Application Summary for Two-Year full time program, MBA in Urban Management & Governance of Xavier University Bhubaneswar
Instructions:

Step-1: Fill-up the application form and Submit.
Step-2: After submitting the online application form, you can click on " EDIT YOUR RESPONSE " and take print out of the filled in application form for your future reference.
Step-3: A processing fee of Rs. 1500.00 to be submitted in the form of a Demand Draft in favour of " XAVIER UNIVERSITY BHUBANESWAR " payable at BHUBANESWAR.
Step-4: Send the demand draft and one recent color passport size photograph with your name and program’s name (MBA-UMG) written on the reverse of both to Admissions Office, Xavier University, XIMB Campus, Xavier Square, Bhubaneswar-751013, Odisha, super scribing the envelope with “APPLICATION FOR MBA-UMG”.

1. Choice of Interview Center:
(Select only one center)
PERSONAL DETAILS
2. Name of the Candidate :
Your answer
3. Email ID:
Your answer
4. Mobile Number:
Your answer
5. Gender:
Required
6. Date of Birth:
MM
/
DD
/
YYYY
7. Age (As on May 31, 2018)
Your answer
8. Alternate Phone Number:
Your answer
9. Category:
10. Alternate Email ID:
Your answer
11. Are you a domicile / native of Odisha ?
Required
12. Nationality
Required
13. Father's / Guardian's Name:
Your answer
14. Mother's Name:
Your answer
15. Present Address (for correspondence):
15(a) Address line-1
Your answer
15(b) Address line-2
Your answer
15(c) Address line-3
Your answer
15(d) City
Your answer
15(e) State
Your answer
15(f) PIN Code
Your answer
16. Permanent Address :
16(a) Address line-1
Your answer
16(b) Address line-2
Your answer
16(c) Address line-3
Your answer
16(d) City
Your answer
16(e) State
Your answer
16(f) PIN Code
Your answer
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