Application Form
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Personal Details
Name of the applicant* (First Name) (Middle Name) (Last Name)
Father's/Husband's Name * (First Name) (Middle Name) (Last Name)
Mother's Name * (First Name) (Middle Name) (Last Name)
Date of Birth* Gender* Male Female
Category* Nationality*
Religion* Blood Group
Present Address
Address Line 1* Mobile No.
Address Line 2 Telephone No.
Town/City Email Address*
Country*
Confirm Email*
State*
Alternative Email Address
District*
Note Either of Mobile No. or Telephone with Area Code is mandatory
Pincode*

Permanent Address Same as Present Address? Yes No

Permanent Address
Address Line 1*

Mobile No.
Address Line 2 Telephone No.
Town/City Email Address*
Country*
Confirm Email*
State*
Alternative Email Address
District*
Note Either of Mobile No. or Telephone with Area Code is mandatory
Pincode*


Guardian Details (If Applicable)
Local Guardian Name Relationship with the Applicant
Address Line 1 State
Address Line 2 District
Town/City Pincode
Country
Local Guardian Mobile No.

Upload Your Photo
 
Do you want to upload your photos now?     Yes  No 
   
Note 1) If you are awarded grade points please convert them into percentage of marks and indicate.
2) If there is a formula given by University for conversion it may please be stated.
3) If you are a rank holder, indicate the same with the class /division awarded.
SSC Details
Name of School* SSC Board*
Address of School* Major Subject*
Percentage of Marks*
  %
Year*
From To
Class/Division Awarded*

HSC Details
Name of School/College* HSC Board*
Address of School/College* Major Subject/s*
Percentage of Marks*
  %
Year*
From To
Class/Division Awarded*

Graduation Details
Bachelors Degree
Type of University
Status Graduation Category(If B.A./B.Sc./B.Com.)
Year From
To
Institute/University
Major Subject/s Address of School/College
Percentage of Marks
  %
Class/Division Awarded

Post Graduation Details
Name of University Post Graduation Board
Address of University Major Subject
Percentage of Marks
  %
Year From
To
Class/Division Awarded

Experience Details (If any, from latest to earliest)
Name & Address of Organisation Designation From
(mm/dd/
yyyy)		 To
(mm/dd/
yyyy)		 Nature of Work Salary Drawn
Note Please attach attested copies of work experience certificates.

Other Details
Extra Curricular Activities/Sports (with details of prizes won, if any)

   
Courses
Course option : MBA 
Accommodation and Loan requirement detail
Do you require hostel accommodation?*
    Yes    No   
Do you require educational loan?*     Yes    No   
   
Result detail


Have you Appeared/Appearing in CAT/MAT/GMAT/CMAT?*     Yes    No   


   
How did you know about us?
How did you know about us?*
 
 

Why do you want a career in Management and why do you think you are suitable for it?
(Answer in 50 words)
Application enclosures
Note Please attach self attested copies of your Xth, XIIth, and Graduation Mark sheets (in case of pursuing graduation, please provide aggregate marks of all previous years) along with CAT/GMAT/MAT scorecard.
1. Xth Mark Sheet
2. Xth Certificate.
3. XIIth Mark Sheet.
4. XIIth Certificate.
5. Graduation Mark Sheet.
6. Graduation Certificate.
7. Post Graduation Mark Sheet.
8. Post Graduation Certificate.
9. Experience Certificate/s.
10. CAT 2010 / GMAT / MAT Score Card.
11. Sponsorship Letter for Sponsored Candidates.
12. No Objection Certificate from the Employers.
Declaration

 

I declare that the particulars given above are correct to the best of my knowledge and belief. If at any stage it is found that any of the information provided is incorrect, I will withdraw from the programme.
1. I accept that, on admission I shall be responsible for all my dues and for making timely payment of fees.
2. All disputes are subject to the jurisdiction of the competent court of Kerala only.

Date ......................................                                                                                           ......................................
                                                                                                                                        Signature of the Candidate

                                                                                                                                         ......................................
                                                                                                                                Name and Signature of Guardian

 
    I Agree.
   
   
Version 6.01.03