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Page 1: Admit Card- Rmat

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114760 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course : MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: KAVITA GAHLOT

 

3. Father's Name : BHANGA RAM GAHLOT 4. Mother's Name: SUNITA GAHLOT

5. Address: NEAR GITA BHAWAN MALION KA MOHALLA POST BHINASAHAR

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9772691056 9. Phone No.:

10. Date of Birth: 15-11-1989 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : C

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 424 70.67

Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 458 70.46

      Apearing for UG Final year exam YES        U.G. B.C.A. MGSU BIKANER 2011

Declaration I KAVITA GAHLOT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

1

Page 2: Admit Card- Rmat

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114560 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: KIRAN KUMARI VERMA

 

3. Father's Name : SHRI RAMESHWAR LAL VERMA 4. Mother's Name: VIDYA DEVI 5. Address: STREET NO. 8 OLD SHIV BARI ROAD

    AMBEDKAR COLONY,BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 7737049483 9. Phone No.:

10. Date of Birth: 24-03-1991 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 388 64.67

Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 451 69.38

      Apearing for UG Final year exam YES        U.G. B.C.A. MAHARAJA GANGA SINGH UNIVERSITY 2011

Declaration I KIRAN KUMARI VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  

2

Page 3: Admit Card- Rmat

6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116337 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: KULWINDER KOUR

 

3. Father's Name : GURCHARAN SINGH 4. Mother's Name: GURWINDER KOUR 5. Address: CHAK 19 GD PO 1 SKM

    TEHSIL GHARSANA-335707

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9772451760 9. Phone No.:

10. Date of Birth: 18-04-1992 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSER AJMER 2006 600 431 71.83

Sr. Sec. ARTS BSER AJMER 2008 650 408 62.77

      Apearing for UG Final year exam YES        U.G. B.A. MGSU BIKANER 2011

Declaration I KULWINDER KOUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

3

Page 4: Admit Card- Rmat

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116370 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: LALIT PRAKASH

 

3. Father's Name : MADAN LAL 4. Mother's Name: FULA RANI

5. Address: RAMAN DARA SEC. SCHOOL, DURGA MANDIR ROAD, JAITSAR MANDI

    SRI GANGANAGAR-335702

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9660327332 9. Phone No.:

10. Date of Birth: 06-07-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2006 600 380 63.33

Sr. Sec. SCIENCE RBSE 2008 650 351 54.00

      Apearing for UG Final year exam YES        U.G. BBA MGS UNIVERSITY BIKANER 2011

Declaration I LALIT PRAKASH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

4

Page 5: Admit Card- Rmat

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117148 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: M ASREEN 3. Father's Name : MOHAMMAD ASLAM 4. Mother's Name: NASIM ASLAM 5. Address: 5-E-94 JAI NARAYAN VYAS COLONY

    BIKANER-334003

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9950451230 9. Phone No.: 0151 -2232475

10. Date of Birth: 28-04-1990 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION AJMER RAJ.

2006 600 452 75.33

Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION AJMER RAJ

2008 650 391 60.15

      Apearing for UG Final year exam YES        U.G. B.A. UNIVERSITY OF RAJASTHAN, JAIPUR 2011

Declaration I M ASREEN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

5

Page 6: Admit Card- Rmat

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114310 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: MANISH GURJAR 3. Father's Name : RAJENDRA KUMAR GURJAR 4. Mother's Name: SUMAN DEVI

5. Address: NEAR SATTASAR HOUSE CHOTINA WELL

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9828925201 9. Phone No.:

10. Date of Birth: 10-09-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION RAJASTHAN

2005 600 261 43.50

Sr. Sec. COMMERCE BOARD OF SECONDARY EDUCATION RAJASTHAN

2007 650 353 54.31

      Apearing for UG Final year exam NO        U.G. B.B.A. M.G.S.U.BIKANER 2010 3100 1874 60.45

6

Page 7: Admit Card- Rmat

Declaration I MANISH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114310 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: MANISH GURJAR 3. Father's Name : RAJENDRA KUMAR GURJAR 4. Mother's Name: SUMAN DEVI

5. Address: NEAR SATTASAR HOUSE CHOTINA WELL

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9828925201 9. Phone No.:

10. Date of Birth: 10-09-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION RAJASTHAN

2005 600 261 43.50

Sr. Sec. COMMERCE BOARD OF SECONDARY EDUCATION RAJASTHAN

2007 650 353 54.31

      Apearing for UG Final year exam NO        U.G. B.B.A. M.G.S.U.BIKANER 2010 3100 1874 60.45

7

Page 8: Admit Card- Rmat

Declaration I MANISH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115681 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: MANISH MEGHWAL 3. Father's Name : BHAGGARAM MEGHWAL 4. Mother's Name: POORNIMA DEVI 5. Address: SARVODAYA BASTI,WARD NO.56,

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9413691096 9. Phone No.:

10. Date of Birth: 24-01-1989 11. Sex: MALE

12. E-mail:    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD, AJMER 2005 600 360 60.00

Sr. Sec. COMMERCE RAJASTHAN BOARD, AJMER 2007 650 401 61.69

      Apearing for UG Final year exam NO        U.G. B.COM MGS UNIVERSITY, BIKANER 2010 1800 1088 60.44

8

Page 9: Admit Card- Rmat

Declaration I MANISH MEGHWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117195 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: MANISH SINGH SENGAR

 

3. Father's Name : K.B SINGH 4. Mother's Name: USHA SENGAR

5. Address: A-81 KARNI NAGAR NEAR LALGARH PALACE

    BIKANER-334401

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9950265101 9. Phone No.:

10. Date of Birth: 24-09-1987 11. Sex: MALE

12. E-mail: [email protected]    13. Category: GEN 14. Sub-Category:   EX-S[EXS4] 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      

9

Page 10: Admit Card- Rmat

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   CBSE 2003 500 236 47.20

Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 337 51.85

      Apearing for UG Final year exam NO        U.G. BBA RAJASTHAN UNIVERSITY 2010 1800 955 53.06

Declaration I MANISH SINGH SENGAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113860 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: MANOHAR LAL

 

3. Father's Name : RAM KUMAR 4. Mother's Name: GUDEE DEVI

5. Address: VPO HARKHE WALA TEHSIL PADAMPUR

    SRI GANGANAGAR-335001

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9636699591 9. Phone No.:

10

Page 11: Admit Card- Rmat

10. Date of Birth: 18-07-1986 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SEC EDUCATION, AJMER RAJASTHAN

2002 600 239 39.83

Sr. Sec. ARTS BOARD OF SEC EDUCATION AJMER, RAJASTHAN

2005 650 362 55.69

      Apearing for UG Final year exam NO        U.G. B.A. MGS UNIVERSITY, BIKANER 2008 1800 937 52.06

Declaration I MANOHAR LAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113183 Exam. Fee 1000

1. Choice of Examination Centre and Course  

 Course :M.B.A.                             I.  104 - BIKANER                             II. 107 - JODHPUR 2. Name of Candidate: MOHD ASHRAF  

3. Father's Name : MOHD. ABBAS 4. Mother's Name: SHAKILA BANO 5. Address: MOHALLA PAJAB GIRAN

    BIKANER-334001

6. District: BIKANER  

11

Page 12: Admit Card- Rmat

8. Mobile No.: 9001075673 9. Phone No.:

10. Date of Birth: 19-11-1991 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2006 600 242 40.33

Sr. Sec. ARTS RBSE 2008 650 340 52.31

      Apearing for UG Final year exam YES        U.G. BBA MGS UNIVERSITY BIKANER 2011

Declaration I MOHD ASHRAF declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112701 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 101 - AJMER

2. Name of Candidate: MS BHAWNA

12

Page 13: Admit Card- Rmat

 

3. Father's Name : OM PRAKASH 4. Mother's Name: SURESH DEVI

5. Address: VILL PALIWALA PO RAMSARA JAKHARAN

    SURATGARH-335804

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9636127690 9. Phone No.:

10. Date of Birth: 28-07-1992 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE AJMER 2006 600 357 59.50

Sr. Sec. ARTS RBSE AJMER 2008 650 469 72.15

      Apearing for UG Final year exam YES        U.G. B.A. APP. 2011

Declaration I MS BHAWNA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

13

Page 14: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114957 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: MUKESH KUMAR

 

3. Father's Name : NARAYAN RAM 4. Mother's Name: PUSHPA DEVI

5. Address:MUKESH KUMAR S/O NARAYAN RAM WARD NO.-2 NEAR BHABUTA JI MANDIR

    RAWATSAR-335524

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9782847417 9. Phone No.:

10. Date of Birth: 12-12-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSE RAJASTHAN 2005 600 296 49.33

Sr. Sec. ARTS BSE RAJASTHAN 2007 650 383 58.92

      Apearing for UG Final year exam YES        U.G. B.A. MGS UNIVERSITY BIKANER 2010

Declaration I MUKESH KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

14

Page 15: Admit Card- Rmat

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113159 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 104 - BIKANER

2. Name of Candidate: NARENDER SANGWAN

 

3. Father's Name : SURAJMAL 4. Mother's Name: HAWAKAUR

5. Address:IN FRONT GOVT HOSPITA PILANI ROAD SUBASH NAGAR WARD NO-12 RAJGAR

    RAJGARH-331023

6. District: CHURU  7 State: RAJASTHAN  8. Mobile No.: 9460927263 9. Phone No.:

10. Date of Birth: 21-01-1986 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   EX-S[EXS4] 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   EDUCATION BOARD OF BHIWANI, HARYANA

2001 600 335 55.83

Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION RAJASTHAN

2005 650 419 64.46

      Apearing for UG Final year exam NO        U.G. B.SC. MAHARAJA GANGA SINGH UNIVERSITY 2008 2025 1406 69.43

Declaration I NARENDER SANGWAN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  

15

Page 16: Admit Card- Rmat

8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114710 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: NAVED BHATI

 

3. Father's Name : SALIM AHMED BHATI 4. Mother's Name: FARZANA BHATI

5. Address: 156 MARUDHAR NAGAR OPPOSIT RSV SCHOOL BIKANER

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9929297785 9. Phone No.:

10. Date of Birth: 22-06-1992 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2006 600 350 58.33

Sr. Sec. COMMERCE RBSE 2008 650 371 57.08

      Apearing for UG Final year exam YES        U.G. B.B.A MGSU BIKANER 2011

Declaration I NAVED BHATI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  

16

Page 17: Admit Card- Rmat

5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114368 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: NAVEEN SINGH

 

3. Father's Name : LEELU RAM 4. Mother's Name: SANTOSH DEVI

5. Address: B-38 GANDHI COLONY, NEAR RELIANCE FRESH, PAWANPURI

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9887012619 9. Phone No.: 0151 -2240339

10. Date of Birth: 15-07-1987 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Other State 16. Domicile Category : 999

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2003 600 340 56.67

Sr. Sec. COMMERCE RAJASTHAN BOARD 2005 650 387 59.54

      Apearing for UG Final year exam YES        U.G. BBA MGSU 2011

Declaration I NAVEEN SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

17

Page 18: Admit Card- Rmat

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113781 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 107 - JODHPUR

2. Name of Candidate: PANKAJ SWAMI

 

3. Father's Name : SHYAM SUNDER SWAMI 4. Mother's Name: SARITA SWAMI

5. Address: SWAMI MOHALLA,NAYA SAHAR , BIKANER

    BIKANER-334005

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 7568957971 9. Phone No.:

10. Date of Birth: 27-07-1992 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD,AJMER 2006 600 265 44.17

Sr. Sec. COMMERCE RAJASTHAN BOARD,AJMER 2008 650 387 59.54

      Apearing for UG Final year exam YES        U.G. B.B.A M.G.S.UNIVERSITY,BIKANER 2011

Declaration I PANKAJ SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

18

Page 19: Admit Card- Rmat

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114006 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: PAWAN SWAMI

 

3. Father's Name : JAGDISH CHAND SWAMI 4. Mother's Name: RAJU DEVI 5. Address: SWAMIYO KA MOHALLA , BIKANER

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 7737001956 9. Phone No.:

10. Date of Birth: 20-04-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Other State 16. Domicile Category : 999

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 277 46.17

Sr. Sec. FINE ARTS RAJASTHAN BOARD 2008 650 408 62.77

      Apearing for UG Final year exam YES        U.G. B.B.A M.G.S UNIVERSITY 2011

19

Page 20: Admit Card- Rmat

Declaration I PAWAN SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115763 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: PRAVEEN SONI 3. Father's Name : MAHESH KUMAR SONI 4. Mother's Name: KRISHNA SONI

5. Address: B-129 VALLABH GARDEN NEAR PATEL NAGAR

    BIKANER-334003

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9782410244 9. Phone No.:

10. Date of Birth: 23-02-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE, AJMER 2006 600 382 63.67

Sr. Sec. COMMERCE RBSE, AJMER 2008 650 448 68.92

      Apearing for UG Final year exam YES        U.G. B.COM MGSU, BIKANER 2011

Declaration

20

Page 21: Admit Card- Rmat

I PRAVEEN SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my

knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected

an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other

course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111192 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: PREETI TANWER

 

3. Father's Name : MOOLCHAND TANWER 4. Mother's Name: SANTOSH TANWER

5. Address:OUTSIDE JASSUSAR GATE BEHIND DEVISINGH BHATI HOUSE, GANGA NIWASH

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9784623009 9. Phone No.:

10. Date of Birth: 23-11-1989 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied Rajasthan 16. Domicile Category : A

21

Page 22: Admit Card- Rmat

Residence : 17. Qualifying Exam :      

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   RAJASTHAN BOARD, AJMER 2006 600 341 56.83

Sr. Sec. ARTS RAJASTHAN BOARD, AJMER 2008 650 424 65.23

      Apearing for UG Final year exam YES        U.G. MARKETING B.B.A. 2011

Declaration I PREETI TANWER declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113757 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAFEEK MALAWAT

 

3. Father's Name : YASIN KHAN MALAWAT 4. Mother's Name: AJEEJAN 5. Address: 3E 268 JNV COLONY

    BIKANER-334001

6. District: BIKANER  

22

Page 23: Admit Card- Rmat

7 State: RAJASTHAN  

8. Mobile No.: 9414450151 9. Phone No.:

10. Date of Birth: 02-03-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2003 600 275 45.83

Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 337 51.85

      Apearing for UG Final year exam YES        U.G. BBA MGS BIKANER 2011

Declaration I RAFEEK MALAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117182 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 107 - JODHPUR

2. Name of Candidate: RAHUL GODARA

23

Page 24: Admit Card- Rmat

 

3. Father's Name : SUMER SINGH GODARA 4. Mother's Name: PERMESHWARI DEVI

5. Address: B-4 HET NAGAR UDASAR FANTA ;JAIPUR ROAD

    BIKANER-334020

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 7597741099 9. Phone No.: 0151 -2231809

10. Date of Birth: 01-07-1989 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : B

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2005 500 282 56.40

Sr. Sec. ARTS CBSE 2007 500 311 62.20

      Apearing for UG Final year exam YES        U.G. B.A. MGSU 2011 1800

Declaration I RAHUL GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

24

Page 25: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114333 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAJENDAR GODARA

 

3. Father's Name : GANESH NATH SIDH 4. Mother's Name: BHAGWATI

5. Address: A-95, KARNI NAGAR PAWNA PURI BIKANER

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9928109394 9. Phone No.:

10. Date of Birth: 04-08-1987 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2002 600 336 56.00

Sr. Sec. SCIENCE RAJASTHAN BOARD 2004 650 349 53.69

      Apearing for UG Final year exam YES        U.G. BBA MGSU 2011

Declaration I RAJENDAR GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

25

Page 26: Admit Card- Rmat

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113319 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAJNI SERVA

 

3. Father's Name : PREM CHAND SERVA 4. Mother's Name: SUMAN DEVI 5. Address: HOUSE NO 85 SEC 12 WARD NO 6

    HANUMANGARH JN-335512

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9587713964 9. Phone No.:

10.Date of Birth: 24-05-1993 11. Sex: FEMALE

12.E-mail: [email protected]    

13.Category: SC 14. Sub-Category:   NONE 15.State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17.Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER 2006 600 340 56.67

Sr. Sec. ARTS AJMER 2008 650 394 60.62

      Apearing for UG Final year exam YES        U.G. BBA MGSU 2011

Declaration I RAJNI SERVA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  

26

Page 27: Admit Card- Rmat

6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114010 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 106 - JHUNJHUNU

2. Name of Candidate: RAJU JOGI

 

3. Father's Name : NARAYAN 4. Mother's Name: BHANWARI

5. Address: NEAR HANUMAN DHORA WARD NO 18

    SARDARSHAHAR-331403

6. District: CHURU  7 State: RAJASTHAN  8. Mobile No.: 9828898864 9. Phone No.:

10. Date of Birth: 28-04-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSER AJMER 2006 600 399 66.50

Sr. Sec. COMMERCE BSER AJMER 2008 650 434 66.77

      Apearing for UG Final year exam YES        U.G. B.COM MGSU BIKANER 2011

Declaration I RAJU JOGI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   27

Page 28: Admit Card- Rmat

2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113811 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAKESH KUMAR SUTHAR

 

3. Father's Name : DHARMARAM SUTHAR 4. Mother's Name: BHANWARI DEVI

5. Address: BHADASAR DIKHANADA SARDARSAHAR

    SARDARSAHAR-331403

6. District: CHURU  7 State: RAJASTHAN  8. Mobile No.: 9468566148 9. Phone No.: 01564 -266161

10. Date of Birth: 27-10-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE AJMER 2006 600 236 39.33

Sr. Sec. COMMERCE RBSE AJMER 2008 650 429 66.00

      Apearing for UG Final year exam YES        U.G. B.B.A. MGSU BIKANER 2011

Declaration I RAKESH KUMAR SUTHAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

28

Page 29: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116529 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAMAN DEEP KOUR

 

3. Father's Name : KALA SINGH 4. Mother's Name: SUKHWINDER KOUR

5. Address: M/S SAMTA KRISHI UDYOG NEAR BSNL OFFICE WARD NO. 12

    RAWATSAR-335524

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9828713350 9. Phone No.: 01537 -250580

10. Date of Birth: 15-07-1991 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SEC. EDU.RAJASTHAN 2006 600 333 55.50

Sr. Sec. ARTS BOARD OF SEC. EDU. RAJASTHAN 2008 650 464 71.38

      Apearing for UG Final year exam YES        U.G. B.A. MGS UNIVERSITY BIKANER 2011

Declaration I RAMAN DEEP KOUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

29

Page 30: Admit Card- Rmat

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116981 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAMAN KADWASARA

 

3. Father's Name : LAXMAN RAM CHOUDHARY 4. Mother's Name: RAMA CHOUDHARY

5. Address: OLD SHIV BARI ROAD AMBEDKAR COLONY

    BIKANER-334003

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9460562542 9. Phone No.:

10. Date of Birth: 10-10-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE, AJMER 2006 600 332 55.33

30

Page 31: Admit Card- Rmat

Sr. Sec. COMMERCE RBSE, AJMER 2008 650 361 55.54

      Apearing for UG Final year exam YES        U.G. BBA MGSU, BIKANER 2011

Declaration I RAMAN KADWASARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113040 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAVI SHANKER ROKANA

 

3. Father's Name : SITA RAM 4. Mother's Name: SUMITRA DEVI

5. Address: VPO HARKHEWALA TEH PADAMPUR DIST SRI GANGANAGAR

    SRI GANGANAGAR-335061

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9461177930 9. Phone No.:

10. Date of Birth: 01-03-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE

31

Page 32: Admit Card- Rmat

15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD 2006 600 274 45.67

Sr. Sec. ARTS AJMER BOARD 2008 650 339 52.15

      Apearing for UG Final year exam YES        U.G. BBA MGS UNIVERSITY 2011

Declaration I RAVI SHANKER ROKANA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113286 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAVI VERMA

 

3. Father's Name : ASHOK KUMAR VERMA 4. Mother's Name: ANJU KUMAR VERMA

5. Address: NEAR SITA RAM GATE MUNDHRA BAGECHI

    BIKANER-334001

32

Page 33: Admit Card- Rmat

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9694851010 9. Phone No.:

10. Date of Birth: 09-07-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD AJMER 2006 600 299 49.83

Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2008 650 326 50.15

      Apearing for UG Final year exam YES        U.G. B.B.A MGS UNIVERSITY BIKANER 2011

Declaration I RAVI VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115223 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: RAVINDER CHOUDHARY

33

Page 34: Admit Card- Rmat

 

3. Father's Name : RATTIRAM CHOUDHARY 4. Mother's Name: RESHMA DEVI

5. Address:NEAR HOSPITAL ROAD VILLAGE-PALLU TAHSIL-RAWATSAR HANUMANGARH

    PALLU-335524

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9461516231 9. Phone No.:

10. Date of Birth: 21-07-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE AJMER 2006 600 278 46.33

Sr. Sec. ARTS RBSE AJMER 2008 650 346 53.23

      Apearing for UG Final year exam YES        U.G. B.B.A. MGSU BIKANER 2011

Declaration I RAVINDER CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

34

Page 35: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116030 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: REKHA FULIYA

 

3. Father's Name : HOTCHAND SINDHI 4. Mother's Name: DHARMA DEVI

5. Address: BEHIND OLD RADHA SWAMI SATSANG BHAWAN W.NO. 9

    SURATGARH-335804

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9414904993 9. Phone No.:

10. Date of Birth: 17-05-1990 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSER RAJASTHAN 2006 600 393 65.50

Sr. Sec. ARTS BSER RAJASTHAN 2008 650 451 69.38

      Apearing for UG Final year exam YES        U.G. B.B.A. FINAL MGSU BIKANER 2011

Declaration I REKHA FULIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

35

Page 36: Admit Card- Rmat

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113738 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: ROOSTOM GIRI

 

3. Father's Name : MADAN GIRI 4. Mother's Name: JAIKORI GIRI

5. Address: ROOSTOM S/O MADAN GIRI WARD-5 NEAR ANUSUIYA ASHRAM RAWATSAR

    RAWATSAR-335524

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9950374271 9. Phone No.:

10. Date of Birth: 23-09-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSE RAJASTHAN 2005 600 306 51.00

Sr. Sec. ARTS BSE RAJASTHAN 2007 650 348 53.54

      Apearing for UG Final year exam YES        U.G. B.A. MGS UNIVERSITY BIKANER 2011

Declaration I ROOSTOM GIRI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  36

Page 37: Admit Card- Rmat

7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111101 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 107 - JODHPUR

2. Name of Candidate: SHIVANI SWAMI

 

3. Father's Name : RAJENDRA KUMAR SWAMI 4. Mother's Name: INDRA SWAMI 5. Address: OUTSIDE DHARAM NAGAR DWAR

    BIKANER-334005

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9829500108 9. Phone No.:

10. Date of Birth: 16-02-1991 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 331 55.17

Sr. Sec. COMMERCE CBSE 2008 500 286 57.20

      Apearing for UG Final year exam YES        U.G. B.B.A. MGSU BIKANER 2011

Declaration I SHIVANI SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

37

Page 38: Admit Card- Rmat

2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114019 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 106 - JHUNJHUNU

2. Name of Candidate: SHYOPAT RAM GODARA

 

3. Father's Name : DAYA RAM GODARA 4. Mother's Name: RAMPYARI

5. Address: VILLAGE MANAPHARSAR POST SHEKHSAR

    TEHSIL LUNKARANSAR-334603

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9587742458 9. Phone No.:

10. Date of Birth: 01-05-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSER AJMER 2006 600 410 68.33

Sr. Sec. COMMERCE BSER AJMER 2008 650 429 66.00

      Apearing for UG Final year exam YES        U.G. B.COM MGSU BIKANER 2011

Declaration I SHYOPAT RAM GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

38

Page 39: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115374 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: SIMRAN BISHNOI

 

3. Father's Name : SUSHIL BISHNOI 4. Mother's Name: MEENA BISHNOI 5. Address: 5-D MADHAVAN COLONY

    SRI GANGANAGAR-335001

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9462898959 9. Phone No.:

10. Date of Birth: 28-12-1989 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION RAJASTHAN, AJMER

2005 600 336 56.00

Sr. Sec. COMMERCE MAHARAJA GANGA SINGH UNIVERISTY 2007 500 233 46.60

      Apearing for UG Final year exam NO        U.G. BBA BBA 2010 3100 1867 60.23

Declaration I SIMRAN BISHNOI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

39

Page 40: Admit Card- Rmat

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113379 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: SUBHANGI YADAV

 

3. Father's Name : SATYAVIR SINGH YADAV 4. Mother's Name: SWATI YADAV

5. Address:C-84, S.S.YADAV, NEAR STAR TRACK SCHOOL, KANTA KHATURIYA COLONY,

    BIKANER-334003

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9461392911 9. Phone No.: 0151 -2232722

10. Date of Birth: 19-08-1990 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : C

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION, RAJASTHAN

2004 600 372 62.00

40

Page 41: Admit Card- Rmat

Sr. Sec. GROUP-HOMESCIENCE

BOARD OF SECONDARY EDUCATION, RAJASTHAN

2007 650 439 67.54

      Apearing for UG Final year exam YES        U.G. B.C.A. MAHARAJA GANGA SINGH

UNIVERSITY, BIKANER 2011

Declaration I SUBHANGI YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115845 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 104 - BIKANER

2. Name of Candidate: SUMAN DHUKIA

 

3. Father's Name : DHARAMPAL DUKIA 4. Mother's Name: PARVTI DEVI 5. Address: SHIVDANPURA

    SHIVDANPURA BHUDER-335503

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9828937096 9. Phone No.:

10. Date of Birth: 01-08-1992 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      

41

Page 42: Admit Card- Rmat

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   RAJ BOARD 2006 600 445 74.17

Sr. Sec. ARTS RAJ BOARD 2008 650 471 72.46

      Apearing for UG Final year exam YES        U.G. B.COM RAJ UNI 2011

Declaration I SUMAN DHUKIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113129 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: SUMAN KUMARI

 

3. Father's Name : INDER JEET 4. Mother's Name: BIRMA DEVI

5. Address:SUMAN C/O SUNIL BISHNOI H.NO F32 PWD COLONY INFORNT SARSWATI COLLEGE

    HANUMANGARH JUNCTION-335512

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9414482013 9. Phone No.:

42

Page 43: Admit Card- Rmat

10. Date of Birth: 03-07-1985 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RSB AJMER 2000 600 332 55.33

Sr. Sec. ARTS RSB AJMER 2002 650 414 63.69

      Apearing for UG Final year exam NO        U.G. B.A. UNIVERSITY OF BIKANER 2005 1800 976 54.22

