* Only those who have taken maths/stats in PU or degree may apply 1

AIMIT
St Aloysius Institute of Management &
Information Technology
St Aloysius College
Mangalore - 5750 022


Application form

Application no:
(will be assigned on registration)

Master of Business Administration ( M B A )

Tick your specialization in the order of preference (Finance, Marketing, HR, Banking, Intl Business)
1._______________________________________
2._______________________________________
Note: The maximum number of students in a given combination will not exceed fifty. The selection will
depend on your preference and your performance in the first two semesters.

Note : kindly fill the form in CAPS.
Name: ....
Sex : M/F
Date of Birth : (DD/MM/YY)
Telephone: .. Email: ..
Status/Domicile :


Karnataka

other state

NRI

Religion :

Christian

Hindu

Muslim

Other
Caste:

SC/ST
( Valid cast certificates should be attached along with the application )
Test / Exam details : XAT / KMAT / MAT/CMAT/PGCET ID No: Score:
/.
Father's Name : Occupation:
Fathers Mobile/telephone :/.
Mothers Name :Occupation:....
Mothers Mobile/telephone : /..
Annual Income :Monthly Salary..
Permanent Address :
..
..
..

Do you need Hostel Accommodation?

Yes

no
Undergraduate degree completed (tick one of the following)


B.Com

B.Sc

B.B.M

B.C.A

B.A
*
.

B.E
Number of attempts :

One

More
Medium of Instruction :

English

other


Photo
* Only those who have taken maths/stats in PU or degree may apply 2
If other specify ..
Academic Record ( You are expected to enter all the information correctly as per the format given below )

Level Name of the Institution
Board/
University
%
Marks Class
Year of
Passing

Secondary
PUC (10+2)

Name of the College where you studied for degree



Marks Obtained
Semester Semester
Total
Mks
%
obtained

Class

Year of
passing
Max Obt Max Obt
Degree I year
Degree II year
Degree III year
Degree IV year
Total (Degree)

Work Experience :

Sl No Company Nature of Work No of Year




Personal Profile:
Temperament / Attitude :
Hobbies :
Reading Habit :
Membership of Associations :
Please note: You will submit letters of recommendation from at least two persons who have been your teachers.

DECLARATION

I hereby declare that the information given here is true. I shall abide by all the rules of the institute
regarding discipline and study. I shall try to do my best to excel in studies. I will pay the fees
regularly and in case I discontinue I shall pay the full amount.

Signature of the candidate Signature of the Parent
Date:

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