S.P. Mandali’s Prin. L. N.

Welingkar Institute of Management Development & Research

ADMISSIONS TO THE
PGDM PROGRAMS 2010-2012 AT MUMBAI AND BENGALURU CAMPUS
RECOGNISED BY AICTE, GOVT OF INDIA, NEW DELHI

Form No: 950000XXXX

PART A
Personal Details

1. Full Name: Nilesh Ram Shinde Affix recent

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2. Date of Birth: 12-Nov-1981 colour photograph
Phone-022241415733
3. Program(s) applied for (in order of preference):

Preference 1: PGDM - Mumbai

Preference 2: PGDM - Bangalore
Preference 3: PGDM eBusiness - Mumbai
Preference 4: PGDM eBusiness- Bangalore
Preference 5: PGDM Business Design Signature
Preference 6: PGDM Retail Mgmt

4. Educational Qualification:

Class 10: SSC

Passing Month and Year: March 1997
School: R.M. Bhatt High School
Board/ University: Maharashtra State Board
Percentage: 75 Class: Distinction GPA: Grade:

Class 12: HSC - Science

Passing Month and Year: March 1999
College: M D College
Board/ University: Maharashtra State Board
Percentage: 68 Class: First Class GPA: Grade:

Graduate Degree: BSc in Physics

Passing Month and Year: March 2002
College: M D College
Board/ University: Mumbai
Percentage: 65 Class: First Class GPA: Grade:

Post Graduate Degree: (Name of Degree) in (Specialization)

Passing Month and Year:
College:
Board/ University:
Percentage: Class: GPA: Grade:

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

5. Additional PG / Diploma:

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6. Computer Proficiency:

XMS Word X Internet Usage Adobe creative suite

XMS Excel X Email Usage CorelDRAW
XMS Power Point None Google sketchup
MS Access
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7. If you are active on social networking media, mention your ids on

a. LinkedIn: nileshshinde
b. Facebook: nilesh81
c. Twitter:

8. Work-Experience after graduation: 100 Total Months:80

Organisation: Reliance Life Insurance Ltd

Designation: Marketing Executive

From: March 2005 To: Nov 2008 Months: 47

Description of work: Handling marketing of insurance products

0
Organisation: ICICI Bank
rganization01
Designation: Sales Executive
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From: April 2003AN 30 2005 To: Feb 2005 JAN 30 2005 Months: 23010

Description of work: Credit card salesHandling the Reliance EPABX System.

Maintaining the entire the lant
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Organisation: R
rganization01
Designation:
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From: Sept 2002 AN 30 2005 To: Nov 2006 JAN 30 2005 Months: 5010

Description of work: Handling the Reliance EPABX System. Maintaining the entire
the
Plant

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

9. Work-Experience during graduation or part time experience after graduation:

Organisation: TVS
rganization01
Designation: Data Entry operator Nature of work: Part time
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From: April 20002 AN 30 2005 To: Dec 2000AN 30 2005 Months: 95010

Description of work: Handling the Reliance EPABX System. Maintaining the entire
the Plant
0
Organisation: R
rganization01
Designation: Nature of work:
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From: Sept 2002 AN 30 2005 To: Nov 2006 JAN 30 2005 Months: 5010

Description of work: Handling the Reliance EPABX System. Maintaining the entire
th0

10.Family Background:

Father: Ram
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Occupation: Business Highest Qualification: HSc
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Organization: Ram EnterprisesSteel Authority of India X
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Designation: Owner
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Mother: Seema
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Occupation: Home maker Highest Qualification: SSC
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Organization: NAN/A
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Designation: NAN/A
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Sister/Brother:
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Occupation: S Highest Qualification:
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Organization: NMIMS NMIMSX
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Designation: Student
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Sister/Brother: N/A XX
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Occupation: Highest Qualification:
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Organization: N/A
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Designation: N/A X
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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

PART B
Kindly handwrite your response. Do attach any extra sheets if required
(Compulsory for all applicants)

11. State 3 of your strengths and weaknesses.

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12. What would you say are your hobbies or interests?

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13. Mention the states traveled within India and countries traveled to outside
India, if any

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14. Mention your achievements, both academic/non-academic in the last 5 years.

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

15. Mention names of any 2 books you have read in the last 1 year.

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16. In not more than 75 words describe why you want to pursue Management
Education.

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17. If there is anything you think we should know while we evaluate you,
use the space below. However if we have captured everything through
the form above, you may skip this question.

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

PART C1
(To be filled only by candidates applying to the PGDM E-BUSINESS program)

18.What interests you about the PGDM e-Business program at Welingkar?

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19.What according to you is the role of e-Business in today’s business

scenario?

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20. Which of your qualities or personality traits will help shape a career in e-
Business?

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21.What type of work/career do you aspire for – highlight sectors/verticals

and job roles of your interest?

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

PART C2
(To be filled only by candidates applying to the PGDM BUSINESS DESIGN program)

22.What interests you about the PGDM Business Design program at Welingkar?

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23.How do you think design thinking is related to Businesses?

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24.Describe in brief any creative work that you have done, cite as many
examples as possible

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25.What type of work/career do you aspire for – highlight sectors/verticals

and job roles of your interest?

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

PART C3
(To be filled only by candidates applying to the PGDM RETAIL MANAGEMENT
[Executive Program with Pantaloon])

26.According to you, which of your personality traits will help you in shaping a
successful career in the retail industry?

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27.Name any retail personality that you admire; either International or Indian,
and why?

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28.If you were given the opportunity to open your own retail store, what kind
of store will that be?

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29.In case you have worked in the retail industry before, what is the part of
your job that you liked the most and why? What did you dislike the most
and why?

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