ABV-Indian Institute of Information Technology & Management Gwalior
Morena Link Road, Gwalior, Madhya Pradesh, India – 474015
Application Form for Two Years Full-Time Master of Business Administration (MBA) Programme
(Academic Session 2024-2025)
Personal Information: Application ID: ………………………………
(To be filled in by the office)
Full Name:
Father’s Name: Mother’s Name:
Paste your recent photo
Date of Birth*: D D M M Y Y Y Y Category*: GEN/SC/ST/OBC/EWS with self-attestation
Gender: Male/Female Nationality:
Marital Status: Person with Disability* (YES/NO):
Mobile No.: Alt. Mobile No.:
Email Id: Alt. Email Id:
Aadhar No.*:
*Enclose self-attested copies of relevant documents/certificates
Address for Correspondence:
City State: Country: Pin:
Permanent Address (if different from correspondence address):
City State: Country: Pin:
Application Fee Payment Details*:
UTR No: Date: 2 0 2 4 Amount:
Bank Name and Branch:
*Enclose payment receipt/proof for deposit of application fee
Educational Qualifications:
Academic Passing Board/ School/ Division Aggregate Mathematics/Statistics
Qualification Year University College Percentage as one of the courses
/CGPA/CPI (Yes/No)
10th or
equivalent*
12th or
equivalent*
Under Graduate
degree* (specify)
Others*
*Enclose self-attested copies of educational certificates and marks sheets
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ABV-Indian Institute of Information Technology & Management Gwalior
Morena Link Road, Gwalior, Madhya Pradesh, India – 474015
Details of Valid CAT Score*:
CAT Registration No./ Roll No. Overall Score Overall Percentile
*Enclose relevant self-attested documents/score card
Work Experience:
S. Organization Designation Date from Date to Experience Gross Salary
No. (in years and months)
1.
2.
3.
4.
Enclose relevant self-attested documents
Declaration by the Applicant
a) I hereby certify that I fulfill the advertised eligibility criteria as per Rolling Advertisement No.
ABVIIITMG/DoMS/MBA/Ad/2024/01.
b) I hereby certify that foregoing particulars are correct and I agree that admission may be granted to me on the terms,
conditions and rules of the ABV-IIITM Gwalior or such modifications thereof as may be made by authorities concerned
from time to time. I understand that my admission may be cancelled and fee paid by me will be forfeited, if any of the
particulars given by me in this application form are subsequently found to be wrong.
c) I undertake to submit myself to the disciplinary jurisdiction of the institute according to the rules of the institute.
d) I certify that I am not associated with any unlawful organization in any active or passive manner.
e) I certify that I am not registered as provisional or otherwise student in any other institute/university. I understand that
mere fulfilling eligibility criteria do not entail me for admission to the MBA programme.
f) I agree that the institute decision in all matters concerning my admission, studies, discipline and conduct will be final and
binding to me.
Signature of the applicant
Name of the applicant
Date:
Place:
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