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
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