Sri Sri University, Odisha

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Personal 1
Personal 2
Address
Education 1
Education 2
Exam
Work
Others
Declaration
Documents

Personal 1

Program Preference 1 *

Program Preference 2 *

Program Preference 3 *

Your Name *as mentioned in Secondary School/10th certificate

Gender *

Date of Birth *

Email Address *as provided in the CAT/XAT/GMAT/CMAT form)

Confirm Email Address *

Mobile Number *

Phone No

Nationality *

Domicile State *

Personal 2

Father's Name *

Father's Occupation

Father's Official Address

Father's Phone No

Mother's Name *

Mother's Occupation

Mother's Official Address

Mother's Phone No

Address

Mailing Address *

City *

PIN Code *

Contact No.(s)

Country *

Permanent Address

City (permanent)

PIN Code (permanent)

Education 1

Class 10th Board Name *

Class 10th School Name *

Class 10th Subjects Name *

Class 10th Year of Passing *

Class 10th Marks (in %) *

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

Class 12th Board/University Name *

Class 12th Institute Name *

Class 12th Subjects Name *

Class 12th Year of Passing *

Class 12th Marks (in %) *

Graduation Course Name *e.g., BTech, Bcom, etc.

Graduation University Name *

Graduation College Name *

Graduation Subjects Name *

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

Graduation Marks (in %)

Education 2

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 (in %)

Other Course Name

Other Board/University Name

Other College Name

Other Subjects Name

Other Year of Passing

Other Marks (in %)

Exam

CAT Registration No.

CAT test year

CAT Score(if declared)

XAT Registration No.

XAT test year

XAT Score(if declared)

GMAT Registration No.

GMAT test year

GMAT Score(if declared)

CMAT Registration No.

CMAT test year

CMAT Score(if declared)

Work

Name of current organization worked at

Designation at current organization

Period from which onwards you worked at current organization

Period till which you work at current organization

Annual Income at current organization

Name of previous organization worked at

Designation at previous organization

Period from which onwards you worked at previous organization

Period till which you worked at previous organization

Annual Income at previous organization

Name of other organization worked at

Designation at other organization

Period from which onwards you worked at other organization

Period till which you worked at other organization

Annual Income at other organization

Others

Academic Awards/ Medals/ Prizes/ Scholarships/ Honours etc.

Extra-Curricular Activities/ Hobbies *

Please specify

Declaration

I have read the information brochure and agree to follow all the terms and conditions given therein. All entries made in this application form are true to best of my knowledge and belief. I will produce original certificates at the time of interview. My candidature can be cancelled at any stage, if any information given is found to be untrue. I also understand that final decision rest with SSU authorities regarding admission to the program.

* Yes

Documents

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