Aegis School of Business & Telecommunication

Mahesh, Plot No.37, Sector 15, CB Bela!ur

Na"i Mum#ai$ %&&'1% Maharashtra ()n*ia+
Phone no., -.1$//$3/105553
Mo#ile no., -.1(&+ .01.&&0153
1mail, a*mission2aegise*u.org
3e#, 444.aegis.e*u.in
APPLICATION FORM
Masters Program in Telecommunication Management (MPTM)

Please read the following instructions carefull !efore com"leting the A""lication
Form#
Filled a""lication form includes the following,
o Basic )nformation
o Postgra*uate an* 5 or un*ergra*uate 6ualifications
o 1m!lo7ment 8istor7
o 1ssa7 (9ne+
o Statement of a!!lication integrit7
o :eferences5 :ecommen*ations (T4o+
o A!!lication fee ;/5 (<or <oreign Nationals+ or )N: 1&&& through (<or )n*ian
nationals+
Re$uired %ocuments
Please !ro"i*e the follo4ing *ocuments *ul7 fille* an* com!lete* in su!!ort of 7our a!!lication.
)nitiall7 sen* the scanne* *ocuments through email. Also sen* the har* co!7 of the *ocuments to
the A*missions 9ffice through !ost.
Co!75ies of egree (=>5P>+ Certificates
Co!7 of >MAT or CAT test scores (if a"aila#le+
T4o !ass!ort si?e !hotogra!hs (Please sta!le to 7our A!!lication <orm 4here in*icate* 9:
enclose a scanne* co!7+
A co!7 of 7our resume
A co!7 of !resent 1m!lo7ment @etter (for P>P5MBA a!!licant+
A co!7 of 7our !ass!ort (for international a!!licants+
A""l for
MPTM MPTM & P'%(M
%ual Program (O"tion)
)ession*
* Mandator
Name
1mail i*(s+
SeA
ate of #irth,
Place of Birth
Cit75State5Countr7
Nationalit7 Countr7 of :esi*ence
BPass!ort Num#er+
*Mandator for foreign nationals
Current mailing a**ress
Permanent mailing a**ress ChecC here if same as current
Permanent A**ress
Current Tel No.
Mo#ile Phone No.
Personal <aA
Business Tele!hone
Business <aA
Permanent Phone No.
(2)
Male <emale
DD/ MM / YY
Please )nsert
P,OTO
Please tic- the "referred "rogram
Postgraduate and.or /ndergraduate 0ualifications

Test )cores (If an)
Test )core %ate
>MAT
>AT1
CAT
>:1
AAT (Aegis A!titu*e Test for
:ecruitment+
1m"loment ,istor (2)
Beginning 4ith 7our most recent !osition, !lease list 7our full$time 4orC histor7 #elo4.
ates
<rom & To
(mm57777
D
mm57777+
<ull
Time5
Part
Time
)nstitution
Atten*e*
(State5
Countr7+
Eualification
(s+
Su#Fects5
S!eciali?ation
:esults
(G or
>PA+
<irst
MaFor
()f
An7+
Secon*
MaFor
()f
An7+
(3)
1m!lo7er
Position
ate from (mm57777+
Current #ase salar7 (Annual+ in =S ; 5 )N:
Starting #ase salar7 (Annual+ in =S ; 5 )N:
A**itional #onuses earne* in !ast 1/ months
Hour res!onsi#ilities
Ma7 4e contact 7our current em!lo7erI
)f J7esK 4hom ma7 4e contactI (esignation+
Title (Ms5Mr+ & Name
9fficial 1mail )
irect Tel5 Mo#ile
1m"loment ,istor (3)
1m!lo7er
Position
ate from (mm57777+
Contact #ase salar7
(Annual+ in =S ; or )N:
@ocation
Hour res!onsi#ilities
Essay I
3hat are 7our long an* short term career goalsI 3hat sCills or eA!erience *o 7ou !ossess alrea*7 an*
ho4 *o 7ou en"isage an MPTM !rogramme hel!ing 7ou to achie"e 7our goalsI (%&& 4or*s limit+
(4)
Note, Hou ma7 use the a**itional s!ace as re6uire*.
(5)
,ow did ou come to -now a!out Aegis )chool Of (usiness & Telecommunication4 (Please tic-)
3orl* MBA Tour 8oar*ings & Banners
3orl* >ra* Tour Pam!hlets & @eaflets
To! MBA.com Ne4s Pa!ers
To! =ni"ersities.com Hou Tu#e
>% a!!l7.com <ace BooC
Hahoo >rou!s )nternet
Through :eference <in*5MBA.com
Cool A"enues.com 9ther Me*ia

