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Personal Details
Father's Name*
Mother's Name*
Birth Date*

Blood Group*
Mother Tongue*
Email ID*
Address for Correspondence*
Flat/ House No*
Road Name/ No*
Area/ Locality*

Permanent Address
Same as Above
Flat/ House No
Road Name/ No
Area/ Locality
Mobile Number*
Alternative No
Married/ Single *
Aadhar Card Number *
Pan Card No
Do you have a Passport?*
Passport No*
Date of Expiry*

Academic Details
Xth Std Institution*
Xth Board Name*
Xth Marks Obtained*
Xth Marks Out of*
Xth Aggregate%*
Year of Passing Xth*

XIIth Std Institution *
XIIth Board Name*
XIIth Specialisation*
XIIth Marks Obtained*
XIIth Marks Out of*
XIIth Aggregate% *
XIIth Passing Month/ Year *

UG College Name*
UG University*
UG Course*

UG Final Results*
UG (Final Aggregate) Grade / CGPA / Percentage *
UG Month/Year of Completion*

UG Marks Obtained*
UG Marks Out of*

Have you attended any Entrance Test like CAT, CMAT?
Entrance Exam Name (Kindly select the exam with highest score)
Month & Year of of Exam*

Total / Composite Score
Admit Card No*
ADDITIONAL QUALIFICATION (Master's/Certifications)
Course Name
Name of Institute
Month and Year of Passing

Course Score
Marks Obtained
Out of
Parent/ Guardian Information
Parent / Guardian Name*
Relationship with student*
Contact No.*
Other Details
Physically Handicapped?*
Extra-Curricular Activities
Achievements, If any :
Work Experience
Company Type:
Work Experience after Graduation (Month)
Name of the Organisation:
From   To  
Gross Annual Salary
Brief Job Description
Course Applied
PGDM – Marketing*
PGDM – Retail*

Kindly select your preference number against each programme name. This is not system specific and will be printed in the PDF Form.

Document Submitted
1 Valid Entrance Examination Score (If appeared)
2 * Academic Documents (SSC, HSC and Bachelor’s Degree year-wise Marksheet)  
3 Provisional certificate
4 * Proof of Nationality & Date of Birth. (Birth certificate / Passport /School/College Leaving certificate)  
5 Scan copy of Aadhar Card
6 Certificates related to sports (National / State level) or Extra-curricular activities if any
7 Work Experience Certificate (If more than 12 months)
Terms and Conditions

I hereby declare and confirm that the above information is true and accurate. I am completely aware that, If at anytime the information provided by me in this form is found to be false or incorrect, my admission will be cancelled, fees forfeited and I will be expelled from the institute. I hereby confirm that I have understood the program outcomes, rules and regulations governing the course mentioned in the prospectus.

(If the form is not submitted, kindly check the required field for missing information.) You will be directed to pay the application form fees on submission of this form
(Students will be allowed to edit their Under Gradulate marks and Entrance Exam Score after declaration of MH-CET result)


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