SHREE SAHAJANAND INSTITUTE OF MANAGEMENT

SHREE SAHAJANAND INSTITUTE OF
MANAGEMENT
(Managed by Shree Swaminarayan Vidhyashram Trust)
(Approved by AICTE & Affiliated to GTU)
Ghogha Road, Bhavnagar – 364002
Ph: (0278) 2560046 M: +919099063361
Website: www.mbasim.org
E-mail: [email protected]
COURSE NAME:
MBA
/
MAM
Paste
your
Current
Passport Size Photo
here
APPLICATION FORM
FULL NAME:
FATHER / GARDIAN’S
NAME:
CORRESPONDENCE
ADDRESS:
CONTACT DETAILS:
(M):
FATHER / GARDIAN’S NO.
(M):
(R):
E-MAIL ID:
BIRTH DATE:
SEX:
MALE
CATEGORY:
RELIGION:
NAME & ADDRESS OF THE
COLLEGE LAST ATTENDED:
Shree Sahajanand Institute of Management, Bhavnagar
FEMALE
CMAT (if required):
SEAT NO
TOTAL
MARKS
MARKS
OBTAINED
RANK
YEAR OF
PASSING
EDUCATIONAL DETAILS:
COURSE
NAME
NAME OF
THE BOARD /
UNIVERSITY
TOTAL
MARKS
MARKS
OBTAINED
PERCENTAGE
YEAR OF
PASSING
U.G.
H.S.C.
S.S.C.
We solemnly declare that the information and particulars furnished by me in this
application are correct and true to the best of my knowledge and belief. If any information
is found to be incorrect, my application is to be rejected. I also understand that the decision
of the Institute regarding admission is final and in any circumstances the admission will not
be cancelled and fees will not be refunded, I shall abide by institutes’ all rules and
regulations.
_____________________
Signature of the Applicant
__________________________
Signature of Parents / Guardian
Date: ________________________
Place: ________________________
Shree Sahajanand Institute of Management, Bhavnagar
M.B.A.
 Applicant must attach self attested photocopies of the following
documents along with the Application Form:

Three Passport size photographs

Mark sheet of CMAT Examination

Mark Sheet of Graduation (All Semesters / All Years)

S.S.C. Mark Sheet

H.S.C. Mark Sheet

School Leaving Certificate

Attempt Certificate (H.S.C. & S.S.C. Both)

Cast Certificate for S.C. / S.T. / O.B.C. Candidate (If Applicable)

Non-Creamy Layer Certificate (If Applicable)

Certificate of Physical Disability / Ex-Serviceman (If Applicable)

Migration Certificate (If Applicable)
M.A.M.
 Applicant must attach self attested photocopies of the following
documents along with the Application Form:

Three Passport size photographs

Mark sheet of CMAT Examination

Mark Sheet of Graduation (All Semesters / All Years)

S.S.C. Mark Sheet

H.S.C. Mark Sheet

School Leaving Certificate

Attempt Certificate (H.S.C. & S.S.C. Both)

Cast Certificate for S.C. / S.T. / O.B.C. Candidate (If Applicable)

Non-Creamy Layer Certificate (If Applicable)

Certificate of Physical Disability / Ex-Serviceman (If Applicable)

Migration Certificate (If Applicable)
Shree Sahajanand Institute of Management, Bhavnagar