School of Business Management

Shri Vile Parle Kelavani Mandal's

Narsee Monjee Institute of Management Studies

(Declared as Deemed-to-be University under Section 3 of the UGC Act, 1956)

School of Business Management

Post Graduate Diploma in Data Science & Analytics

Please read the eligibility criteria before applying for the Program

Personal Details:

First Name* :
_{(Own Name)}

Middle Name* :
_{(Father's / Husband's Name)}

Last Name :
_(Surname)

Gender* :

Birth Date* :
_(DD.MM.YYYY)

Marital Status* :

Age* :

Nationality* :

Place of Birth :

Social category* :

Blood Group :

Domicile* :

Domicile if Others :

Identity Proof* :

Are you a differently abled candidate? * :

Father's Name* :

Mother's Name* :

Address for Correspondence :

Address Line 1* :

Address Line 2 :

City* :

Pin Code* :

Telephone No. :

Mobile No.* :

E-Mail Address* :

Alternate E-Mail :

Permanent Address:

Address Line 1* :

Address Line 2 :

City* :

State* :

Country* :

Pin Code* :

Education Details *

Mode of completion of Bachelor's Degree * :

ONLY FULL TIME DEGREE

Exam	Name of the Institute	Degree Name	Board / University	Month & Year of passing	Marks obtained	Marks Out of	%/CGPA
10th*
12th*
Degree*
PG
Other courses (if any):

Current Job Profile:

Experience Details

SI. No	Name of the Organization	Address of the Organization	Designation	No. of Months
1
2
3
4
5

Awards : Please list here awards and distinctions such as medals, certificates, prizes, scholarships (Entries should be supported by documents)

Total No. of Months of Work Experience * (as on date) :

Current Remuneration(per annum) in Rs. :

How did you get to know about the Program?* :

Statement of Purpose:

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Document Upload

Std. 10 Documents* :

Std. 12 Documents* :

Graduation Marksheets (All semesters)* :

Graduation Degree Certificate* :

Work Experience Letter/s* :

Identification Card* :

Signature* :
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DECLARATION

I have checked all the entries in this application and they are true. I have kept all enclosures ready to be presented on demand, if admitted. I agree to comply with the rules of the University.

Date :

Place :

Signature of applicant

Application Processing Fee: INR 500/- Only

You can pay application processing fee through electronic banking (NEFT/RTGS).

Bank Name: -Union Bank of India Account Number: -435301010060080 IFSC Code: -UBIN0543535, SKVM’s NMIMS

Please attach the screenshot of payment confirmation and fill in the Reference number in the provision below

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