MAHATMA GANDHI UNIVERSITY KOTTAYAM, KERALA APPLICATION FOR ADMISSION TO MBA COURSE IN SCHOOL OF MANAGEMENT AND BUSINESS STUDIES 1.Name of the candidate (in block letters) 2. Expansion of initials 3. Age and date of birth 4. Nationality 5. Place of birth 6. Permanent Home Address with Telephone No. Taluk District
Photograph
State
Pin Code
7. Address to which communication should be sent
Pin Code Telephone No. Mobile No 8. Name and address of parent or guardian ( State relationship)
.
9. Occupation and annual income of parent or guardian 10. Name and address of local guardian if any
Occupation Annual Income
11. Religion and Caste ( SC /ST/OBC/OEC etc. candidate should attach the copy of caste certificate)
Religion Caste
12. Academic Qualifications: Statement of Marks Secured in the Qualifying Examination
(Attach copies of the Mark lists/ Certificates) Name of Examination Passed and name of University Subject Marks Secured Maximum Marks Percentage of Marks secured Year of Passing and Reg. No.
13. The Period, if any, during which the candidate discontinued his/her studies with reason 14. Details of Scholarship/Fee concessions, if any, availed by the applicant. 15. Any other qualification or information (attach copies of relevant certificates) 16. Details of DD / Pay-in-slip for Registration fee remitted.
Number of DD/ Pay-inslip Date of remittance SBT/ University Cash Counter
Amount
17. Attach true copies of documents in the following order ( Please tick the relevant items)
1.Mark lists of qualifying examinations 2.DD / Pay- in- slip of MG University Cash Counter 3. Caste Certificate 4. Income Certificate 5. Non-Creamy Layer Certificate ( for Ezhava / Thiyya / Muslim reservation) 6. BPL Certificate ( for reservation to BPL among forward Communities) 7. Other Certificates/ Documents, if any 8. Self addressed stamped (Rs.5/-) envelop
DECLARATION
I…………………………………………….do hereby declare that the statements made in the application are true and the documents attached herewith are the copies of the original in my possession, which will be produced for verification when required. I have read through the prospectus and I accept the terms and conditions mentioned therein. Place: Date: Countersigned By the Parent / Guardian …………………………………………………………………………………………………………………………………………………………………. For Office use only Signature of the Applicant
Remarks
:
Date of Admission : ………………………………………………………………………………………………………………………………………………………………….
Reg. No ……………… MAHATMA GANDHI UNIVERSITY KOTTAYAM ENTRANCE TEST 2011
Photograph duly signed by the candidate
ADMISSION CARD
In receipt of your application for admission to MBA course in School of Management and Business Studies you are directed to appear for an Entrance Test at ………….AM/PM. on ………………… at……………………………………………….
To Sri / Smt ………………………………… ………………………………………………. ……………………………………………… ………………………………………………. Place: Date : Office Seal DIRECTOR