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Student's
Name *
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| Sex * |
Female
(MCIM is exclusively for women only) |
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Date
of Birth *
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Date
Month
Year
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Marital
Status * |
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Last
Exam Completed *
(Mention the Name of the Degree)
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Name
of the Institution Completed From*
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Year
of Completion *
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Number
of Attempts *
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Class
Secured Last Exam *
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Percentage
of Marks *
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Students
Nationality *
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Father's
Name *
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Mother's
Name *
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Place
Residing *
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Mobile
No *
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Phone
No
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Email
Address *
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Address for Communication *
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Other
Details
(if
any)
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Other Competitive Examination Taken
(any
one is mandatory) *
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XAT
Percentile
|
% |
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MAT
Percentile
|
% |
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CAT
Percentile
|
% |
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*
Mandatory Informations
*
Student who apply online are required to buy an application
form from our Institute Office if you are called for the
Interview.
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