PROGRAM APPLIED:
MBA Integrated MBA

NAME OF THE CANDIDATE:

Address

CITY:

PIN:

MOBILE NO:

EMAIl ID:

GENDER:
Male Female

DATE OF BIRTH:

FATHER'S NAME:

FATHER'S OCCUPATION:

MOTHER'S NAME:

MOTHER'S OCCUPATION:

ANNUAL INCOME (Rs in Lakhs):

ENTRANCE EXAM APPEARED:
OJEE CAT XAT MAT CMAT ATMA

HOSTEL ACCOMODATION REQUIRED:
Yes No

PLEASE ENTER THE SECURITY CODE: