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 Application for admission to MBA/MSW
   
  Name of the course applied for *
1
Name of the Candidate*:
2
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*:
  Area/Street/Road*:
  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 :
   
   
2
Date of Birth in Christian era : Date Month Year
   
3
Details of exta carriculam activities :
4
Achivements attained :
5
Details of scholarships/ award obtained :
   
6
a) Name of Parent/Guardian:
6
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 :
   
7
Are you native of Kerala :
   
8
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 :
   
9
Are you employes ? Details of employmnet ?
 
10
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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