APPLICATION FORM
Alesco's Post Graduate in Management & Strategy
With enrolment in Masters of Business Administration(MBA)(DLP)
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Session
Jan
Jul
2010
2011
Kiosk Id
*
Owner Name
*
A. Applicant's personal details
First Name
*
Middle Name
Last Name
*
DOB
Day
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Month
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Year
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2015
*
Marital Status
Single
Married
Age
Years
Month
Nationality
Gender
Please Select
Male
Female
*
Category
Please Select
General
SC/ST
OBC
PH
B. Family Details
Father's Name
*
C. Contact Detail
Address 1 :
*
Address 2 :
*
Address 3 :
City :
*
State
*
PIN Code
Phone No :
Mobile No. of Applicant
*
Mobile No. of Parent
*
Email address
D. Academic Qualifications (Starting from High School and proceeding in sequence including the present )
Qualification
Name of Institute
University / Board
Year
% of Marks
From
To
Post Graduation
Graduation
*
*
*
*
*
*
H.S.C
*
*
*
*
*
*
S.S.C.
*
*
*
*
*
*
“I have read and understood given
Terms & Conditions
and hereby declare that the above information provided by me is true.” (I agree )
AFFIK
shall issue duplicate copy of the printed form to prospect with receipt of
Rs. 500/-
collected towards
sale of Application Form.
