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The document is an application form for admission to the MBA and MCA programs at the University of Madras for the academic year 2024-2025. It includes sections for personal information, educational background, and options for tuition fee concessions. Candidates must provide required details and enclosures, and sign to declare the accuracy of the information provided.

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manikandanmk290899
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37 views4 pages

MBA Downloaded

The document is an application form for admission to the MBA and MCA programs at the University of Madras for the academic year 2024-2025. It includes sections for personal information, educational background, and options for tuition fee concessions. Candidates must provide required details and enclosures, and sign to declare the accuracy of the information provided.

Uploaded by

manikandanmk290899
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
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APPLICATION COST : RS.

560/-
MBA UNIVERSITY OF MADRAS
APPLICATION NUMBER

MCA INSTITUTE OF DISTANCE EDUCATION


NrHf;if tpz;zg;gg; gbtk; / APPLICATION FOR ADMISSION
MBA / MCA
ENROLMENT NUMBER (to be assigned by the IDE office)

ACADEMIC YEAR 2024-2025 A 2 4

CALENDAR YEAR 2025 C 2 5

Candidate to tick () any one of the appropriate boxes


Differently Abled Visually Challenged Prisoner
for Tuition Fee Concession (Certificate to be enclosed)

Name of the Programme applied for MBA ELECTIVE chosen for IV Semester
Human Resource Finance Hospital
MCA Systems Marketing
MBA Logistics and Supply Chain Business Data Analytics

CANDIDATE TO FURNISH ALL THE REQUIRED PARTICULARS BELOW IN CAPITAL LETTERS


ADDRESS FOR COMMUNICATION

NAME : ——————————————————————––

Father’s Name : —————————————————————–—–


Recent Passport
Door No. & Street : ————————————————––––––––––––– Photograph to be
affixed
Town / Village Post : ————————————————————–—–—

District : ———————————————————–———–

State : ——————————————————––— INDIA

Pin code : —————————————————–————–—

Phone (Res) : ——————————— Off. ———–——————

Registered Mobile No.(RMN) : ——————————— e-mail –––––—————————————————

1. NAME OF THE APPLICANT (as given (a) in English :


in the certificate in CAPITAL LETTERS) (b) in Tamil:
2. Father’s/Guardian Name - Expansion of Initial

3. (a) Date of Birth as per T.C. (b) Age (c) Male d) Aadhaar No :
Gender Female
(Tick ) Transgender
4. Nationality INDIAN 5. Religion

6. a) Community (Tick ) b) Caste 7. Mother Tongue


OC / BC / MBC / DNC / SC / ST
8. Present Occupation
9. Selection of Project Work or Two Optional Subjects Project Work Two Optional Papers

10. Are you undergoing any other course in a College or


University ? If so, Specify

11. The wards of Defence Personnel / Ex-Servicemen (a) Ward of Defence Service Personnel
should specify as : (b) Ward of Ex-Servicemen : Navy / Army / Air force

12. DETAILS OF EXAMINATION PASSED


Examinations passed Name of the Month & Year Registration Class with Maximum
with Subjects School / College Board / University of Passing Number Grade / Marks Marks

S.S.L.C. / 10th Std.

P.U.C. / Higher Secondary

Diploma Course in

_________________________

Name of the Under


Graduate passed
_________________________

13. Do you have Academic Bank of Credit (ABC ID)? Yes No


If, yes, furnish the ABC ID No. ______________________________________
14. Enclosures
S.S.L.C Statement of Marks HSC Statement of Marks / Diploma Statement of Marks
UG Statement of Marks / Provisional / Degree Transfer Certificate / Course Completion Certificate
Migration Certificate (Other State Students only) Undertaking if any (Certificates due)
I hereby declare that all the particulars given above are correct and I agree to abide by all the Rules and Regulations
of the University that are in force from time to time.

Station :
Date : SIGNATURE OF THE APPLICANT

FOR OFFICE USE ONLY


1. The particulars furnished in the application have been duly verified with Originals and the Candidate is eligible for
admission
2. Admission / Cancellation Intimation given / sent on ........................................................
3. Submission of undertaking on ........................................................ is to be given.

ASST. /ASO SECTION OFFICER ASSISTANT REGISTRAR DIRECTOR


Received the Provisional admission intimation and all the original
certificates submitted by me

Signature of the LSC Co-ordinator with Seal SIGNATURE OF THE APPLICANT WITH DATE
Fees and Course Completion Details

i. First Year Fees ____________ Date __________ ii. Second Year Fees __________ Date __________

iii. CC Serial No. and Issued Date ________________________________


UNIVERSITY OF MADRAS
INSTITUTE OF DISTANCE EDUCATION
COMPUTER CODING SHEET

1. Course to which admission is sought :


Name of the Programme applied for MBA ELECTIVE chosen for IV Semester

MCA Human Resource Finance Hospital


Systems Marketing
MBA
Logistics and Supply Chain Business Data Analytics

2. ENROLMENT NUMBER (to be assigned by the office)

ACADEMIC YEAR 2024-2025 A 2 4

CALENDAR YEAR 2025 C 2 5

3. Name of the Candidate (Write in Capital Letters) (a) in English (b) in Tamil

(a)

(b)

Aadhaar No.

5. Father’s/Guardian Name (Write in Capital Letters) – as per entry in the Transfer Certificate

6. Mother’s Name (Write in Capital Letters)

Date Month Year


7. Date of Birth

8. Gender Male Female  Transgender


9. Address for communication (do not write your name here)

City Pincode

Mobile : e-mail :

10. Selection of Project Work


a) Project Work b) Two Optional Papers
or Two Optional Papers

11. Nationality INDIAN 12. Region Urban  Rural

13. Religion
14. Caste
15. Community SC ST MBC DNC BC OC
16. Differently abled Candidates YES NO 17. Are you employed ? YES NO
18. Are you a ward of a Defence Service Yes Category
Personnel ? (Army / Navy / Air Force) No
19. Are you a ward of an Ex-service person ? Yes No

20. Tuition Fee Concession Opted ? Differently Abled


(Candidate to tick (  ) any one of the appropriate boxes) Visually Challenged
Candidates can avail any one of the concession Prisoner

21. Do you have Academic Bank of Credit Yes No


(ABC ID) ? If yes, furnish the ABC ID No. __________________________________
22. Centre at which you propose to attend the Name
Personal Contact Programme (PCP) Code No.

Affix
Passport Size
Photo

Not to be attested
Station :
Date : Signature of the Candidate

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