Dr. K. N. Modi University, Rajasthan

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Personal Details 1
Family
Education 1
Education 2
Work
Exam
Others
Declaration
Documents

Personal Details 1

Course Applied *

Your Name *

Email *

Gender *

Date of Birth *

Age * as in the certificate of 10th examination

Category *

Nationality *

Marital Status *

Mobile Number *

Address *

City *

PIN Code *

Family

Father's Name *

Father's Occupation

Mother's Name *

Mother's Occupation

Parent's Phone No

Parent's Email

Local Guardian's Name

Local Guardian's Phone No

Local Guardian's Address

Education 1

Class 10th Board Name *

Class 10th School Name *

Class 10th Subjects Name *

Class 10th Year of Passing *

Class 10th Marks Obtained *

Class 10th Marks (in %) *

Class 12th Course Name *e.g., Sci, Arts, etc.

Class 12th Board/University Name *

Class 12th Institute Name *

Class 12th Subjects Name *

Class 12th Year of Passing *

Class 12th Marks Obtained

Class 12th Marks (in %)

Education 2

Graduation Course Namee.g.; BTech; Bcom; etc.

Graduation University Name

Graduation College Name

Graduation Subjects Name

Graduation Year of PassingExpected year; if not already graduate

Graduation Marks Obtained

Graduation Marks (in %)

Post Graduation Course Namee.g.; MA; Msc; etc.

Post Graduation Board/University Name

Post Graduation College Name

Post Graduation Subjects Name

Post Graduation Year of Passing

Post Graduation Marks Obtained

Post Graduation Marks (in %)

Other Course Name

Other Board/University Name

Other College Name

Other Subjects Name

Other Year of Passing

Other Marks Obtained

Other Marks (in %)

Work

Name of current/previous organization

Designation at current/previous organization

Address of current/previous organization

Job Profile at current/previous organization

Salary Drawn from current/previous organization

Period from which onwards you work at current/previous organization

Period till which you work at current/previous organization

Name of any other organization worked at

Designation at other organization

Address of other organization

Job Profile at other organization

Salary Drawn from other organization

Period from which onwards you work at other organization

Period till which you work at other organization

Total Period of Work Experience

Exam

CAT Score

CAT Year of Passing

MAT Score

MAT Year of Passing

XAT Score

XAT Year of Passing

Any other exam score

Other exam's year of passing

Others

Awards & Achievements

Participation in Extra Curricular Activities

Declaration

I hereby certify that the information given in the Registration/Admission form is complete and accurate to the best of my knowledge. I understand and agree that misrepresentation or omission of facts will justify denial of admission; cancellation of admission or expulsion. * Yes

Documents

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