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1. Personal Details
Student's Name *
Date of Birth*
Marital Status *
Address for Correspondence *(IN CAPITALS) (Do not repeat name)
Pin Code *
Medical History if any
Landline (with STD Code):
Permanent postal address * (IN CAPITALS) (Do not repeat name):
Landline (with STD Code)
Mobile Number *
Father's Name *
Father's Mobile Number *
Mother's Name *
Mother's Mobile Number
Office Address of Head of Family* (Father / Mother/ Guardian):
Annual Family Income in Rs.(Please tick appropriate column)
*Those who are in the final year of graduation should mention the marks obtained till the last exam for which results are available.
*Convert CGPA into Marks. For example CGPA 6.5/10.0 will become 65%.
Language Proficiency (Select low/medium /high under Reading/writing/speaking as per proficiency)
Describe your Work Experience beginning from the most recent fulltime paid-job
Total Experience (No. of Months.
Address of Current Employer (if applicable)
Date when you would like * to take NUMAT
(Not applicable to those who have valid CAT/XAT/MAT/GMAT scores. However, candidates are allowed to take NUMAT to improve their scores)
Appeared for aptitude tests
Entrance Test Percentile (if applicable):
(You can fill all the valid scores. Submit copies of all score cards. In case of CAT, XAT, & MAT, tests taken after August last year are applicable. For GMAT test taken during last two years are valid)
Declaration by Applicant
I, the undersigned, affirm that the information furnished above is correct to the best of my knowledge and belief, and that I will accept as final and binding the decision of NIIT University, regarding my admission to the program. If any information provided by me is found to be incorrect at a later date, NIIT University is authorized to take any action against me that it deems fit, including legal action. I hold myself responsible for all the dues and prompt payment of fees, if selected. I have noted that fees once paid are not refundable under any circumstances except as per the rules of the University. I have gone through admission rules and regulations of the university and understood them.
Enclosures (Self attested copies)
Please send scanned copies of below mentioned documents to email@example.com or send self-attested photocopies of the documents by courier to NIIT University Admissions office, NIIT House, Plot no. 85, Sector 32, Institutional Area, Gurgaon 122 001
How did you get to know about NIIT UNIVERSITY?
COACHING INSTITUTE (Name)
ANY OTHER: (PLEASE SPECIFY)
STATEMENT OF PURPOSE
(Please write legibly in the space provided)
In the space below, please write your Statement of Purpose for wishing to undertake M.B.A program. Your answer will be used to assess your suitability for the program. Do not exceed the space provided. Typically, your answer should include your reasons for doing this program, how the program relates to your background and experience so far and what you wish to achieve after completing this program.
In the space given below, mention the names of two persons who have influenced/impressed you the most and also mention the reasons
In the space given below, mention one adverse situation in your life that you had to face and how you managed that situation.
In the space below, please mention highlights of your academic career including awards, scholarships or any other relevant details.
In the space given below, please mention highlights, achievements, clarifications or additional comments about your work experience.
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