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A P P L I C A T I O N F O R M

For Admission to M.B.A. Sem I/II/II/IV

PARTICULARS OF THE APPLICANT
1. Full Name  :  (Surname Last)
2. Date of Birth :
3. Permanent Address of 
Father or Guardian : 
                                       Phone: -
                                       Mobile:
4. Present Address for Correspondence : 
                                       Phone: -
                                       Mobile:
5. Nationality  - Religion  - Caste : - -
6. Whether the candidate belongs to reserved category : 
 
Please mention Caste :-
7. Blood Group  :  Rh Factor 
8. Specialization 
 (For Final Year Students only)
9. DETAILS ABOUT LAST EXAMINATION:
Name of the Examination

Roll No.
Name of the University
Percentage of Marks Passed/Failed
Division obtained University Enrolment No.
10. DETAILS OF ACADEMIC ACHIEVEMENTS:
Examination Passed
Year 
University/Board 
Division/Grade 
Percentage of Marks
No. of Attempts
Remarks
11. DETAILS OF EMPLOYMENT (IF ANY):
(a) Post held
(b) Name of the Employer
(c) Period of Employment
(d) Total Experience
(e) Professional Achievements
(f) Whether permission from employer sought
12. Send Your Photograph
To, 
The Director, Dr. Ambedkar Institute of Management Studies & Research
 
Sir,
I am submitting the application for admission to along with Registration Fees

DECLARATION AND UNDERTAKING OF THE STUDENT

I solemnly declare that

  1. I have read the prospectus carefully and followed the contents there in.
  2. That I shall accept the disciplinary action taken by the Institute in violation of rules and regulation of the Institute.
  3. I shall abide by the rules and regulations of the Institute. I promise to attend the classes regularly and to deposit the requisites fees within prescribed time, I know that I will be detained if I do not attend 75% of the lectures delivered in each subject and I assure you that I will observe all the rules carefully as per Prospectus.

Place :

Date :

 

© Copyright© 2004 Dr. Ambedkar Institute Of Management Studies And Research 

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© Copyright© 2004 Dr. Ambedkar Institute Of Management Studies And Research