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Personal Details

General Details

First Name of the Applicant :
Last Name of the Applicant :
Name of Father/Guardian/Husband :
Date of Birth :
Gender :
Nationality :
Social Status :

Address for Communication

State :
City :
Street :
Pincode :

Contact Details

Phone No. (including STD code):  
Mobile :
E-Mail :
 

Educational Background (Please mention your under-graduate degree and post graduate degree, if any)

S.No Examination Passed Board / University Mark Secured Maximum Marks Mark Type Class Awarded Year of Passing
1.
2.
3.
4.

Employment Information:

Name of the Current Company :
Number of Years of Work Experience :

Programmes of Study (Please check below your choice of major area of concentration. Please check only one):

MBA in Marketing Management MBA in Financial Management
MBA in Systems MBA in Human Resources Management
MBA in International Business MBA in Manufacturing
MBA in Pharmaceutical Management MBA in Retail Banking, Financial Services and Insurance
MBA in Information Technology Management and E- Business MBA in Telecom Management
MBA in Media and Advertising Management MBA in Health Care Management and Hospital Administration

Demand Draft Details

DD No. :
Date :
Amount :
Bank :
Branch :
 I hereby declare that the particulars given above are correct and I will, if admitted, abide by the rules of the University.