INSTITUTE OF BUSINESS MANAGEMENT

(Faculty of Business Management)

CHHATRAPATI SHAHU JI MAHARAJ UNIVERSITY, KANPUR

APPLICATION FORM FOR M.B.A. ADMISSION

 

FOR NRI/NRI SPONSORED CANDIDATES

 

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
6. (b) If appearing for final year Graduation (mention the name of the examination)__________________________
7. Educational Qualification:

Examination Passed

Examining body

Year

Division awarded

% marks obtained

Subject offered

High School or Equivalent

 

 

 

 

 

Intermediate or Equivalent

 

 

 

 

 

Graduation (Please mention Degee ------------)       I Year .....................    II Year ......................   III Year ...................... Aggregate ..................  
Post Graduation (Please mention Degree ------------)          

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 M.B.A. Part 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____________________________________

Seal


UNDERTAKING BY THE CANDIDATE

I am applying for admission in M.B.A. Programme under 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, M.B.A. Admission Test CSJM University, Kanpur - 208 024
2. For M.B.A. Full Time a candidate who has either passed with minimum 50% marks in the aggregate (45% in case of the candidates domiciled in the state of U.P. and belonging to the reserved categories SC/ST/OBC) or appeared in the final year examination of three year degree course in any discipline of a statutory university in India. However a candidate will not be treated as eligible for admission to the management course unless he/she has passed his/her qualifying examination with requisite percentage on or before admission.
3. 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.

 

TO BE FILLED IN CASE OF NON-RESIDENT INDIANS

1. COUNTRY OF RESIDENCE _______________________________________________________
2. COMPLETE MAILING ADDRESS _______________________________________________________

3. LOCAL CONTACT ADDRESS (IF ANY)

_______________________________________________________

(PROOF OF NRI STATUS e.g. DULY ATTESTED PHOTOCOPY OF VISA/PASSPORT MUST BE ATTACHED)


TO BE FILLED IN CASE OF INDIAN NATIONALS SPONSORED BY NRI

1. NAME OF THE SPONSOR _______________________________________________________
2. COMPLETE MAILING ADDRESS OF THE SPONSOR _______________________________________________________

3. LOCAL CONTACT ADDRESS (IF ANY)

_______________________________________________________

(PROOF OF THE SPONSOR'S NRI STATUS e.g. DULY ATTESTED PHOTOCOPY OF VISA/PASSPORT AND CERTIFICATE OF SPONSORSHIP MUST BE ATTACHED AS PER ANNEXURE-I)

DECLARATION

I do hereby declare that the information furnished by me in respect of all the above items is true to the best of my knowledge. In case any of the information is found to be incorrect or false at any stage my admission automatically stands cancelled.

Date : .......................

Place : ........................                                                                                                    (Signature of the Applicant)

LIST OF ENCLOSURES

I ................................................................................... V ...................................................................................
II ................................................................................... VI ...................................................................................
III ................................................................................... VII ...................................................................................
IV ................................................................................... VIII ...................................................................................

 

ANNEXURE - I

PROFORMA

DECLARATION OF NON-RESIDENT INDIAN

(For sponsored candidate)

(THIS DECLARATION MUST BE CERTIFIED BY AN OATH COMMISSIONER/NOTARY)

I. ................................................................................... son/daughter of .............................................................. presently residing at ..................................................... do hereby solemnly declare that I am having a status of Non-Resident Indian, a proof of which is enclosed herewith, I, in capacity of non-resident Indian, sponsor the Candidature of :

Mr./Ms ..................................................... son/daughter of ..................................................... resident of ..................................................... for admission to the M.B.A programme of the CSJM University Kanpur for the session commencing July :

I undertake to pay all the University fees chargeable from the candidate being sponsored in US Dollars/Indian currency.

Date : .....................................................

Place : .....................................................                                                                                    Signature