Application Form for Global BBA Program
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Instructions for the applicants, visit : http://xebs.edu.in/global-bba.html
Personal Details:
1. Applicant Name: *
2. Email ID: *
3. Mobile Number: *
4. Date of Birth: *
MM
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DD
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YYYY
5. Age: *
6. Gender: *
7. Alternate Email ID:
8. Alternate Phone Number:
9. Are you a domicile/native of Odisha ? :
10. Nationality:
11. If Nationality is Others? Provide Passport Number
Family Details:
12. Father's / Guardian's Name: *
13. Mother's Name: *
14. Present Address (for correspondence):
14(a) Address line-1 *
14(b) Address line-2 *
14(c) city *
14(d) Pincode *
14(e) State *
14(f) Country *
15. Permanent Address:
15(a) Address line-1 *
15(b) Address line-2 *
15(c) city *
15(d) Pincode *
15(e) State *
15(f) Country *
Education-X
Please Enter 0 (zero) if Not Applicable
A1. Board - std. X *
A2. School - std. X *
A3. Date and Year of Completion - std. X *
MM
/
DD
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YYYY
A4.Percentage of Marks/CGPA - std. X *
Education-XII
Please Enter 0 (zero) if Not Applicable
B1. Board - std. XII *
B2. School / College - std. XII *
B3. Branch / Discipline - std. XII *
B4. Year of Completion - std. XII *
B5. Results Declared - std. XII *
Education - Others
Please Enter 0 (zero) if Not Applicable
C1. Qualification - Others *
C2.University - Others *
C3. Name of the Institute - Others *
C4. Branch / Discipline - Others *
C5. Year of Completion - Others *
C6.Result Declared - Others *
Application Fee Payment
Application Fee *
Amount of Rs. 1000
Documents
Photo *
Required
Signature *
Required
Declaration
I hereby declare that the particulars given in this application form are true and correct, and they will be supported by original documents when asked for. I am also fully aware that in the event of any information found incorrect or misleading, my candidature shall be liable to cancellation by the university at any time.
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