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applicationformformbaadmission2016-bit
SCHOOL OF MANAGEMENT STUDIES
APPLICATION NUMBER:
BANNARI AMMAN INSTITUTE OF TECHNOLOGY
Autonomous Institution affiliated to Anna University , Chennai Approved by AICTE, Accredited by NBA, New Delhi and NAAC with ‘A’ Grade Sathyamangalam– 638 401 Erode District Tamilnadu India
Ph. 04295 – 226000 Fax : 04295 – 226666
E-mail : sms@bitsathy.ac.in Website : www.bitsathy.ac.in
APPLICATION FORM FOR MBA ADMISSION 2016
A. GENERAL INFORMATION
1. NAME :
2. DATE OF BIRTH : DD MM YYYY
3. GENDER : F M
4. MAILING ADDRESS :
5. PERMANENT ADDRESS :
AFFIX RECENT PASSPORT SIZE COLOUR PHOTO HERE
HOUSE /STREET
HOUSE /STREET
TOWN/CITY PINCODE STATE
6. NATIONALITY :
FOREIGN NATIONALS PROVIDE PASSPORT NUMBER
TOWN/CITY PINCODE
7.
CONTACT DETAILS :
PASSPORT NUMBER :
LAND LINE with STD code : MOBILE :
EMAIL:
8. COMMUNITY : OC BC MBC OBC SC ST
9. PARTICULARS OF THE PARENT/GUARDIAN PLEASE TICK :
NAME : OCCUPATION :
ANNUAL INCOME in INR :
CONTACT DETAILS : LAND LINE with STD code : MOBILE :
EMAIL:
B. ACADEMIC RECORD
1. Particulars Degree Group/ Branch
School / Institution Board / University Year
of Passing
Percentage
Secured
Class
HSc
Graduation
Post graduation & Others if any
2. ACADEMIC ACHIEVEMENTS : Scholarships/Ranks/Medals/Prizes
3. CO-CURRICULAR INTERESTS:
4. EXTRA CURRICULAR INTERESTS:
5. COMPUTER PROFICIENCY :
LANGUAGES: PACKAGES:
C. PROFESSIONAL EXPERIENCE
1. ORGANIZATION POSITION JOB PROFILE TENURE
2. ACHIEVEMENTS if any :
D. SCORE IN COMPETITIVE EXAMINATION S
NAME OF THE EXAM: SCORE :
E. ARTICULATION
1. I want to pursue Management Education because:
2. YOUR EXPECTATIONS FROM THE PROGRAMME:
1.
2.
3.
4.
F. HOW DID YOU COME TO KNOW ABOUT US? PLEASE TICK
Advertisement MAT Bulletin Friends Students of BIT Website Employees of Bannari Amman Group Coaching
Centres Others
Please specify PLACE: DATE: SIGNATURE:
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