Declaration I SUMAN KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112349 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: SUNANDAN ADHA  3. Father's Name : PARTH SARTHI 4. Mother's Name: PRATIBHA SARTHI 5. Address: 6-B-34 JAI NARAYAN VYAS COLONY

    BIKANER-334001

43

Page 44: Admit Card- Rmat

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9799779219 9. Phone No.: 0151 -2230122

10. Date of Birth: 01-03-1987 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2003 500 360 72.00

Sr. Sec. SCIENCE CBSE 2006 500 260 52.00

      Apearing for UG Final year exam NO        U.G. B.E./B.TECH./B.ARCH. RTU 2010 7000 4483 64.04

Declaration I SUNANDAN ADHA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

44

Page 45: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115834 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 109 - UDAIPUR

2. Name of Candidate: SUNIL KUMAR SUTHAR

 

3. Father's Name : LAXMAN LAL SUTHAR 4. Mother's Name: SHAYAMA DEVI

5. Address: NEAR RAILWAY CROSSING CHOKHUNTI BIKANER (RAJ.)

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9414425655 9. Phone No.:

10. Date of Birth: 24-12-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ. BOARD, AJMER 2006 600 311 51.83

Sr. Sec. COMMERCE RAJ. BOARD, AJMER 2008 650 428 65.85

      Apearing for UG Final year exam YES        U.G. B.B.A. M.G.S.U. BIKANER 2011

Declaration I SUNIL KUMAR SUTHAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

45

Page 46: Admit Card- Rmat

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115855 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 104 - BIKANER

2. Name of Candidate: SUNITA MEENA

 

3. Father's Name : HIRA SINGH MEENA 4. Mother's Name: SAYAR DEVI 5. Address: TETRA

    TETRA-333704

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9413193111 9. Phone No.:

10. Date of Birth: 06-09-1990 11. Sex: FEMALE

12. E-mail:    13. Category: ST 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ BOARD 2006 600 300 50.00

Sr. Sec. ARTS RAJ BOARD 2008 650 422 64.92

      Apearing for UG Final year exam YES        U.G. BBA RAJ UNI 2011

Declaration I SUNITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  46

Page 47: Admit Card- Rmat

7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113374 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: SURYA PARKASH

 

3. Father's Name : KRISHAN CHANDER VERMA 4. Mother's Name: RADHA DEVI

5. Address:

SURYA PARKASH S/O SH. KRISHAN CHANDER VERMA NAMDEV FLORE MILL NEAR VETENEARY HOSPITAL, WORD NO.-12

    SANGARIYA-335063

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9509101511 9. Phone No.:

10. Date of Birth: 26-07-1992 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 302 50.33

Sr. Sec. SCIENCE RAJASTHAN BOARD 2008 650 347 53.38

      Apearing for UG Final year exam YES        U.G. BBA M.G.S 2011

Declaration I SURYA PARKASH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

47

Page 48: Admit Card- Rmat

2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 110458 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: SUSHMA KUMARI

 

3. Father's Name : SATPAL MEEL 4. Mother's Name: MANJU DEVI 5. Address: VPO NIRWANA TEHSIL SURATGARH

    SRI GANGANAGAR-335804

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9828425615 9. Phone No.:

10. Date of Birth: 04-06-1990 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION,RAJASTHAN

2006 600 526 87.67

Sr. Sec. SCIENCE CBSE 2008 500 360 72.00

      Apearing for UG Final year exam YES        U.G. BBA MGSU BIKANER 2011

Declaration I SUSHMA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

48

Page 49: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 110667 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: VANDANA CHOUDHARY

 

3. Father's Name : TULSI RAM 4. Mother's Name: RENUKA CHOUDHARY

5. Address: VILL. 4 M L NEEMA WALA POST OFF. 5 E CHHOTI NAI WALA

    SRI GANGA NAGAR-335001

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9460429504 9. Phone No.:

10. Date of Birth: 30-04-1992 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2006 600 303 50.50

Sr. Sec. ARTS RBSE 2008 650 398 61.23

      Apearing for UG Final year exam YES        U.G. BBA MAHARAJA GANGA SINGH

UNIVERSITY,BIKANER 2011

Declaration I VANDANA CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or

49

Page 50: Admit Card- Rmat

ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113227 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: VIJAY BHARGAVA

 

3. Father's Name : RAJENDER KUMAR BHARGAVA 4. Mother's Name: RANI DEVI

5. Address: F-65 RAJ NAGAR NEAR VIJAY PETROLPUMP JAIPUR ROAD BIKANER

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9251153332 9. Phone No.:

10. Date of Birth: 13-03-1992 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

50

Page 51: Admit Card- Rmat

Secondary   RAJASTHAN BOARD AJMER 2005 600 361 60.17

Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 422 64.92

      Apearing for UG Final year exam NO        U.G. B.SC. MGS UNIVERSITY 2010 2025 1326 65.48

Declaration I VIJAY BHARGAVA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112870 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 107 - JODHPUR

2. Name of Candidate: VIKASH CHHIMPA

 

3. Father's Name : RAJENDRA KUMAR CHHIMPA 4. Mother's Name: YASHODA DEVI CHHIMPA

5. Address:

VIKASH CHHIMPA S/O RAJENDRA KUMAR CHHIMPA, G.S. ROAD CHHIMPO KA MOHALLA, OPP.LAXMI PLAZA

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9785566774 9. Phone No.: 0151 -2527515

10. Date of Birth: 21-11-1985 11. Sex: MALE

12. E-mail: [email protected]    

51

Page 52: Admit Card- Rmat

13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ. BORD AJMER 2002 600 323 53.83

Sr. Sec. SCIENCE RAJ. BORD AJMER 2004 650 330 50.77

      Apearing for UG Final year exam NO        U.G. B.A. BIKANER UNIVERSITY,BIKANER 2008 1800 858 47.67

Declaration I VIKASH CHHIMPA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112870 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  104 - BIKANER                             II. 107 - JODHPUR

2. Name of Candidate: VIKASH CHHIMPA

 

3. Father's Name : RAJENDRA KUMAR CHHIMPA 4. Mother's Name: YASHODA DEVI CHHIMPA

5. Address:

VIKASH CHHIMPA S/O RAJENDRA KUMAR CHHIMPA, G.S. ROAD CHHIMPO KA MOHALLA, OPP.LAXMI PLAZA

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  

52

Page 53: Admit Card- Rmat

8. Mobile No.: 9785566774 9. Phone No.: 0151 -2527515

10. Date of Birth: 21-11-1985 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ. BORD AJMER 2002 600 323 53.83

Sr. Sec. SCIENCE RAJ. BORD AJMER 2004 650 330 50.77

      Apearing for UG Final year exam NO        U.G. B.A. BIKANER UNIVERSITY,BIKANER 2008 1800 858 47.67

Declaration I VIKASH CHHIMPA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114176 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  104 - BIKANER                             II. 105 - JAIPUR

2. Name of Candidate: VIVEK TAK  3. Father's Name : JAI PRAKASH TAK 4. Mother's Name: KALAWATI TAK 5. Address: 2-E-9,PAWANPURI

53

Page 54: Admit Card- Rmat

    BIKANER-334001

6. District: BIKANER  7 State: RAJASTHAN  8. Mobile No.: 9829626188 9. Phone No.:

10. Date of Birth: 22-07-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN 2006 600 328 54.67

Sr. Sec. COMMERCE RAJASTHAN 2008 650 290 44.62

      Apearing for UG Final year exam YES        U.G. B.B.A M.G.S.U 2011

Declaration I VIVEK TAK declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111786 Exam. Fee 1000

1. Choice of Examination Centre and Course     Course :M.B.A.

54

Page 55: Admit Card- Rmat

                            I.  105 - JAIPUR                             II. 102 - BHARATPUR

2. Name of Candidate: ABHISHEK CHOUDHARY

 

3. Father's Name : LAL SINGH 4. Mother's Name: NIRMALA DEVI

5. Address: H.NO.24, GANPATI VIHAR TIJARA ROAD

    ALWAR-301001

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 8058100580 9. Phone No.:

10. Date of Birth: 20-06-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE BOARD 2006 500 281 56.20

Sr. Sec. COMMERCE CBSE BOARD 2008 500 315 63.00

      Apearing for UG Final year exam YES        U.G. B.COM RAJASTHAN UNIVERSITY 2011

Declaration I ABHISHEK CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

55

Page 56: Admit Card- Rmat

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111099 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ABHISHEK PADHIYAR

 

3. Father's Name : OMPRAKASH SAIN 4. Mother's Name: SAJANA SAIN

5. Address: 163/267,KUMBHAMARG SANGANER,JAIPUR

    JAIPUR-302033

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 7891351828 9. Phone No.:

10. Date of Birth: 16-08-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD 2005 600 371 61.83

Sr. Sec. ARTS AJMER BOARD 2007 650 392 60.31

      Apearing for UG Final year exam NO        U.G. B.B.A. RAJSTHAN UNIVERSITY 2010 1800 1037 57.61

Declaration I ABHISHEK PADHIYAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  

56

Page 57: Admit Card- Rmat

6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113205 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ABHISHEK TANWAR

 

3. Father's Name : HARI RAM TANWAR 4. Mother's Name: PUSHPA TANWAR

5. Address: 38 SARASWATI NAGAR SUSHILPURA SODALA

    AJMER ROAD, JAIPUR-302006

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9251612848 9. Phone No.: 0141 -2221082

10. Date of Birth: 06-05-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BORAD,AJMER 2005 600 274 45.67

Sr. Sec. COMMERCE RAJASTHAN BORAD,AJMAER 2008 650 354 54.46

      Apearing for UG Final year exam YES        U.G. B.COM RAJASTHAN UNIVERSITY 2011

Declaration I ABHISHEK TANWAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

57

Page 58: Admit Card- Rmat

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116250 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ABHISHEK YADAV

 

3. Father's Name : KRISHNA KUMAR YADAV 4. Mother's Name: SANTOSH YADAV

5. Address: 2766, BAGRU WALON KA RASTA II CROSSING CHANDPOLE BAZAAR

    JAIPUR-302001

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9929000143 9. Phone No.:

10. Date of Birth: 01-05-1987 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2003 500 317 63.40

Sr. Sec. SCIENCE CBSE 2005 500 315 63.00

      Apearing for UG Final year exam NO        U.G. B.A. RAJASTHAN UNIVERSITY 2009 1800 918 51.00

Declaration I ABHISHEK YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

58

Page 59: Admit Card- Rmat

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117153 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 109 - UDAIPUR

2. Name of Candidate: ADITYA SINGH

 

3. Father's Name : SHER SINGH 4. Mother's Name: MEENA SINGH 5. Address: 82/21 SECT.-8 PRATAP NAGAR

    SANGANER-302033

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 8890141188 9. Phone No.:

10. Date of Birth: 12-09-1991 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2006 500 294 58.80

Sr. Sec. COMMERCE CBSE 2008 500 300 60.00

      Apearing for UG Final year exam YES        U.G. B.COM UNIVERSITY OF RAJASTHAN 2011

59

Page 60: Admit Card- Rmat

Declaration I ADITYA SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116127 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: ADITYA SONI

 

3. Father's Name : NARENDRA KUMAR SONI 4. Mother's Name: PRAMILA SONI

5. Address: 4550,PURANI KOTWALI KA RASTA,JOHARI BAZAR,JAIPUR (RAJ.)

    JAIPUR-302002

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9829598137 9. Phone No.:

10. Date of Birth: 08-01-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      

60

Page 61: Admit Card- Rmat

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 383 63.83

Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 404 62.15

      Apearing for UG Final year exam YES        U.G. B.E./B.TECH./B.ARCH. RTU 2011

Declaration I ADITYA SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116551 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: AGOSH DAGUR

 

3. Father's Name : SHIV RAM SINGH 4. Mother's Name: LAXMI DEVI 5. Address: 71/293, PATEL MARG MANSAROVAR

    JAIPUR-302020

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9785925203 9. Phone No.:

61

Page 62: Admit Card- Rmat

10. Date of Birth: 25-04-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2004 600 450 75.00

Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 352 54.15

      Apearing for UG Final year exam NO        U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 1145 63.61

Declaration I AGOSH DAGUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113467 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: AJAY KUMAR BHAIRA  3. Father's Name : MAHIPAL BHAIRA 4. Mother's Name: SANTRA DEVI 5. Address: BHAIRA KI DHANI

    POST-PUROHITO KI DHANI-333001

62

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6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9024384560 9. Phone No.:

10. Date of Birth: 25-07-1989 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION, RAJASTHAN

2005 600 399 66.50

Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION, RAJASTHAN

2007 650 394 60.62

      Apearing for UG Final year exam YES        U.G. B.B.A RAJASTHAN UNIVERSITY 2011

Declaration I AJAY KUMAR BHAIRA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

63

Page 64: Admit Card- Rmat

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116568 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AJAY KUMAWAT

 

3. Father's Name : RUDMAL KUMAWAT 4. Mother's Name: RATAN KUMAWAT

5. Address:PL-38, KUMAWAT COLONY, BEHIND KUMAWAT SCHOOL,AJMER ROAD, SODALA.

    JAIPUR-302006

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9829100407 9. Phone No.: 0141 -2450262

10. Date of Birth: 24-06-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: GEN 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION, RAJASTHAN

2004 600 310 51.67

Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION, RAJASTHAN

2006 650 313 48.15

      Apearing for UG Final year exam NO        U.G. B.B.A. UNIVERSITY OF RAJASTHAN 2010 1800 922 51.22

Declaration I AJAY KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

64

Page 65: Admit Card- Rmat

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112371 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AJAY SINGH

 

3. Father's Name : MAHAVIR SINGH GODARA 4. Mother's Name: MEERA DEVI 5. Address: VPO RAMPURA-RAMSARA TEH TIBBI

    RAMPURA-335526

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9649000095 9. Phone No.:

10. Date of Birth: 03-02-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD 2006 600 451 75.17

Sr. Sec. ARTS CENTRAL BOARD OF SECONDARY EDUCATION

2008 500 314 62.80

      Apearing for UG Final year exam YES        U.G. B.A. ARTS 2011

Declaration I AJAY SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  

65

Page 66: Admit Card- Rmat

9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115329 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 106 - JHUNJHUNU

2. Name of Candidate: AJAY VERMA

 

3. Father's Name : TULSI RAM VERMA 4. Mother's Name: DIPTI VERMA

5. Address: NEAR BHAGAT SINGH CIRCLE W.NO 19 LOHARU ROAD

    PILANI-333031

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9636026870 9. Phone No.:

10. Date of Birth: 19-11-1989 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD, AJMER 2006 600 397 66.17

Sr. Sec. COMMERCE CBSE 2008 500 353 70.60

      Apearing for UG Final year exam YES        U.G. B.COM RAJASTHAN UNIVERSITY 2011

Declaration I AJAY VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  

66

Page 67: Admit Card- Rmat

4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116579 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: AJEET KUMAR

 

3. Father's Name : SHIV RAJ SINGH YADAV 4. Mother's Name: SUSHILA YADAV

5. Address: PLOT NO-89 MARUDHAR NAGAR DCM AJMER ROAD JAIPUR

    JAIPUR-302024

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9352773416 9. Phone No.:

10. Date of Birth: 26-02-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2004 500 274 54.80

Sr. Sec. ARTS CBSE 2006 500 258 51.60

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I AJEET KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST

67

Page 68: Admit Card- Rmat

(Note : Incomplete forms are liable to be REJECTED without notice) (Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113105 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 107 - JODHPUR

2. Name of Candidate: AJIT SINGH

 

3. Father's Name : GOVIND RAM 4. Mother's Name: UMA DEVI

5. Address:WARD NO 1 CHOKHA KA BASS LOSAL. POST LOSAL, TEHSIL - DANTARAMGARH

    SIKAR-332025

6. District: SIKAR  7 State: RAJASTHAN  8. Mobile No.: 9983273615 9. Phone No.:

10. Date of Birth: 10-08-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ BOARD AJMER 2005 600 521 86.83

Sr. Sec. SCIENCE RAJ BOARD AJMER 2007 650 473 72.77

      Apearing for UG Final year exam NO        U.G. B B A UNIVERSITY OF RAJASTHAN JAIPUR 2010 1800 1045 58.06

Declaration I AJIT SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

68

Page 69: Admit Card- Rmat

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112375 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AKASH SAINI

 

3. Father's Name : HANSRAJ SAINI 4. Mother's Name: SUSHEELA SAINI

5. Address: SHAKTI NAGAR SABJOHARA VIJAY MANDIR ROAD

    ALWAR-301001

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 9214830116 9. Phone No.:

10. Date of Birth: 26-05-1990 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 293 48.83

Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 358 55.08

      Apearing for UG Final year exam YES        U.G. B.B.A UNIV OF RAJASTHAN 2011

69

Page 70: Admit Card- Rmat

Declaration I AKASH SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112883 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 107 - JODHPUR

2. Name of Candidate: AKHILESH AKHAWAT

 

3. Father's Name : CHANCHAL SINGH 4. Mother's Name: SAVITRI KANWAR

5. Address: G-48 SIDDARTH NAGAR NAND PURI MALVIYA NAGAR

    JAIPUR-302017

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9782770234 9. Phone No.: 0141 -2780306

10. Date of Birth: 20-03-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      

70

Page 71: Admit Card- Rmat

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   C.B.S.E 2005 500 210 42.00

Sr. Sec. COMMERCE C.B.S.E 2007 500 320 64.00

      Apearing for UG Final year exam NO        U.G. B.B.A UNIVERSITY OF RAJASTHAN 2010 1800 1108 61.56

Declaration I AKHILESH AKHAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113797 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AKHILESH KUMAR

 

3. Father's Name : RAMDAVA 4. Mother's Name: GANGA DEVI 5. Address: VPO.GHANSOLI TEH. KISHANGARH

    ALWAR-301405

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 9413067772 9. Phone No.:

71

Page 72: Admit Card- Rmat

10. Date of Birth: 28-09-1989 11. Sex: MALE

12. E-mail:    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 260 43.33

Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 335 51.54

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I AKHILESH KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114762 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AKSHAY PILANIA  3. Father's Name : DEVILAL PILANIA 4. Mother's Name: BANAWATI PILANIA

5. Address: PLOT NO. 92, OFFICERS CAMPUS EXT. VAISHALI NAGAR, JAIPUR

    JAIPUR-302004

72

Page 73: Admit Card- Rmat

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9784472697 9. Phone No.:

10. Date of Birth: 12-11-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE BOARD 2004 500 203 40.60

Sr. Sec. COMMERCE NOS, DELHI 2007 500 238 47.60

      Apearing for UG Final year exam YES        U.G. B.COM UNIVERSITY OF RAJASTHAN 2011

Declaration I AKSHAY PILANIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

73

Page 74: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112186 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  108 - KOTA                             II. 105 - JAIPUR

2. Name of Candidate: RANJEET NAGAR

 

3. Father's Name : JAMANA LAL NAGAR 4. Mother's Name: GEETA NAGAR

5. Address: VILLAGE & POST DHOLAM, TEHSIL - CHHIPA BAROD, DIST. BARAN

    BARAN-325221

6. District: BARAN  7 State: RAJASTHAN  8. Mobile No.: 9785948214 9. Phone No.:

10. Date of Birth: 09-06-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE, NEW DELHI 2005 500 264 52.80

Sr. Sec. SCIENCE RBSE, AJMER 2008 650 377 58.00

      Apearing for UG Final year exam YES        U.G. B.B.A. UNIVERSITY OF KOTA, KOTA 2011

Declaration I RANJEET NAGAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

74

Page 75: Admit Card- Rmat

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112176 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ALKA KARADIA

 

3. Father's Name : LAXMI NARAYAN KARADIA 4. Mother's Name: PREM DEVI KARADIA 5. Address: 1004,RAM NAGAR SHASTRI NAGAR

    JAIPUR-302016

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9828895151 9. Phone No.: 0141 -2302556

10. Date of Birth: 21-05-1990 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : C

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 502 83.67

Sr. Sec. COMMERCE C.B.S.E. 2008 500 384 76.80

      Apearing for UG Final year exam YES        U.G. BBA UNIVERSITY OF RAJASTHAN 2011

Declaration I ALKA KARADIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  75

Page 76: Admit Card- Rmat

7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115401 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 107 - JODHPUR

2. Name of Candidate: AMAN CHOUDHARY

 

3. Father's Name : SURENDRA CHOUDHARY 4. Mother's Name: LAXMI CHOUDHARY 5. Address: 102/116 PATEL MARG, MANSAROVER

    JAIPUR-302020

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9529982772 9. Phone No.:

10. Date of Birth: 19-06-1990 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Other State 16. Domicile Category : 999

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 244 40.67

Sr. Sec. COMMERCE RAJASTHAN BOARD 2007 650 336 51.69

      Apearing for UG Final year exam YES        U.G. B.B.A. RAJASTHAN UNIVERSITY 2008

Declaration I AMAN CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

76

Page 77: Admit Card- Rmat

2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113194 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AMAR SINGH GURJAR

 

3. Father's Name : RAJA RAM GURJAR 4. Mother's Name: KAMLA DEVI

5. Address: 10/556, KAVERI PATH NEAR KL SAINI STADIUM MANSAROVAR

    JAIPUR-302020

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9460017898 9. Phone No.:

10. Date of Birth: 20-03-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE,AJMER 2006 600 309 51.50

Sr. Sec. ARTS RBSE,AJMER 2008 650 382 58.77

      Apearing for UG Final year exam YES        U.G. B.C.A. UNIVERSITY OF RAJASTHAN 2011

Declaration I AMAR SINGH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

77

Page 78: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112730 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AMBA RAM YADAV

 

3. Father's Name : BHAIRU RAM YADAV 4. Mother's Name: RAMESHWARI DEVI

5. Address: VILLAGE CHIRNOTIYA, POST MURLIPURA VIA JOBNER, DIST JAIPUR

    JAIPUR-303328

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9950553329 9. Phone No.:

10. Date of Birth: 01-07-1989 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2003 600 255 42.50

Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 421 64.77

      Apearing for UG Final year exam YES        U.G. B.B.A. RAJASTHAN UNIVERSITY 2011

Declaration I AMBA RAM YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

78

Page 79: Admit Card- Rmat

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112730 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AMBA RAM YADAV

 

3. Father's Name : BHAIRU RAM YADAV 4. Mother's Name: RAMESHWARI DEVI

5. Address: VILLAGE CHIRNOTIYA, POST MURLIPURA VIA JOBNER, DIST JAIPUR

    JAIPUR-303328

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9950553329 9. Phone No.:

10. Date of Birth: 01-07-1989 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2003 600 255 42.50

79

Page 80: Admit Card- Rmat

Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 421 64.77

      Apearing for UG Final year exam YES        U.G. B.B.A. RAJASTHAN UNIVERSITY 2011

Declaration I AMBA RAM YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 110681 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 109 - UDAIPUR

2. Name of Candidate: AMBALAL MEGHWAL

 

3. Father's Name : SAMARAM 4. Mother's Name: PARVATI DEVI

5. Address: AT POST -BHARJA,VIA -ABUROAD TEH. -PINDWADA

    BHARJA-307026

6. District: SIROHI  7 State: RAJASTHAN  8. Mobile No.: 9649123032 9. Phone No.:

10. Date of Birth: 17-05-1986 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE

80

Page 81: Admit Card- Rmat

15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 280 46.67

Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 437 67.23

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I AMBALAL MEGHWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116618 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: AMILAL OOOO

 

3. Father's Name : GHEESA RAM 4. Mother's Name: MANOHARI DEVI

5. Address: VILLAGE MANOTA KALAN TEHSIL KHETRI

    MANOTA KALAN-333504

81

Page 82: Admit Card- Rmat

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9929081600 9. Phone No.:

10. Date of Birth: 01-07-1988 11. Sex: MALE

12. E-mail:    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION RAJATHAN AJMER

2003 600 280 46.67

Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION RAJASTHAN AJMER

2006 650 324 49.85

      Apearing for UG Final year exam NO        U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 877 48.72

Declaration I AMILAL OOOO declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116977 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

82

Page 83: Admit Card- Rmat

2. Name of Candidate: AMIR KHAN

 

3. Father's Name : MUMTAZ KHAN 4. Mother's Name: NASEEM BANO

5. Address:33,SAINIK MARG,RAGUNATHPURI,JHOTWARA JAIPUR,RAJATHAN

    JAIPUR-302012

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9950726905 9. Phone No.:

10. Date of Birth: 14-06-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   C.B.S.E 2006 500 257 51.40

Sr. Sec. COMMERCE C.B.S.E 2008 500 332 66.40

      Apearing for UG Final year exam YES        U.G. B.COM RAJASTHAN UNIVERSITY 2011

Declaration I AMIR KHAN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

83

Page 84: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111775 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: AMIT KAROL

 

3. Father's Name : GOPICHAND KAROL 4. Mother's Name: MUKTA KAROL 5. Address: 132 K.V G.S.S RSEB COLONY

    BAGAR-333023

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9782550182 9. Phone No.: 01592 -342112

10. Date of Birth: 01-07-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD 2005 600 340 56.67

Sr. Sec. SCIENCE AJMER BOARD 2007 650 386 59.38

      Apearing for UG Final year exam YES        U.G. B.E./B.TECH./B.ARCH. PURSING 2011

Declaration I AMIT KAROL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

84

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311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 110782 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: AMIT KUMAR

 

3. Father's Name : AMAR SINGH BHALOTHIA 4. Mother's Name: SUMAN DEVI 5. Address: Q. NO. - C 19 SECTOR I - A

    KHETRI NAGAR-333504

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9413517216 9. Phone No.:

10. Date of Birth: 02-05-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2005 500 240 48.00

Sr. Sec. COMMERCE CBSE 2007 500 288 57.60

      Apearing for UG Final year exam YES        U.G. B.A. RAJASTHAN UNIVERSITY 2011

Declaration I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  

85

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8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113608 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 106 - JHUNJHUNU

2. Name of Candidate: AMIT KUMAR

 

3. Father's Name : MEHAR CHAND 4. Mother's Name: SARASWATI DEVI

5. Address: S 49 SHANTI NAGAR HASANPURA JAIPUR

    JAIPUR-302006

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9680420772 9. Phone No.: 0141 -5114024

10. Date of Birth: 15-12-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   HARYANA BOARD 2003 600 441 73.50

Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 372 57.23

      Apearing for UG Final year exam NO        U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 1187 65.94

Declaration I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  

86

Page 87: Admit Card- Rmat

4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113608 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 106 - JHUNJHUNU

2. Name of Candidate: AMIT KUMAR

 

3. Father's Name : MEHAR CHAND 4. Mother's Name: SARASWATI DEVI

5. Address: S 49 SHANTI NAGAR HASANPURA JAIPUR

    JAIPUR-302006

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9680420772 9. Phone No.: 0141 -5114024

10. Date of Birth: 15-12-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   HARYANA BOARD 2003 600 441 73.50

Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 372 57.23

      Apearing for UG Final year exam NO        U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 1187 65.94

Declaration I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST

87

Page 88: Admit Card- Rmat

(Note : Incomplete forms are liable to be REJECTED without notice) (Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112872 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 102 - BHARATPUR

2. Name of Candidate: AMIT KUMAR

 

3. Father's Name : PHOOL SINGH 4. Mother's Name: PHOOL VATI 5. Address: 74/110 SHIPRA PATH MANSROVER

    JAIPUR-302020

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9783860670 9. Phone No.: 0141 -2780306

10. Date of Birth: 07-02-1992 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJSTHAN BOARD 2005 600 242 40.33

Sr. Sec. ARTS RAJSTHAN BOARD 2007 650 397 61.08

      Apearing for UG Final year exam NO        U.G. B.B.A UNIVERSITY OF RAJSTHAN 2010 1800 1018 56.56

Declaration I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

88

Page 89: Admit Card- Rmat

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112267 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AMIT KUMAR JANGIR

 

3. Father's Name : RADHEYSHYAM JANGIR 4. Mother's Name: SUSHILA DEVI

5. Address: PLOT NO 1, JAMUNA COLONY, VIDHYADHAR NAGAR , JAIPUR(RAJ)

    JAIPUR-302023

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9784762389 9. Phone No.:

10. Date of Birth: 08-07-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION, RAJASTHAN

2004 600 342 57.00

Sr. Sec. COMMERCE BOARD OF SECONDARY EDUCATION, RAJASTHAN

2006 650 343 52.77

      Apearing for UG Final year exam NO        U.G. B.COM UNIVERITY OF RAJASTHAN 2010 1800 975 54.17

89

Page 90: Admit Card- Rmat

Declaration I AMIT KUMAR JANGIR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116004 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: AMIT KUMAR RATHOR

 

3. Father's Name : ASHOK KUMAR RATHOR 4. Mother's Name: HEM LATA RATHOR

5. Address: NEAR GOVT WELL TAGAR MOHALLA BHAWANI MANDI

    BHAWANI MANDI-326502

6. District: JHALAWAR  7 State: RAJASTHAN  8. Mobile No.: 7737033398 9. Phone No.:

10. Date of Birth: 08-07-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      

90

Page 91: Admit Card- Rmat

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   BOARD OF SEC EDU RAJASTHAN 2005 600 319 53.17

Sr. Sec. ARTS BOARD OF SEC EDU RAJASTHAN 2007 650 354 54.46

      Apearing for UG Final year exam YES        U.G. BBA DAVV INDORE 2011

Declaration I AMIT KUMAR RATHOR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115344 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AMIT KUMAR SHARMA

 

3. Father's Name : RAMESH CHANDRA SHARMA 4. Mother's Name: PADMA DEVI

5. Address: 11, DEVI NAGAR, NEW SANGANER ROAD SODALA, JAIPUR

    SODALA, JAIPUR-302019

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9001570227 9. Phone No.: 0141 -2290224

91

Page 92: Admit Card- Rmat

10. Date of Birth: 21-07-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 371 61.83

Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 399 61.38

      Apearing for UG Final year exam YES        U.G. B.COM RAJASTHAN UNIVERSITY 2011

Declaration I AMIT KUMAR SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 110090 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AMIT KUMAR YADAV  3. Father's Name : SHIV KUMAR YADAV 4. Mother's Name: SANTOSH YADAV 5. Address: B-30 TAPOVAN-VIHAR

    JAGATPURA-302025

92

Page 93: Admit Card- Rmat

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9414652637 9. Phone No.: 0141 -2752035

10. Date of Birth: 24-12-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : B

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN 2005 600 507 84.50

Sr. Sec. SCIENCE RAJASTHAN 2007 650 488 75.08

      Apearing for UG Final year exam YES        U.G. B.E./B.TECH./B.ARCH. RTU , KOTA 2011

Declaration I AMIT KUMAR YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

93

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  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111114 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: AMIT YADAV

 

3. Father's Name : RATAN LAL YADAV 4. Mother's Name: CHAMELI YADAV

5. Address: ADARSH COLONY BEHIND KLG SCHOOL

    KHAIRTHAL-301404

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 9024477308 9. Phone No.:

10. Date of Birth: 23-01-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2004 600 479 79.83

Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 427 65.69

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I AMIT YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

94

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311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114881 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 104 - BIKANER

2. Name of Candidate: AMRENDRA SINGH SINGH

 

3. Father's Name : IQBAL SINGH 4. Mother's Name: GURJINDRA KAUR 5. Address: V.P.O.SANTPURA TEH-SANGARIA

    DT-HANUMANGARH-335063

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9413721366 9. Phone No.:

10. Date of Birth: 08-08-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD 2003 600 360 60.00

Sr. Sec. SCIENCE AJMER BOARD 2007 650 316 48.62

      Apearing for UG Final year exam YES        U.G. BBA SIKKIM MANIPAL UNIVERSITY 2011

Declaration I AMRENDRA SINGH SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  95

Page 96: Admit Card- Rmat

7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113311 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: AMRESH YADAV

 

3. Father's Name : LAXMAN SINGH YADAV 4. Mother's Name: SHAKUNTALA YADAV

5. Address: A-5, BEHIND MAHAVEER DHABA JHALANA PYAU

    MALVIYA NAGAR JAIPUR-302017

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9785373170 9. Phone No.:

10. Date of Birth: 08-07-1989 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Other State 16. Domicile Category : 999

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2004 600 355 59.17

Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 361 55.54

      Apearing for UG Final year exam YES        U.G. B.SC. RAJASTHAN UNIVERSITY 2011

Declaration I AMRESH YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

96

Page 97: Admit Card- Rmat

2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112849 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: ANCHAL SAINI

 

3. Father's Name : SUBHASH SAINI 4. Mother's Name: MANJU SAINI

5. Address: ANCHAL SAINI C/O RAMLAL SAINI NEAR RAILWAY STATION

    NAWALGARH-333042

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9413547538 9. Phone No.: 01594 -223462

10. Date of Birth: 10-07-1989 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF AJMER RAJASTHAN 2004 600 346 57.67

Sr. Sec. ARTS BOARD OF AJMER RAJASTHAN 2005 650 397 61.08

      Apearing for UG Final year exam NO        U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 983 54.61

Declaration I ANCHAL SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

97

Page 98: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115981 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANIL CHOUDHARY

 

3. Father's Name : SUBHASH CHAND 4. Mother's Name: KIRAN CHOUDHARY 5. Address: C-188 MAHESH NAGAR

    JAIPUR-302015

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9828082318 9. Phone No.:

10. Date of Birth: 20-10-1985 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD 2001 600 368 61.33

Sr. Sec. SCIENCE AJMER BOARD 2003 650 371 57.08

      Apearing for UG Final year exam NO        U.G. B.SC. RAJASTHAN UNIVERSITY 2009 1350 719 53.26

Declaration I ANIL CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

98

Page 99: Admit Card- Rmat

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113182 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANIL KUMAR 3. Father's Name : DEVA RAM 4. Mother's Name: PATASI DEVI

5. Address: 30/54/11,SWARN PATH MANSAROVAR

    JAIPUR-302020

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9799260540 9. Phone No.:

10. Date of Birth: 09-06-1992 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE,AJMER 2006 600 390 65.00

Sr. Sec. ARTS RBSE,AJMER 2008 650 411 63.23

      Apearing for UG Final year exam YES        U.G. BBA UNIVERSITY OF RAJASTHAN 2011

99

Page 100: Admit Card- Rmat

Declaration I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114087 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 102 - BHARATPUR

2. Name of Candidate: ANIL KUMAR

 

3. Father's Name : KABOOL CHAND 4. Mother's Name: RAJBALA DEVI 5. Address: 2 KUSH MARG

    ALWAR-301001

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 9982938918 9. Phone No.:

10. Date of Birth: 05-08-1990 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      

100

Page 101: Admit Card- Rmat

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 297 49.50

Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 423 65.08

      Apearing for UG Final year exam YES        U.G. B.A. RAJASTHAN UNIVERSITY 2011

Declaration I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115809 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANIL KUMAR

 

3. Father's Name : SHREE AMAR SINGH 4. Mother's Name: SMT. INDRA DEVI

5. Address: VILL & POST - BUDHWALIYA TEH RAWATASAR

    BUDHWALIYA-335524

6. District: HANUMANGARH  7 State: RAJASTHAN  8. Mobile No.: 9460622860 9. Phone No.:

101

Page 102: Admit Card- Rmat

10. Date of Birth: 05-02-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSER AJMER 2005 600 360 60.00

Sr. Sec. SCIENCE BSER AJMER 2008 650 399 61.38

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117160 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANIL KUMAR BALODIA

 

3. Father's Name : HANUMAN PARSAD KUMAWAT 4. Mother's Name: VIDYA DEVI

5. Address: 771,SUMER NAGAR AGARWAL FARM MANSAROVAR JAIPUR

    JAIPUR-302020

102

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6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9461688018 9. Phone No.:

10. Date of Birth: 18-03-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 337 56.17

Sr. Sec. COMMERCE RAJASTHAN BOARD 2007 650 430 66.15

      Apearing for UG Final year exam NO        U.G. B.B.A RAJASTHAN UNIVERSITY 2010 1800 1058 58.78

Declaration I ANIL KUMAR BALODIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112603 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANIL KUMAR GURJAR

103

Page 104: Admit Card- Rmat

 

3. Father's Name : HARI SINGH GURJAR 4. Mother's Name: DHORI DEVI

5. Address: ANIL KUMAR GURJAR PLOT 231-A GOVERDHAN NAGAR TOLTEX

    SANGANER-302033

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9571293232 9. Phone No.:

10. Date of Birth: 01-01-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 400 66.67

Sr. Sec. ARTS CBSE BOARD 2008 500 347 69.40

      Apearing for UG Final year exam YES        U.G. B.B.A RAJASTHAN UNIVERSITY 2011

Declaration I ANIL KUMAR GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

104

Page 105: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111819 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANIL KUMAR KUMAWAT

 

3. Father's Name : LAXMI NARAYAN 4. Mother's Name: DURGA DEVI

5. Address: C- 198 MAHESH NAGER 60 FEET ROAD

    JAIPUR-302015

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9887487031 9. Phone No.:

10. Date of Birth: 01-01-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION RAJASTHAN

2005 600 273 45.50

Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION RAJASTHAN

2008 650 406 62.46

      Apearing for UG Final year exam YES        U.G. BBA UNIVERSITY OF RAJASTHAN 2011

Declaration I ANIL KUMAR KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

105

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POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115553 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 106 - JHUNJHUNU

2. Name of Candidate: ANIL KUMAR NUNIA

 

3. Father's Name : MOHAR SINGH 4. Mother's Name: BIMALA DEVI

5. Address: VILLAGE /POST -LALPUR DIST-JHUNJHUNU

    JHUNJHUNU-333023

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9660563807 9. Phone No.:

10. Date of Birth: 01-07-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD AJMER 2005 600 372 62.00

Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 416 64.00

      Apearing for UG Final year exam YES        U.G. B.SC. UNIVERSITY OF RAJASTHAN 2011

Declaration I ANIL KUMAR NUNIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

106

Page 107: Admit Card- Rmat

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114797 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANIL KUMAR SONI

 

3. Father's Name : GHANSHYAM SONI 4. Mother's Name: PREMLATA SONI

5. Address: 305 NIRMAL VIHAR DADI KA PHATAK BENAD ROAD JHOTWARA

    JAIPUR-302012

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 8233576764 9. Phone No.:

10. Date of Birth: 07-05-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD RAJASTHAN 2004 600 298 49.67

Sr. Sec. COMMERCE BOARD OF INTERMEDIATE EDUCATION A.P.

2006 1000 584 58.40

      Apearing for UG Final year exam NO        U.G. B.COM OSMANIA UNIVERSITY 2009 1800 900 50.00

Declaration I ANIL KUMAR SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST 107

Page 108: Admit Card- Rmat

(Note : Incomplete forms are liable to be REJECTED without notice) (Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111665 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANIL KUMAWAT

 

3. Father's Name : JAGDISH KUMAWAT 4. Mother's Name: ROOPA DEVI KUMAWAT

5. Address:VILLAGE POST KAREDA BUZURG TEH.NEWAI DIST.TONK RAJASTHAN PIN.304025

    KAREDA BUZURG-304001

6. District: TONK  7 State: RAJASTHAN  8. Mobile No.: 9166154040 9. Phone No.:

10. Date of Birth: 06-08-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION RAJASTHAN

2005 600 331 55.17

Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION RAJASTHAN

2008 650 490 75.38

      Apearing for UG Final year exam YES        U.G. BBA BBA 2011

Declaration I ANIL KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

108

Page 109: Admit Card- Rmat

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117095 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANITA KASOTIYA 3. Father's Name : MANGU RAM REGAR 4. Mother's Name: SUNITA DEVI

5. Address: R-43,SHREEGANPATI NAGAR NEAR NEW SDM COURT,RAMSINGHPURA

    SANGANER,JAPUR-302020

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9251348886 9. Phone No.:

10. Date of Birth: 01-06-1990 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE,AJMER 2006 600 377 62.83

Sr. Sec. ARTS RBSE,AJMER 2008 650 491 75.54

      Apearing for UG Final year exam YES        U.G. BBA MDS UNIVERSITY,AJMER 2011

Declaration I ANITA KASOTIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

109

Page 110: Admit Card- Rmat

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115921 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: ANITA KUMARI

 

3. Father's Name : BAJRANG LAL 4. Mother's Name: CHUKA DEVI

5. Address: VILL-BALWANTPURA POST-CHELASI,VIA-NAWALGARH

    NAWALGARH-333042

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9828712626 9. Phone No.: 01594 -223632

10. Date of Birth: 19-11-1990 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

110

Page 111: Admit Card- Rmat

Secondary   RBSE,AJMER 2006 600 238 39.67

Sr. Sec. FINE ARTS RBSE,AJMER 2008 650 470 72.31

      Apearing for UG Final year exam YES        U.G. BBA UNIVERSITY OF RAJASTHAN,JAIPUR 2011

Declaration I ANITA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115852 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: ANITA KUMARI

 

3. Father's Name : HARLAL SINGH 4. Mother's Name: SANTOSH DEVI 5. Address: DUDIA KI DHANI

    DUDIA KI DHANI-333707

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9413434703 9. Phone No.:

10. Date of Birth: 23-02-1992 11. Sex: FEMALE

111

Page 112: Admit Card- Rmat

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ BOARD 2006 600 437 72.83

Sr. Sec. ARTS RAJ BOARD 2008 650 397 61.08

      Apearing for UG Final year exam YES        U.G. BBA RAJ UNI 2011

Declaration I ANITA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114520 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 107 - JODHPUR

2. Name of Candidate: ANITA MEENA  3. Father's Name : POORAN CHAND MEENA 4. Mother's Name: KAMLESH MEENA

5. Address: PLOT NO. 43, JANAKPURI - II (EXT.) IMALI WALA PHATAK

    JAIPUR-302005

112

Page 113: Admit Card- Rmat

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9868331622 9. Phone No.:

10. Date of Birth: 10-11-1988 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: ST 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2003 500 313 62.60

Sr. Sec. SCIENCE CBSE 2006 500 296 59.20

      Apearing for UG Final year exam YES        U.G. B.SC. RAJASTHAN UNIVERCITY 2011

Declaration I ANITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

113

Page 114: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115291 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: ANITA NIRMAL

 

3. Father's Name : KAMAL CHAND NIRMAL 4. Mother's Name: SUMITRA NIRMAL 5. Address: NEAR POST OFFICE SULTANA

    CHIRAWA-333028

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9024130920 9. Phone No.:

10. Date of Birth: 01-06-1987 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE AJMER 2002 600 335 55.83

Sr. Sec. SCIENCE RBSE AJMER 2004 650 350 53.85

      Apearing for UG Final year exam NO        U.G. B.SC. UNVERSITY OF RAJASTHAN 2007 1350 831 61.56

Declaration I ANITA NIRMAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

114

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311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115317 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANITA SAINI

 

3. Father's Name : BANSHIDHAR SAINI 4. Mother's Name: MEERA DEVI

5. Address: LAXMINATH VASTRA BHANDAR LAXMINATH JI KA CHOWK CHOMU

    CHOMU-303702

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9214922705 9. Phone No.: 01423 -221305

10. Date of Birth: 10-08-1989 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : B

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD AJMER 2006 600 400 66.67

Sr. Sec. ARTS RAJASTHAN BOARD AJMER 2008 650 468 72.00

      Apearing for UG Final year exam YES        U.G. B.B.A. B.B.A. 2011

Declaration I ANITA SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  115

Page 116: Admit Card- Rmat

7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115717 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANJU RANWA

 

3. Father's Name : ROOPA RAM RANWA 4. Mother's Name: SOHANI DEVI 5. Address: VILL. - BHIRANA VAYA LOSAL

    SIKAR-332025

6. District: SIKAR  7 State: RAJASTHAN  8. Mobile No.: 8104267363 9. Phone No.:

10. Date of Birth: 06-05-1988 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOSER AJMER 2006 600 348 58.00

Sr. Sec. ARTS BOSER AJMER 2008 650 322 49.54

      Apearing for UG Final year exam YES        U.G. B.B.A. BOSER AJMER 2011

Declaration I ANJU RANWA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

116

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2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116348 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANKIT KARORA

 

3. Father's Name : NARESH KARORA 4. Mother's Name: UPASANA KARORA

5. Address: BHAIRAV NIWAS, NEAR E.S.I. HOSPITAL HATWARA ROAD, SODALA

    JAIPUR-302006

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9649999916 9. Phone No.: 0141 -2450727

10. Date of Birth: 20-12-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   R.B.S.E. 2006 600 408 68.00

Sr. Sec. SCIENCE R.B.S.E. 2008 650 342 52.62

      Apearing for UG Final year exam YES        U.G. BBA UNI. OF RAJASTAN 2011

Declaration I ANKIT KARORA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

117

Page 118: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116463 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 104 - BIKANER

2. Name of Candidate: ANKIT KUMAR BAJDOLIYA

 

3. Father's Name : SAGAR MAL 4. Mother's Name: KOUSHALYA DEVI

5. Address: VILLAGE CHENPURA, POST DHINGPUR, TEHSIL DANTARAMGARH

    CHENPURA-332601

6. District: SIKAR  7 State: RAJASTHAN  8. Mobile No.: 9001283807 9. Phone No.:

10. Date of Birth: 23-07-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   EX-S[EXS4] 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE BOARD 2006 500 360 72.00

Sr. Sec. ARTS CBSE BOARD 2008 500 389 77.80

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I ANKIT KUMAR BAJDOLIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

118

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best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115682 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANKIT KUMAR KASERA 3. Father's Name : MAHESH CHAND 4. Mother's Name: NEETA DEVI

5. Address: HOUSE NO 1492 LUHORAN KI GALI CHOURA RASTA

    JAIPUR-302003

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9680893331 9. Phone No.: 0141 -2315080

10. Date of Birth: 09-06-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2005 600 289 48.17

Sr. Sec. COMMERCE RBSE 2007 650 414 63.69

      Apearing for UG Final year exam NO        U.G. BBA RAJASTHAN UNIVERSITY 2010 1800 1019 56.61

119

Page 120: Admit Card- Rmat

Declaration I ANKIT KUMAR KASERA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114431 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANKIT SHARMA

 

3. Father's Name : MADAN LAL SHARMA 4. Mother's Name: MOHRI DEVI

5. Address: SECTOR-5,PRATAP NAGAR VILL-BAMBALA,BEHIND P.N.B.

    SANGANER-302033

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 8058615386 9. Phone No.: 0141 -2793270

10. Date of Birth: 04-07-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      

120

Page 121: Admit Card- Rmat

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   RBSE,AJMER 2004 600 261 43.50

Sr. Sec. ARTS RBSE,AJMER 2008 650 314 48.31

      Apearing for UG Final year exam YES        U.G. BBA UNIVERSITY OF RAJASTHAN 2011

Declaration I ANKIT SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113185 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANKIT VISHNOI

 

3. Father's Name : K.K BISHNOI 4. Mother's Name: ROSHANI DEVI

5. Address: 123/21, AGARWAL FARM MANSAROVAR

    JAIPUR-302020

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9610448838 9. Phone No.: 0141 -2781844

121

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10. Date of Birth: 23-07-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2005 500 279 55.80

Sr. Sec. COMMERCE CBSE 2008 500 279 55.80

      Apearing for UG Final year exam YES        U.G. B.COM UNIVERSITY OF RAJASTHAN 2011

Declaration I ANKIT VISHNOI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112090 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANKITA DABAR  3. Father's Name : RAJESH DABAR 4. Mother's Name: ANITA DABAR

5. Address: RAJAGARH ROAD SHANTI NAGAR WARD NO.1

    PILANI-333031

122

Page 123: Admit Card- Rmat

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9352657577 9. Phone No.:

10. Date of Birth: 31-05-1990 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : B

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2006 500 254 50.80

Sr. Sec. COMMERCE CBSE 2008 500 320 64.00

      Apearing for UG Final year exam YES        U.G. B.COM RAJASTHAN UNIVERSITY 2011

Declaration I ANKITA DABAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

123

Page 124: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111548 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANKITA MEENA

 

3. Father's Name : DHARAM SINGH MEENA 4. Mother's Name: UGANTI MEENA

5. Address: 155, MUKTANAND NAGAR GOPALPURA MODE

    JAIPUR-302018

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9414404065 9. Phone No.: 0141 -2546124

10. Date of Birth: 02-07-1991 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: ST 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 395 65.83

Sr. Sec. ARTS RAJASTHAN 2008 650 458 70.46

      Apearing for UG Final year exam YES        U.G. B.B.A. RAJASTHAN UNIVERSITY 2011

Declaration I ANKITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

124

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311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113644 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANKUR PACHAHARA

 

3. Father's Name : RAMESH CHOUDHARY 4. Mother's Name: UJJAWAL DEVI

5. Address: 53, JAI BHAWANI NAGAR KHATIPURA ROAD, JAIPUR

    JAIPUR-302012

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 7737302356 9. Phone No.:

10. Date of Birth: 25-04-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2006 500 316 63.20

Sr. Sec. COMMERCE CBSE 2008 500 292 58.40

      Apearing for UG Final year exam YES        U.G. B.B.A RAJASTHAN UNIVERSITY 2011

Declaration I ANKUR PACHAHARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  125

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7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115211 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 106 - JHUNJHUNU

2. Name of Candidate: ANUP JANGIR

 

3. Father's Name : VIJAY KUMAR JANGIR 4. Mother's Name: ASHA DEVI 5. Address: 9/94 VIDHYADHAR NAGAR JAIPUR

    JAIPUR-302023

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9828114316 9. Phone No.:

10. Date of Birth: 20-12-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   B.S.E. RAJASTHAN 2005 600 405 67.50

Sr. Sec. SCIENCE B.S.E. RAJASTHAN 2008 650 398 61.23

      Apearing for UG Final year exam YES        U.G. B.B.A UNIVERSITY OF RAJ 2011

Declaration I ANUP JANGIR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

126

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2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115237 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 102 - BHARATPUR

2. Name of Candidate: ANUPAM SAINI

 

3. Father's Name : GHANSHYAM LAL SAINI 4. Mother's Name: KANTA SAINI 5. Address: 1/59, NEB, HOUSING BOARD ALWAR

    ALWAR-301001

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 9571378454 9. Phone No.:

10. Date of Birth: 19-12-1991 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSER, AJMER 2005 600 286 47.67

Sr. Sec. COMMERCE BSER, AJMER 2008 650 324 49.85

      Apearing for UG Final year exam YES        U.G. B.COM UNIVERSITY OF RAJASTHAN, JAIPUR 2011

Declaration I ANUPAM SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

127

Page 128: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112710 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: ANURADHA MORE

 

3. Father's Name : R.S MORE 4. Mother's Name: SUNANDA MORE 5. Address: TYPE-2/107 ANUDEEP COLONY

    RAWATBHATA-323307

6. District: CHITTORGARH  7 State: RAJASTHAN  8. Mobile No.: 9460679872 9. Phone No.:

10. Date of Birth: 13-06-1990 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2006 500 277 55.40

Sr. Sec. SCIENCE CBSE 2008 500 312 62.40

      Apearing for UG Final year exam YES        U.G. B.C.A. KOTA UNIVERSITY 2011

Declaration I ANURADHA MORE declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

128

Page 129: Admit Card- Rmat

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 110680 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: ANURADHA SHARMA

 

3. Father's Name : SUBHASH SHARMA 4. Mother's Name: VEENA DEVI

5. Address:VIRASAT MOBILE AND REPAIRING CENTER NEAR P.W.D. OFFICE NEW BUS STAND WARD NO. - 15

    BEHROR-301701

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 9929948641 9. Phone No.: 01494 -221151

10. Date of Birth: 31-07-1991 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION, RAJASTHAN

2006 600 507 84.50

129

Page 130: Admit Card- Rmat

Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION, RAJASTHAN

2008 650 406 62.46

      Apearing for UG Final year exam YES        U.G. B.B.A. RAJASTHAN 2011

Declaration I ANURADHA SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116034 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: ANURAG POONIA

 

3. Father's Name : SURESH KUMAR POONIA 4. Mother's Name: KAMALA 5. Address: B-33, MAN NAGAR NEAR CLUB

    JHUNJHUNU-333001

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9829987834 9. Phone No.: 01592 -234328

10. Date of Birth: 14-07-1991 11. Sex: MALE

12. E-mail:    

130

Page 131: Admit Card- Rmat

13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BSER, AJMER 2005 600 323 53.83

Sr. Sec. SCIENCE BSER, AJMER 2007 650 422 64.92

      Apearing for UG Final year exam YES        U.G. B.A. UNIVERSITY OF RAJ. JAIPUR 2011

Declaration I ANURAG POONIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117061 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ANURAG SANGAT

 

3. Father's Name : DEEPAK SANGAT 4. Mother's Name: SANDHYA SANGAT 5. Address: KALI PALTAN VIKAS NAGAR TONK

    TONK-304001

131

Page 132: Admit Card- Rmat

6. District: TONK  7 State: RAJASTHAN  8. Mobile No.: 9660388289 9. Phone No.: 01432 -244094

10. Date of Birth: 28-08-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2006 600 315 52.50

Sr. Sec. ARTS RBSE 2008 650 413 63.54

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I ANURAG SANGAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116190 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: ANUSHREE VERMA

132

Page 133: Admit Card- Rmat

 

3. Father's Name : MOHAN VERMA 4. Mother's Name: ANJU VER,A

5. Address: 165-VISHVESHWARIYA NAGAR GOPALPURA BUY PASS

    JAIPUR-302018

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 8107017602 9. Phone No.: 0141 -2763612

10. Date of Birth: 02-09-1990 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 374 62.33

Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 380 58.46

      Apearing for UG Final year exam YES        U.G. B.COM UNIVERSITY OF RAJASTHAN 2011

Declaration I ANUSHREE VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

133

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  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111369 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ARADHANA YADAV

 

3. Father's Name : LAL CHAND YADAV 4. Mother's Name: KRISHNA DEVI

5. Address:ARADHANA YADAV D/O LAL CHAND YADAV DB-11 SIDDHART NAGAR GATOR MALVIYA NAGAR

    JAIPUR-302017

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9024343179 9. Phone No.:

10. Date of Birth: 27-07-1991 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION RAJASTHAN

2006 600 266 44.33

Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION RAJASTHAN

2008 650 402 61.85

      Apearing for UG Final year exam YES        U.G. B.A. UNIVERSITY OF RAJASTHAN 2011

Declaration I ARADHANA YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

134

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POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116126 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: ARCHANA SONI

 

3. Father's Name : NARENDRA SONI 4. Mother's Name: PRAMILA SONI

5. Address:4550,PURANI KOTWALI KA RASTA,JOHARI BAZAR,JAIPUR RAJASTHAN

    JAIPUR-302002

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9413819558 9. Phone No.:

10. Date of Birth: 24-01-1989 11. Sex: FEMALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 444 74.00

Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 380 58.46

      Apearing for UG Final year exam YES        U.G. B.E./B.TECH./B.ARCH. RTU 2011

Declaration I ARCHANA SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  

135

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6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114667 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ARJUN LAL CHOUDHARY

 

3. Father's Name : BANNA RAM CHOUDHARY 4. Mother's Name: DHAPU DEVI

5. Address: VILLAGE-KHEERWA, POST-KHERI,VIA-RENWAL. TH-PHULERA,JAIPUR

    KHEERWA-303603

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9667488617 9. Phone No.:

10. Date of Birth: 25-01-1991 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ.BOARD 2006 600 312 52.00

Sr. Sec. SCIENCE RAJ.BOARD 2008 650 335 51.54

      Apearing for UG Final year exam YES        U.G. BBA BBA 2011

Declaration I ARJUN LAL CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

136

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1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117198 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ARPIT KUMAWAT

 

3. Father's Name : SATYA NARAYAN VERMA 4. Mother's Name: KUSUM VERMA

5. Address:DEFENCE PUBLIC SENIOR SECONDARY SCHOOL MEENA COLONY

    SAWAI MADHOPUR-322001

6. District: SAWAIMADHOPUR  7 State: RAJASTHAN  8. Mobile No.: 9414270366 9. Phone No.: 07462 -222440

10. Date of Birth: 16-04-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION RAJASTHAN

2006 600 420 70.00

Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION RAJASTHAN

2008 650 388 59.69

      Apearing for UG Final year exam YES        U.G. B.E./B.TECH./B.ARCH. RAJASTHAN TECHNICAL UNIVERSITY 2011

Declaration I ARPIT KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

137

Page 138: Admit Card- Rmat

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111491 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ARUN KUMAR SAIN

 

3. Father's Name : RAMAVTAR SAIN 4. Mother's Name: MANJU DEVI

5. Address: V.P. MAHAROLI, VIA-RINGUS TEH. SHRIMADHOPUR

    MAHAROLI-332603

6. District: SIKAR  7 State: RAJASTHAN  8. Mobile No.: 9024508215 9. Phone No.: 01575 -224157

10. Date of Birth: 26-07-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD, RAJASTHAN 2005 600 351 58.50

Sr. Sec. ARTS AJMER BOARD, RAJASTHAN 2007 650 408 62.77

      Apearing for UG Final year exam NO        U.G. B.B.A. RAJASTHAN UNIVERSITY 2010 1800 1003 55.72

Declaration I ARUN KUMAR SAIN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

138

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best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112402 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ARUN SINGH 3. Father's Name : SULTAN SINGH GARHWAL 4. Mother's Name: SMT LAXMI DEVI

5. Address: D 45 SAHNTI PATH PATRAKAR COLONY

    TILAK NAGAR-302004

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9314653006 9. Phone No.:

10. Date of Birth: 24-07-1986 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2002 500 287 57.40

Sr. Sec. SCIENCE CBSE 2004 500 337 67.40

      Apearing for UG Final year exam NO        U.G. B.SC. RAJASTHAN UNIVERSITY 2008 1350 957 70.89

139

Page 140: Admit Card- Rmat

Declaration I ARUN SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116774 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ARUNA KUMARI SAIN

 

3. Father's Name : MAHAVIR PRASAD SAIN 4. Mother's Name: MADHU DEVI SAIN

5. Address:P.NO. 10-A, DEEPVIHAR-A, BENAR ROAD, DADI KA PHATAK, JHOTWARA, JAIPUR

    JAIPUR-302012

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9414970389 9. Phone No.:

10. Date of Birth: 16-11-1990 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : B

17. Qualifying Exam :      

140

Page 141: Admit Card- Rmat

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   RAJASTHAN EDU. BOARD AJMER 2005 600 234 39.00

Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 386 59.38

      Apearing for UG Final year exam YES        U.G. B.A. RAJASTHAN UNIVERSITY 2011

Declaration I ARUNA KUMARI SAIN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111324 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 106 - JHUNJHUNU

2. Name of Candidate: ARUP BAL

 

3. Father's Name : A.K. BAL 4. Mother's Name: MAMTA BAL 5. Address: QR.-D-64 III B

    KHETRI NAGAR-333504

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 7737459303 9. Phone No.:

141

Page 142: Admit Card- Rmat

10. Date of Birth: 04-04-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2005 500 285 57.00

Sr. Sec. COMMERCE CBSE 2007 500 389 77.80

      Apearing for UG Final year exam YES        U.G. B.COM UNI.OF RAJASTHAN 2011

Declaration I ARUP BAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112633 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ARVIND JANGID  3. Father's Name : BANWARI LAL JANGID 4. Mother's Name: SEEMA DEVI 5. Address: PLOT NO 198 WARD 39 NEAR

SARVODAYA PUBLIC SCHOOL PIPRALI ROAD SAMRATHPURA SIKAR

142

Page 143: Admit Card- Rmat

    SIKAR-332001

6. District: SIKAR  7 State: RAJASTHAN  8. Mobile No.: 9982299922 9. Phone No.:

10. Date of Birth: 09-03-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF SECONDARY EDUCATION AJMER (RAJ)

2004 600 412 68.67

Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION AJMER (RAJ)

2006 600 386 64.33

      Apearing for UG Final year exam NO        U.G. BBA UNIVERSITY OF RAJASTHAN 2010 1800 1029 57.17

Declaration I ARVIND JANGID declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

143

Page 144: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113170 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ARVIND KUMAR

 

3. Father's Name : KRISHAN KUMAR 4. Mother's Name: RITA RANI 5. Address: W.NO. 15

    SADULSHAHAR-335062

6. District: SRIGANGANAGAR  7 State: RAJASTHAN  8. Mobile No.: 9587051000 9. Phone No.:

10. Date of Birth: 04-07-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   AJMER BOARD 2005 600 253 42.17

Sr. Sec. ARTS AJMER BOARD 2007 650 324 49.85

      Apearing for UG Final year exam YES        U.G. BBA SMU 2008

Declaration I ARVIND KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

144

Page 145: Admit Card- Rmat

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117241 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHA RANI YADAV

 

3. Father's Name : KISHAN LAL YADAV 4. Mother's Name: SAVATRI DEVI

5. Address: VILL. MAJRA MANHIYA POST. BHINDUSI TEH. TIJARA DIST. ALWAR

    ALWAR-301405

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 9828115955 9. Phone No.:

10. Date of Birth: 01-10-1990 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ. BOARD AJMER 2006 600 358 59.67

Sr. Sec. ARTS RAJ. BOARD AJMER 2008 650 383 58.92

      Apearing for UG Final year exam YES        U.G. BBA RAJ. UNIVERSITY 2011

Declaration I ASHA RANI YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  145

Page 146: Admit Card- Rmat

7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116225 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 104 - BIKANER

2. Name of Candidate: ASHISH BUDANIA

 

3. Father's Name : HARISH BUDANIA 4. Mother's Name: NIRMALA BUDANIA 5. Address: WARD NO. 18 NEAR DHARAM STOOP

    CHURU-331001

6. District: CHURU  7 State: RAJASTHAN  8. Mobile No.: 9309054991 9. Phone No.:

10. Date of Birth: 27-09-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2004 500 292 58.40

Sr. Sec. ARTS CBSE 2006 600 347 57.83

      Apearing for UG Final year exam NO        U.G. BBA UNIVERSITY OF RAJASTHAN 2010 1800 1067 59.28

Declaration I ASHISH BUDANIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

146

Page 147: Admit Card- Rmat

2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113696 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: ASHISH CHOUDHARY

 

3. Father's Name : BHUPENDRA SINGH 4. Mother's Name: SHEELA CHOUDHARY

5. Address: 12 ROSE VILLA RAJENDRA NAGAR BHARATPUR

    BHARATPUR-321001

6. District: BHARATPUR  7 State: RAJASTHAN  8. Mobile No.: 9667478558 9. Phone No.:

10. Date of Birth: 11-12-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJ.BOARD AJMER 2005 600 238 39.67

Sr. Sec. ARTS RAJ. BOARD AJMER 2007 650 304 46.77

      Apearing for UG Final year exam NO        U.G. B.A. RAJ. UNIVERSITY 2010 1800 967 53.72

Declaration I ASHISH CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

147

Page 148: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111668 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 102 - BHARATPUR

2. Name of Candidate: ASHISH DAGUR DAGUR

 

3. Father's Name : SHRIRAM DAGUR 4. Mother's Name: SHANTI DAGUR

5. Address: ANIRUDHA NAGAR NEAR M.S.J. COLLAGE OPP. TO WELCOME HOTEL

    BHARATPUR-321001

6. District: BHARATPUR  7 State: RAJASTHAN  8. Mobile No.: 9024149400 9. Phone No.: 05644 -232360

10. Date of Birth: 16-02-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 419 69.83

Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 485 74.62

      Apearing for UG Final year exam YES        U.G. B.B.A. UNIVERSITY COMMERCE COLLEGE 2011

Declaration I ASHISH DAGUR DAGUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

148

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best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111004 Exam. Fee 1000

1. Choice of Examination Centre and Course

 Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: ASHISH DANGI 3. Father's Name : UMMED SINGH DANGI 4. Mother's Name: SANTARA DANGI 5. Address: VPO SHYOPURA VIA CHIRAWA

    DIST JHUNJHUNU-333026

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9887078761 9. Phone No.:

10. Date of Birth: 01-07-1990 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD AJMER 2005 600 423 70.50

Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 482 74.15

      Apearing for UG Final year exam NO        U.G. B.SC. RAJASTHAN UNIVERSITY JAIPUR 2010 1350 857 63.48

Declaration

149

Page 150: Admit Card- Rmat

I ASHISH DANGI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my

knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected

an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other

course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111060 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 107 - JODHPUR

2. Name of Candidate: ASHISH MEENA

 

3. Father's Name : KHEM RAJ MEENA 4. Mother's Name: SONTOSH MEENA 5. Address: PLOT NO 17 SAKET COLONY

    DEOLI-323001

6. District: BUNDI  7 State: RAJASTHAN  8. Mobile No.: 7597946653 9. Phone No.:

10. Date of Birth: 27-03-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: ST 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

150

Page 151: Admit Card- Rmat

Secondary   CBSE 2004 500 313 62.60

Sr. Sec. SCIENCE RBSE 2006 650 385 59.23

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I ASHISH MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112920 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHISH NAGARWAL

 

3. Father's Name : HARISH KUMAR NAGARWAL 4. Mother's Name: DAVKI NAGARWAL

5. Address: 294 MARUTI NAGAR NEAR AIRPORT SANGANER

    JAIPUR-302011

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9784087857 9. Phone No.:

10. Date of Birth: 18-04-1990 11. Sex: MALE

151

Page 152: Admit Card- Rmat

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Other State 16. Domicile Category : 999

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 262 43.6

Sr. Sec. COMMERCE RAJSTHAN BOARD 2007 650 375 57.6

      Apearing for UG Final year exam YES        U.G. B.COM RAJASTHAN UNIVERSITY 2011

Declaration I ASHISH NAGARWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 113941 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHISH TANWAR  3. Father's Name : BANWARI LAL TANWAR 4. Mother's Name: VIMLA DEVI TANWAR

5. Address:P.NO-14 MAHAVEER COLONY NEAR RAJASTHAN ACADEMY SCHOOL KARTARPURA JAIPUR

    JAIPUR-302006

152

Page 153: Admit Card- Rmat

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9667678242 9. Phone No.:

10. Date of Birth: 15-08-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD AJMER 2005 600 479 79.83

Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 535 82.31

      Apearing for UG Final year exam NO        U.G. B.C.A. UNIVERSITY OF RAJASTHAN 2010 1800 1263 70.17

Declaration I ASHISH TANWAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

153

Page 154: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115573 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHOK KUMAR

 

3. Father's Name : MADAN LAL 4. Mother's Name: TIJO DEVI

5. Address: A-104, INDIRA VERMA COLONY, SHASHTRI NAGAR,

    JAIPUR-302016

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9024967357 9. Phone No.:

10. Date of Birth: 03-06-1991 11. Sex: MALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : B

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF RAJASTHAN 2006 600 373 62.17

Sr. Sec. SCIENCE BOARD OF RAJASTHAN 2008 650 376 57.85

      Apearing for UG Final year exam YES        U.G. BBA UNIVERSITY OF RAJASTHAN 2011

Declaration I ASHOK KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

154

Page 155: Admit Card- Rmat

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112207 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 109 - UDAIPUR

2. Name of Candidate: ASHOK KUMAR

 

3. Father's Name : RUGHNATH RAM 4. Mother's Name: RUKAMA DEVI

5. Address: VILL-MADHOPURA POST-SHYAMPURA VAYA-RANOLI

    SIKAR-332403

6. District: SIKAR  7 State: RAJASTHAN  8. Mobile No.: 9950425858 9. Phone No.: 01572 -222608

10. Date of Birth: 15-10-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2004 600 381 63.50

Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 422 64.92

      Apearing for UG Final year exam YES        U.G. B.SC. RAJASTHAN UNIVERSITY 2011

Declaration I ASHOK KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.

I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  155

Page 156: Admit Card- Rmat

7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116941 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 103 - BHILWARA

2. Name of Candidate: ASHOK KUMAR BAIRWA

 

3. Father's Name : TEJPAL BAIRWA 4. Mother's Name: GOVINDI DEVI

5. Address: AB-363, NIRMAN NAGAR JANPATH ROAD

    JAIPUR-302019

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9571417027 9. Phone No.:

10. Date of Birth: 08-07-1990 11. Sex: MALE

12. E-mail:    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Other State 16. Domicile Category : 999

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2005 600 252 42.00

Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 322 49.54

      Apearing for UG Final year exam NO        U.G. B.B.A RAJASTHAN UNIVERSITY 2010 1800 903 50.17

Declaration I ASHOK KUMAR BAIRWA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

156

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2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111621 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHOK KUMAR CHOUDHARY

 

3. Father's Name : BHAGIRATH CHOUDHARY 4. Mother's Name: BARJBALA DEVI

5. Address: VPO RADAWAS VIA AMARSAR DHANI RATAN SAGAR

    TECH SHAHPURA-303601

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 8122273904 9. Phone No.: 01422 -214020

10. Date of Birth: 21-07-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2001 600 320 53.33

Sr. Sec. SCIENCE RBSE 2003 650 416 64.00

      Apearing for UG Final year exam YES        U.G. B.E./B.TECH./B.ARCH. VIT 2011

Declaration I ASHOK KUMAR CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its

information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may

lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily

cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand

cancelled.

Place :    

157

Page 158: Admit Card- Rmat

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115896 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 107 - JODHPUR

2. Name of Candidate: ASHOK KUMAR MEENA

 

3. Father's Name : LALLU RAM MEENA 4. Mother's Name: KAMALA DEVI MEENA

5. Address: VILL DHIGARIA POST DHANAWAR VIA DUBBI TEH BASWA

    DHIGARIA TAPPA-303304

6. District: DAUSA  7 State: RAJASTHAN  8. Mobile No.: 9785775459 9. Phone No.:

10. Date of Birth: 12-07-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: ST 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   BOARD OF AJMER RAJ 2005 600 297 49.50

Sr. Sec. COMMERCE BOARD OF AJMER RAJ 2007 650 364 56.00

      Apearing for UG Final year exam NO        U.G. B.COM UNIVERSITY OF RAJ 2010 1800 922 51.22

Declaration I ASHOK KUMAR MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

158

Page 159: Admit Card- Rmat

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116218 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHOK KUMAR ROLANIYA

 

3. Father's Name : SHIMBHU DAYAL ROLANIYA 4. Mother's Name: KISTOORI DEVI

5. Address:VILL.-HANUTPURA ,POST-KHORALADKHANI,VAYA-GATHWARI,TEH.-SHAHPURA

    HANUTPURA-303120

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 7737862283 9. Phone No.: 01422 -237142

10. Date of Birth: 15-07-1987 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2004 600 471 78.50

Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 410 63.08

159

Page 160: Admit Card- Rmat

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I ASHOK KUMAR ROLANIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 110165 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHUTOSH JANGID

 

3. Father's Name : RAJENDRA KUMAR SHARMA 4. Mother's Name: MANJU SHARMA

5. Address: 2 KA 3 , KALA KUAN HOUSING BOARD , ARAVLI VIHAR

    ALWAE-301001

6. District: ALWAR  7 State: RAJASTHAN  8. Mobile No.: 9784725040 9. Phone No.: 0144 -2360610

10. Date of Birth: 30-11-1986 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied Rajasthan 16. Domicile Category : A

160

Page 161: Admit Card- Rmat

Residence : 17. Qualifying Exam :      

Detail Subject/Stream Board/University Year Max. Marks

Marks Obt.

%

Secondary   CBSE 2002 500 342 68.40

Sr. Sec. SCIENCE CBSE 2004 500 325 65.00

      Apearing for UG Final year exam NO        U.G. B.E./B.TECH./B.ARCH. RAJASTHAN UNIVERSITY 2008 7000 4380 62.57

Declaration I ASHUTOSH JANGID declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 116946 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 107 - JODHPUR

2. Name of Candidate: ASHWANI CHOUDHARY

 

3. Father's Name : NANDLAL CHOUDHARY 4. Mother's Name: SANTOSH DEVI

5. Address:B-134,JAGDAMBA NAGAR,BEHIND-HEERA PURA POWER HOUSE AJMER ROAD

    JAIPUR-302024

6. District: JAIPUR  

161

Page 162: Admit Card- Rmat

7 State: RAJASTHAN  

8. Mobile No.: 9929677573 9. Phone No.:

10. Date of Birth: 10-01-1988 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD AJMER 2004 600 374 62.33

Sr. Sec. ARTS RAJASTHAN BOARD AJMER 2007 650 333 51.23

      Apearing for UG Final year exam NO        U.G. B.A. UNOVERSITY OF RAJASTHAN 2010 1800 887 49.28

Declaration I ASHWANI CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the

best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114150 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHWANI GURAWARIYA

162

Page 163: Admit Card- Rmat

 

3. Father's Name : BABULAL GURAWARIYA 4. Mother's Name: SHEELA GURAWARIYA

5. Address: 102 BHRIGU NAGAR AJMER ROAD JAIPUR

    JAIPUR-302021

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9461802595 9. Phone No.: 0141 -2351011

10. Date of Birth: 30-08-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: SC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE 2006 500 300 60.00

Sr. Sec. SCIENCE CBSE 2008 500 260 52.00

      Apearing for UG Final year exam YES        U.G. BBA UNIVERSITY OF RAJASTHAN 2011

Declaration I ASHWANI GURAWARIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

163

Page 164: Admit Card- Rmat

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 115083 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: ASHWANI KUMAR

 

3. Father's Name : GANESH DATT BIJARNIYA 4. Mother's Name: GOTHI DEVI

5. Address: MALKHAN SINGH BIJARNIYA MAIN STATION MARKET

    REENGUS-332404

6. District: SIKAR  7 State: RAJASTHAN  8. Mobile No.: 9785099051 9. Phone No.:

10. Date of Birth: 25-08-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD 2006 600 402 67.00

Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 407 62.62

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY 2011

Declaration I ASHWANI KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I

have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

164

Page 165: Admit Card- Rmat

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 114753 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 105 - JAIPUR

2. Name of Candidate: BABITA SAINI

 

3. Father's Name : SHYAM LAL SAINI 4. Mother's Name: PUSPA SAINI

5. Address: QR NO. D-24, SECTOR 2ND B KHETRI NAGAR

    KHETRI NAGAR-333504

6. District: JHUNJHUNU  7 State: RAJASTHAN  8. Mobile No.: 9460635853 9. Phone No.:

10. Date of Birth: 08-09-1990 11. Sex: FEMALE

12. E-mail:    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2006 600 270 45.00

Sr. Sec. ARTS RBSE 2008 650 329 50.62

      Apearing for UG Final year exam YES        U.G. B.A. UNIVERSITY OF RAJASTHAN 2011

Declaration I BABITA SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  165

Page 166: Admit Card- Rmat

7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112919 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 107 - JODHPUR

2. Name of Candidate: BAJRANG LAL

 

3. Father's Name : MAMAN CHAND 4. Mother's Name: SUMARATI DEVI

5. Address:ROOM NO.-16,M.P HOSTEL.COMMERCE COLLEGE,J.L.N MARG,JAIPUR JAIPUR

    JAIPUR-302004

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9785691795 9. Phone No.: 01494 -291154

10. Date of Birth: 15-12-1990 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : B

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   R.B.S.E AJMER 2006 600 408 68.00

Sr. Sec. COMMERCE R.B.S.E AJMER 2008 650 450 69.23

      Apearing for UG Final year exam YES        U.G. B.COM UNIVERSITY OF RAJASTHAN, JAIPUR 2011

Declaration I BAJRANG LAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I

further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this

application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I

know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form  

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2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 111623 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: BAJRANG SINGH CHOUDHARY

 

3. Father's Name : SITA RAM CHOUDHARY 4. Mother's Name: KAMLA DEVI

5. Address: 39,BAJRANG COLONY RAMNAGAR ,SODALA

    JAIPUR-302019

6. District: JAIPUR  7 State: RAJASTHAN  8. Mobile No.: 9887777566 9. Phone No.:

10. Date of Birth: 05-02-1991 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RBSE 2005 600 299 49.83

Sr. Sec. ARTS RBSE 2007 650 341 52.46

      Apearing for UG Final year exam NO        U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 841 46.72

Declaration I BAJRANG SINGH CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its

information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may

lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily

cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand

cancelled.

Place :    

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Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 112836 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :MBA AND PGDM                             I.  105 - JAIPUR                             II. 108 - KOTA

2. Name of Candidate: BALJEET MEENA

 

3. Father's Name : RAMESHWAR MEENA 4. Mother's Name: SHARDA DEVI 5. Address: V/P- KHANDIP HANUMAN NAGAR

    GANGAPUR CITY-322205

6. District: SAWAIMADHOPUR  7 State: RAJASTHAN  8. Mobile No.: 9928990225 9. Phone No.: 07463 -203964

10. Date of Birth: 01-07-1992 11. Sex: MALE

12. E-mail: [email protected]    13. Category: ST 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   CBSE,NEW DELHI 2006 600 327 54.50

Sr. Sec. COMMERCE CBSE,NEW DELHI 2008 600 357 59.50

      Apearing for UG Final year exam YES        U.G. BBA RAJASTHAN UNIVERSITY,JAIPUR 2011

Declaration I BALJEET MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is

found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.

168

Page 169: Admit Card- Rmat

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.) Page 2/2

  RMAT - 2011 Application Form (Confirmation Page)

Form No. 117099 Exam. Fee 1000

1. Choice of Examination Centre and Course

   Course :M.B.A.                             I.  105 - JAIPUR                             II. 101 - AJMER

2. Name of Candidate: BALRAM BIJARNIA

 

3. Father's Name : SANWAL RAM 4. Mother's Name: SANTOSH DEVI

5. Address:DHANI RAGHAV DAS KI BHUDHOLI ROAD NEAR GANPATI BRICKS UDYOG,

    NEEM KA THANA-332713

6. District: SIKAR  7 State: RAJASTHAN  8. Mobile No.: 9772297435 9. Phone No.:

10. Date of Birth: 10-04-1989 11. Sex: MALE

12. E-mail: [email protected]    13. Category: OBC 14. Sub-Category:   NONE 15. State of Bonafied

Residence : Rajasthan 16. Domicile Category : A

17. Qualifying Exam :      Detail Subject/Stream Board/University Year Max.

Marks Marks Obt.

%

Secondary   RAJASTHAN BOARD, AJMER 2003 600 285 47.50

Sr. Sec. SCIENCE RAJASTHAN BOARD, AJMER 2006 650 394 60.62

      Apearing for UG Final year exam YES        U.G. B.A. UNIVERSITY OF RAJASTHAN, JAIPUR 2011

Declaration I BALRAM BIJARNIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information

Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to

cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without

169

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any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.

Place :    

Date :   Full Signature of Applicant(in the box)

CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)

(Tick mark the relevant entries)

1. Completed all entries in the On Line Application Form   2. Paste Your Passport Size photograph if you have not uploaded it online.  3. Attached copy of proof of Domicile of Rajasthan.  4. Attached copy of proof of Secondary Certificate(10th).  5. Attached copy of proof of Senior Secondary (10+2) Examination.  6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)  7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).  8. Signed the confirmation page.  9. Spare photograph (Form No. & Name metioned backside) stapled with this form.  

POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -

311001(RAJ.)

170