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Application Form For Admission

M.E.S-ADVANCED INSTITUTE OF MANAGEMENT AND
TECHNOLOGY (M.E.S-AIMAT)

MARAMPALLY PO, Aluva-683 107, Kerala, PH: 0484 2679966, 2679967, FAX: 0484 2679155

Application Form For Admission MBA MCA

Candidates to affix
Passport size Photo
(Size 3.5cm*4.5cm)

Name (in capital letters as in Degree Certificate / Mark Sheet)

Date Of Birth Age
Gender Marital Status
Religion Mother Tongue
Category
Nationality NRI
Details Of Parents
Father
Mother
Name
Occupation/Job Position

Present Address

Contact

:

Tel No, (with STD code)

:

Mobile

:

Email Address

:

Permanent Address


Tel No, (with STD code)

:

Languages Known (Other than English)

Language

Read

Write

Speak

Academic Record

Qualification

Year
From-To

Name Of school, Board, College, University & Place

Major Subjects

Total marks Obtained

% Marks (Aggregates)

Grade

Awards, Scholarships and Significant Achievements

Level

Academic

Sports / Game

Cultural Events

NCC / NSS Participation
If yes, give details
Details of work Experience

Organization

Designation

Date From      To

Annual Salary

Reasons for Leaving

Explain why you have chosen to study at M.E.S-AIMAT
How did you come to know about M.E.S-AIMAT (please)
Website News Paper Coaching Centre Student Alumni
Internet (mention site visited) Other Sources (specify)
Please write in capital letters the address to which communication should be sent
Mobile:
Declaration

I do hereby affirm that all the particulars furnished above are true to the best of my knowledge and belief and that I shall abide by the rules and regulations for admission to M.B.A / M.C.A programme in M.E.S – Advanced Institute of Management and Technology (M.E.S-AIMAT), Marampally.

Place 


Signature of the applicant

Date