Apply OnlineAdmission Helpline Number: 09958222099Full NamePermanent AddressMobile No. Email Id Date of BirthFather Name: Father's Mobile No.:Gender:Male FemaleHostel Accommodation RequiredYesNoCourse:MBA (Dual Specialization) MBA (Business Analytics) (Dual Specialization)QualificationName of ExaminationBoard/University/InstituteYear of passing% Marks obtainedMain SubjectsName of Examination High SchoolBoard/University/InstituteYear of passingSelect199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 % Marks obtainedMain SubjectsName of ExaminationIntermediate(10+2)Board/University/InstituteYear of passingSelect199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 % Marks obtainedMain SubjectsName of Examination GraduationBoard/University/Institute Year of passing Select199019911992199319941995199619971998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022 % Marks obtained Main SubjectsExamination DetailsCATRoll No.ScorePercentileMATRoll No.ScorePercentileUPSEERoll No.ScorePercentileOTHERSRoll No.ScorePercentileProfessional Qualification Experience & Company NamePeriod(in Years)Name of the CompanyPositionResponsibiltyPeriod(in Years)Name of the CompanyPositionResponsibiltyPeriod(in Years)Name of the CompanyPositionResponsibiltyHow did you find out about Jaipuria Institute of Management, Indirapuram Ghaziabad. Please specify the source. Facebook/GoogleAlumniNewspaperFriend/Relative/ParentMagazineWebsiteFacebook/GoogleCoaching/InstituteOther DeclarationI 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 responsible for the due and prompt payment of fees.