Online Application Form

SECONDARY SCHOOL LEVEL INFORMATION

Stage	Name of the School*	Board (SSLC, CBSE,ICSE etc)*	Medium of Instruction	% of marks obtained*	Class/ Division Obtained	Year of Passing*
X Class
XII Class

SSLC Copy*

HSC Copy*

GRADUATION DETAILS

Name of the College*

Name of the University*

Which State is the University Located in*

Name of the Degree*

Is it regular/correspondence/part time/off campus?*

Medium of Instruction*

Details of Degree Marks

Year/Semester	I*	II*	III	IV	V	VI	VII	VIII	Total (So far)
Total Marks
Marks Obtained
% of Marks

UG/B.Tech Percentage:

DETAILS OF ENTRANCE TEST

Test Name	Roll No.	Date of Test	Composite Score	Percentile
KMAT
CMAT
CAT

Entrance Score Card upload:

ADDITIONAL QUALIFICATIONS IF ANY.

Name of the course

University/Institute

Month & Year

% of Marks

WORK EXPERIENCE

(Mention full time/part time paid employment after graduation only, Do not include Training/Project work/work done as integral part of curricular requirements)

Organisation	Designation	From	To

Specify why you want to pursue MBA at MIM

How did you come to know about MIM (Please tick):

Students of MIM

Teachers of your college

Advertisement in Magazines and Newspapers

Online Advertisement

Career Guidance Agencies

Exhibition

Management Fest (Caligo)

Training Programmes

Declaration by candidate*
I hereby declare that if I am admitted to the college, I will abide by the rules and regulations of the college and will do nothing wrong, either inside or outside the college that will interfere with its administration ,discipline and reputation.
I understand that:-
1. Any admission granted on the basis of false/wrong information provided by me, is liable to be cancelled and the fee will be forfeited
2. Those students who were in the final year of degree at the time of Entrance Test and failed to present evidence of graduation with requisite percentage of marks within 60 days of the commencement of the session will cease to be a student
3. A student expelled on disciplinary grounds will not be eligible for refund of any fee
I do affirm that all information furnished in this application by me are true to the best of my knowledge and belief.

Declaration by parent/Guardian*
I, hereby declare that if he/she is admitted to the course, I shall make myself conversant with the rules and regulations of the college and take responsibility of his/her good conduct and discipline inside and outside the institution

Online Application

PERSONAL DETAILS

FAMILY DETAILS