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    Kerala Institute of Co-Operative Management: Application For Mba Fulltime Programme (2020-2022)

    Uploaded by

    Vinu Vavi
    This document is an application form for the MBA full-time program at the Kerala Institute of Co-operative Management (KICMA) for the years 2020-2022. The form requests personal details such as name, date of birth, contact information, academic qualifications, entrance exam scores, work experience, and category under which the applicant wants their application considered. The declaration at the end states that all information provided is true. The checklist provides instructions on documents that must be submitted along with the application such as photos, mark lists, certificates, caste certificates if applicable, self-addressed stamped envelope, and fees payment details.

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    © All Rights Reserved
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    Kerala Institute of Co-Operative Management: Application For Mba Fulltime Programme (2020-2022)

    Uploaded by

    Vinu Vavi
    49 views3 pages
    This document is an application form for the MBA full-time program at the Kerala Institute of Co-operative Management (KICMA) for the years 2020-2022. The form requests personal details such as name, date of birth, contact information, academic qualifications, entrance exam scores, work experience, and category under which the applicant wants their application considered. The declaration at the end states that all information provided is true. The checklist provides instructions on documents that must be submitted along with the application such as photos, mark lists, certificates, caste certificates if applicable, self-addressed stamped envelope, and fees payment details.

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    Kicma

    Original Title

    Application-form-for-MBA-2020-22

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    This document is an application form for the MBA full-time program at the Kerala Institute of Co-operative Management (KICMA) for the years 2020-2022. The form requests personal details such as name, date of birth, contact information, academic qualifications, entrance exam scores, work experience, and category under which the applicant wants their application considered. The declaration at the end states that all information provided is true. The checklist provides instructions on documents that must be submitted along with the application such as photos, mark lists, certificates, caste certificates if applicable, self-addressed stamped envelope, and fees payment details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    49 views3 pages

    Kerala Institute of Co-Operative Management: Application For Mba Fulltime Programme (2020-2022)

    Uploaded by

    Vinu Vavi
    This document is an application form for the MBA full-time program at the Kerala Institute of Co-operative Management (KICMA) for the years 2020-2022. The form requests personal details such as name, date of birth, contact information, academic qualifications, entrance exam scores, work experience, and category under which the applicant wants their application considered. The declaration at the end states that all information provided is true. The checklist provides instructions on documents that must be submitted along with the application such as photos, mark lists, certificates, caste certificates if applicable, self-addressed stamped envelope, and fees payment details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    KERALA INSTITUTE OF CO-OPERATIVE MANAGEMENT ​(KICMA)

    Approved by AICTE and affiliated to University of Kerala Promoted by State Co-operative


    Union, Kerala, Govt. of Kerala Nettukal Hills, Neyyardam P.O. , Thiruvananthapuram-695 572,
    Kerala Phone : 8547618290, 0471-2272601, 2272602, 2272603 e-mail : ​[email protected]
    Website : www.kicmakerala.in ​APPLICATION FOR MBA FULLTIME PROGRAMME
    (2020-2022)
    (FILL THE FORM CAREFULLY IN CAPITAL LETTERS)
    SERIAL NO. REGISTER NO.
    1.

    DETAILS OF FEE AMOUNT : ​REMITTED DD/RECEIPT NO :

    AFFIX RECENT ​BANK : PASSPORT


    ​ ​ ​Name in full
    SIZE ​DATE : ​PHOTO 1.

    ............................................................
    2. Age 3. Date o f birth 4. Sex 5. Nationality
    6. Community with religion .............................................
    7. State whether you belongs to (​Put a ✓ mark in the appropriate column ​)
    8. Aadhar number
    9. Communication Details
    Permanent Address
    E-mail :
    Address for correspondence
    E-mail : Pin Pin Mob Mob
    10. Father’s Name............................................................
    11. Mother’s Name .........................................................
    12. Local Guardian’s Name .............................................
    13. MANAGEMENT APTITUDE TEST DETAILS
    (​Attach True Copy of Score Card​)
    SC ST OEC OBC GENERAL
    Mob
    Mob
    Mob
    Name of the Test
    Roll No. Form No. Test Month &
    Date
    Composite / Total Score
    Rank
    C MAT K MAT CAT
    14. ​Academic information ​(​Attach True Copy of all certificates​)
    Course
    Month &
    Name of Year of
    Examination Completion
    passed and Board / University
    Pass / Fail
    NA ​ NA
    % ​10​th ​or Equivalent ​ Plus II or Equivalent ​
    Graduation or
    Equivalent
    Name of College
    ...........................
    ...........................
    ...........................
    Parts of Examination
    Semester 1
    Semester 2
    Semester 3
    Semester 4
    Semester 5
    Semester 6
    Semester 7
    Semester 8
    Total ​Post Graduation or Equivalent Name of College ...........................
    NA
    15. Additional Academic qualification (​if any​) :
    16. Details of work experience (​if any​)
    Organization Designation Period
    17. Under which category you want to consider your application
    Merit Quota Relatives of Co-operative Employees / Director Board Members etc.
    SC /ST Reservation Others
    (Specify)....................................................................................
    (In case you prefer for co-operators/ dependent of co-operative employees quota , p​lease furnish the certificate from
    the Co- operative Institution concerned) 1
    ​ 8. Extra curricular activities (if any) :
    .......................................................................................................
    19. Do you want to avail hostel facility in the campus ​Yes No
    Marks Secured
    Max. Marks
    DECLARATION
    I hereby solemnly and sincerely affirm that the statements made and the information
    furnished in this application form submitted by me are true. I understand that any
    misrepresentation by me in this application will disqualify my candidature at any point of
    time.
    Place: Date: Signature of the Applicant Signature of Parent
    Check List
    What should you send with the application?
    • ​Photo pasted on the top the application.
    • ​Copies of mark lists, Degree / Provisional certificate and K-MAT/CMAT /CAT Score Card
    • ​Copies of Caste Certificate in case you belong to SC/ST Community.
    • ​Self addressed stamped envelope.
    • ​Fees Remittance details.
    2. ​
    3. ​FOR OFFICE USE ​Application Received on :
    Received by :
    Mode : By Post
    By Hand By Spot Admission Faculty Consulted ( ​Name with Signature and date​) :
    1.

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