ENTREPRENEURSHIP DEVELOPMENT INSTITUTE OF INDIA, AHMEDABAD
P.O. BHAT 382 428, Dist. GANDHINAGAR (GUJARAT)
www.ediindia.org, www.ediindia.ac.in
Phone: +91-79-23969153, 23969158, 23969161 Fax: +91-79-23969164
Email: fpm@ediindia.org
APPLICATION FORM – FPM 2016-2020 (3rd Batch)
INSTRUCTIONS:
Please read all the instructions before filling up your application form.
1. Incomplete or illegible applications will not be considered for admission.
2. False information will lead to cancellation of admission in the programme.
3. Institute’s decision on admission will be final and no correspondence will be entertained with this
regard.
4. The following documents will form the part of the application;
Form 1: Application Form 2: Statement of Purpose Form 3: Personal History.
Letters of Recommendation (to be filled in by two referees and given in sealed envelopes)
5. Other Requirements: Attach duly attested copies of the following certificates and score sheets:
a) Mark sheets of your Class X and Class XII examinations.
b) Mark sheets of your undergraduate degree for each year (First year, Second year, Third year,
Fourth Year) and final mark sheet.
c) Mark sheets of your Post Graduate degree for each year (First year, Second year) and final
mark sheet. If you are a final year student and yet to obtain your final year mark sheet,
please send a duly attested copy of this mark sheet as soon as it becomes available.
d) No-Objection Certificate from Employer, if employed.
e) Sponsorship Certificate from Sponsoring Institution/Organisation.
f) Certified copies of school and university degree certificates.
Note for Points b and c:
If your institution follows the semester system, enclose mark sheets for each semester. All
your mark sheets should clearly state the topics of subjects that you have studied. If they
do not, please attach a separate sheet of paper, listing the names of all the subjects.
6. Pay an application fee Rs.1000/- either by Demand Draft or RTGS/NEFT. The Demand Draft
should be drawn in favour of ‘Entrepreneurship Development Institute of India’, payable at
Gandhinagar, and should be sent along with the filled in application form towards application
fee. In case of the fee paid through RTGS/NEFT, provide Bank Transaction details.
7. Send your complete application at the following:
FPM Office
Entrepreneurship Development Institute of India (EDI)
P.O.:Bhat-382428
Gandhinagar, Gujarat, India
E-mail: fpm@ediindia.org, Mobile: 9725525219, 9978066805
Phone: +91-79-23969153, 23969158, 23969161 Fax:
+91-79-23969164
ENTREPRENEURSHIP DEVELOPMENT INSTITUTE OF INDIA, AHMEDABAD
P.O. BHAT 382 428, Dist. GANDHINAGAR (GUJARAT)
www.ediindia.org, www.ediindia.ac.in
Phone: +91-79-23969153, 23969158, 23969161 Fax: +91-79-23969164
Email: fpm@ediindia.org
FORM - 1
APPLICATION FORM FOR FPM - 2016-2020
(3rd Batch)
EDI Reg./Application Form No.
1.
2.
Affix your
recent passport
size photo
(For office use only)
Name: Mr./Ms./Mrs.
Date of Birth
Age (As on July 01, 2016) Yrs.
Date
3.
Sex: Male
4.
Whether belong to:
Month
Months
Year
Female
Gen.
SC
ST
OBC
DA
Reservation Category (if applicable, please enclose copies of valid supporting certificates)
5.
Mailing Address:
City:
State:
Pin:
6.
Contact Telephone No.:
STD Code:
Mobile No.:
Primary Email: ……………………………………………………………… Alternate Email: ………………………………………………
Filled in Application Form should reach EDI on or before 22nd June 2016
7.
Permanent Address:
City:
State:
Pin:
8.
Contact Telephone No.:
STD Code:
Mobile No.:
Primary Email: …………………………………………………. Alternate Email: ………………………………
9.
