APPLICATION FORM
* - Mandatory Fields
Management Course
EmailID *
Prospectus No
Course *
Course Type * Batch *
Fee Plan *
Fee Amount*
Payment Details
(Card Payment please come to the Institute)
Payment Mode *
DD/Cheque No. Date (Ex: 22-Mar-2010)
Bank Name Name on Card
Card Type
Personal Details

Candidate Details Accordint to the Document
Surname First Name * Middle Name *


Parents Details :
Father/Spouse's Name* Father/Spouse's Mobile No* Parent email ID*
Candidate Date of Birth * According to the school leaving Certificate
Gender *
Home Address * Office Address
City * City
State * State
Country * Country
Pincode * Pincode
email ID*
email ID
Please include ISD+STD before your Local Number
Res. Tel. Off. Tel.
Mobile No* Mobile No
Prefrerred for
Correspondance
Educational Background (Mention only your main or highest qualification as of date)
Examination *
Board / University Conducting the Exam * Candidates with HSC should send 2 years full time experience
certificate along with their application. Otherwise their
application will be Rejected.(Applicable only for 1 year Diploma Courses).
Last School / College Attended *
If you have appeared for the exam &
result is awating, then tick here
/ Year of Passing
Work Experience in Years (Provide only Full Time Employment Details.) (Mention only your recent / present employment details)
Do You Have any work Exprience
Any Course done from the Welingkar Institute of Management
Any Course done from the Welingkar Institute of Management
Other Details
Preferred PCP Center *
Preferred Centre of Examination *
Source of Information *
WeSchool Representative *