Application for MBA

Name

Phone Number

Alternative Phone Number

Primary Email

Parent's Email

Courses

Date of Birth

Age

Marital Status

Gender

Category

Religion

NRI Status

Passport Number

Passport Valid Till

Nationality

Father's Name

Father's Contact Number

Father's Email

Father's Annual Income

Father's Job Position & Organisation

Father's Occupation

Mother's Name

Mother's Contact Number

Mother's Email

Mother's Annual Income

Mother's Job Position & Organisation

Mother's Occupation

Message

Present Address Line 1

Present Address Line 2

Present City

Present State

Present Country

Present Postal Code

Permanent Address Line 1

Permanent Address Line 2

Permanent City

Permanent State

Permanent Country

Permanent Postal Code

Year of Passing - Class 10th

Name of Board - Class 10th

Name of School/College - Class 10th

Percentage - Class 10th

Year of Passing - Class 12th

Name of Board - Class 12th

Name of School/College - Class 12th

Major Subject-Class 12th

Percentage - Class 12th

Have you participated in NCC/NSS

If Yes Give Details

Academics Level

Sports or Games

Cultural Events

How did you come to know about St.Xavier's Bangalore ?

Explain why you have chosen to study at St.Xavier's Bangalore

Do you have any existing medical conditions or concerns?

Do you have any allergies?

Any other special health or medical needs you have

Name Of Board/University - Degree

Duration of degree

Is it Foreign University?

Overall Percentage - Degree

Do You Have Any Backlog/Arrears/Supplementary Papers In Your Graduation Course Yet To Be Cleared As On This Day?

Education - PG Degree Post Graduation

Address of Foreign University

Year of Passing - Degree

Title of Degree

Mode Of Learning - Degree

Major Subject - Degree

Other Recognized Course:

Roll No - XAT

Score - XAT

Percentile - XAT

Roll No - CAT

Score - CAT

Percentile - CAT

Roll No - CMAT

Score - CMAT

Percentile - CMAT

Roll No - MAT

Score - MAT

Percentile - MAT

Roll No - GMAT

Score - GMAT

Percentile - GMAT

Roll No - KMAT

Score - KMAT

Percentile - KMAT

Photograph

Signature

Application Form Fees: Rs.1000 I hereby declare that the particulars given in this application are true and correct and will be supported by original documents when required. I confirm that I have fully read the terms and conditions regarding the admission to The Xaviers MBA program and pursuit of the same including those relating to withdrawal from the programme after admission.

For UG and PGDM Admission Visit - stxaviersbangalore.com

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