admit card- rmat
TRANSCRIPT
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RMAT - 2011 Application Form (Confirmation Page)
Form No. 114760 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course : MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: KAVITA GAHLOT
3. Father's Name : BHANGA RAM GAHLOT 4. Mother's Name: SUNITA GAHLOT
5. Address: NEAR GITA BHAWAN MALION KA MOHALLA POST BHINASAHAR
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9772691056 9. Phone No.:
10. Date of Birth: 15-11-1989 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : C
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 424 70.67
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 458 70.46
Apearing for UG Final year exam YES U.G. B.C.A. MGSU BIKANER 2011
Declaration I KAVITA GAHLOT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
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POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114560 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: KIRAN KUMARI VERMA
3. Father's Name : SHRI RAMESHWAR LAL VERMA 4. Mother's Name: VIDYA DEVI 5. Address: STREET NO. 8 OLD SHIV BARI ROAD
AMBEDKAR COLONY,BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 7737049483 9. Phone No.:
10. Date of Birth: 24-03-1991 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 388 64.67
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 451 69.38
Apearing for UG Final year exam YES U.G. B.C.A. MAHARAJA GANGA SINGH UNIVERSITY 2011
Declaration I KIRAN KUMARI VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination.
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6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116337 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: KULWINDER KOUR
3. Father's Name : GURCHARAN SINGH 4. Mother's Name: GURWINDER KOUR 5. Address: CHAK 19 GD PO 1 SKM
TEHSIL GHARSANA-335707
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9772451760 9. Phone No.:
10. Date of Birth: 18-04-1992 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSER AJMER 2006 600 431 71.83
Sr. Sec. ARTS BSER AJMER 2008 650 408 62.77
Apearing for UG Final year exam YES U.G. B.A. MGSU BIKANER 2011
Declaration I KULWINDER KOUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
3
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116370 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: LALIT PRAKASH
3. Father's Name : MADAN LAL 4. Mother's Name: FULA RANI
5. Address: RAMAN DARA SEC. SCHOOL, DURGA MANDIR ROAD, JAITSAR MANDI
SRI GANGANAGAR-335702
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9660327332 9. Phone No.:
10. Date of Birth: 06-07-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2006 600 380 63.33
Sr. Sec. SCIENCE RBSE 2008 650 351 54.00
Apearing for UG Final year exam YES U.G. BBA MGS UNIVERSITY BIKANER 2011
Declaration I LALIT PRAKASH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
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Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117148 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: M ASREEN 3. Father's Name : MOHAMMAD ASLAM 4. Mother's Name: NASIM ASLAM 5. Address: 5-E-94 JAI NARAYAN VYAS COLONY
BIKANER-334003
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9950451230 9. Phone No.: 0151 -2232475
