personal & family details

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SPJIMR – PGPM PROGRAM
INFORMATION FROM APPLICANT
NAME:
APPLICATION NO:
SPECILIZATION:
1.
Post PGPM, what will be your career plan- (Please put a tick or cross as applicable)
I will rejoin my previous employer
I will remain in the same function
I will remain in the same industry
I will move to another industry
I want to make a track change
Anything other than the above(please be as
specific as possible)
How certain are you about your above
discussed plan?
Very Sure/ Sure / Not Sure/ cant say
2.
Will you be joining the program on study leave? Yes / No/ Any other option , please be specific
No
3.
Will you be sponsored by your employer for the program? Yes / No/ Any other option , please be
specific
No
4.
Post PGPM, which of the following statements best describes your Job placement scenario(Please put a tick or cross as applicable)
I would not need any help
I will need some help
I will be totally dependent on SPJMIR
Anything other than the above(please be as
specific as possible)
5.
Based on your perception, please rate your self on the Competencies listed below.
(Please tick one column in each row)
a.
b.
c.
Conceptual Skills
(e.g. clarity of complex situations or theory;
systematic thinking, vision, etc.)
Analytical Skills
(e.g. analytical thinking, comfort with data,
modeling,etc)
Managerial skills
(e.g. decision making, dealing with difficult situation
etc.)
Outstandin
g
Very
Good
Good
Averag
e
d.
Behavioural skills
- Team Handling
(e.g. Works effectively and co-operatively with all
stakeholders, Anticipates and responds to the needs)
- Communication
(e.g. good listener, ability to analyze and put into
perspective, give and take feedback effectively
- Adaptability & collaborative working
(e.g. open and receptive to changes, willingness to
change, acceptability of new ideas, keeps the team
along, result oriented)
Leading, Managing & developing
(e.g. lead and show the way, ability to interact will
levels with ease, allow & nurture growth of team,
groom teammates, succession planning)
Problem solving & delegation
(e.g. quick thinking, proactive, look ahead and
plan/delegate)
6.
How did you come to know about PGPM programme in SPJIMR ( Please put a tick or cross as
applicable)
Paper Advertisement
Internet
Social Networking Sites
Alumni
Friends
Mail
If others specify
Post PGPM and with specialization chosen by you, please list below the role that best describes your
preferred role. (Kindly Rank your preference with Rank 1 being the most preferred role then Role 2 & 3)
How have your professional experience shaped your current competencies? (please feel free to elaborate )
SECTION A
NAME:
APPLICATION NO:
ACADEMIC PERFORMANCE
Exam
Year
Stream
University
College
% or
CGPA
Others, if
any
Post
Graduation
Graduation
4th Year
Graduation
3rd Year
Graduation
2nd Year
Graduation
1st Year
H. S. C.
S. S. C
PERSONAL & FAMILY DETAILS
Annual Family Income excluding your
income:
Father
Qualification
Occupation
Briefly state in not more than 50 words:
Adversity faced in
life.
Mother
Brother/Sister
Rank,
if any
Distinct
contributions to the
society by you or
your family
members.
My formative
years…
1.
SECTION B
(Answer in not more than 200 words)
1. Explain a situation when you were a part of a team where the group process and/or intended outcome
failed. What was your role, how did you contribute to the process or outcome, and what did you learn?
2. Describe an instance in which you took the strongest stand of your value system. What specific values
were violated and what was at stake for you?
3. Explain a situation where you have brought about any improvement either in your self, work or society.
SECTION C
WORK-EXPERIENCE DETAILS
(To be answered only if the candidate has full time work experience)
1. Please state year wise progression of your career
Year
(starting with
recent)
Duration
(months)
Company Name
Department
Designation
*Salary (Per
annum)
* Kindly mention the Dollar value if any as such without conversion.
2. Give a detailed description of the roles, responsibilities and achievements at your current /last place of
employment.(in not more than 300 words)
3.Please mention any academic or career gaps in your profile along with the reasons for the same(in not
more than 300 words)
PROFILE SHEET
For Shortlisted Candidates Only
Instructions


Format: Font – Times New Roman, Size – 11, Spacing – Single Line.

Follow the word limit strictly for each question. Answers exceeding the prescribed word limit
WILL NOT be considered for evaluation.

Handwritten applications will not be considered.

When you send the form back please rename the file in this format-“Profile Sheet 1114-App No” and
send it across. For eg: If your app no is 274586 the file should be renamed as “Profile Sheet 1114274586”. Please strictly adhere to this format.
Mail a copy to [email protected] with subject line “<APPLICATION NO > Questionnaire
form”
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