B-27, Knowledge Park-III, Greater Noida-201306 (Uttar Pradesh)
 
APPLICATION FORM FOR ADMISSION TO (SESSION 2010-2011)
 
Instructions:
 
1. Please read Information Brochure carefully before filling each items of Application Form.
2. No column should be left blank, write N.A. if not applicable.
3. To apply for MBA, please select the Branch applied for as "Master of Business Adm." and enter your MAT Score in the field specified below. Please enter "N.A." in the State Roll no/Rank fields.
4. To apply for MCA, please select the Branch applied for as "Master of Computer App.". Please enter "N.A." in the State Roll no/Rank fields and MAT Score field.
 
Branch Applied For

  Please enter your MAT score only to apply for MBA
  MAT Score:

 Please enter your State Rollno/Ranks only to apply for BTech
 
Roll No.
Rank
 State
 All India
 State All India
 
 
 
Name
           
 
Date of Birth
  Nationality    
 
Father's Name   Mother's Name    
 
Category  
 
Permanent Address   Postal Address
     
  Address
 
  State
  Pin Code
  STD Code
  Phone No.
  Mobile No.
  E-Mail ID
 
  Address
 
  State
  Pin Code
  STD Code
  Phone No.
  Mobile No.
  E-Mail ID
 
 
Educational Qualification
 
 
Passing
Year 		Board /
University 		Marks
Obtained 		Maximum
Marks 		% age   Division
 
10th
%
   
12th
%
   
Diploma
%
   
B.Tech/B.Sc/
B.Com/B.A.
%
   
Other
%
 
Date : 8/9/2010
   
Declaration : Certified that all entries in this form are correct.