10. Date of Birth: 28-04-1990 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION AJMER RAJ.
2006 600 452 75.33
Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION AJMER RAJ
2008 650 391 60.15
Apearing for UG Final year exam YES U.G. B.A. UNIVERSITY OF RAJASTHAN, JAIPUR 2011
Declaration I M ASREEN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
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application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114310 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: MANISH GURJAR 3. Father's Name : RAJENDRA KUMAR GURJAR 4. Mother's Name: SUMAN DEVI
5. Address: NEAR SATTASAR HOUSE CHOTINA WELL
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9828925201 9. Phone No.:
10. Date of Birth: 10-09-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION RAJASTHAN
2005 600 261 43.50
Sr. Sec. COMMERCE BOARD OF SECONDARY EDUCATION RAJASTHAN
2007 650 353 54.31
Apearing for UG Final year exam NO U.G. B.B.A. M.G.S.U.BIKANER 2010 3100 1874 60.45
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Declaration I MANISH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114310 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: MANISH GURJAR 3. Father's Name : RAJENDRA KUMAR GURJAR 4. Mother's Name: SUMAN DEVI
5. Address: NEAR SATTASAR HOUSE CHOTINA WELL
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9828925201 9. Phone No.:
10. Date of Birth: 10-09-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION RAJASTHAN
2005 600 261 43.50
Sr. Sec. COMMERCE BOARD OF SECONDARY EDUCATION RAJASTHAN
2007 650 353 54.31
Apearing for UG Final year exam NO U.G. B.B.A. M.G.S.U.BIKANER 2010 3100 1874 60.45
7
Declaration I MANISH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115681 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: MANISH MEGHWAL 3. Father's Name : BHAGGARAM MEGHWAL 4. Mother's Name: POORNIMA DEVI 5. Address: SARVODAYA BASTI,WARD NO.56,
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9413691096 9. Phone No.:
10. Date of Birth: 24-01-1989 11. Sex: MALE
12. E-mail: 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD, AJMER 2005 600 360 60.00
Sr. Sec. COMMERCE RAJASTHAN BOARD, AJMER 2007 650 401 61.69
Apearing for UG Final year exam NO U.G. B.COM MGS UNIVERSITY, BIKANER 2010 1800 1088 60.44
8
Declaration I MANISH MEGHWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117195 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: MANISH SINGH SENGAR
3. Father's Name : K.B SINGH 4. Mother's Name: USHA SENGAR
5. Address: A-81 KARNI NAGAR NEAR LALGARH PALACE
BIKANER-334401
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9950265101 9. Phone No.:
10. Date of Birth: 24-09-1987 11. Sex: MALE
12. E-mail: [email protected] 13. Category: GEN 14. Sub-Category: EX-S[EXS4] 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam :
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Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary CBSE 2003 500 236 47.20
Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 337 51.85
Apearing for UG Final year exam NO U.G. BBA RAJASTHAN UNIVERSITY 2010 1800 955 53.06
Declaration I MANISH SINGH SENGAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113860 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: MANOHAR LAL
3. Father's Name : RAM KUMAR 4. Mother's Name: GUDEE DEVI
5. Address: VPO HARKHE WALA TEHSIL PADAMPUR
SRI GANGANAGAR-335001
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9636699591 9. Phone No.:
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10. Date of Birth: 18-07-1986 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SEC EDUCATION, AJMER RAJASTHAN
2002 600 239 39.83
Sr. Sec. ARTS BOARD OF SEC EDUCATION AJMER, RAJASTHAN
2005 650 362 55.69
Apearing for UG Final year exam NO U.G. B.A. MGS UNIVERSITY, BIKANER 2008 1800 937 52.06
Declaration I MANOHAR LAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113183 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 107 - JODHPUR 2. Name of Candidate: MOHD ASHRAF
3. Father's Name : MOHD. ABBAS 4. Mother's Name: SHAKILA BANO 5. Address: MOHALLA PAJAB GIRAN
BIKANER-334001
6. District: BIKANER
11
8. Mobile No.: 9001075673 9. Phone No.:
10. Date of Birth: 19-11-1991 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2006 600 242 40.33
Sr. Sec. ARTS RBSE 2008 650 340 52.31
Apearing for UG Final year exam YES U.G. BBA MGS UNIVERSITY BIKANER 2011
Declaration I MOHD ASHRAF declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112701 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 101 - AJMER
2. Name of Candidate: MS BHAWNA
12
3. Father's Name : OM PRAKASH 4. Mother's Name: SURESH DEVI
5. Address: VILL PALIWALA PO RAMSARA JAKHARAN
SURATGARH-335804
