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Nirma

The document is a student application form for the Integrated BBA-MBA Programme at Nirma University for the academic year 2025, submitted by Pratham Agrawal. It includes personal details, educational qualifications, and the status of required documents. The application also confirms the payment of the application fee and states that submission does not guarantee admission.

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24 views2 pages

Nirma

The document is a student application form for the Integrated BBA-MBA Programme at Nirma University for the academic year 2025, submitted by Pratham Agrawal. It includes personal details, educational qualifications, and the status of required documents. The application also confirms the payment of the application fee and states that submission does not guarantee admission.

Uploaded by

nishita6978
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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Firefox https://admissions-mba.nirmauni.ac.in/Student/Reports/RptApplicatio...

Student Application Form


Nirma University
INSTITUTE OF MANAGEMENT ( ACADEMIC YEAR : 2025)
Integrated BBA-MBA Programme
All India Category [ All India Category ]
NU Application No : 25IMBA1729

Name : PRATHAM AGRAWAL


Address : JBAHAR MARG , POST-
BANAPURA , TAH-SEONI MALWA,DISTRICT Parent's Mobile : 7987773487
NARMADAPURAM Seoni-Malwa MADHYA Parent's Email :
PRADESH INDIA 461221 [email protected]

Phone : 7000360138
E-mail : [email protected]

Birth Date : 26/05/2007


Gender : MALE
Nationality : Indian

SSC / HSC Detail(s)

Board Passing Total Obtained


Qualification Name Location Stream Year Status Marks Marks Percentage

SSC CBSE Within - 2023 - 500.00 368.00 73.60


India

HSC CBSE Within COMMERCE 2025 PURSUING 0.00 0.00 0.00


India

Qualifying Examination Detail(s)

Exam Name : IPMAT-2025: Conducted by IIM, Indore - Refer IIM, Indore website

IPMAT Registration No. : AT2527284

Candidate Document(s)

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Firefox https://admissions-mba.nirmauni.ac.in/Student/Reports/RptApplicatio...

Document Name Upload Status Action

HSC MARKSHEET Yes


View Document (../../CandidateUploads/Document/STUDREG

Passport Size Photo Yes


View Document (../../CandidateUploads/Document/STUDREG2

SSC MARKSHEET Yes


View Document (../../CandidateUploads/Document/STUDREG

Payment Detail(s) :

Payment Date Bank Name Amount Payment Mode Payment Status Transaction Ref no

27/Mar/2025 ICICI(EASYPAY) 1500.00 UPI_ICICI SUCCESS 250327222989686

I fully understand that filling the form does not guarantee admission to the said programme. For procedures for
the admission go through the academic regulation of the said programme available on the website.

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2 of 2 27-03-2025, 21:50

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