APPLICANT DETAILS:

Title: MR MS

First Name: Last Name:

Middle Name: Date of Birth: DD/MM/YY

Address: Nationality:

Mob No:

Email:

PARENT DETAILS: GUARDIAN DETAILS:

Title: MR MRS Title: MR MRS

Name: Name:

Mob No: Mob No:

Tel No: Tel No:

Email: Email:

COURSE :

DIP BE BBA B.COM B.COM (HONOURS) BCA B.ARCH MBA EMBA ACCA/CIMA

SPECIALIZATION FOR DIP / BE / MBA / EMBA:

First Choice:

Second Choice:

*SPECIALIZATION OFFERED IS SUBJECT TO MINIMUM BATCH SIZE*First and Second choice are mandatory

APPLICATION NUMBER :

ROLL NUMBER :

APPLICATION FOR ADMISSION (ACADEMIC YEAR _________) PASSPORT SIZE

PHOTOGRAPH

ACADEMIC QUALIFICATIONS

Please list all qualifications in chronological order with the most recent first. Please attach copies of all certificates and transcripts. Originals to be submitted at the time of admission.

School,University,College Name Class/Grade Board/curriculum Year of passing %/grade

NATA Score (B.Arch) NA NA

STUDENT SERVICES/FACILITIES REQUIRED:

VISA HOSTEL TRANSPORTATION

*KINDLY FILL AND ATTACH THE RESPECTIVE APPLICATION FORM FOR THE ABOVE REQUIRED SERVICES/FACILITIES

DECLARATION:If Admitted, I promise to abide by the rules and regulations .In all matters of discipline, the decision of the Competent Authority shall be binding.I understand that my Parent/Guardian will be informed of any relevant information relating to the progression of my program, including my record of attendance.I confirm that the information given on this form is true, complete and accurate. I consent to the deposit of all Original Certificate with the Institute.

Signature: Date:

FOR OFFICE USE:

10th Grade/ O Level Mark sheet & Certificate. 12th Grade / A Level Mark sheet & Certificate

Graduation Degree Mark Sheet School / College Leaving Certificate / Transfer Certificate

Passport Copy + Visa Page Photographs(6)

Total Original Documents Submitted : /

Received / Checked By :

MR/MS is admitted to 1st year

DIP/BE/BCA/B.ARCH/BBA/B.COM/B.COM(H)/MBA/EMBA for the Academic Year

Academic Coordinator Director

SCHOLARSHIPS: MBS FC NBS

REFERENCES:

Referred By : Roll No: Date:

Work Experience Certificate (EMBA)

Scholarship approved by