| Personal
Details |
| Salutation * |
Please select the appropriate option.
|
| First Name * |
If your
name is Kshitij Mathur, then ‘Kshitij’ is the first name, and
‘Mathur’ is the second name. If you do not usually use a middle
name or do not have a middle name, just leave the field
blank. |
| Middle Name |
If you have a middle name please
fill in your middle name. For example if your full name is
Siva Rajkumar Raghunathan, then fill in ‘Rajkumar’ as
the middle name. |
| Last Name * |
Last name/Surname or family
name. This may often be your father’s name or a common last
name in the family. |
| Date of birth * |
The
format is dd-mmm-yyyy ( eg. 19-Feb-1981). |
| Age (as on 29 July, 2010) * |
The Age will be autopopulated based on the selection of DOB. |
| Gender * |
Simply click the relevant button. |
| Nationality * |
Enter your Nationality details here. |
| Marital Status * |
Select
the appropriate option. |
| Name of Father / Mother / Guardian * |
Enter the name of Father / Mother / Guardian. |
| Occupation of Father / Mother / Guardian |
Enter the Occupation of Father / Mother / Guardian. |
| Academic Qualification of Father / Mother/ Guardian |
Enter the Qualification of Father / Mother / Guardian. |
| Present
Address |
| Address Line 1 * |
Enter
your Door number, apartment number here. |
| Address Line 2 |
Enter your Street Name. |
| Address Line 3 |
Fill the locality name. |
| City * |
Enter the city where you located at present. |
| State * |
Select the state where you are located at present. |
| Pincode * |
Please
fill only numeric characters only (0-9). Do not leave spaces
in between. |
| STD code * |
Please fill in the STD code of the
city where you are presently located. For example for Chennai
it is 044, for Mumbai it is 022 etc. |
| Phone Number * |
Give the contact number with
respect to your present address or where you can most easily
be reached. |
| Fax |
If you have any Fax number please fill it in this column. |
| Mobile Number |
If you have any mobile number
please fill it in this column. |
| Primary Email * |
Please
fill in your full email address; for e.g. [email protected]
. Do not use anyone else email address. |
| Retype Primary Email * |
Please retype the primary email ID. |
| Alternate Email * |
If you have any other email
account you may fill it up. |
| Retype Alternate Email * |
Please retype the alternate email ID
provided. |
| Is Permanent address same as
Present * |
If the answer is YES, please
indicate. If the answer is NO, you will have to fill in your
permanent address in the fields that appear. |
Indicate your Choice of centre for the MICAT. |
| Test City * |
Select your choice of test city for the MICAT. |
Other
Details |
How did you come to know about
MICA
(Press and hold ctrl key for multiple select) |
Please
select the mode through which you got to know about MICA. |
| If others,mention How did you come to know about MICA |
Enter other source information about MICA. |
In what publication did you read the MICA admissions
announcement? (Press and hold ctrl key for multiple select) |
Please select the news paper
through which you got to know about MICA admissions details. |
| If others,please specify MICA admissions announcement |
Enter the other source of MICA admissions announcement. |
Please Select / mention the other Management entrance examination(s)
you have appeared for 2010-2011.
(Press and hold ctrl key for multiple select) |
Please select the exam which you have attended. |
| If any other, please specify Examination Name |
If any Other, please specify the exam. |
| Annual Income of Parents (Individually or combined) / Guardian |
Please select the annual income of parents
(Individually or combined)/ Guardian. |
Class 10 |
| Year of Passing * |
Select the year of passing from the dropdown. |
| Percentage * |
Mention your percentage. |
| School / College * |
Enter the name of your School / College. |
| Board / University * |
Enter the name of your Board / University. |
Class 12 |
| Year of Passing * |
Select the year of Passing from the dropdown. |
| Percentage * |
Mention your percentage. |
| School / College * |
Enter the name of your School / College. |
| Board / University * |
Enter the name of your Board / University. |
BSc/BCom/BA/BE/BTech |
| Degree Name * |
Mention your degree. |
| Year of Passing (YYYY) * |
Enter the year passing e.g. 2001. |
| Percentage * |
Mention your percentage. |
| Major Subject / Discipline * |
Mention your major subject / discipline. |
| School / College * |
Mention your name of the college. |
| Board / University * |
Mention your Board / University name. |
Masters/PG |
| Do you have a PG Degree ? * |
Select the appropriate option. |
| Degree Name |
Mention your degree. |
| Year of Passing (YYYY) |
Enter the year passing e.g. 2001. |
| Percentage |
Mention your percentage. |
| Major Subject / Discipline |
Mention your major subject / discipline. |
| School / College |
Mention your name of the college. |
| Board / University |
Mention your Board / University name. |
Experience
Details |
| Do you have Work Experience * |
Select the relevant option from the dropdown. |
| Name Of Organisation |
Enter the Name of the organisation. |
| Position Held |
Mention your position in the organisation. |
| Period in months |
Enter the Period on that position. |
| Total Pay (Rs./Month) |
Enter the total pay you are getting in the organisation(Rs./Month). |
| Nature of work |
Enter your nature of job. |