             Year                      Major Subject        University/Board
    (mention degree)                    Percentage


   Higher Secondary



   Bachelor’s Degree
   …………………………..


   Master’s Degree
   …………………………...


   Other Degree/
   Examination
   ……………………………


C. Training programs/courses (other than your academic courses) that you wish to
   state and consider important

    Sr. No.            Programme/Courses                  Duration             Institution




D. Work Experience (only full-time job)

    Sr. No.                 Position#                   Organization             Period




 # Attach a note describing the nature of contribution for each position.

E. Mention three most significant areas of interest that reflect your personality.
   _________________________________________________________________________

   _________________________________________________________________________

   _________________________________________________________________________
F. Mention at least two significant achievements that you are proud of:
   _________________________________________________________________________
   _________________________________________________________________________
   ______________________________________________________________________________________________________________________________________________________________________________________




G. References (two): (Reference checking is a critical aspect of the selection process. Hence kindly
   attach specific recommendation letters from individuals who know you well enough to vouch for you and
   your potential)


   1. Name (Block Letters):                           _________________________________________________
                                                    Last Name            First Name         Middle Name

   Address
       ____________________________________________________________
    (For Correspondence)
                         ___________________________________________
                                                    ___________________________________________
                                                    ____________________ Pin ____________________

                                                    Telephone ______________ Fax_________________

                                                    E-mail ______________________________________


   2. Name (Block Letters):                           ________________________________________________
                                                    Last Name            First Name         Middle Name
   Address
       ___________________________________________________________
    (For Correspondence)
                         __________________________________________
                                                    __________________________________________
                                                    ____________________ Pin ___________________

                                                    Telephone ______________ Fax________________

                                                    E-mail _____________________________________


H. Describe in your handwriting (maximum 500 words) on why the coming together of
   JGInetwork and yourself is likely to be a win-win situation (attach a separate
   sheet).
I. Additional Information required from:
  (attach separate sheet)

  A) Individuals / teams with ready ideas / business plans

  B) Teams with complementary skills

   A) For those with ready ideas or business plans, kindly submit an Executive Summary of the
      same (not more than 5 pages). If you have a team ready then each team member must
      apply separately and mention the names of other team members in the covering letter of
      the application and state why this team could work together.

   B) For teams with complementary skills, each team member must apply separately and
      mention the names of other team members in the covering letter of the application and
      state why this team could work together.




I certify that the information given in this application is complete and accurate, and I understand that to
make false or fraudulent statements within this application may result in denial of selection.

       Place: _______________________                                _________________________

                                                                      Signature of the Applicant
       Date: _______________________




The date and venue for written tests & personal interviews shall be intimated to the
short-listed candidates.




   1
    Form No. will be filled in by the Admissions Office and a letter stating your form no. will be
                                         dispatched to you.



Please Submit this completed form along with a DD of Rs. 500/- in favour of JGInetwork
               payable at Bangalore and send to the following address.


                                       JGINetwork
         91/2, Dr A N Krishna Rao Road, V V Puram, Bangalore – 560 004, India.
                              Email : info@jginetwork.com

								
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