PHOTOGRAPH

GRE/GMAT ADMISSION
Receipt No.:

Batch Code:
1.

Name:

2. E-mail:
3. Local Address

4. Permanent Address

5.

Mobile No.:

Phone (Residence).

6.

ACADEMIC QUALIFICATION
Graduate Degree:
COLLEGE

UNIVERSITY

YEAR OF
PASSING

PERCENTAGE

BRANCH

UNIVERSITY

YEAR OF
PASSING

PERCENTAGE

BRANCH

Post-Graduate Degree:
COLLEGE

CURRENT WORK EXPERIENCE

7.
NAME OF EMPLOYER

POSITION

YEARS/MONTHS
OF EXPERIENCE

How did you come to know about our class? (Tick one)

8.

A. Newpaper advt.: Sakal TOI Lokmat

B. Through friends

C.Other (Please specify):

9. Subject selected for pursuing M.S. in America:

10. Do you permit us to print your name and score and admitted university details in our advertisement and website? (Tick one)
Yes:

SIGNATURE:

No:

NAME: