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Application for MBA Admission
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Name of the Appliciant
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Application No
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Rank
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Category
GM
SC
ST
CAT-1
2A
2B
3A
3B
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Date of Birth
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Blood Group
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Sex
Male
Female
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Application Date
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Nationality
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Religion
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Caste
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Mother Tongue
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Citizenship
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Family Size
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Place of Birth
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Handicaped
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No
Physical
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Permanent Address
Pin code
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State
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Contact No
( mobile/residential phone no)
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Details of Parents
Father
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Alumnus Of PESITM?
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No
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Degree
(Reg No, Yr of passing, Total Marks, %age)
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Last Institution studied
Give full address,city, state, pin
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Last institution left on
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Qualifying examination
(Medium of instruction)
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Co-curri activities
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Course being sought
KAR
NKR
NRI
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Admission through
K-MAT
MAT
CAT
OTHER
MQT
NRI/PIO/FN
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