RLIMS - MADURAI

RLIMS - MADURAI
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E-APPLICATION FOR ADMISSION TO MBA : 2018
Instructions
    1)All certificates (originals) should be produced at the time of interview.
    2)Partially filled up or incorrectly filled up applications will be summarily rejected
    3)The Registration and Application fee of Rs.300/- is to be sumbitted alongwith the filled in application at the time of Interview.
Name*
B. Personal data
Date Of Birth [DOB]*
Sex*
Contact No. (Mob)*
Contact No. (Landline)*
Religion*
Community*
Caste*
Nationality*
Address for communication Permanent *
Address1 :
Address2 :
City :
State :
Pincode :
Phone :
Temporary *
Tick if it is same as Permanent address.
Address1 :
Address2 :
City :
State :
Pincode :
Phone :
C. Admission Test Result
Candidates who have taken or willing to take MBA entrance test (CAT/MAT/TANCET/XAT/CMAT) are requested to furnish their test scores. The best test score will be considered ofr selection process.
Entrance Test Results
Name of the Entrance Test
Test Date
Roll No. / OMR No
Total Score
Percentile
Name of the Entrance Test
Test Date
Roll No. / OMR No
Total Score
Percentile
Name of the Entrance Test
Test Date
Roll No. / OMR No
Total Score
Percentile
D. Family details
Name of Parent/Guardian*
If Guardian, relationship with Guardian*
Occupation of Parent/Guardian*
Annual Income of Parent/Guardian*

(eg: 451250 without comma)

E. Academic performance
Education
StageName of CourseBoard/University InstituteName of Educational Institution% of marks obtainedYear of Passing Class/ Grade/ Division obtained
Secondary School Examination
Higher Secondary School Examination
Graduation
Post Graduation/ Professional Qualification
Extra - Curricular activities & Hobbies/Interests
Academic/Non-academic/ Achievements/Awards
G. Registration Fee : Rs.300/- .
From where did you come to know about RLIMS*
Photo Upload
Upload Photo*
Supported Formats : .png, .jpeg, .jpg, .gif
H. DECLARATION

I hereby declare that the particulars given by me in this application are true to the best of my knowledge and belief.

I undertake to submit all testimonials in support of this application, if called for interview.

If any discrepancies are found in it at a later stage after admission, RLIMS will have the right to ask me to withdraw from the Programme after paying the balance tuition fee. I also confirm that I shall abide by all rules and regulations of the Institute in the conduct of the Programme.

Place :
Date :