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Personal Details
Salutation
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--Select--
Mr.
Mrs.
Miss.
Dr.
Candidate`s First Name / Given Name (should exactly match the HSC / SSC Mark Sheet)
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Candidate`s Middle Name
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Candidate`s Last Name (should exactly match the HSC / SSC Mark Sheet)
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Date of Birth
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[DD]
1
2
3
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5
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7
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9
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12
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17
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[MMM]
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
[YYYY]
1940
1941
1942
1943
1944
1945
1946
1947
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1949
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1953
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1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
Age as on 31-12-2010
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Father`s Name (should exactly match the HSC / SSC Mark Sheet)
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Mother`s Name (in full)
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Gender
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Male
Female
Nationality
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--Select--
Indian
Others
Photo Identity Proof (Carry the same for NMAT-2011, else you will not be permitted for the Test)
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--Select--
Driving License
PAN Card
Passport
Voter ID / Election Card
Photo identity (Issued by School/College/University)
Admit Card of any National / State Exam issued in 2010
Any other Government issued Photo ID
Employee ID
Signature Proof (Carry the same for NMAT-2011, else you will not be permitted for the Test)
*
:
--Select--
Driving License
PAN card
Passport
Photo identity (Issued by School/College/University)
Admit Card of any National / State Exam issued in 2010
Any other Government issued Photo ID
ATM Card / Credit Card / Debit Card
Academic Background
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--Select--
Agricultural Sciences
Architecture
Arts
Commerce
Engineering
Law
Medical Sciences
Science
Social Science
Life Science/Pharmacy
Microbiology
Bio-Tech
Bio-Chemistry
PG Sciology
PG Psychology
PG Economics
PG Anthropology
BSc Chemistry
MBBS
Others
If others, please specify
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Nature of Work Experience
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--Select--
Academic
Managerial
Own Business
Technical
No Work Experience
Others
No. of Months of Work Experience
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--Select--
NIL
Less than 6 months
6-12 months
13-24 months
25-36 months
37-48 months
49-60 months
Above 60 months
Category
*
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--Select--
GEN (General)
SC (Scheduled Caste)
ST (Scheduled Tribe)
OBC (Other Backward Classes )
DT (Denotified Tribes)
NT (Nomadic Tribes)
Are You a Differently Abled Candidate(Person with Disability)?
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Yes
No
Present Address for Correspondence
Address Line 1
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Address Line 2
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Address Line 3
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State
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--Select--
Andaman and Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadar and Nagar Haveli
Daman and Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Lakshadeep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Pondicherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttar Pradesh
Uttaranchal
West Bengal
Others
City
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--Select--
Pin Code / Zip Code
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Phone Number (eg.912287654321)
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Mobile Number
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Primary E-mail
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Re-type Primary E-mail
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Alternate E-mail
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Re-type Alternate E-mail
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Is Your Present Address same as Permanent Address?
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Yes
No
Education Details
X/SSC Percentage
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X/SSC Board
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--Select--
Anglo Indian Board
CBSE
ISC
ICSE
International Board
NIOS
State Board
State (select where you completed your X/SSC from)
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--Select--
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chhattisgarh
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Orissa
Punjab
Rajasthan
Sikkim
Tamil Nadu
Tripura
Uttarakhand
Uttar Pradesh
West Bengal
XII/HSC/Diploma
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--Select--
XII/HSC
Diploma
Graduation Status
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--Select--
Appeared
Passed
Bachelor`s Degree Name
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Bachelor`s Degree Percentage (If Appeared, please enter your previous year percentage)
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College Name
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University
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Master`s Degree Name
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Master`s Degree Percentage
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Program Details
Program Name
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MBA (Full Time)
EPGDM (Bengaluru 15 Months)
PGDM
NMIMS Details
How did you get to know about NMAT-2011?
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:
--Select--
Coaching Center
Google.com
Magazine
Newspaper
NMIMS Website
Other Websites
Word of mouth
Radio
Others
If others, please specify
:
If Newspaper, which one?
:
--Select--
Dainik Bhaskar
Dainik Jagran
Deccan Chronicle
Deccan Herald
Divya Bhaskar
DNA
Free Press Journal
Gujarat smachar
Hindu
Hindustan Times
Nai Duniya
Navbharat
Rajasthan Patrika
Telegraph
Times of India
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