Bank Draft details (Draft to be enclosed with form)
Draft No.
Date of Issue
DD
Amount
MM
YYYY
Name of Bank
Intended Programme of Study: EDI offers FPM (doctoral level programme) in the
following thirteen areas:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
Entrepreneurship Education and Research
Innovation, Incubation, Clusters and Technology Entrepreneurship
Social Entrepreneurship
Corporate Entrepreneurship,
Entrepreneurial Finance and Control
Entrepreneurial Marketing
Organisation Behaviour and Human Resources
Minority, Tribal and Dalit Entrepreneurship
Enterprise Creation and Growth
Family Business Management
Law, Policy and Governance
International Entrepreneurship
Women Entrepreneurship
List the name (s) of area (s) to which you wish to apply in the order of your preference
1.
2.
10.
Please fill in the name of the standard exam (CAT, GMAT, UGC-CSIR-JRF-NET, etc.) as
applicable, taken by the candidate in the first column and their various respective score
(Verbal Percentile, Quantitative Percentile, Rank etc.) in the subsequent columns.
Test /Exam.
11. Have you got sponsorship support to pursue this programme?
Yes/No
If yes, Name of the Organisation: ___________________________________________________
Address and Contact details:__________________________________________________________
___________________________________________________________
(Attach the sponsorship certificate with the application form)
12. Do you need Fellowship Support from Entrepreneurship Development
Institute of India?
Yes/No
13. If fellowship support is not available, will you be able to pursue
this course?
Yes/No
14. Do you need EDI’s Hostel facility on campus?
Yes/No
15. Are you a recipient of any Gold Medal or a Rank Holder?
Yes
No
(Give details)
16. Courses related to your Intended Area of Specialization: Please list all
university level courses (i.e. papers) taken, which are related to the area of
specialization you would like to pursue at EDI.
17. Give details of any other information that you wish to provide in support of
your application (e.g. articles, research work, books or any material
published)
18. Please
list academic
academic distinctions.
awards,
prize,
honors,
fellowship
or
any
DECLARATION
19. I hereby declare that all the details given above are true, complete and correct to
the best of my knowledge and belief. In the event of any information being
found false or incorrect, I understand that my admission would stand cancelled
without any further notice.
Date: …………………….
Place: …………….
(Signature of the Candidate)
FORM – 2
STATEMENT OF PURPOSE
Please explain reasons for applying to this doctoral level programme and your career
plans after completing the programme. Explain how the programme will help you
achieve your career and personal objectives. We are also interested in knowing
about your reasons for choosing a particular area of specialization. Your prior
academic preparation for this area and broad/themes of topics that you may want to
pursue within this area. You may provide any other details to support your
application.
Note: If required, please provide information to us in a separate page (A4 size
ruled paper) and attach with the application.
FORM - 3
PERSONAL INFORMATION:
EDUCATIONAL QUALIFICATION: Please list chronologically all your educational attainments, from class X onwards.
Please enclose attested photocopies of your certificates.
Degree
Obtained
School/College
Board/University
Year of
Passing
Discipline
Total
Maximum/
Maximum
Grade Point
Marks/Grade
Obtained
%/Cumulative
grade Point
Average
Obtained
If you are appearing in the final year Master’s degree exam, you must submit all the certificates and other
documents by June 2016. Mark sheet /Provisional certificate must be submitted by December 2016.
EMPLOYMENT INFORMATION: Please list your work experience (after your required eligible
degree), starting with your first job.
Name of Company
and Address
Designation Nature of Duties
Performed
Period
From
Year
Total experience
To
Year
Years
Months
Total Experience till the date of submission of application:
Year……………….Months:………
I hereby certify that the information provided by me in this application is accurate and
complete, I have carefully read all the instructions in the application form, and hereby agree to
abide by the decision of the Institute’s authorities on all matters regarding selection for the
programme
Date: …………………….
Place: …………….
(Signature of the Candidate)