APPLICATION FORM OF

Master of Business Adminstration (MBA)

APPLIED FOR Select 2 yr MBA for Technocrats 2 yr MBA 1 yr Executive MBA  SCORE / PERCENTILE OF MAT OR CAT RANK OF JEMAT

Choice for 2 yr. MBA Select Siliguri Institute of Technology Techno India Meghnad Saha Institute of Technology Saroj Mohan Institute of Technology  Choice for 1 yr Executive MBA Select Salt Lake Kolkata Hooghly Siliguri Bangalore Gurgaon DelhiPune Chennai Hyderabad Mumbai

NAME ( In Block Letter) * GUARDIAN'S NAME

ADDRESS

GUARDIAN'S PROFESSION SelectGovt. ServicePvt. ServiceDoctorEngineerAdvocateChartered / Cost AccountentBank EmployeeOthers  DESIGNATION

Name of the organisation & Address DATE OF BIRTH (dd-mm-yyyy)

CONTACT NO * MOBILE NO

ACADEMIC QUALIFICATION

Exam Passed Board / Council / University Year of Passing % of Marks / Division / Class

Madhamik

Higher Sec. / 12th

Graduation

Post Graduation

Experience in Details

Declaration : I do hereby promise to obey the rules and regulations of the Institution if I am selected for admission.

* Indication Field is Mandatory