college of business anagement, economics and commerce · college of business management, economics...
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COLLEGE OF BUSINESS MANAGEMENT, ECONOMICS AND COMMERCE
… A Premier Women B-School with Indian Ethos and Values
COLLEGE OF BUSINESS MANAGEMENT, ECONOMICS AND COMMERCE
… A Premier Women B-School with Indian Ethos and Values
1. PROGRAM APPLIED FOR :
2. Full Name of the Candidate (In Capital Letters as recorded in 10th class certificate ) :
_______________________________________________________________________________________
3. Father’s Name: __________________________________________________________________________
4. Mother’s Name: _________________________________________________________________________
5. Address for Correspondence: ______________________________________________________________
_______________________________________________________________________________________
City: __________________ State:________________ Pin Code: _____________ Country: ______________
6. Permanent Address: _____________________________________________________________________
_______________________________________________________________________________________
City: __________________ State:________________ Pin Code: _____________ Country: ______________
7. Phone No. with STD Code: _________________________________________________________________
8. Mobile No.: Student: ______________________________ Parent: ________________________________
9. Email ID: Student: ________________________________ Parent: ________________________________
10. Date of Birth: __________ 11. Blood Group: _____ 12. Religion: _________ 13. Marital Status: ________
13. Category : Gen ST SC OBC Others
14. Nationality: Indian NRI Foreigner
A. If Indian, Whether from North East Yes No
B. Foreigner, Country SAARC Others
15. How did you come to know about Mody University? 1. Google 2. Social Media 3. News Paper / Magazine 4. Radio 5. TV 6. Parents / Relatives 7. Friends/Peers 8. Mody School Pass out 9. Education Fair 10. Others
Affix latest Passport Size
Color Photograph
MBA (Dual Specialization)
MBA (Family Business & Entrepreneurship)
M.Com
B.Com (Hons.)
BBA
Dual Degree BBA-MBA
BA (Hons.) Economics
COLLEGE OF BUSINESS MANAGEMENT, ECONOMICS AND COMMERCE
… A Premier Women B-School with Indian Ethos and Values
16. Educational Qualifications (10th onwards):
(Name and Address of the Educational Institution last attended): _________________________________
_____________________________________________________________________________________
Examination Qualified /Appeared
Board/University Year of Passing
Marks %/CGPA
Subjects
X
XII
Graduation: B.Tech/ B.Com/B.Sc./BA/BBA
Any Other, Please Specify
_________________
17. Entrance Test Score (for MBA applicants only): ________________________________________________
CAT XAT NMAT CMAT MAT MMET
18. Work experience, if any (for MBA applicants only): No. of years: _________________________
Designation: ___________________________ Organization: ________________________________
19. Write in a few words, why you want to pursue this program (Applicable for MBA only):
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
20. Preferred Center for online Test (MMET):* ____________________________________________________
Agra, Ahmedabad, Ajmer, Ambala, Amritsar, Bhopal, Bikaner, Bokaro, Chandigarh, Dehradun, Ghaziabad, Gurgaon, Guwahati, Gwalior, Hanumangarh, Hisar, Indore, Jabalpur, Jaipur, Jammu, Jamshedpur, Jodhpur, Kanpur, Kolkata, Kota, Lakshmangarh, Lucknow, Ludhiana, Mathura, Mumbai, Muzaffarpur, New Delhi, Noida, Patna, Raipur, Ranchi, Rohtak, Shimla, Udaipur,Sri Ganganagar.
(*For MBA applicants only; Venues Subject to change, please see website for updates.)
21. Parent's Annual Income INR _______________________________________________________________
22. Guardian’s Name & Occupation (if other than parent) __________________________________________
___________________________________________________________________________________
23. Accommodation: Hostel Seat Required: AC Non AC Own Arrangement
(Note: a. Hostel allotment may be done on semester basis. b. Allotment of room/seat is subject to availability. c. No withdrawal is permitted in the middle of the session July to June.)
24. Application Fee Details (In case of downloaded application form): DD No: __________________________________ Amount: _______________________________ Bank: ___________________________________ Date: __________________________________
COLLEGE OF BUSINESS MANAGEMENT, ECONOMICS AND COMMERCE
… A Premier Women B-School with Indian Ethos and Values
DECLARATION
I, ………………………………………………... , declare that all the information given in this application form is true to the best of my
knowledge. I assure that I shall abide by all the rules and regulations of the University, which are in vogue now as well as
those, which come into force from time-to-time. I further assure that I shall do nothing inside or outside the University
that goes against the discipline and orderly working of the University. I understand that if (1) any information herein is
found to be incorrect, (2) I am found indulging in any act of indiscipline or (3) I fail to pay the dues in time, I shall be liable
to any punishment as awarded by the University, which may even include striking off my name from the rolls of the
University.
Place: Date: Signature of the Candidate
DECLARATION FROM THE PARENT/GUARDIAN
I, ........................................................ , Father/Mother/Guardian of Ms. __________________________ who is a candidate
for admission to the University; certify that I am the bonafide parent / guardian of the candidate. I assure that the
candidate and I shall abide by all the rules and regulations of the University, which are in vogue now as well as those,
which may come into force from time-to-time. Also, all the required fees shall be paid in time.
Place: Date: Signature of the Parent/Guardian
(For office use):
Copies of documents have been checked with originals and verified.
______________________
(Signature of Verifying Officer)
Admission offered in ___________________________________
____________________________ __________________
Signature of Chairman Admissions Signature of the Dean
Deposition of Fee/Charges:
Fee/Charges of Rs _______________ Deposited by CASH/DD vide receipt No. ________________Dated. _____________
___________________________
Signature of the Receiving Officer
Enclosures (Please attach self-attested copies of):
1. Mark Sheet and Certificate of Class X
2. Mark Sheet and Certificate of Class XII
3. Mark Sheet and Certificate of Graduation and above
4. Migration Certificate
5. TC/CC Certificate
6. Certificate/Mark sheet of valid CAT/XAT/NMAT/CMAT/MAT test score*
7. Student Visa**
8. Passport**
9. Residential Permit**
(*For MBA applicants only; **Applicable for NRI and Foreign National.)