MBA Prospectus-2014 - IGNOU

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16. Religion: Cross (X) the appropriate Box only
Hindu Muslim Christian Sikh Jain Buddhist Parsi Jew Others (please specify
(____________)
17. Territory: Cross (X) any one of the Appropriate Box only 18. Social Status: Cross (X) any one of the Appropriate Box only
Urban Rural Tribal Kashmiri Ex-Serviceman War-Widow Not Applicable
Migrant
19. Marital Status: Cross (X) any one of the Appropriate Box only 20. Employment status: Cross (X) any one of the Appropriate Box only
Married Divorced Widowed Unmarried Unemployed Employed Regular IGNOU KVS
Employee Employee
21. (a) Educational Qualifications (which makes you eligible for the programme):
Qualification Code Year of Passing Percentage of Marks
21. (b) Stream: Cross (X) any one of the Appropriate Box only
Science Arts Commerce Engineering Others
GRADUATE
POST GRADUATE
22. Work Experience
Duration Years Months
Employed in (cross (X) any one of the Appropriate Box only)
Not Applicable
Govt./Public Sector Semi Govt. Pvt. Sector Self Employed
Annual Income (Cross (X) any one of the Appropriate Box only)
Upto `50,000/- `50,000/- to 1 Lac `1 Lac to 1.5 Lac
`1.5 Lac to 2 Lac Above `2 Lacs
23. Courses Opted:
Course Code
M S - M S - M S - M S -
Course Fee
Total Fees Rs.
DECLARATION BY APPLICANT
I hereby declare that I have read and understood the conditions of eligibility for the programme for which I seek
admission. I fulfil the minimum eligibility criteria and have provided necessary information in this regard. In the event of
any information being found incorrect or misleading, my candidature shall be liable to cancellation by the University at
any time and I shall not be entitled to refund of any fee paid by me to the University.
I further declare that I had qualified the Entrance Test in the past while seeking admission to IGNOU’s Management
Programme earlier as per enrolment No. indicated in Col. No. 6 above. I enclose a copy of the attested Grade Card
as proof thereof.
Date: / /
Date Month Year
Signature of the Candidate
98