RGIPT MBA ADMISSION FORM 2016

Personal Infomation
    Name:          

    Father's Name: Mother's Name:

        

    Gender


Address Details
     

     

        

      

      

      

      

Educational Details
Examination Passed Name of Degree Name of Board/University/Institute Govt/Private Year % of Marks CPI
High School
Intermediate
Graduation

Work Experience
    1.

    2.

    3.



Qualifying Exam Score
    1.      

    2.      

  • Choice of WAT/PI Centre

    Preference 1:       Preference 2:       Preference 3:  

    • Payment Details Demand Draft Neft
    • DD. No.:          DD Date:

    • Bank Name:     Amount:
    • Neft Transaction No.:          Neft Date:


    Declaration
       I do hereby declare that the information furnished by me in respect of all the above items is true to the best of my knowledge. In case any of the above information is found to be incorrect or false at any stage my admission will automatically stand cancelled.