FDP Brochure2016
FDP Brochure2016
TARGET AUDIENCE
A potential participant would be management teacher, trainer, researcher employed in management
schools, university departments, degree colleges, professional institutes, training centers of business
enterprises, staff training institutes of central and state governments. The programme is especially
helpful for participants, who teach management and allied subjects like commerce, human resource
and labor relations, organizational behavior, marketing, statistics, operations, economics, banking,
finance, computer applications, strategy, sociology etc.
PROGRAMME DESIGN
The primary thrust of the 5-week programme will be to equip the participants with contemporary
research and teaching skills. Emphasis will also be given to understanding of philosophy of
management, design and development of learning resources and so on. The course would contain
following modules:
Module 1: Case and Teaching Skill Development
Suggested readings for each module would be provided before commencement of the programme.
Participants would also attend the 7th International Conference on Excellence in Research and
Education (CERE 2016) organised by IIM Indore during May 5-8, 2016.
PROGRAMME FEE
The fee is Rs. 40,000/- (Rupees forty thousand only) plus Service Tax as applicable. At present the
tax rate is 14.5 per cent. Total fee including tax is Rs. 45,800/- (Rupees forty thousand eight
hundred only). The programme fee includes tuition fee, cost of course material, access to library
during the programme, meals and residential facilities on IIMI campus. However, travel, medical,
personal, and all other expenses have to be borne by the participants. Participants are advised to
make medical insurance arrangements in advance.
Account Number
32104076544
Type of Account
IFSC
SBIN0030525
Branch Code
30525
Purpose of Remittance
AAAJI0057R
AAAJI0057RST001
ADMISSION ELIGIBILITY
The applicant must have a teaching experience of at least two-years full time at the Graduate or PostGraduate level in management related subjects. In case of non-teaching applicants, the applicant
must have served in a registered firm at a senior managerial position for at least five years.
FOR FURTHER DETAILS, PLEASE VISIT: http://www.iimidr.ac.in
FOR ENQUIRIES:
EMAIL: fdp@iimidr.ac.in, PHONE: +91-731-2439616, 2439549
PLEASE SEND YOUR COMPLETED APPLICATION FORM BY MARCH 31, 2016 TO:
Prof. Subhasankar Chattopadhyay
Coordinator of FDP 2016
Indian Institute of Management Indore,
Rau-Pithampur Road, Indore 453556, Madhya Pradesh, India
Please attach your detailed Curriculum Vitae and details of fee remittance like
UTR/Ref. number etc with the Application Form.
Please do NOT attach any other supporting documents with the Application Form.
PASTE A
RECENT PASSPORT
SIZE PHOTO HERE.
DO NOT STAPLE OR
CROSS-SIGN.
APPLICATION FORM
LAST DATE FOR RECEIVING APPLICATION FORM: MARCH 31, 2016
A. PERSONAL INFORMATION
FULL NAME
FIRST
DATE OF BIRTH
DD
MM
MIDDLE
SURNAME
YYYY
GENDER
PRIMARY EMAIL
SECONDARY EMAIL
PHONE
OFFICE LANDLINE
RESIDENCE LANDLINE
PRIMARY MOBILE
SECONDARY MOBILE
STREET ADDRESS
PRESENT ADDRESS
CITY
STATE
PIN CODE
STREET ADDRESS
PERMANENT
ADDRESS
CITY
EMERGENCY
CONTACT
STATE
NAME
RELATIONSHIP
MOBILE
PHONE
PIN CODE
COMPLETE ADDRESS
WITH PIN CODE
PERIOD
FROM
TO
INSTITUTION
GRADUATION
POST-GRADUATION
M. PHIL.
OTHER
DOCTORAL DISSERTATION
AREA / DEPARTMENT
INSTITUTION
DISSERTATION TITLE
% MARKS /
CGPA
MAJOR
SUBJECTS
EMPLOYMENT DETAILS (starting with the most recent, attach separate sheet if needed)
PERIOD
DESIGNATION
ORGANIZATION
RESPONSIBILITIES
FROM
TO
TEACHING INTERESTS:
RESEARCH INTERESTS:
PROFESSIONAL EXPERIENCE:
TOTAL DURATION OF TEACHING EXPERIENCE
TOTAL DURATION OF NON-TEACHING EXPERIENCE
TOTAL EXPERIENCE
YEARS
MONTHS
YEARS
MONTHS
YEARS
MONTHS
C. PAYMENT DETAILS
UTR No./Transfer ID:
Transfer Date:
Amount:
Private College
Private University
Corporate Training College
Please attach your detailed CV and payment remittance slip only. Do NOT attach any other
Supporting documents.
I, ______________________________________, hereby declare and certify that:
1. All the information provided above is true to the best of my knowledge and I am liable to produce
proof of such information on demand.
2. I have read and understood the program brochure and FAQs on the IIMI website. I agree to abide
by the program and institute rules.
3. I am medically fit to take part in the program and do not suffer from any illness or medical
condition.
DATE:
PLACE:
SIGNATURE: