LLOYD TECHNICAL CAMPUS

RAGGING IS BANNED IN THE INSTITUTION

LLOYD
INSTITUTE OF MANAGEMENT & TECHNOLOGY

LLOYD INSTITUTE OF MANAGEMENT & TECHNOLOGY

Plot No. 11. Knowledge Park-II, Greater Noida, U.P.-201306 APPLICATION FORM FOR THE ACADEMIC YEAR__________ MASTER OF BUSINESS ADMINISTRATION

LIMT
Ladder Of Success

Ragging is Banned in the Institution. LIMT, other than awarding scholarship to merit holders, also encourages students to compete for excellence in academics, co-curricular activities. In case of individuals not found worthy/ additionally distinct, LIMT reserves the right to defer/add number of awards. Canvassing in any form will lead to disqualification

PART A
Applicants Name : Mr. / Ms. First Name Middle Name Last Name E-mail ID: Pre-qualifying Test (s) taken:

Affix recent passport size colour photograph

UPSEE
Roll No. : Date : State Rank : Work Experience
Organization Designation

IIMs CAT
Test Center Code : Test Regn No. : Score :

AIMAs MAT
OMR No. : Date : Score :

Nature of Work From

Duration To

LADDER OF SUCCESS

RAGGING IS BANNED IN THE INSTITUTION

LLOYD MBA PROGRAMME

Applicants Name: Mr./ Ms.
First Name Middle Name

PART B

Last Name

Father / Guardians Name: Mr./ Ms. Age Date of Birth Marital Status
Affix Self attested recent passport size colour photograph

Place of Birth Visible Identification Marks :

Address for mailing results / letters

Category

Address of local guardian

C/o. Mr./Ms............................................................................... Relationship.............................................................................. House No................................Street........................................ Colony ........................... .....Vill. P.O. .................................... City ........................................District...................................... State. ....................................Pin. Code................................... Mobile ................................. Landline...................................... STD Code:................................................................................

C/o. Mr./Ms............................................................................... House No................................Street........................................ Colony ........................... .....Vill. P.O. .................................... City ........................................District...................................... State. ....................................Pin. Code................................... Mobile ................................. Landline...................................... STD Code:................................................................................

Details of Family : Mother, Father, Sisters, Brothers, Husband, Wife and Children Name Age Relation Qualification Occupation

Academic Achievements (10th, 12th, Degree and other Additional Courses Attended) Exam. Passed Name of Exam. Year of Passing College / Institute Board / University Main Subjects Marks Obtained & % of Aggregate marks

10 (10+2) Graduation Post Graduation Any Other

In case the final result has not been declared, please enter your aggregate marks and average percentage of previous examination along with year / semester.

LADDER OF SUCCESS

RAGGING IS BANNED IN THE INSTITUTION

Verification and Undertaking: I certify that I have fully understood the Lloyd Technical Campus and Mahamaya Technical University, Noida rules and the programme details. I also verify that information supplied in this application form is correct. I will fulfill the requirements of Lloyd Technical Campus and meet all expenses. In the event of non adherence to the discipline and other prescribed conduct, including indulgence in use of Alcohol, Drug and Ragging at Lloyd Technical Campus campus, the authorities will have full right to expel and remove me without any prior notice.

Signature of the Candidate

Name of the Candidate

Signature of the Parent / Guardian

Name of the Parent/Guardian

Date: ________________________ Place : _______________________

LADDER OF SUCCESS

RAGGING IS BANNED IN THE INSTITUTION

PARENT/GUARDIAN Please Furnish The following information about yourself

PG Programme

PART -C Form Ref.

Parent / Guardian Please affix your VISITING CARD in the space. (if readily available)

Surname Name of the Parent /Guardian

First Name

Relationship__________________Occupation__________________Designation___________________ Educational Background (Guardian) Office/Business Address Academic Achievements

(Degree/Diploma) Name of the Organisation

Year

Institution Name

Pin Telephone No. Mobile/Cellular STD Code Fax: Email:

Gross Income (Yearly) Meeting Total Expenditure Will meet expenditure of my ward without Financial support Arranging to supplement fee from Bank / Other Loans
Partially or Fully (Tick Mark as Applicable)

Financial Supplement

Yes or No (Tick Mark as Applicable)

Will like to seek Admission specifically Company Sponsorship Option in the category

Yes or No (Tick Mark as Applicable)

Verification and Undertaking : I certify that I and my ward have fully understood the Lloyd Technical Campus and Mahamaya Technical University, Noida rules and regulations. I also verify that information supplied in this application form is correct and I will provide full support to my ward in fulfilling the requirements of Lloyd Technical Campus and Mahamaya Technical University, Noida and meeting all expenses. In the event of non adherence to the discipline and other prescribed conduct including indulgence in Ragging, use of Alcohol and Drugs at Lloyd Technical Campus, the authorities will have full right to expel and remove my ward without any prior notice. Signature of the Parent / Guardian Date : _________________ LADDER OF SUCCESS Name of the Parent / Guardian Place: