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Student Counselor:: Arjun Ashok

This application form collects student details like name, gender, date of birth, contact information, as well as course details including the name of the course, electives, and payment information. It also requests academic and professional details, current and permanent addresses, and notes that study materials will be sent to the communication address provided.

Uploaded by

Aakash Induchoodan
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
34 views

Student Counselor:: Arjun Ashok

This application form collects student details like name, gender, date of birth, contact information, as well as course details including the name of the course, electives, and payment information. It also requests academic and professional details, current and permanent addresses, and notes that study materials will be sent to the communication address provided.

Uploaded by

Aakash Induchoodan
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Application Form for Admission

Student Counselor: Arjun Ashok (+91-9037050083 )

Student Details
Name of Student :
Parent's/husbands name :
Gender :
Date of Birth :
Telephone number with area code :
Mobile number :
Email id :
Course Details
Course Name

Select Elective(s ) : 1.
2.
(2nd Elective applicable only for 1 Yr Executive MBA and 2 Yr MBA)

Course Fee

: INR

Payment mode

: Online / NEFT / Bank Deposit / DD

Academic & Professional Details :


Academic Qualification :
Employment Status:
Organization Name:
Place of Organization:
Nature of Job :
Contact Details :
Permanent Address
Line 1:
Line 2 :
City :
District :
State :
Pin-code :
Communication Address
Line 1:
Line 2 :
City :
District :
State :
Pin-code :
Note: Please enter correct and complete communication address as Hard copy of study
material and certificate will be dispatched to same

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