Please )"ecif
A""lication Processing Fee
Please !a7 =S ;/5 (<or international can*i*ates+ 5 )N: 1&&& ()n*ian Can*i*ates+ as A!!lication Processing
<ee to Aegis School of Business, Mum#ai, )n*ia.
Hou ha"e follo4ing !a7ment o!tions,

1+ The )n*ian nationals can !a7 as in the name of JAegis School of BusinessK !a7a#le at Mum#ai or
1lectronic Transfer. The international can*i*ates ma7 *o an electronic transfer.
/) (an- Transfer, Hou can transfer the mone7 to Aegis School of Business
Account Name, Aegis School of Business
Account Num#er, 910010036275499
BanC, AAis BanC @t*, CB, Bela!ur, Na"i Mum#ai %&&'1%, M8, )n*ia.
M)C: Co*e, %&&&/11&'0
)<S Co*e, =T)B&&&&0'1

)tatement of A""lication Integrit
(6)
Please )nsert
P,OTO
Reference Form I
Guidance Notes for Referee I
(7)
) certif7 that ) ha"e !ro"i*e* accurate information in this A!!lication.
) eA!ressl7 4ai"e an7 re6uire* notice to me.
) un*erstan* that misre!resentation of a*mission of facts in m7 A!!lication
4ill Fustif7 the *enial of consi*eration, of a*mission, the cancellation of
a*mission or eA!ulsion.
) un*erstan* that Aegis School is offering autonomous management
!rogram in )n*ia.
This A!!lication is m7 honest statement to the A*mission Committee.
Name
A!!licantLs Signature (Scanne*+
ate
Aegis School of Business & Telecommunication
Mahesh, Plot No.37, Sector 15, CB Bela!ur
Na"i Mum#ai$ %&&'1% Maharashtra ()n*ia+
Phone no., -.1$//$3/105553
Mo#ile no., -.1(&+ .01.&&0153
1mail, a*mission2aegise*u.org
3e#, 444.aegis.e*u.in
The person named in the Aegis MPTM Reference Form has applied to the Masters Program at Aegis chool of
!"siness # Telecomm"nication$ and has nominated %o" as his& her referee' The one(%ear$ f"ll(time MPTM at
Aegis chool of !"siness # Telecomm"nication is an intellect"all% challenging program$ str"ct"red aro"nd t)o
terms of lect"re$ essa%s$ case st"dies and ma*or pro*ects'
This is an intensi+e co"rse that ma,es high demands on st"dents' -t is therefore important that the applicant is
intelligent$ moti+ated$ ."siness(minded and of high moral character' t"dents participate in team pro*ects' These
allo) st"dents to sharpen their research and anal%tical s,ills$ and to )or, closel% )ith clients in appl%ing their
learning to practice'
/hen complete$ this Reference Form sho"ld .e ret"rned to the applicant0 alternati+el% reference can .e sent .%
email directl% to Aegis chool of !"siness # Telecomm"nication at admission@aegisedu.org' Please ens"re to
email it from %o"r official email -1' -n case %o" are sending it .% postal mail$ please ens"re that %o" sign the
.ac, of the en+elope across the seal and co+er %o"r signat"re )ith clear adhesi+e tape' Fail"re to do so )ill
in+alidate the reference'
Than, %o" for assisting in this application process and for completing this Reference Form'
Aegis MPTM Reference Form (I)
(2)
P34A4 56MP34T4 -7 !3658 5AP-TA3

7AM4 6F APP3-5A7T9
The a.o+e named has made an application for admission to the Aegis chool of !"siness' This is a rigoro"s
and challenging programme that pro+ides indi+id"als of o"tstanding potential )ith a .roadl% .ased fo"ndation
in management'
:o" ma% "se additional space$ if re;"ired'
<o) long ha+e %o" ,no)n the applicant and in )hat capacit%=

/hat do %o" consider to .e his&her main strengths=
/hat do %o" consider to .e his&her main )ea,nesses=

<o) )ell do %o" .elie+e the applicant )ill respond to a +er% rigoro"s and intellect"all% demanding co"rse=
Aegis MA Reference Form (I)
P!ease assess t"e a##!icant$s a%i!ities as regards to t"e fo!!o&ing against a #eer grou# of #eo#!e at a
simi!ar stage in t"eir career (Tic' t"e a##ro#riate %o()
Top 5>? Top 25? Top @>? Top 5? Top @? AnB
(C)
A.ilit% to )or, )ith others
-ntegrit%
Mat"rit%
7"merac%
6ral 5omm"nication ,ills
Presentational ,ills
elf(5onfidence
Relia.ilit%
/ritten 5omm"nication ,ills
AnB ( An,no)n
T"is s"ou!d %e com#!eted on!) if *ng!is" is not t"e a##!icant$s first !anguage.
(+ , #oor- . , f!uent)
@ 2 3 4 5

A.ilit% to spea, 4nglish
A.ilit% to read 4nglish
A.ilit% to )rite 4nglish
-f %o" ha+e an% f"rther comments that %o" consider )o"ld .e helpf"l$ please "se the space .elo)$ or attach a
separate letter'
Address / Te!
Num%er
Name of Referee Position 0ontact No
Date 1ignature / 1ea! 2
B)t is man*ator7 to !ut the seal
(@>)
Reference Form II
Guidance Notes for Referee II
The person named in the Aegis MPTM Reference Form has applied to the Masters Program at Aegis chool of
!"siness # Telecomm"nication$ and has nominated %o" as his& her referee' The one(%ear$ f"ll(time MPTM at
Aegis chool of !"siness # Telecomm"nication is an intellect"all% challenging program$ str"ct"red aro"nd t)o
terms of lect"re$ essa%s$ case st"dies and ma*or pro*ects'
This is an intensi+e co"rse that ma,es high demands on st"dents' -t is therefore important that the applicant is
intelligent$ moti+ated$ ."siness(minded and of high moral character' t"dents participate in team pro*ects' These
allo) st"dents to sharpen their research and anal%tical s,ills$ and to )or, closel% )ith clients in appl%ing their
learning to practice'
/hen complete$ this Reference Form sho"ld .e ret"rned to the applicant0 alternati+el% reference can .e sent .%
email directl% to Aegis chool of !"siness # Telecomm"nication at admission@aegisedu.org' Please ens"re to
email it from %o"r official email -1' -n case %o" are sending it .% postal mail$ please ens"re that %o" sign the
.ac, of the en+elope across the seal and co+er %o"r signat"re )ith clear adhesi+e tape' Fail"re to do so )ill
in+alidate the reference'
Than, %o" for assisting in this application process and for completing this Reference Form'
Aegis MPTM Reference Form (II)
(@@)
P34A4 56MP34T4 -7 !3658 5AP-TA3

7AM4 6F APP3-5A7T9
The a.o+e named has made an application for admission to the Aegis chool of !"siness' This is a rigoro"s and
challenging programme that pro+ides indi+id"als of o"tstanding potential )ith a .roadl% .ased fo"ndation in
management'
:o" ma% "se additional space$ if re;"ired'
<o) long ha+e %o" ,no)n the applicant and in )hat capacit%=

/hat do %o" consider to .e his&her main strengths=
/hat do %o" consider to .e his&her main )ea,nesses=

<o) )ell do %o" .elie+e the applicant )ill respond to a +er% rigoro"s and intellect"all% demanding co"rse=
Aegis PGP/MA Reference Form (II)
P!ease assess t"e a##!icant$s a%i!ities as regards to t"e fo!!o&ing against a #eer grou# of #eo#!e at a
simi!ar stage in t"eir career (Tic' t"e a##ro#riate %o()
Top 5>? Top 25? Top @>? Top 5? Top @? AnB
(@2)
A.ilit% to )or, )ith others
-ntegrit%
Mat"rit%
7"merac%
6ral 5omm"nication ,ills
Presentational ,ills
elf(5onfidence
Relia.ilit%
/ritten 5omm"nication ,ills
AnB ( An,no)n
T"is s"ou!d %e com#!eted on!) if *ng!is" is not t"e a##!icant$s first !anguage.
(+ , #oor- . , f!uent)
@ 2 3 4 5

A.ilit% to spea, 4nglish
A.ilit% to read 4nglish
A.ilit% to )rite 4nglish
-f %o" ha+e an% f"rther comments that %o" consider )o"ld .e helpf"l$ please "se the space .elo)$ or attach a
separate letter'
Address
Name of Referee Position 0ontact No
Date 1ignature / 1ea! 2
B)t is man*ator7 to !ut the seal
(@3)