Online Admission Form

First Name
Last Name
Permanent Address



Father Name:

Father's Mobile No.:

Date of birth (dd-mm-yy)

Course Applied

PGDM

Category

SC ST OBC GENERAL

Gender:

Male Female

Hostel Accommodation Required

Yes No

Qualification

Name of Examination Board/University/Institute Year of passing % Marks obtained Main Subjects
High School
Intermediate(10+2)
Graduation

Examination Details

CAT Roll No. Score Percentile
MAT Roll No. Score Percentile
UPSEE Roll No. Score Percentile
OTHERS Roll No. Score Percentile

Professional Qualification Experience & Company Name

Period(in Years) Name of the Company Position Responsibilty

HOW DID YOU FIND OUT ABOUT JAIPURIA SCHOOL OF BUSINESS PLEASE SPECIFY THE SOURCE.

Alumni: Newspaper:
Friend/Relative/Parent: Magazine:
Website: Facebook/Google:
Coaching/Institute: Other(s), Pls. specify:
Hobbies & Extra-curricular activities

Declaration

I hereby declare that the information given in the Application form is true to the best of my knowledge and belief. If any information is found to be wrong, i shall be liable for action. I hold myself responsble for the due and prompt payment of fees.
Date
Security code
By clicking Submit, I authorise the Institute to get in touch with me via Phone or Email​

Online Admission Form

First Name
Last Name
Date of birth (dd-mm-yy)
Permanent Address
Mobile Number
Email
Father Name
Father's Mobile Number

Course Applied

PGDM

Category

SC ST OBC GENERAL

Gender

Male Female

Hostel Accommodation Required

Yes No

Qualification

High School
Intermediate(10+2)
Graduation

Qualification

CAT
MAT
UPSEE
OTHERS

Professional Qualification Experience & Company Name

How did You Find Out About Jaipuria School of Business Please Specify the Source.

Hobbies & Extra-curricular activities

Declaration

I hereby declare that the information given in the Application form is true to the best of my knowledge and belief. If any information is found to be wrong, i shall be liable for action. I hold myself responsble for the due and prompt payment of fees.

Date
Security code
By clicking Submit, I authorise the Institute to get in touch with me via Phone or Email​