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MBA (Regular) Admission Application Form

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0% found this document useful (0 votes)
66 views2 pages

MBA (Regular) Admission Application Form

Uploaded by

sagarjaiswal235
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Dr B R Ambedkar National Institute of Technology, Jalandhar - 144008

Application Form for Admission to MBA (Regular) programme for the


Academic Session 2025-2026 (July 2025)

Course : MBA (Regular)

Application No. : 2025041133

Email : [email protected]

Department : Department of Humanities and Management

Personal Information
Name : GANGA SAGAR JAISWAL

Father's Name : ASHOK KUMAR JAISWAL Mother's Name : NILAM JAISWAL

Gender : Male Nationality : INDIAN

Category : OBC Person with disability status : No

Date of Birth : 03-Apr-2005

Contact Details
Correspondence Address : Jhaj ghat patal nagar barhaj Barhaj (Distt. Deoria) UP - 274601
Mobile : 9140032625 Email ID : [email protected]
Permanent Address : Jhaj ghat patal nagar barhaj Barhaj (Distt. Deoria) UP - 274601

Educational Qualifications
Degree Type Degree Name Year Institution University/Board Marks/ CGPA Max Marks/ %age of
and Discipline/ Obtained CGPA Marks
Subjects
Graduation Ba Hons arts 2025 Banars hindu university Banars hindu Result
university Awaited
Sr. Sec. Intermediate 2022 Shree krishna inter college UPMSB 379 500 75.8
School Exam.
Sec. School High school 2020 Mission high school UPMSB 463 600 77.16
Exam.

Other Information

Basis for applying for the admission to the MBA (Regular) programme:
Entrance test (CAT/ MAT/ CMAT)
Entrance Test Details:
Name of the Roll No. Date of Exam Percentile/NTA Rank
Entrance Test Score
CMAT UP08000338 25-Jan-2025 93.69 4056

Gap in Studies? : No

Passed the qualifying examination


: in the first attempt? Yes

Details of Application Fee


Transaction No. Transaction Date Amount Payment Mode Payment Status
113723968158 13-Apr-2025 13:19:25 1000.00 Online Paid

List of Enclosures
1. Qualifying Degree/Provisional Degree Certificate
2. CAT/MAT/CMAT Marks Sheet bearing percentile scores/NTA scores
3. DMCs bearing grand total of marks, marks obtained, percentage or CGPA
4. Category Certificate
5. Certificate of Matriculation bearing Date of Birth
6. 10+2 Certificate
7. Character Certificate from Institute last attended
8. Medical Fitness Certificate
9. Migration Certificate
10. Annexure B* (wherever applicable)
*The candidates who have appeared in final year of qualifying degree and their result is awaited shall submit self-declaration as at Annexure B.

UNDERTAKING BY THE APPLICANT

I clearly understand that my admission to MBA (Regular) programme in the Department of Humanities and Management is SUBJECT
TO THE RULES AND REGULATIONS OF Dr B R Ambedkar National Institute of Technology Jalandhar. I also understand that the
admission is being allowed to me on the basis of information furnished by me. In case any information or any particular is found
false/wrong at any stage, NIT Jalandhar can cancel my admission and all the fees deposited by me shall be forfeited. In such case, I
shall have no claim, whatsoever, in respect of my admission.

(Signature of Applicant)

FOR OFFICE USE ONLY

The application form/documents has been checked and verified.

A. The applicant is eligible for admission to MBA (Regular) programme in the


Department of Humanities and Management

B. The applicant is not eligible.

Chairman, Admission Committee

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