Master in Business Administration. For admission to Private lnstitutes affiliated* to University of Jammu.

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1 Form No. MAT Registration No. MAT Centre Code Recent photograph duly attested by a Gazetted Omcer ft-ft-ft-ft-ft_l ft-ft-fl University of Jarnmu M.B.A Master in Business Administration Session For admission to Private lnstitutes affiliated* to University of Jammu. lmportant Points:. Incomplete form shall not be entertained.. Please ensure that you fill MAT Registration No. and MAT Centre Code.. Arrange/sequence all the required documents and marksheets to be sent along with the form.. ln case of online application, attach a demand draft of Rs. 500/- (Rs. 400/- in case of SC/ST Gategory) in favour of Director, The Business School, University of Jammu, payableatjammu. (To be filled in bytheapplicant). Name of theapplicant. DD No. Bank- (Please y') Dt. Director The Business School, University of Jammu Jammu , J&K, lndia Tel/Fax (01 91 ) Ph. No: Mob: *Temporary affiliation to the University of Jammu is extended on year-to-year basis. The complete list of institutions affiliated to University of Jammu for the year will be displayed at the time of centralised allotment of seats.

2 PERSONAL INFORMATION 1. Name of the Applicant (in capital letters a) Father's Name (in capital letters) b) Designation/Occupation J. 4. c) Annual lncome of the Father/Guardian Date of Birth Dav f-t-l Month[-T_l Year f-f-f-t-l a) Address for Correspondence b) Permanent Address 5. c) ContactTel. No. (R) 0 (M) 0 (STD code) (y') Tickwhichever is applicable: Sex: Male I Female I o. Universityfrom which the Bachelor's Degree completed 7. Year of Passing 8. Nationality 9. State of Domicile

3 I Academic Record.^ Ol.vr b33 tt. vr 3 F Ir. yr o 1i tv. yr 69 *E >o Any other Exam 11. Work Experience Qrganisation Designation Duration Monthly From I To emoluments drawn Total Marks Remarks 12. Distinction in Games, Sports, Culturalevents (Please give details such as name ofthe event, organisor, venue, year, position etc. with certificates. No certificate(s) shall be entertained afterthe submission of the application form) a) Sports For applicants who have been engaged in sports activities during the tenure of the qualifying Bachelor's Degree ular student (use extra sheet if r a b) Cultural and Literary Activities For applicants who have been engaged in Cultural and Literary Activities during the tenure of the qualifying Bachelor's degree as a regular student (use extra sheet if required) S.No

4 T C) NationalCadet Corps For applicants who have been engaged in the NCC activities during the tenure of the qualifying Bachelor's Degree as a ular student (use extra sheet if required). d) NationalSocial Service / Bharat Scouts & Guides For applicants who have been engaged in NSS activities during the tenure of the qualifying Bachelor's Degree as a regular student (use extra sheet if required) Declaration to be made by theapplicant I solemnly declare that: (a) All information given by me in this application form is complete and correct. I further declare thai all documents attached with my application form are genuine. ln the event of this being fou nd othemise, my candidature shall automatically stand cancelled besides any other action that may be taken against me by the University for my criminalor civil liability. (b) ln the event of my being granted ad mission to the MBA course, I shall faithfully abide by the N.4 BA Statutes of the University of Jammu. ln case of any violation of these Statutes on my part, the decision of the University regarding any disciplinary action against me under rules shall be final and binding on me; (c) I shall not engage myself in any kind of employment, nor take up any other course/appear in any other University examination, if granted admission to the l\,4 BA Cou rse in the University till the time I complete the course; and (d) t shall not indulge in ragging and abide by all norms and remain disciplined. ln case of any violation, I shall be liable to any action under law, includinq cancellation of my admission by the tjniversity. Date: (Signature of the ParenUcuardian) Check List of documents: (l) Tick (if enclosed). Write the S.No. on 1) 1oth class Diploma and l\,4ark Sheet 2) '12th class l\.4arksheet 3) Bachelor's Degree MarkSheets (For all years/semesters) 4\ 5) 6) 7) 8) Experience Certificate Provisional/Character Certificate Any Other Document(s) Affidavit(s) MAT Score card each attested tr tr Signature of the Applicant Date: photocopy attached in the given sequencel Total No. of DocumentsAttached: (Signature of the Receiving Official) Datei T Checked & Received

5 University of Jammu, Jammu ACKNOWLEDGEMENT CARD Received Application Form No _ for lmaster in Business Administration (Session ) in Private Institutions afilliated* to the University of Jammu, Jammu. Receipt Cterk Note: 1. Unstamped/understampes and without address acknowledgment card shall not be mailed to the candidate. No postage is necessary, if delivered personally orbyhand; and 2. Mere submission of the Application Form does not confer upon the right for admission to the MBACourse. *Iemporary affiliation to the University of Jammu is extended on year-to-year basis. The complete list of institutions afiiliated to University of Jammu for the year will be displayed atthe time of centralised allotmentof seats.

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