admission application - KV Institute of Management and Information

KV INSTITUTE OF MANAGEMENT

AND INFORMATION STUDIES

Approved by AICTE – New Delhi, Affiliated to Anna University – Chennai

545, Sathy Main Road, Kurumbapalayam (PO), Coimbatore 641 107, Tamil Nadu, India, Ph.0422 6553994

ADMISSION APPLICATION

Personal Details

(

as on the academic records

)

1. Name :

Date:

2. Date of Birth : ___/___/_____

3. Sex : Male Female

Affix a Passport size photo

4. Course Applied (Strike out unselected) : MBA/PhD (Management)

5. MBA-Entrance (if any) : TANCET MAT CAT CMAT XAT

Consortium test:______________________

Exams

TANCET

MAT

CAT

CMAT

XAT

Other

Reg.No./Roll No.

6. Father / Guardian’s Name

None Other, Name of the

:

Form No. Date Taken Score

7. Mother’s Name :

8. Father / Guardian’s Occupation :

9. Monthly Family Income

10. Communication Address

:

:

11. Residence Number

12. Mobile Number (Parent)

:

:

Page: 1 of 5 (ver 1.7) email: admissions@kvimis.co.in , Website:www.kvimis.co.in





13. Mobile Number (Student)


:

14. Community : OC/BC/MBC/DNC/SC/ST

[[[[[

15

.Previous Education

(under graduate degree) :

Degree

Branch/ subject

12 th

School Studied :

Medium of Instruction :

% of Marks :

College

16

.Previous Work Experience

(if any):

University

10 th

School Studied :

Medium of Instruction :

% of Marks :

Year of

Passing

Semester

I

%

Semester

-wise

II

III

IV

V

VI

VII

VIII

Overall

%

Sl.No

1.

2.

3.

Position Held

Period

From To

17. Do you need Hostel Facility : Yes No

Name of the Organisation







18. Do you need Transport Facility : Yes No

19. If Yes, Location of pickup :

______________________________________________________

20. Do you opt for a Laptop from the Institution: Yes No (Note: Students bear 15,000/- of the cost)

21. Do you opt for an International Industrial Visit from the Institution: Yes No (Note: Students bear 15,000/- of the cost)

22. Field of Interest (for Information only) : Marketing Finance HR Production

Systems

23. Introduced By/How did you know about KV :

________________________________________________

24

. Proficiency Assessment

(for training use only):

Have you used Computers Before? Yes No

If Yes List the software used:______________________________________________________

On a scale of 0 to 10, rate your knowledge in the following areas

(10 being the best and 0 being the least proficient)

Using Computers Running - Windows Operating System :______

Using Computers Running – UNIX Operating System :______

Using Computers Running – MAC Operating System :______

Using Microsoft or Open Office Word Products :______

Using Microsoft or Open Office PowerPoint Products :______

Using Microsoft or Open Office Excel Products :______







Do you know Typing - Yes No. If Yes, How do you rate your skill level __________________

Fluent-Oral Communication in English - Yes No. If Yes, Rate your skill level __________

Fluent-Written Communication in English - Yes No. If Yes, Rate your skill level __________

Have you used any of the following accounting / business related software?

Tally SPSS POM Software Other ___________________________

25. What is your Mission in Life?

_____________________________________________________________________________________

26 . Anything specific you want to learn from the MBA/PhD program?

_____________________________________________________________________________________

27. Additional Information

_____________________________________________________________________________________







DECLARATION

I hereby solemnly and sincerely affirm that all the particulars stated by me in this

Application form are true and correct.

Place : Date :

_______________________

Signature of the Student

I have fully read the information furnished by my son/daughter/ward and affirm that it is true and if it is proved that the information is fraudulent, I am liable to criminal prosecution.

I also understand that the admission is requested under Management/Merit/Partial Mat Merit

Quota and once granted, it is not interchangeable at any point. I also understand that cancellation of admission due to any reason will warrant full payment of program fees for all semesters.

Admission under: Management/Merit/Mat Merit

______________________________

Signature of Parent / Guardian

Ratio:

ADF SF

I

H LAP IV

II

SF

III IV

SF SF

Student’s Signature

(ADF-Admission fees, SF-Semester Fees, H-Hostel, LAP-Laptop, IV-Industrial Visit)

For Office Use

Ref:_________________________________________

Certificates Verified by:_________________________

Panel Interview: Yes/No _______________________

Other:_______________________________________

___________________________

*Refunding of fees paid towards admission will not be refunded

Admission Office


admission application - KV Institute of Management and Information

Personal Details

as on the academic records

.Previous Education

.Previous Work Experience

. Proficiency Assessment

___________________________

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