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Amity Distance Application Form

- The document is an enrollment form for Amity University's School of Distance Learning programs for January 2010 and July 2010 sessions. - It collects student information like name, date of birth, contact details, program and mode preferences, payment details, employment history and more. - The programs offered include MBA, MCA, various post graduate diplomas, BBA, BCA and BA degrees that can be pursued through correspondence, distance learning or online modes.

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tejani1987
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© Attribution Non-Commercial (BY-NC)
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83 views

Amity Distance Application Form

- The document is an enrollment form for Amity University's School of Distance Learning programs for January 2010 and July 2010 sessions. - It collects student information like name, date of birth, contact details, program and mode preferences, payment details, employment history and more. - The programs offered include MBA, MCA, various post graduate diplomas, BBA, BCA and BA degrees that can be pursued through correspondence, distance learning or online modes.

Uploaded by

tejani1987
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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AMITY UNIVERSITY

AMITY SCHOOL OF DISTANCE LEARNING

ENROLLMENT FORM
Affix recent color
Academic Session January 2010 July 2010
photograph here
(Not open for those finishing School/College in 2010)

Contact Point
(Refer Contact Point Codes
in enclosed sheet)
First Name Last Name
Name of Student Mr.
Ms.
First Name Last Name
Father’s Name

First Name Last Name


Mother’s Name

Date Month Year Nationality City of Domicile


Date of Birth

Blood Group Identification mark

Programme Applied for After Graduation


MBA - 3 Years MBA (EFT) - 2 Years (3 Years Executive Work Experience Required) MCA - 3 Years
Post Graduate Diploma
Business Mgmt. Financial Mgmt. Materials Mgmt. HR Mgmt. Marketing Mgmt. Export Mgmt. Insurance Mgmt.
IT Mgmt. Production & Operation Mgmt. Journalism & Mass Comm. Logistics & Supply Chains Mgmt. Retai l Mgmt. NGO Mgmt.
After 10+2
BBA - 3 Years BCA - 3 Years BA - 3 Years B.Com. - 3 Years
Programme Code
(Refer Programme Code
in enclosed sheet)
Correspondence Distance Learning Online
Mode (including Student Study Material (including Student Study Material (including Student Study Material
& Personal Contact Classes) & Live Online Classes)
Add ons Books Virtual Recorded Classes
(These are optional. You can opt for
one or both on additional payment)
Payment Mode One Time Installments
(Refer Fees Structure)

E-mail Address

Correspondence Tel. Nos. including STD Code


Address Home

Other

Mob.

Employment History (if applicable) Total Number of Years of Experience

Name & Address of Organization Designation From To Duration

(Attach extra sheets if required)

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