1. travel
2. transports
3. air travel
4. airlines

PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE FILLING THE FORM
INSTRUCTIONS
1.
Details are to be filled in BLOCK LETTERS and in the candidate’s own handwriting, neatly and
legibly. The form should be COMPLETE in all respects. Wherever not applicable please write ‘NA’.
2.
Provide your contact telephone numbers – both landline (with STD code) and mobile, correct
email ID and full address (with pincode).
3.
Please do not enclose any original testimonials along with the form.
4.
Please enclose attested copies of mark sheets, certificates of meritorious achievements and any
certificate(s) for work experience.
5.
All original certificates and mark sheets should be produced only at the time of personal
interview.
6.
Please provide correct information of the test taken (CAT / MAT / XAT / GMAT / GRE / CMAT).
7.
Please send the completed application form to the campus of your FIRST choice, enclosing a DD
in the amount of Rs. 1,000/-. The DD payment details for the respective campuses is mentioned
below.
AMRITAPURI CAMPUS
BENGALURU CAMPUS
Admissions Chair
Amrita School of Business
Amrita Vishwa Vidyapeetham
Amritapuri, Clappana P.O.,
Kollam - 690 525
Kerala State, INDIA
Ph: +91 (476) 2808117
+91 (476) 2808100
Email: [email protected]
DD should be made payable to
Business payable at Kollam.
Amrita School of
Admissions Chair
Amrita School of Business
Amrita Vishwa Vidyapeetham
Kasavanahalli, Carmeleram P.O.,
Bengaluru - 560 035
Karnataka State, INDIA
Mob: +91 – 9901913404
+91 – 9342022297
Email: [email protected]
should be made payable to Amrita Vishwa
Vidyapeetham payable at Bengaluru.
DD
COIMBATORE CAMPUS
Admissions Chair
Amrita School of Business
Amrita Vishwa Vidyapeetham
Amrita Nagar P.O., Ettimadai
Coimbatore - 641 112
Tamilnadu State, INDIA
Ph: +91 (422) 2652122
+91 (422) 2685402/403
Mob: +91 – 9943117777
Email: [email protected]
DD should be made payable to Amrita
Business payable at Coimbatore.
School of
KOCHI CAMPUS
Admissions Chair
Amrita School of Business
Amrita Vishwa Vidyapeetham
AIMS Campus, Amrita Lane,
AIMS Ponekkara P.O., Kochi - 682 041
Kerala State, INDIA
Ph: +91 (484) 2857942/43
+91 (484) 4007942/43
+91 – 9400998635
Email: [email protected]
DD
should
be
made
payable
to
Amrita Vishwa
Vidyapeetham payable at Kochi.
Page 1/4
Before sealing the envelope please check for the following :
1.
Enclosed attested copies of all mark sheets and degree certificates
2.
Enclosed attested copies of certificates of meritorious achievements
3.
Enclosed attested copy of the test scores
(CAT/MAT/XAT/GMAT/GRE/CMAT)
4.
Enclosed employer’s certificate
5.
Indicated two names of referees
6.
Answered all questions on the application form
7.
Entered your choice of centre for personal interview (only one)
8.
Entered your choice of campus preference
9.
Filled in the campus address of your first choice on the envelope
10.
Enclosed DD
11.
Enclosed a self-addressed stamped postcard
Caution: Incomplete application forms may be rejected
Page 2/4
Affix a
Passport Size
Photograph
(Taken within the
last 6 months)
AMRITA SCHOOL OF BUSINESS
MBA and MBA-MS APPLICATION FORM (2015 - 2017)
Form No:
To be received latest by February 22, 2015.
PREFERRED RESIDENTIAL STATUS ():
Residential
Day Scholar *
CAMPUS PREFERENCE: (Write 1-4 in the boxes below, 1 indicating first choice)
Amritapuri
Bengaluru
Coimbatore
Kochi
\
*Students who are living with their parents in the city where the campus is located can avail this facility, if they are located within 30 km from campus.
Provide your test details below. Attach a photocopy of your test score.
TEST
CAT
MAT
XAT
Reg /Form/Roll No.
Form No.
GRE
GMAT
CMAT
Score
Score
Score
Roll No.
Test date:
Percentile/Score:
Percentile
Composite percentile
Percentile
Email used for Reg:
Choice of ASB Centre for the Personal Interview (Please  one):
Bhubaneswar
Chennai
Coimbatore
Ahmedabad
Hyderabad
Kochi
Kolkata
Amritapuri
Lucknow
Bengaluru
Mumbai
New Delhi
PERSONAL DETAILS
Name in BLOCK letters (As per your degree certificate)
Age
Years
Date of Birth
Months
D
M
M
Y
Y
Male
Community / Caste
Religion
OC
Marital Status
Gender
D
BC
Mailing Address
OBC
Mother Tongue
MBC
SC
STD code
Married
Blood Group
ST
Permanent Address
Pin
Phone:
Single
Female
-
Pin
Number
Phone:
Mobile:
Mobile:
Email:
Email:
STD code
-
Parent/Guardian Name:
Number
Age:
Occupation:
Mobile:
Email:
Phone:
STD
Page 3/4
ACADEMIC QUALIFICATIONS:
Please enclose attested copies of the certificates
Name of
Examination
Level
School-Board / collegeUniversity
Year
Branch
From
To
Percentage /
GPA
SSC/ Equivalent
HSC/ Equivalent
UG Degree
PG Degree
Other
Please account for breaks in your academic career, if any and why?
MERITORIOUS and CO-CURRICULAR ACHIEVEMENTS:
(Academic/Professional Awards/Medals/Prizes/Scholarship/Certificates/Honours, etc.)
No.
Name of Award
Awarding Institution
Please enclose self-attested copies.
Academic Level
Basis of Award
Year
1.
2.
3.
WORK EXPERIENCE:
No.
Name & Address of the Organization
(Please furnish a certificate from the last employer)
Period
Nature of Job
Monthly Salary
From
To
Designation
1.
2.
3.
REFERENCES: Should not be close relatives.
Name:
Name:
Occupation:
Occupation:
Address:
Address:
Pin
Phone:
STD code
Pin
-
Number
Phone:
Mobile:
Mobile:
Email:
Email:
STD code
-
Number
How did you come to know of ASB?
1. CAT Coaching Centres:
2. Newspaper:
3.
Internet
Friends
AIMA
IMS
T.I.M.E.
PT Education
The Hindu
Times of India
Amrita University
M.A. MATH
Relatives
Career Launcher
Other (please specify)
Indian Express
Other (please specify)
IIMs
MBA Universe
PagalGuy
Alumni
Other (please specify)
DECLARATION
All entries made in the application form are true to the best of my knowledge and belief. I am willing to produce original
certificates on demand at any time. I also undertake that I shall abide by the rules and regulations of ASB and the University.
Place:
Date:
(Signature of the Applicant)
Page 4/4