BRACTs

Vishwakarma Institute of Management

(An ISO 9001-2008 Certified Institute)
(Approved by AICTE-New Delhi, Recognized by Government of Maharashtra and Permanently Affiliated to University of Pune)

MBA Programme Rated as MH-A by CRISIL

Recipient of the 19th Dewang Mehta B School Award for the Best B School with Academic Inputs in Marketing
Rewarded as Second Best Professional Institute in Urban Area Category by the University of Pune

Office Use:
Document Verification:
CMAT/CAT Scorecard:
PHOTO
Post Graduation:
Graduation Result:
HSC:
SSC:
Signature of Staff: -------------------------------(USE BLACK PEN AND CAPITAL LETTERS FOR FILLING THE FORM)
1) NAME OF THE CANDIDATE:----------------------------------------------------------------------------------------------(SURNAME)
(FIRST NAME)
(FATHER)
(MOTHER)

2) ADDRESS:-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------.
3) CORRESPONDANCE ADDRESS:---------------------------------------------------------------------------------------------(IGNORE IF SAME AS ABOVE) ---------------------------------------------------------------------------------------------.
4) CONTACT DETAILS: TEL. NO.:------------------------------------ MB. NO.: ----------------------------PRIMARY EMAIL ID:-----------------------------------------------------------------------------SECONDARY EMAIL ID: -----------------------------------------------------------------------5) FAMILY INCOME:
LESS THAN 120000

120000 TO 300000

ABOVE 300000

6) JOB EXPERIENCE (IF ANY) WITH DESIGNATION:

1)-------------------------------------------------------------------------------------------------2)-------------------------------------------------------------------------------------------------3)-------------------------------------------------------------------------------------------------7) EDUCATIONAL DETAILS:
NAME OF THE
INSTITUTE

NAME OF THE BOARD/

UNIVERSITY

PERCENTAGE SOCRE

CLASS

8) AWARDS AND RECOGNITION:

----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------9) COMPUTER KNOWLEDGE:
PARTICULARS
MS OFFICE
TALLY
OTHER

BELOW AVERAGE

AVERAGE

ABOVE AVERAGE

10) HOBBIES AND INTEREST:

-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------.

11) DESCRIBE YOURSELF IN THREE ADJECTIVES:

1) ------------------------------2) ------------------------------3) -------------------------------

PLACE

STUDENT SIGNATURE

DATE

UNDERTAKINGS:
I ------------------------------------------------ IS INTERESTED IN DOING MY MBA IN VISHWAKARMA
INSTITUTE OF MANAGEMENT. I AGREE THAT ALL THE ABOVE STATED INFORMATION IN THE FORM IS
CORRECT AND TRUE. ANY MISLEADING AND INCORRECT INFORMATION CAN MAKE MY ADMISSION
CANCELLED FROM THE INSTITUTE.

STUDENT SIGNATURE

PARENT/GUARDIAN SIGNATURE