MBA Online Application Form 2022 - 23
1. Personal Details
First Name
*
Last Name
*
Gender
*
--Select--
Male
Female
Date of Birth
*
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
e-mail Address
*
Mobile Number
*
Nationality
Religion
--Select--
Hindu
Christian
Muslim
Sikh
Others
Community
--Select--
Gen
OC
BC
MBC
OBC
SC
ST
Caste
2. Contact Information
Address for Communication
*
Pin Code
*
City
*
State
*
-- Select State --
Andaman And Nicobar Islands
Andra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra And Nagar Haveli
Daman And Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu And Kashmir
Jharkhand
Karnataka
Karnataka
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Punjab
Sikkim
Tamilnadu
Telangana
Tripura
Uttar Pradesh
West Bengal
Country
*
3. Parents Details
Father's/Guardian's Name
*
Father's/Guardian's Occupation
*
Father's/Guardian's Mobile Number
*
Mother's Name
*
Mother's Occupation
Mother's Mobile Number
Annual Income of Parent/Guardian
*
(eg: 451250 without comma)
4. Academic Details
12
th
Standard
Registration No.
*
Name Of the Board
*
CBSE/ICSE/IB
STATE
Name Of the school
Year Of Passing
Select Year
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Marks obtained (Total)
Maximum Marks
Percentage
Under Graduate
Awaiting Results
Yes
No
If No, Please fill the following details
Name of Degree
Name of the Institution
Year Of Passing
Select Year
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Overall % of Marks
Post Graduate
Awaiting Results
Yes
No
If No, Please fill the following details
Name of Degree
Name of the Institution
Year Of Passing
Select Year
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
Overall % of Marks
5. Admission Test Result
Candidates who have taken or willing to take MBA entrance test (CAT/MAT/TANCET/XAT/CMAT) are requested to furnish their test scores. The best test score will be considered ofr selection process.
Name Of the Entrance Test - 1
Test Date - 1
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2016
2017
2018
2019
2020
2021
2022
2023
2024
Roll No. / OMR No. - 1
Total Score - 1
Percentile - 1
Name Of the Entrance Test - 2
Test Date - 2
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Month
01
02
03
04
05
06
07
08
09
10
11
12
Year
2016
2017
2018
2019
2020
2021
2022
2023
2024
Roll No. / OMR No. - 2
Total Score - 2
Percentile - 2
I, hereby certify that the above information given in this form are true to my knowledge.
Submit