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

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 in Passport Size *
Whether Hostel Accommodation Required
Yes No
Whether College Bus Facility Required
Yes No
Entrance Details *

Details of Qualifying Examination Passed *

Name & Address of Institution Last Studied
Total Marks/ CGPU/ % of Marks
Additional Academic Information, if any
Co Curricular Certificates (NCC, NSS, Other ( Please Specify)
Details of Work Experience (Teaching, Research, Industrial etc..)
Employment Status
Employed UnEmployed
Organization Designation Period
Reference Details
Name of Referee
Mobile Number

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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