APPLICATION FORM - 2020

Name *
Address For Communication
Permanent Address
Gender
Male   Female  
Date of Birth
Age
Religion
Community
Category
General OBC SC ST
Blood Group
Mother Tongue
Place of Birth
State

District

Village Town City
Nationality
Student's Aadhaar No
Parent / Gaurdian Details
Name
Address
Occupation
Annual Income
Do You Require a Bank Loan to Finance Your Studies
Yes No
Land Phone No(STD/COUNTRY Code)
Student's Mobile No
E-Mail
Upload Photo
Whether Hostel Accommodation Required
Yes No
Whether College Bus Facility Required
Yes No
CAT/CMAT/KMAT
CAT CMAT KMAT SUPERNUMERARY QUOTA
Score
Year
Details of Qualifying Examination Passed
Degree Qualifying Exam

Branch / Subject
Reg No
Year of Passing
University
Name & Address of Institution Last Studied
Total Marks/ CGPU/ % of Marks
Year Of Passsing
Additional Academic Information, if any
Co Curricular Certificates (NCC, NSS, Other ( Please Specify)
Details of Work Experience (Teaching, Research, Industrial etc..)
Organization Designation Period
Employment Status
Employed UnEmployed
Reference Details
 
Name of Referee
Mobile Number
Relation Ship
Declaration

I hereby declare that all particulars stated in this application form are true to the best of my knowledge and belief. I have read and understood all provisions of admission and agree to abide by them. I also affirm that I fulfill the eligibility requirements for the course/s applied. In the event of submission of fraudulent, incorrect or untrue information or suppression or distortation of any fact like educational qualification, marks, nationality etc. I understand that my admission / degree is liable for cancellation in such an event. Finally, I understand that the admission to MBA in this Institution is provisional and subject to final confirmation on my submission of marklists and provisional degree certificate of my qualifying degree and further approval from Admission Supervisory Committee (ASC), Govt. of Kerala and APJ Abdul Kalam Technological University (APJKTU). I, further state that any information furnished by me found incorrect and inappropriate which leads to cancellation of my admission by the competitive authorities (ASC, APJKTU) I do not hold Rajadhani Institute of Engineering & Technology and Rajadhani Business School liable for the same.

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