EPDSBA-2-Application Form

Application Form

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First Name Middle Name Last Name

First Name(Required)

Last Name(Required)

Email ID(Required)

Alternate Email ID(Required)

Mobile Number(Required)

Total Experience(Required)

Educational Qualification(Required)

Designation(Required)

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Age Designation

Parents / Spouse Name(Required)

Date of Birth(Required)

Age

Nationality(Required)

ADDRESS - OFFICE

Address Area City Country

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Area

Address Line 2

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City Country

ADDRESS - HOME

Address Area City Country

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Area

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City

EDUCATION HISTORY (Highest First)

Name of Exam(Required)

Institute and University(Required)

Year of Passing(Required)

Marks(%)

CGPA/CPI

Name of Exam

Institute and University

Year of Passing

Marks(%)

CGPA/CPI

WORK HISTORY (Current Employment First)

Company Name(Required)

Designation(Required)

Exp. From

Exp. To

Total Exp.

Job Description

Gross Monthly Emoluments in US$

Company Name

Designation

Exp. From

Exp. To

Total Exp.

Job Description

Statement of Purpose(Required)

(Why you want to enroll in the programme and how it will benefit your career)

PAYMENT INFORMATION

Funding(Required)

Self Funded

Funded by the Employer

Payment made by(Required)

Cheque

Direct Transfer

Cash

APPLICATION CHECK LIST

Completed application form

Self certified copy of academic records

Proof of Current Employment

Passport copy with valid visa page

1 passport size color photograph pasted on the Application

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Photo of Applicant

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Accepted file types: jpg, png, jpeg, Max. file size: 100 MB.

Recommended Size: 100px X 150px

Upload Signature

Accepted file types: jpg, png, jpeg, Max. file size: 100 MB.

Recommended Size: 150px X 100px

Upload Certificates

Drop files here or

Accepted file types: jpg, png, pdf, jpeg, Max. file size: 100 MB, Max. files: 10.

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Upload Certificates

Accepted file types: jpg, png, pdf, Max. file size: 100 MB.

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Upload Photo(Required)

Drop files here or

Accepted file types: jpg, png, Max. file size: 10 MB, Max. files: 1.

Recommended Size: 100px X 150px

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Upload Signature(Required)

Drop files here or

Accepted file types: jpg, png, Max. file size: 100 MB, Max. files: 10.

Recommended Size: 150px X 100px

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Signature

DECLARATION

By initialing and signing, I certify that the details provided above are true, factual andcomplete to the best of my knowledge. I also understand that if any of the data provided by me is found to be incorrect, I will be summarily expelled from the program.

I am aware that completing this application form doesn’t guarantee admission to the programme. Admission to the programme is at the sole discretion of IIM Calcutta, fulfilling the admission criteria & subject to seat availability at eSquare Academia.

I certify that I have gone through the application checklist and submitted all the relevant documents.

TERMS & CONDITIONS

eSquare Academia does not make any claim about the recognition of its programmes or certificates by governmental or statutory authorities, universities or other institutes, autonomous bodies, associations or any other kind of authority.
While no effort is spared in ensuring programmes are run according to the published schedule, in unavoidable circumstances the programmes may be rescheduled or conducted at a venue other than the one announced. The enrolled participants forfeit any claim for refund on account of such unavoidable rescheduling as long as they are informed by eSquare Academia of such changes.
eSquare Academia or their legal representatives do not guarantee any measurable increase in knowledge or skills of the participants. Neither do they assure any incremental success in career owing to this programme.
IIM Calcutta or eSquare Academia do not offer any placement assistance to participants in its programmes.
Participants are expected to behave courteously to each other, the programme directors and the staff members of eSquare Academia.IIM Calcutta or eSquare Academia reserves the right to expel from its programmes participants behaving rudely after being warned, without offering any refund.
Programme fees paid to eSquare Academia are not refundable on account of change of mind, full or partial absence from the programme or any other reason.
Fee does not include taxes, any tax applicable will be charged extra from participants.8. Final discretion for the rules & regulation lies with IIM Calcutta & eSquare Academia and can be change from time to time. The same shall be binding on the students/participants.

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EPDSBA-2-Application Form

EPDSBA-2-Application Form

Executive Programme on

Data Science And Business Analytics – Batch 2

Indian Institute of Management Calcutta