University of Petroleum & Energy Studies

http://upes.ac.in/admission/form-submitMBA.aspx

Your Application Form for MBA has been submitted successfully.

You must take a print out of the completed application form after successful submission. Your Application form Number is

7001754

Please remember the form number for future reference. Applicant Category

Non-Exam MBA MOHAN RAO VEMURU RATNAM V Father 14/06/1990 Male No General

1. 2. 3.

Program Applied For Candidates Full Name Guardian's Name Guardian Type

4. 5. 6. 7. 8.

Date of Birth Gender Domicile of Uttaranchal Category Program Choice First Preference Second Preference Third Preference

MBA Oil & Gas Management (22005) MBA Port & Shipping Management(22008) MBA Power Management (22007)

9.

Choice Of Exam Centre First Preference Second Preference

10.

Educational Qualification 10
th

Standard Year of Passing 2005

Percentage 84.66 12th Standard Stream Science Graduation B.E./BTECH Status

Percentage 91.40 Percentage 65.20 MAT 11b. Appeared MAT/CAT Exam Dec11

Year of Passing 2007 Year of Passing 2011

Completed

11a. Non-Exam Category 11. CAT / MAT / GMAT Roll No. 909140165 12. Communication Address Address Line1 2-1-183,kotha peta vari street, Address Line2 nawabpet,nellore-2 City nellore 13. School/ College Name(Last Attended) Audisankara College of Engg and Tech 14. Telephone Number with STD Code 15. Mobile Number 7416149343 16. Pin Code 524002 17. Email Address mohanins2010@gmail.com 18. Candidates Statement of Integrity

11c. Percentile MAT/CAT 96.34

State Andhra pradesh

Country india

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University of Petroleum & Energy Studies

http://upes.ac.in/admission/form-submitMBA.aspx

Yes 19. Candidates Signature

20.

Select Your Payment Option

Please take a Print Out of This Application Form For Future Reference by clicking on 'Print Form' at the bottom of the form. Candidates can procure Prospectus and Application Form By Demand Draft Of Rs. 1700/- in favour of UPES Fee A/C Payable At Delhi. Candidates can submit Print Out of this Application Form along with Demand Draft Of Rs. 1700/- in favour of UPES Fee A/C Payable At Delhi. OR Candidate Can Make Online Payment of Rs. 1700/- By Clicking On the 'Make Online Payment' Option. For further clarification please contact
Enrollment Office University of Petroleum & Energy Studies PPHDCCI, 3rd Floor, 4/2 Siri Institutional Area, August Kranti Marg, New Delhi 110016 Phone: 011-41730151/152/153, 011-46022691/92-95

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