0% found this document useful (0 votes)
296 views4 pages

Mba (Om) : Nmims Global Access-School For Continuing Education

This document contains an admission form for Rajiv Kumar Chaudhary to enroll in the MBA (Operations Management) program at NMIMS Global Access-School for Continuing Education beginning in January 2022. The form provides his personal details, address, contact information, academic history, program details, and a declaration agreeing to the truth and accuracy of the information provided.

Uploaded by

Rajiv Chaudhary
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
296 views4 pages

Mba (Om) : Nmims Global Access-School For Continuing Education

This document contains an admission form for Rajiv Kumar Chaudhary to enroll in the MBA (Operations Management) program at NMIMS Global Access-School for Continuing Education beginning in January 2022. The form provides his personal details, address, contact information, academic history, program details, and a declaration agreeing to the truth and accuracy of the information provided.

Uploaded by

Rajiv Chaudhary
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 4

07193116108

MBA (OM)
Date: 07-12-2021

NMIMS GLOBAL ACCESS-SCHOOL FOR CONTINUING EDUCATION


Admission Form

Registration No: 07193116108

Personal Details

Salutation: Mr. Name: Rajiv Kumar Chaudhary

Date of Birth: 24 / 05 / 1988 Gender: Male

Awadhesh Kumar
Marital Status: Married Father's name:
Chaudhary

Mother's Name: Meena Chaudhary Spouse Name: Sonal

Blood Group: O+ Category: OBC

Other Blood Group: Nationality: Indian

Domicile: India Batch Name: January2022

Address of Communication

Billing Address: At: New Tarachak Danapur Beside Permanent Address: At: New Tarachak Danapur Beside

Yashoda Niketan Patna Yashoda Niketan Bihar Patna

Bihar India 801503 India 801503

Shipping Address: At: New Tarachak Danapur Beside

Yashoda Niketan Bihar Patna STD Code:

India 801503

Mobile Number: 8002674666 Primary Email: [email protected]


Alternate Email: [email protected] Phone Number:
07193116108
MBA (OM)

Academic Information

SSC/10th %: 53.00 SSC/10th Board: CBSE

Year of Completion(10th): 2004 Name of School(10th): Army School Danapur Cantt

Diploma / 12th: XII/HSC

HSC/12th %: 60.00 HSC/12th Board: CBSE

Year of Completion(12th): 2007 Name of School(12th): Army School Danapur Cantt

Stream (12th): Science

Bachelor of Science
Bachelors Degree Name: Specialization: IT
in Information Technology

College Name: Admerit University Name: Sikkim- Manipal University

Bachelors Degree %: 67.00 Graduation Degree Mode: Distance Learning

Year of Completion: 2010

Work Experience:
07193116108
MBA (OM)

Program Details

Program Name: MBA (Operations Management)

Eligibility: Bachelor with 50%

Information Center

Information Center: Delhi - Connaught Place

Declaration

I hereby declare that the information furnished by me in the Admission form is true and correct to the best of my

knowledge. I am aware that my candidature and/or admission at NGA-SCE (January2022) and subsequent process

can be cancelled unilaterally by NMIMS at any stage if the information furnished by me is found to be incorrect and in

such a case all the fees paid by me will be forfeited and will not be refunded to me.

Date : 07/12/2021 Signature :

Place : Patna

You might also like