INSTITUTE OF BUSINESS MANAGEMENT

CHHATRAPATI SHAHU JI MAHARAJ UNIVERSITY, KANPUR

APPLICATION FORM FOR B.B.A. PROGRAMME

For the Session Commencing July ..............

 

Tick the Category for which applying.

Normal Category/Self Supporting Category 

NRI of NRI Sponsored Category.

 

Particulars of the Applicant :

 

1. Full Name (in Block Letters)_______________________________

Duly Attested Passport size Photograph facing camera

______________________________________________________
2. Father's Name__________________________________________
3. Date of Birth____________________________________________
4. Complete Mailing Address________________________________
______________________________________________________
5. Category (Please mention)________________________________
(a) (SC, ST. OBC, Gen.)
(b) Enclose certificate from the  District Magistrate, if SC/ST/OBC, OBC candidate's certification should mention that he/she does not belong to the creamy layer as per GOI notification dated 08.09.93
  Name of Test Center Opted :_____________________________________________________________
6. Eligibility Category
(a) If already Intermediate or Higher Secondary i.e. (10+2) Pass (Mention)______________________________
(b) If appearing for final year Intermediate (mention the name of the examination)__________________________
(c) (i) Managerial Work Experience Mention Yes/No
  (ii) If yes, Number of years________________________________
7. Educational Qualification:

Examination Passed

Examining body

Year

Division awarded

% marks obtained

Subject offered

High School or Equivalent

 

 

 

 

 

Intermediate or Equivalent

 

 

 

 

 

Others (Specify)

 

 

 

 

 

(Enclose Attested copies of Certificates & Mark Sheets)

8. Work Experience:
Position held Organisation Last pay drawn p.m. Duration
From (Date) To (Date)
         
         
9. In the space below, additional information about extra-curricular achievement etc. may be given which, in the opinion of the applicant, entitles him/her to deserve special consideration.
10.

No objection/sponsorship certificate from the present employer, if employed:

Mr./Ms. ........................................... has been full-time employee of our organisation since ...........19.............. as (designation) ............................ The organisation has no objection in his/her candidature for B.B.A. full time programme of CSJM University, Kanpur. If selected we agree to release him/her as per the University schedule.

Date______________

Signature

Name of the Organisation________________________

Designation of Sponsoring

___________________________________________ Authority____________________________________

UNDERTAKING BY THE CANDIDATE

I am applying for admission in B.B.A. Programme under category ............................................. 

(Please mention whether Full Time Normal Category or self supporting category or NRI/NRI Sponsored Category)

I certify that the information furnished above is true to the best of my knowledge and belief. I understand that if anything is found false/incorrect at any stage, my candidature/admission to the course shall be cancelled without any refunds. If admitted to the course, I shall abide by all the rules and regulations of CSJM University, Kanpur.

I am aware that I have to submit the evidence criteria of passing final year intermediate at the time of admission, failing which I shall lose my claim for admission.

Date____________

  _________________________

Place___________

Signature of Candidate

 

 

IMPORTANT NOTES:
1. The application form duly completed must be sent by registered post addressed to Coordinator, B.B.A. Admission Test CSJM University, Kanpur - 208 024
2. The University shall not be responsible in case the admit Card is lost or is delayed in transit.
3. The allotment of centre will be at the discretion of the University.
4. Please ensure that your admission form is complete in every respect and each entry is filled. The incomplete application forms are liable to be rejected.