ADMISSION APPLICATION FORM
COURSE APPLIED FOR ADMISSION IN PGDM(MBA) PGDM(MBA) IN AGRI-BUSINESS MANAGEMNET PGDM(MBA) IN AVAIATION AND AIRPORT MANAGEMENT

Name of the Test OJEE MAT CAT ATMA XAT

Date of the Test appeared

Test Roll Number

Details of the Entrance Score

Full Name *

Date of Birth *

Father's Name *

Mother's Name *

Emailid * PhoneNo * AdharNo * BankAccountNo BankName Passport Number DrivingLicenseNumber

Present Address

HouseNo * Street/Village * City * District * State * Pin *

Permanent Address
Click to copy the present address

House No: Street: City: Dist: State:ODISHA Pin:

Gender MALE FEMALE Caste GENERAL SC ST OBC Religion HINDU SIKH MUSLIM CHRISTIAN JAINISM BUDHISM PhysicallyChallenged YES NO M.I.L Other Language Known

Occupation of Father/Guardian/Husband Phone Office Address

Occupation of Mother Phone

Family Annual Income LESS THAN 3LAKHS BETWEEN 3LAKHS AND 10 LAKHS MORE THAN 10LAKSH BplCategory NO YES

Presently in Employement NO YES Accomodation Assistance NO YES