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APPLICATION FOR ADMISSION TO THE 18th BATCH OF MBA FULL TIME PROGRAMME 2012- 2014

Name in Full(in block letters (as shown in certificate)	*
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Age	Date of Birth	Sex	Nationality	State	Community	Caste

(Attach copy of caste certificate in case of SC / ST candidate )

Father / Guardian’s Name	Occupation / Designation	Organisation

Permanent Address

Address for correspondence

Phone

Your local guardian / contact person in Kollam or nearest place

Name
Tel
Address
State relationship / acquaintance

ALL INDIA MANAGEMENT ASSOCIATION (AIMA) - MANAGEMENT APTITUDE TEST (MAT) DETAILS

AIMA- MAT

AIMA-MAT COMPOSITE SCORE
(Attach True Copy of AIMA-MAT Score Card)

AIMA-MAT TEST DATE
( Tick whichever is applicable)

Roll No.

Form No.

September 2011December 2011February 2012May 2012

Education (Attach True copies of all marksheets( optional ), orginals should be produced at the time of interview ), [50% marks in Part III for BA, B.Sc & B.Com graduates and 50% aggregate marks for all other graduaes]

Course

Period
(Year)

Name of Examination passed and Board / University

Qualifying Marks

Total

secured

Percentage %

Plus II or Equivalent
Course
School

Main Subjects

Board/University

Graduation or Equivalent
Course		*
College		*

Main Subjects
	*
Board/University
	*

Post Graduation or Equivalent
Course
College

MainSubjects

Board/University

( Aggregate Marks include marks obtained for all parts of the examination (ie. part I, II and III or all Semesters) ( Marks obtained till date may be entered in case of candidates appearing for their final exams ) )

Upload Marksheets		( Max : 150 KB)
		( Max : 150 KB)
		( Max : 150 KB)
		( Max : 150 KB)
		( Max : 150 KB)

Details of Registration fees

DD No.	Amount	Date	Bank

Job Experience

Organisation	Designation	Period

Co-curricular activities

Type of activity	At School	At College	Elsewhere

Please explain briefly why you want to do a Management Course(Max: 100 words)

Any information regarding your strengths or aptitude or special interests which you would like us to consider for selecting you to the MBA Course(Max: 100 words)

I hereby declare that all the information provided in this form are true to the best of my knowledge. I understand that any misrepresentation by me in this application will disqualify my candidature at any point of time.
Date
Place

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