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CHURCH
OF SOUTH INDIA - MEDAK DIOCESE
WESELY POST - GRADUATE COLLEGE
(Affiliated to Osmania University and Approved by A.I.C.T.E.)
A CHRISTIAN MINORITY INSTITUTION
145, Mc Intyre Road, Secunderabad – 500 003.
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APPLICATION FOR M.B.A/M.C.A COURSE
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Appl. Form
No:-___________ |
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Details
of Integrated Common Entrance Test |
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| Hall
Ticket No |
: _________________ |
| Rank |
: _________________ |
| Marks |
: _________________ |
| Church Affiliation
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: _________________ |
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Affix
Color Passport size
Photo
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| 1. Name of the Candidate
(Block Letters) |
: _____________________________ |
| 2. Father’s Name / Guardian’s
Name |
: _____________________________ |
| 3. Date of Birth |
: _____________________________ |
4.Present Address
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(Mention at least one telephone number)
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: _____________________________ |
| : _____________________________ |
| 5.Permanent Address
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_____________________________ |
| _____________________________ |
| 6.Father’s/Guardian’s
Occupation |
: _____________________________ |
| 7.Father’s/Guardian’s
Yearly Income |
: _____________________________ |
8.Community (Christian Minority/Others/
B.C-A/B.C-b/B.C-C/B.C-D) S.C., S.T.&
Others
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: _____________________________ |
| 9.Identification Marks |
: _____________________________ |
| 10.Local/Non-Local |
: _____________________________ |
| 11.Academics |
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Optionals |
Percentage |
Year of Passing |
Institution |
| Intermediate |
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| Degree |
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| P.G. |
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DELARATION BY THE CANDIDATE
I declare that all the particulars furnished above are
correct. I am fully aware that it is a Christian Minority
Institution and admissions are only on Qualifying ICET.I
am willing to pay the fees as prescribed by the management
on admission. I shall not claim my fees at any time on
cancellation of my admission due to any reason. I shall
abide by the rules and regulations of the institution.
The above furnished information is true to my conscience
and if my information is found to be incorrect, my admission
may be cancelled, I promise to put at least 80% of attendance
in every semester, other wise I may not be sent for the
University Examination.
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| Signature of the Parent / Guardian |
Signature of the Candidate |
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| Date: |
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| Photo copy of Certificates
to be submitted along with the Application Form 1. ICET
Rank Card
2. ICET Hall Ticket.
3. Degree Certicate Provisional
4. Degree Consolidated Memo
5. Transfer Certificate
6. Intermediate Certificate
7. 10th Class Certificate
8. Church Affiliation Certificate
9. Migration Certificate, if other than O.U.
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FOR
OFFICE USE ONLY |
The
candidate is Admitted / Rejected in MBA/MCA Course |
| Date: |
Director |
