8/12/2019 gepi1

1/4

MUDRA INSTITUTE OF COMMUNICATIONS, AHMEDABAD

Shela, Ahmedabad 380 058, Gujarat, India

Tel.: +91-02717-237946 to 51 and 308250

Fax: +91-02717-237945

Website: www.mica-india.net Email:admissions@mica.ac.in

Personal Information and SOP FormPost Graduate Diploma in Management (Communications)PGDM (C) 16

thBatch: 2009-2011

----------------------------------------------------------------------------------------------------------------------

Name: ___________________________________________ Date of Birth: ______________ (First Name /Middle Name/Last Name) (DD/MM/YYYY)

Name of Father/Mother/Guardian: __________________________________________________

Occupation of Father/Mother/Guardian: __________________________________________________

Academic Qualification of Father/Mother/Guardian: __________________________________________

A. EducationName of

Examination

Year of

Passing

Marks/

Grade %

Major Subjects/

Discipline

School /College / Academic

Board / University

Class 10

Class 12

Bachelors Degree

*_______________

Masters Degree

*_______________

* Mention your Degree TitleB. List no more than three training programmes/courses (other than your academic courses) that you may

have completed and consider important.

Serial No. Programme/Course Duration/Dates Institution Benefits / Skills Developed

1

2

3

C. List no more than three significant achievements in extracurricular activities.

SerialNo.

Achievements Year What personal traits/qualities do you believewere instrumental in this achievement ?

1

2

3

Form No.

Affix a rec

passport si

photograph

sign across

http://www.mica-india.net/mailto:admissions@mica.ac.inmailto:admissions@mica.ac.inhttp://www.mica-india.net/

8/12/2019 gepi1

2/4

8/12/2019 gepi1

3/4

List of Hotels

Sr. Name & Address Contact Person Distance Type of Room Tariff

MICA to

Hotel

1 Hotel EdenMr. Sidhu /

Hemal 17 Km Super Deluxe

Sarkej Gandhinagar Road Amitbhaibhai S/o 1339.6

Thaltej Cross Road Himanshu D/o 1654.8

Nr. Gurudwara Executive 1663.2

Ph no. 079-26840120 Executive D/o 1900.8

2 Hotel Pride Mr.Chirag 15 Km Deluxe Room

Jujis Bunglow Mr. Krishna S/o 6000

Bodakdev 9898553629 D/o 7000

Ahmedabad -58

Ph no. 30115555

3 Country Club India LitdMr. Naresh

Mehta 5 Km Deluxe Room 2250

Sarkhej Sanand High

Way 9978988993 Suit Room 2812.5

Telav Kolat Road

02717-222822

( M ) 9825917018 -

dilipbhai

4 Pleasure Club Mr. Sachin 7 Km Ac Room 500

Bopal Road 9925438377 deluxe 700

Ghuma Village super deluxe 800

02717-237523 suite 1400

6 Hotel Chamber Ms. Mona 20 Km Executive 1840

Nr. Nagri Eye Hospital Executive D/o 2345

Gujarat College Road

Ellisbridge Ph 26461207

5 Gala Gymkhana Hitesh Rawal 8 km

Ac room double

bed

Nr. Basant Bahar 9898531999 2000

Bopal 237801

6 Hotel Crown Daljit Singh 20 kms. King Room Single 2405

Nr. Municipal Market 9724501644Viceroy RoomSingle 3105

Swastik Char Rasta King Room Double 2755

CG Road, AhmedabadViceroy RoomDouble 3455

8/12/2019 gepi1

4/4