Form to be filled for appearing in Group Discussion & Personal Interview at IITTM centers

1. Gwalior Bhubaneswar Delhi Goa Nellore
INDIAN INSTITUTE OF TOURISM & TRAVEL MANAGEMENT
(An Organisation of Ministry of Tourism, Government of India)
Govindpuri, Gwalior – 474011
FORM for GD / PI
Date of GD / PI ....................... Centre for GD / PI..................
1. Name of the Candidate
(In Block Letters)
2. Father's / Husband's Name
3. Mother's name
4. Gender (Tick any one) Male  Female
5. Date of Birth
6. Permanent Address
7. Correspondence Address
8. Phone No. / Mobile No.
9. Blood Group
10. E-mail Address
11. Qualification Graduation: Tick (√) Pass ( ) Appearing ( )
12. Valid Score card CAT MAT CMAT GMAT XAT ATMA
13. Grading
14. Choice of Programmes & Study Centre:
{Please indicate (√ ) your choice of PGDM course and study centres} : Write 1, 2, 3, 4, 5, 6, & 7 ; where 1 = first choice; 2
= second choice; 3 = third choice and so on)
1. PGDM (Services) Gwalior { } 5. PGDM (Tourism and Travel) Bhubaneswar { }
2. PGDM (International Business) Gwalior { } 6. PGDM (International Business) Bhubaneswar { }
3. PGDM (Tourism and Travel) Gwalior { } 7. PGDM (Tourism and Cargo) Nellore { }
4. PGDM (Tourism and Leisure) Noida { }
*Bring Graduation original certificates, valid score card & one set of photocopies needed for submission.
Declaration by the candidate:
I certify that the information given is true and I am liable for disciplinary action by the institute, if any
information found false/ incorrect.
Date: _______________ __________________
Place: _______________ Signature of the Candidate
Registration No...........................
(For office use only)
Rs........................... Name of Bank..............................................................
To be filled up by the candidate
D.D. No. ..............................