EXECUTIVE CERTIFICATE PROGRAM IN Disruptive Technologies For Port Management & Shipping Logistics — Offered By: Indian Institute of Management Mumbai (IIM Mumbai) & Centre of Excellence in Maritime & Shipbuilding (CEMS)

Application Form

Executive Certificate Training Program on

Disruptive Technologies for Port Management & Shipping Logistics

Jointly offered by the

Indian Institute of Management Mumbai (IIM Mumbai)

in collaboration with the

Centre of Excellence in Maritime and Shipbuilding (CEMS)

Date of Commencement: 09 March 2026

    1) Personal Details :

    i. Candidate’s Full Name : ii. Email id : iii. Primary Phone Number : Alternate WA Number : iv. Location : v. Identity Proof : (a) Aadhar Card :

    2) Which of the following best describes your current status?


    3) Academic Background

    i. Highest Qualification ii. Grades / Percentage iii. Institute / University iv. Year of graduation Highest Educational Qualification Certificates :

    4) Organization / Institute Name

    i. Organization / Institute Name ii. Designation / Domain Name iii. Relevant Experience iv. Certification in relatable domain if any- v. Latest resume

    5) Conditions :

    • Registration submitted by you is to facilitate class capacity. All private information filled in this form will not be externally shared.
    • Course Format will be : Online Sessions (Weekends- Saturdays & Sundays) + Industrial Visits + Campus immersion (Last Week)
    • Please note that the enrolment process consists of the following steps. Upon successful completion of these stages, your admission to the program will be confirmed:

    Registration → Submission of Documents → Verification → Interaction with IIM Faculty → Shortlisting Confirmation → Fee Payment → Admission Confirmation


    6) Declaration :

    I've read the above information, have submitted my correct details and would like to submit my application for further enrolment process.

    IIM 2026-27