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admission for MBA PROGRAMME
Batch
20
-20
Year
Application Form
Name of the candidate (in English) (as in Matriculation Certificate)
Father's Name (Shri)
Mother's Name (Smt)
Father's Occupation
Mobile No. (Parents)
Permanent Address
Pincode
Present address is same as Permanent address
Present Address
Pincode
Phone Number with STD Code
Mob No .Of Student
E-mail ID
Blood group
Date of birth
Affix your latest passport size photo
Educational Qualifications
SSLC or its Equivalent
Plus Two or its Equivalent
Graduation/ Post Graduation
BA
B.Com
B.SC
BBA
Engineering
Postgraduate Degree
Any Other Examination
K-MAT/CAT/MAT/CMAT Details
Score
Nationality
Select Nationality
Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas, The
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central Africa
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Costa Rica
Cote dIvoire
Crete
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia, The
Georgia
Germany
Ghana
Greece
Grenada
Guadeloupe
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Ivory Coast
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea, North
Korea, South
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
North Korea
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Romania
Russia
Rwanda
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Scotland
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Korea
Spain
Sri Lanka
Sudan
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Tibet
Timor-Leste
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Yemen
Zambia
Zimbabwe
Place of birth
General information (P) Mark only the relevant column
Sex
Male
Female
Religion
Caste
Category
GENERAL
SC
ST
OBC
Place of residence during the period of studying MBA
Whether hostel facility required
YES
NO
Name & address of local guardian, if any
Work Experience, if any
Achievements/Awards
Institution last attended
TC No
DECLARATION BY THE APPLICANT
I hereby declare that I have understood the conditions of eligibility for the course, for which I seek admission. I fulfill the minimum eligibility criteria and I have provided necessary information in this regard. In case if any information is found incorrect or misleading, my candidature shall be liable to cancellation by the authority at any time and I shall not be entitled to get refund of any fee paid by me.
UNDERTAKING
(Only for those candidates who have appeared for the qualifying examination and result has not been declared as yet)
I
S/o or D/o
hereby undertake that I have appeared for the examination conducted by the Board/University held in I am seeking admission to this programme at my own risk and responsibility and I will submit the proof of my having cleared the qualifying exam, which is required for admission to the above course as per the University and AICTE stipulations, failing which my candidature shall stand automatically cancelled and I will not make any claim in any court of law on this account.
Signature of the candidate
submit