0480 2737701
ncms@nirmalacollege.in

application for admission to MASTER OF BUSINESS ADMINISTRATION PROGRAMME



1. Name of the candidate as in qualifying certificate *
Image size 150[w]X170[h]
2. Date of Birth*
Age*
3. Sex * Male Female
4. Religion*
5. Caste*
6. Category
7. Nationality*
8. Place of birth*
9. Blood Group
10.Mobile no
11. Email*
12. Permanent Address *
Pin*
Telephone (with STD)
13. Address for communication *
Pin
Telephone (with STD)
14. Father's Name*
Occupation
Mobile No.
Email
15. Mother's Name*
Occupation
Mobile No.
Email
16. Guardian's Name
Address
Email
Mobile No.
17. DETAILS OF K-MAT / CMAT / MAT / XAT SCORE*
Composite Score of K-MAT / CMAT / MAT / CAT / XA Percentile Month & Year
18. ACADEMIC QUALIFICATION*
Board Reg.No Year of Passing Grade % of Mark School
10th
+2
Graduation*
Course University College Main subject/branch Max. Marks Marks Secured Percentage
Centralized allotment details(if applicable only)
Allotment No. Allotment Date
Rank No. Category
Other qualification if any
Course Institution Place Duration Grade/Mark
19.CO-CURRICULAR ACTIVITIES
Participation in Sports & Games
Item
Level
Achievement
Participation in Arts & Cultural activities :
Item
Level
Achievement
NCC/NSS/
Literacy Mission
Social Welfare Work
Other Extra curricular activities, if any
Annual Family Income
20. Requirement of hostel facility
21. If any relatives working/ studying or worked /studied in this Group of Institution
Declaration

    I do hereby declare that the information mentioned in the application are true and correct. I do promise to comply with all the rules and regulations of the college and the directions of the college authorities from time to time and to help in maintenance of discipline in the college while I am a student of this college.







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