Masters Programme

in Telecom Management
and
MBA in Telecom Management
 INSTRUCTIONS FOR FILLING UP THE APPLICATION FORM

Please read the following instructions carefully before completing the Application Form.

Filled application form includes the following:

4 Basic Information
4 Educational Qualifications
4 Employment History
4 Essay (One)
4 Statement of Application Integrity
4 References/ Recommendations (One)
4 Application Fee $50 (For Foreign Nationals) / Rs. 1000 through DD (For Indian Nationals)
Required Documents
Please provide the following documents duly filled and completed in support of your application.
Initially send the scanned documents through email. Also send the hard copy of the documents to
the Admissions Office through post.

4 Copy/Copies of Degree (UG/PG) Certificates

4 Copy of GMAT or CAT / MAT Test Scores (if available)
4 Two Passport size Photographs
(Please staple to your Application Form where indicated OR enclose a Scanned Copy)
4 A copy of present Employment Letter (for PGP/MBA Applicant) if applicable
4 A copy of your Passport (for International Applicants)
 INSTRUCTIONS FOR FILLING UP THE REFERENCE FORM

Guidance Notes for Referee

The person named in the Aegis MPTM Reference Form has applied to the Masters Program at
Aegis School of Business & Telecommunication, and has nominated you as his/ her referee. The
two-year, full-time MPTM at Aegis School of Business & Telecommunication leading to MBA in
Telecom Management is an intellectually challenging program, structured around four semesters of
lecture, essays, case studies, assignments and major projects.

This is an intensive course that requires very high commitment from students. It is therefore
important that the applicant is intelligent, motivated, business-minded and of high moral character.
Students participate in team-projects which allow them to sharpen their research and analytical
skills, and to work closely with Corporate Houses in applying their learning to practice.

When complete, this Reference Form should be returned to the applicant; alternatively reference
can be sent by email directly to Aegis School of Business & Telecommunication at
bangalore@aegis.edu.org. Please ensure to email it from your official email ID.

In case you are sending it by postal mail, please ensure that you sign the back of the envelope across the
seal and cover your signature with clear adhesive tape. Failure to do so will invalidate the reference.

Thank you for assisting in this application process and for completing this Reference Form.

All the documents complete in aspects are to be couriered to the undersigned.

Admissions (Year 2010/ MPTM)

Aegis School of Business & Telecommunications
Foundation for Advanced Research and Education (FARE)
#330/11, Sri Vinayaka Tower, Domlur Layout,
BBMP Ward 72, Domlur, Bangalore 560 071, Karnataka, INDIA.
Email: bangalore@aegis.edu.org
Web : www.aegis.edu.in
 Application for MPTM/ MBA in Telecom Management

Application Number ________________ Batch 2010 - 2012

Name

(First & Middle Name) (Surname)

Email ID

Sex Male Female

Date of Birth (DD/MM/YY)

Place of Birth

Nationality Country of Residence

Passport Number

Current Mailing Address

Permanent Address

Current Telephone No

Mobile Number

Fax Number

Business Telephone

Permanent Phone No

Educational Qualifications

Qualification From To Full/Part Institute/ State Specialization Marks

(MM/YY) (MM/YY) Time College (%/ GPA)

Post Grad

Graduate

10+2

10
Test Sectors (If any)

Qualification From To

GMAT

TOEFL (Aegis TOEFL Code is 5730)

CAT

MAT

Employment History
Beginning with your most recent position, please list your full-time work history below.

Name of the Employer (1) Name of the Employer (2)

Name of the Employer

Position

Date from (MM/YY) to (MM/YY)

Current Base Salary (Annual) USD/ INR

Starting Base Salary (Annual) USD/ INR

Annual Bonus in past 12 months

Your responsibilities

May we contact your current Employer YES / NO YES / NO

If Yes whom should we contact

(Name and Designation)

Email ID

Contact No
Essay
What are your long and short term career goals? What skills or experience do you possess already
and how do you envisage an MPTM programme helping you to achieve your goals? (400 words limit)

Note: You may use the additional sheet as required

Please Specify _______________________________________________________________

Application Processing Fee:

Please pay US $50 (For international candidates) / INR 1000 (Indian Candidates) as
Application Processing Fee to Aegis School of Business, Mumbai, India.

Payment Mode:

4 Indian nationals can pay as DD in the name of

“Bangalore School of Telecom Management (BSTM)” payable at Bangalore.

4 Foreign Nationals will be intimated of the Bank Details for Electronic Transfer.

Payment Details:

DD Amount

DD Number

DD Date

Drawing Bank
 Statement of Application Integrity

To
The Admissions Committee
Aegis School of Business & Telecommunication
Bangalore.
Please Insert
PHOTO
I declare that the information furnished in the application and the
enclosures are true, correct and complete to the best of my knowledge and
belief. I expressly waive any required notice to me. I am aware that any
wrong information or suppression of information and facts may result in
punitive action in addition to cancellation of my candidature for MPTM /
MBA in Telecom Management Programme.

I understand that Aegis School of Business is offering Autonomous Management Programme

(MPTM) in India. I also understand that the MBA Degree awarded as a part of the Dual
Certification Program is offered in collaboration with Foundation for Advanced Research and
Education (FARE), Partner Institution of Bharathiar University, Coimbatore (Established by
Government of Tamil Nadu in 1982).

Name ________________________________________

Applicant's Signature (Scanned)____________________

Date :
 Reference Form

PLEASE COMPLETE IN BLOCK CAPITAL

NAME OF APPLICANT:

The above named has made an application for admission to the Aegis School of Business. This is
a rigorous and challenging programme that provides individuals of outstanding potential with a
broad based foundation in management.

You may use additional space, if required.

How long have you known the applicant and in what capacity?

What do you consider to be his/her main strengths?

What do you consider to be his/her main weaknesses?

How well do you believe the applicant will respond to a very rigorous and
intellectually demanding course?
Please assess the applicant's abilities as regards to the following against a peer group of
people at a similar stage in their career (Tick the Appropriate Box)

Top 50% Top 25% Top 10% Top 5% Top 1% Un*

Ability to work with others

Integrity

Maturity

Numeracy

Oral Communication Skills

Presentational Skills

Self-Confidence

Reliability

Written Communication Skills

Un* - Unknown

This should be completed only if English is not the applicant's first language.
(1 = poor, 5 = fluent)
1 2 3 4 5
Ability to speak English

Ability to read English

Ability to write English

If you have any further comments that you consider would be helpful, please use the space below,
or attach a separate letter.

Address & Telephone Number

Name of Referee Position

Date: Signature & Seal *

*It is mandatory to put the seal
 www.aegis.edu.in

Contact

Executive Education Aegis School of Business & Telecommunication T 1800-10-23447 (Toll-Free from mobile / land-line)
& Admissions An initiative of Aegis Knowledge Trust, Mumbai &
Foundation for Advanced Research & Education M +91 (0) 9901 71 1228
(Partner Institution of Bharathiar University, Coimbatore) +91 (0) 9902 71 1228
# 330/11, Sri Vinayaka Tower,
Domlur Layout, BBMP Ward 72, Domlur, E banglore@aegis.edu.org
Bangalore - 560 071, Karnataka, INDIA.
Telephone : 080 - 4274 7000 (20 Lines) W www.aegis.edu.in