Institute of Management & Technology Punnapra

MBA Admission

Batch:

Student Data Sheet

Name:
Age & Date of Birth:
Religion & Caste:
Father’s Name / Mother’s Name:
Address with pin code:
Telephone No:
Email-id:
Name of the Graduation:
Educational Qualification:
Name of Examination passed  Name of Institution Name of University/Board Marks/Percentage
SSLC
PLUS TWO

DEGREE

Subject:

KMAT/CMAT/CAT: Month and Year Score

Declaration

The information provided in the application form is true to the best of my knowledge