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 IIMA General Management in Shipping 

 General Management in Shipping 

 Nomination form (February 2009 Intake) 

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Register Online for this course simply by filling up and submitting the form below.
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Personal information

Title
Last Name *
First Name *
Middle Name
Sex *
Date of Birth * (dd-mm-yy)
Nationality *
Country of Permanent residence *
Designation
Name and address of the organisation
Work phone *
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E-mail *
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Preferred address for communication

Educational qualifications
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Year
Other professional qualifications

Employment details

Organisation Position Years of experience
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5.

Brief information about the organization your are presently working in:

Description of present responsibilites:

Any management programmes attended?

Programme title Institute/Place Duration Year
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4.
5.

What is your expectations for this programme?

DECLARATION



IMPORTANT: You are required to tick the above statement in order to have your application processed.
Please indicate your choice of accomodation during the programme: *
How will you be travelling to Karjat? *
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