PLEASE READ THE INSTRUCTIONS CAREFULLY BEFORE FILLING THE FORM

INSTRUCTIONS

1. Details are to be filled in BLOCK LETTERS and in the candidates 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).

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
Coordinator - Admissions
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: asbadmissions@am.amrita.edu

DD should be made payable to Amrita School
of Business payable at Kollam.
Coordinator - Admissions
Amrita School of Business
Amrita Vishwa Vidyapeetham
Kasavanahalli, Carmeleram P.O.,
Bengaluru - 560 035
Karnataka State, INDIA
Ph: +91 (80) 25183700
Mob: +91 9901913404
Email: admissions@mites.amrita.edu

DD should be made payable to Amrita Vishwa
Vidyapeetham payable at Bengaluru.
COIMBATORE CAMPUS KOCHI CAMPUS
Coordinator - Admissions
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: asbadmissions@amrita.edu

DD should be made payable to Amrita School
of Business payable at Coimbatore.
Coordinator - Admissions
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 9544330307
Email: asbadmissions@asb.kochi.amrita.edu

DD should be made payable to Amrita Vishwa
Vidyapeetham payable at Kochi.



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)

4. Enclosed employers certificate

5. Indicated two names of referees

6. Answered all questions on the application form

7. Enclosed answers for questions H to I

8. Entered your choice of centre for personal interview (only one)

9. Entered your choice of campus preference

10. Filled in the campus address of your first choice on the envelope

11. Enclosed DD

12. Enclosed a self-addressed stamped postcard

Caution: Incomplete application forms may be rejected













To be received latest by February 28, 2014.





*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.
















A. PERSONAL DATA

A1.




A2.



A3.



A4.










AMRITA SCHOOL OF BUSINESS
MBA and MBA-MS APPLICATION FORM (2014 - 2016)


Affix a
Passport Size
Photograph
(Taken within the
last 6 months)
Provide your test details below. Attach a photocopy of your test score.
TEST CAT MAT XAT GRE GMAT
Reg /Form/Roll No. Form No. Roll No.
Test date:
Percentile/Score: Percentile Percentile Percentile Score Score
Email used for
Registration


CAMPUS PREFERENCE: (Write 1-4 in the boxes below, 1 indicating first choice)
Amritapuri Bengaluru Coimbatore Kochi


PREFERRED RESIDENTIAL STATUS:
Residential Day Scholar *


Choice of ASB Centre for the Personal Interview (Please one): Ahmedabad Amritapuri Bengaluru
Bhubaneswar Chennai Coimbatore Hyderabad Kochi Kolkata Lucknow Mumbai New Delhi

Name in BLOCK letters (As per your degree certificate)



Date of Birth
D D M M Y Y



Age
Years Months


Gender
Male Female

Marital Status
Single Married

Religion


Community / Caste
OC BC OBC MBC SC ST


Mother Tongue


Blood Group


Permanent Address Mailing Address








Pin Pin
Phone: STD code - Number Phone: STD code - Number
Email: Mobile:

Form No:

Page 1 of 4
B. FAMILY DETAILS

B1.




B2.






C. ACADEMIC QUALIFICATIONS & RECOGNITIONS

C1. EDUCATION



Fathers/Guardians Name:

Age:


Occupation:


Please enclose attested copies of all mark sheets and degree certificate received
Level
Name of
Examination
Year of
passing
No. of
Attempts
Branch/Major
specialization
Examining /
Certifying
Authority
Educational Institution Division
Percent
age /
GPA
SSC/
Equivalent

HSC/
Equivalent

UG Degree
I
st
year



UG Degree
II
nd
year

UG Degree
III
rd
year

UG Degree
IV
th
year

PG Degree
Other qualifications (if any)
a)

b)


Page 2 of 4
Mothers Name:

Age:

Occupation:


C2. Please account for breaks in your academic career, if any.





C3. MERITORIOUS ACHIEVEMENTS (For co-curricular activities, use section E)















D. WORK EXPERIENCE



























E. MAJOR CO-CURRICULAR ACTIVITIES




(Academic/Professional Awards/Medals/Prizes/Scholarship/Certificates/Honours, etc.) Please enclose attested copies.
No. Name of Award Awarding Institution
Academic
Level
Basis of Award Year
1.
2.
3.

(Please furnish a certificate from the last employer)
No.
Name of
Organisation
Annual
Turnover (in
lakhs)
Rs.
Employee
strength
(in Nos.)
Category
*
F/A/O
Designation
Reporting to
(Designation)
Nature of Job
Period
From - To
(in months)
Monthly
Salary
1.
From

To
In months
2.
From

To
In months
3.
From

To
In months
* F - Full time A - Apprenticeship/Vocational O - Others (Please specify)

No. Activity Role
Academic
Level
Year
Honours (if any) Remarks
From To
1.

2.

3.


Page 3 of 4
F. PLEASE FURNISH TWO REFERENCES Should not be close relatives. ASB may contact the referees if necessary.




















REFLECTIVE ESSAYS (G TO I) - USE ADDITIONAL SHEETS
Write Reflective essays on the topics given below in about 400 words for each question

G. How will you introduce yourself to your classmates when you join the MBA class of 2014 at ASB?
H. What are your career objectives and what do you need to learn at ASB to accomplish them?
I. Tell us about a mistake you made in your life and what you have learned from the experience?
J. How did you come to know of ASB?









K. 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)

L.






Place:
Date: (Signature of the Parent/Guardian)
Name: Name:
Occupation: Occupation:
Address:
Address:
(1) (2)
Pin Pin
Phone: STD code - Number Phone: STD code - Number
Mobile: Mobile:
Email: Email:

1. CAT Coaching Centres: IMS T.I.M.E. PT Education Career Launcher Other (please specify)

2. Newspaper: The Hindu Times of India Indian Express Other (please specify)

3.
Internet AIMA Amrita University M.A. MATH IIMs MBA Universe PagalGuy Alumni
Friends Relatives Other (please specify)

UNDERTAKING:
I father/mother/guardian of
do hereby accept responsibility for good
conduct of my son/daughter/ward during the entire period of the course, both inside and outside the campus.

Page 4 of 4