Expression of Interest Form MBA 2023
NOTE : * field is Mandatory!
  • STUDENT DETAILS
    Name *
    		Surname *
    Date of Birth  *
    RadDatePicker
    RadDatePicker
    Open the calendar popup.

    		Age   
    		Gender *
    Place of Birth *
    		Blood Group *

    Religion *

    		Caste *

    Phone No. *
    		Email-ID *
    Physically Challenged * If yes, state the nature of physically challenged
    Languages Known *
    		No. of Siblings *
  • ADDRESS DETAILS
    PERMANENT ADDRESS:
    Address *
    		State *

    City *

    		Pincode *
    COMMUNICATION ADDRESS:
    Address *
    		State *

    City *

    		Pincode *
  • FATHER DETAILS
    Name *
    		Age  *

    		Phone No. *  
    Email-ID
    		Qualification *
     
    Occupation *

    		Designation *
    Company Name *
    		Company Address *
    Pincode *
    		Annual Income *
  • MOTHER DETAILS
    Name *
    		Age  *

    		Phone No. *  
    Email-ID
    		Qualification *
     
    Occupation *

    		Designation
    Company Name Company Address
    Pincode Annual Income
  •   GUARDIAN DETAILS
    Name Age
    Phone No.  
    Email-ID Qualification
     
    Occupation
    		Designation
    Company Name Company Address
    Pincode Annual Income
  • GIVE DETAILS OF YOUR EDUCATIONAL…  *
    Command item
    Command item
     ADD ACADEMIC DETAILS (X, XII and UG Academic Details are Mandatory.!) 
    S.NoCourseSpecializationPT / FTInstitution DetailsYear of JoiningYear of CompletionPercentageRe-AppearanceDelete
    No records to display.
  • ENTRANCE TEST DETAILS
    Entrance Test Taken * If yes, enclose score card MAT       TANCET       CAT       GMAT       CMAT   
    Others If Any
  • WORK EXPERIENCE DETAILS
    Have any work experience? *
    Command item
    Command item
     Add New Record 
    S.NoEmployerLocationDesignationDate of JoiningDate of LeavingTotal Years (Includes Month)Gross Pay (last drawn)Delete
    No records to display.
  • SPORTS AND EXTRA CURRICULAR DETAILS
    Have you been part of any Sports?  * Significant Achievements in Sports
    Competitions Participated
    		Specify the Participation Details
    Have you been part of any extra-curricular activities? If yes, Specify
  • YOUR NEEDS AND OTHER DETAILS
    Do you require hostel accommodation? Do you require transportation facility?
    Would you like to
    Do you like to organize events?    
    Upload Photo (Size: 2MB, Type: jpg, png, gif) *

    		Upload Signature (Size: 2MB, Type: jpg, png, gif) *

    Upload Aadhar Card (Size: 2MB, Type: pdf) *

    		 *

Congratulations..! You have registered successfully..!