Application for admission to MBA/MSW
  Name of the course applied for *
Name of the Candidate*:
Name of the qualifying examination passed
A - Details of admission Test (MAT/CMAT/ASMIK-MAT)
Name of the Test Date of test Register No Marks Obtained Rank (If Any)
B - Details of Graduation
Name of the Examinations Register No Marks Obtained Max.Marks % of marks
Part - I
Part - II
Part - III ( Optional / Main)
Part - I Total
Grand Total
B - Semester System
Name of the Examinations University/Board Register No Marks Obtained Max.Marks % of marks


  b) Address to which communication are be sent
  Door No / House Name*:
  Post Office* :
  District & State* :
  Phone No. with area code* :
  Mobile No :
  Pin : E - mail :
  b) Permenent address of the candidate if different from above
  Door No / House Name :
  Area/Street/Road :
  Post Office :
  District & State :
  Phone No. with area code :
  Mobile No :
  Pin : E - mail :
  b) Nationality :                e ) Gender :
  f) Religion :    g) Caste :    h) Blood Group :
Date of Birth in Christian era : Date Month Year
Details of exta carriculam activities :
Achivements attained :
Details of scholarships/ award obtained :
a) Name of Parent/Guardian:
b) Address of Parent/Guardian:
  Contact No (Tel/Mob) :
  e-mail address if any :
  c) Occupation of Parent/Guardian :
  d) annual income of Parent/Guardian :
Are you native of Kerala :
a) Name of qualifying examination :
     [BA/B.Sc/B.Com/B.Tech etc.]
Appeared / Passed
  b) Name of University or Board :
  c) Register Bo./Month/Year :
  d) Name of Institution in which studied :
  e) Number of chances availed for the qualifying examinations :
Are you employes ? Details of employmnet ?
Any other feature for special consideration ?
11 Reservation Particulars
  Are you eligible for reseravtion under any category (Yes/No) :
  If yes , Specify Community /Category:
  (Management Quota/SEBC/SC/ST/any Other (Specify)):
12 Details of Application Fee remitted :
a) Receipt No& Date (if paid cash)
b) DD Particulars(If payment mode is DD)
DDNo : dt Amount
Name of the Bank Branch
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