Centurion University of Technology and Management (MBA), Odisha

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Personal 1
Personal 2
Education 1
Education 2
Exam
Declaration
Documents

Personal 1

School of Management (MBA) Campus applied for: *

Your Name *

Email *

Date of Birth *

Place of Birth *

Gender *

Category *

Religion *

Hobbies *

Blood Group *

Nationality *

Mobile Number *

Phone No

Mother Tongue *

Father's / Guardian's Name *

Father's / Guardian's Occupation

Personal 2

Address for Correspondence *

City *

PIN Code

Country *

Permanent Address

City

PIN Code

Country

Education 1

Class 10th Board/University Name *

Class 10th Subjects Name *

Class 10th Year of Passing *

Class 10th Division *

Class 10th Marks (in %) *

Class 12th Board/University Name *

Class 12th Subjects Name *

Class 12th Year of Passing *

Class 12th Division *

Class 12th Marks (in %) *

Education 2

Graduation Board/University Name *

Graduation Subjects Name *

Graduation Year of Passing *Expected year, if not already graduate

Graduation Division

Graduation Marks (in %)

Post Graduation Board/University Name

Post Graduation Subjects Name

Post Graduation Year of Passing

Post Graduation Division

Post Graduation Marks (in %)

Exam

Entrance Exam 1 Clearede.g., CAT/XAT/MAT/CET/Any State Entrance

Entrance Exam 1 Percentile Score/Rank

Entrance Exam 2 Clearede.g., CAT/XAT/MAT/CET/Any State Entrance

Entrance Exam 2 Percentile Score/Rank

Entrance Exam 3 Clearede.g., CAT/XAT/MAT/CET/Any State Entrance

Entrance Exam 3 Percentile Score/Rank

Entrance Exam 4 Clearede.g., CAT/XAT/MAT/CET/Any State Entrance

Entrance Exam 4 Percentile Score/Rank

Declaration

I hereby soemnly declare that all the particulars given in this form are true to the best of my knowledge and belief. I shall abide by the rules and regulations laid down by the college from time to time. In case the particulars furnished by me are found false, my admission stands cancelled.

* Yes

Documents

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