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Application Form MBA2522433 (1)

The document is an MBA application form for the year 2025, submitted by Ranjani Devi Balusamy Samy. It includes personal details, campus preferences, entrance exam results (specifically CAT with a score of 72.18), and academic qualifications. The applicant has no work experience and has provided necessary document uploads for the application process.

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edrinsne
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© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
18 views

Application Form MBA2522433 (1)

The document is an MBA application form for the year 2025, submitted by Ranjani Devi Balusamy Samy. It includes personal details, campus preferences, entrance exam results (specifically CAT with a score of 72.18), and academic qualifications. The applicant has no work experience and has provided necessary document uploads for the application process.

Uploaded by

edrinsne
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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MBA APPLICATION FORM 2025

Application No: MBA2522433

Personal Details
Profile Information
Title MISS. First Name RANJANI DEVI Middle Name
Last Name BALUSAMY SAMY Gender FEMALE Date of Birth 04/08/2003
Email Address [email protected] Alternate Email Id [email protected] Mobile Number +91-6382970393
Alternate Mobile
+91-9150362744 Nationality INDIAN
Number
Aadhaar Card Verification
Have You linked
Aadhaar
your mobile no NO Aadhaar Number 750629850670
Verification
with aadhaar?
Address for Correspondence
Country INDIA State TAMIL NADU District CUDDALORE
TITTAKUDI,
City CUDDALORE Address Line 1 17, SOUTHSTREET, PENNADAM Address Line 2
CUDDALORE
Pincode 606105

Campus and Entrance Exam Details


Campus Preferences
(You will be called for interview based on your preference)
Campus Campus Campus
COIMBATORE BANGALORE AMRITAPURI
Preference 1 Preference 2 Preference 3
Campus Campus Campus
KOCHI AMARAVATI
Preference 4 Preference 5 Preference 6
Are you interested
in pursuing MS
with MBA?
(MS is NO
Do you have any
NO
work experience?
offered at
Bengaluru
campus only)
Work Experience

Name & Address of the Organisation Designation Nature of Job Experience in Months
1.
2.
3.
4.
5.
6.
7.
8.

Qualification Test Details


Have you appeared for any of the
Select as
Qualified exam YES CAT
applicable
(CAT/MAT/XAT/GRE/GMAT/CMAT/NMAT)?
CAT Details

Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score


CAT 24334904 11/2024 DECLARED 72.18

MAT Details

Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score


MAT

XAT Details

Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score


XAT
GRE Details

Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score


GRE

GMAT Details

Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score


GMAT

CMAT Details

Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score


CMAT

NMAT Details

Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score


NMAT

KMAT Details

Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score


KMAT

Other Exam Details

Exam Name Register/Roll No Appeared in or Appearing Month Result Status Percentile / Score
Other Exam

Are you interested in


NO
ACAT?
Select your exam Select your exam Select your ACAT
preferred State preferred City exam preferred State
Select your ACAT exam
preferred City
Upload Photograph and Signature
1. THE PHOTOGRAPH FILE SHOULD BE IN JPG FORMAT
2. PHOTOGRAPH SHOULD BE CLEAR AND THE HEAD MUST BE CENTERED IN THE IMAGE SHOWING THE FULL FACE AND LOOKING DIRECTLY AT THE CAMERA FALLING WHICH THE APPLICATION IS
LIABLE TO BE REJECTED.

Photograph : YES Signature : YES

Academic Details
Academic Qualification
UG Result Status DECLARED
Academic Details

Name of Year of Obtained


School / College Name Board /University Name Marking Scheme
Exam Passing Percent/CGPA
CENTRAL BOARD OF SECONDARY
10th / SSLC 10TH / SSLC SFDAV PUBLIC SCHOOL 2019 PERCENTAGE 87.5
EDUCATION (CBSE)
PUC / Diploma / PUC / 12TH / CENTRAL BOARD OF SECONDARY
ST PAUL PUBLIC SCHOOL 2021 PERCENTAGE 95.8
12th / HSC HSC EDUCATION (CBSE)
UG Degree BBA CHANDIGARH UNIVERSITY CHANDIGARH UNIVERSITY, PUNJAB 2024 CGPA OUT OF 10 7.17

Do you have any


ARREARS or
NO
BACKLOGS to be
cleared ?

Document Details
Upload Documents
SSLC / Equivalent
YES PUC / Diploma /12th / HSC Original Marksheet : YES Transcript / Consolidated Marksheet or Combined Marksheet : YES
Certificate :

Provisional UG
YES Original Degree Certificate : YES CAT Scorecard : YES
Cerificate :

MAT Scorecard : NO XAT Scorecard : NO GRE Scorecard : NO

GMAT Scorecard : NO CMAT Scorecard : NO NMAT Scorecard : NO

KMAT Scorecard : NO Other Exam Scorecard : NO Transfer Certificate : NO

Resume / CV : NO Conduct Certificate : NO Community Certificate : NO

A-CAT Score Card : NO Migration Certificate : NO

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