Management Development Institute, Gurgaon

Post Graduate Programme in Management (Part-Time)

Batch: April 2016

Dissertation Information Form

1. Name: …………………………………………………………………………………………………….

2. Roll No: ……………………………………………………………………………………………………

3. Tentative theme: ……………………………………………………………………………………..

4. Name of the guide from Company: …………………………………………………………..

5. Faculty Preference 1: ………………………………………………………………………………..

6. Faculty Preference 2: ………………………………………………………………………………..

7. Specialization:

Major..................................................

Minor................................................................

(Signature)