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APPLICATION FORM MBA 2019

DEPARTMENT OF MANAGEMENT STUDIES


JAI NARAIN VYAS UNIVERSITY JODHPUR

1. This application is a key part of the admission process. Candidates need to provide
complete and valid information. Incomplete and invalid information will be treated
seriously. Any admission granted on the basis of incorrect information shall stand
cancelled.
2. In all matters concerning admission to the MBA courses, the decision of the institute will
be final and binding on the applicants. We will not entertain any correspondence regarding
non-selection to MBA.
3. Fill a separate form for each course you are applying for, along with a separate DD
respectively.

Tick the Course:

Executive MBA MBA FS MBA T&H

Space for
Tick the Category as Applicable: Recent
Photograph

Gen SC ST OBC PH KM Other Please Specify

Bank Details:
Bank Draft No. Dated: Specimen Signature

for Rs. of (Name of Bank)

1. Full Name of Candidate: (IN BLOCK LETTERS) As per Last qualifying exam.

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(First Name) (Middle Name) (Surname)

2. Father's Name (IN BLOCK LETTERS) As per Last qualifying exam.

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(First Name) (Middle Name) (Surname)

3. Mother's Name (IN BLOCK LETTERS) As per Last qualifying exam.

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(First Name) (Middle Name) (Surname)
4. Marital Status: Married Unmarried
5. Husband's Name: _
(First Name) (Middle Name) (Surname)

Department of Management Studies, Jai Narain Vyas University, Jodhpur


APPLICATION FORM MBA 2019
6. Date of Birth: Day Month Year

7. Gender: Male Female

8. Place of Birth: Town District State

9. Nationality:

10. Permanent Address and Telephone No. / Mobile No. (Compulsory)

11. Corresponding Address and Telephone No. / Mobile No. (Compulsory)

12. E-mail: (IN BLOCK LETTERS Compulsory))


13. Details of Qualifying Examination:
Examination Name of Year Max. Marks Obt. % Division
Board / Marks
University
SECONDARY
SENIOR
SECONDARY
B.A./B.COM./
B.SC/BBA. (U. G.)
M.A./M.COM. (P.G.)
OTHER ( If Any)

• Note:- Please calculate your marks & Percentage claimed in the list above with
accuracy. Any discrepancy may lead to cancellation of admission
14. Details of Employment: (Start from current) (Only for Executive MBA)
S.No. Employer Designation From To Total No.
in
Months
1.
2.
3.

• Note: Certificates of above mentioned employment information should be enclosed.

Department of Management Studies, Jai Narain Vyas University, Jodhpur


APPLICATION FORM MBA 2019

15. Self-Analysis
Why do you want to join the programme ?

Declaration by the Candidate

1. I declare that the entries made by me in this form are correct and true to the best of my knowledge.
2. I undertake to abide by the rules and regulations of the University made from time to time and I shall
abide by the requirement of 75% attendance as per Hon’ble Rajasthan High Court Judgment.
3. I declare that I have not been charged for any criminal offence or for moral punishment by court.
4. I, further declare that if any entry in this form is found incorrect, I shall abide by the decision of
University Administration.
5. My Admission can be cancelled at any time on the grounds as deemed fit by the J.N.V. University.
6. Fees paid to University will not be claimed back in any condition.

SIGNATURE OF THE CANDIDATE

INSTRUCTIONS FOR FILLING THIS FORM:


Form and DD to be submitted at:
Department of Management Studies,
Opposite Senapati Bhawan, Ratanada,
Jai Narain Vyas University, Jodhpur (RAJ.)342011

• (MBA T & H and Executive MBA)


1. Candidates (MBA T & H and Executive MBA) are required to fill in this form
neatly and legibly and submit along with DD of Rs. 1,200/- in favor of “DMS
Entrance Test Account”, payable at Jodhpur.

• (MBA FS)
2. Candidates (MBA FS) are required to fill in this form neatly and legibly and submit
along with DD of Rs. 1,200/- in favor of “Head, DMS Entrance Test Account”,
payable at Jodhpur.

Candidates should write their Name, Contact Number and Name of Course applied
for on the back leaf of DD.
Following documents are required to be attached along with forms:
1. 2 sets of Photo copies of Secondary, Sr. Secondary & UG / PG Class Mark- sheets, and
Migration Certificate duly self-attested.
2. 2 sets of Photo copies of latest SC/ST/OBC/PH/KM Certificate duly self-
attested.
3. 1 self-addressed envelope with stamps affixed of Rs. 5/- each.
4. 1 passport size photograph.
5. Work Experience Certificate. (Only for Executive MBA)
Department of Management Studies, Jai Narain Vyas University, Jodhpur

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