JRE Group of Institutions, Greater Noida

Form Cost: Rs. 1000/-

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Personal 1
Personal 2
Family
Education 1
Education 2
Declaration
Documents

Personal 1

Your Name *

Course Applied For * PGDM B.Tech

Date of Birth *

Email *

Mobile Number *

Phone No

State of Domicile *

Gender *

Marital Status *

Category *

Nationality *

Do you Require Hostel Accommodation? *

Personal 2

Address *

City *

Pin Code

State *

Have you ever been expelled from school/college/institution ? *

If Yes, give the details.

Special Achievements/ Extra Curricular Activities

Family

Father's Name *

Father's Occupation

Father's Designation

Father's Annual Income

Father's Email

Father's Mobile Number

Mother's Name *

Guardian's Name

Guardian's Address

City

Pin Code

State

Guardian's Mobile Number

Guardian's Email

Guardian's Relationship

Education 1

Class 10th Board Name *

Class 10th School Name *

Class 10th Year of Passing *

Class 10th Marks (in %) *

Class 10th Subjects *

Class 12th Board Name *

Class 12th School Name *

Class 12th Year of Passing

Class 12th Marks (in %)

Class 12th Subjects *

Education 2

Graduation University Name

Graduation College Name

Graduation Year of Passing

Graduation Marks (in %)

Graduation Subjects

Other Board/University Name

Other Institution Name

Other Year of Passing

Other Marks (in %)

Other Subjects

Declaration

I hereby declare that:

I have provided accurate information in this application. In case of any misrepresentation or omission of facts in my application, my admission is liable to be cancelled from the institute.
I will abide by the rules and discipline of the institute. I am aware that any omission in this regard may result in my being detained or expelled from the institute.
All fees and dues of the institute would be paid promptly, failing which penalty as per institute rules shall be paid.
There is no criminal case pending against me in any court or police station.
I am not in service and shall be a full time student.

Yes

Documents

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