GIM 2013 Admission Form

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GIM 2013 Admission - PA Form

GIM ID: 107307 Date of Registration: 19-12-2012 Entrance Exam: XAT Course Applied for: PGDM Your Full Name: Ritik Bansal Primary Email: ritik_indian@yahoo.com Secondary Email: ritik.bansal@gmail.com Payment Details: Online Payment Mailing Address: G-99, Makarwali Road Vaishali Nagar Ajmer - 305004 Rajasthan India Phone No.: 01452642349 Mobile No.: 9462190374 Interview City: New Delhi

Mail to : The Admissions Office Goa Institute of Management Sanquelim Campus, Poriem Sattari Goa - 403 505

NOTE : 1) PA form should not be sent to GIM in case of online payment. 2) Please mail this form along with the Demand Draft to the address given below. Please write your GIM ID and your full name on the reverse of the demand draft. 3) Candidates who have said Yes to Goan origin/domicile need to send in the evidence proving Goan origin/ domicile, to GIM admissions office, latest by December 31, 2012. Failing which, Goan origin/ domicile would not be considered valid.

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