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9636127690 9. Phone No.:
10. Date of Birth: 28-07-1992 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE AJMER 2006 600 357 59.50
Sr. Sec. ARTS RBSE AJMER 2008 650 469 72.15
Apearing for UG Final year exam YES U.G. B.A. APP. 2011
Declaration I MS BHAWNA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
13
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114957 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: MUKESH KUMAR
3. Father's Name : NARAYAN RAM 4. Mother's Name: PUSHPA DEVI
5. Address:MUKESH KUMAR S/O NARAYAN RAM WARD NO.-2 NEAR BHABUTA JI MANDIR
RAWATSAR-335524
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9782847417 9. Phone No.:
10. Date of Birth: 12-12-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSE RAJASTHAN 2005 600 296 49.33
Sr. Sec. ARTS BSE RAJASTHAN 2007 650 383 58.92
Apearing for UG Final year exam YES U.G. B.A. MGS UNIVERSITY BIKANER 2010
Declaration I MUKESH KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
14
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113159 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 104 - BIKANER
2. Name of Candidate: NARENDER SANGWAN
3. Father's Name : SURAJMAL 4. Mother's Name: HAWAKAUR
5. Address:IN FRONT GOVT HOSPITA PILANI ROAD SUBASH NAGAR WARD NO-12 RAJGAR
RAJGARH-331023
6. District: CHURU 7 State: RAJASTHAN 8. Mobile No.: 9460927263 9. Phone No.:
10. Date of Birth: 21-01-1986 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: EX-S[EXS4] 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary EDUCATION BOARD OF BHIWANI, HARYANA
2001 600 335 55.83
Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION RAJASTHAN
2005 650 419 64.46
Apearing for UG Final year exam NO U.G. B.SC. MAHARAJA GANGA SINGH UNIVERSITY 2008 2025 1406 69.43
Declaration I NARENDER SANGWAN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
15
8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114710 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: NAVED BHATI
3. Father's Name : SALIM AHMED BHATI 4. Mother's Name: FARZANA BHATI
5. Address: 156 MARUDHAR NAGAR OPPOSIT RSV SCHOOL BIKANER
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9929297785 9. Phone No.:
10. Date of Birth: 22-06-1992 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2006 600 350 58.33
Sr. Sec. COMMERCE RBSE 2008 650 371 57.08
Apearing for UG Final year exam YES U.G. B.B.A MGSU BIKANER 2011
Declaration I NAVED BHATI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th).
16
5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114368 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: NAVEEN SINGH
3. Father's Name : LEELU RAM 4. Mother's Name: SANTOSH DEVI
5. Address: B-38 GANDHI COLONY, NEAR RELIANCE FRESH, PAWANPURI
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9887012619 9. Phone No.: 0151 -2240339
10. Date of Birth: 15-07-1987 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Other State 16. Domicile Category : 999
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2003 600 340 56.67
Sr. Sec. COMMERCE RAJASTHAN BOARD 2005 650 387 59.54
Apearing for UG Final year exam YES U.G. BBA MGSU 2011
Declaration I NAVEEN SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
17
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113781 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 107 - JODHPUR
2. Name of Candidate: PANKAJ SWAMI
3. Father's Name : SHYAM SUNDER SWAMI 4. Mother's Name: SARITA SWAMI
5. Address: SWAMI MOHALLA,NAYA SAHAR , BIKANER
BIKANER-334005
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 7568957971 9. Phone No.:
10. Date of Birth: 27-07-1992 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD,AJMER 2006 600 265 44.17
Sr. Sec. COMMERCE RAJASTHAN BOARD,AJMER 2008 650 387 59.54
Apearing for UG Final year exam YES U.G. B.B.A M.G.S.UNIVERSITY,BIKANER 2011
Declaration I PANKAJ SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
18
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114006 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: PAWAN SWAMI
3. Father's Name : JAGDISH CHAND SWAMI 4. Mother's Name: RAJU DEVI 5. Address: SWAMIYO KA MOHALLA , BIKANER
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 7737001956 9. Phone No.:
10. Date of Birth: 20-04-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Other State 16. Domicile Category : 999
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 277 46.17
Sr. Sec. FINE ARTS RAJASTHAN BOARD 2008 650 408 62.77
Apearing for UG Final year exam YES U.G. B.B.A M.G.S UNIVERSITY 2011
19
Declaration I PAWAN SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115763 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: PRAVEEN SONI 3. Father's Name : MAHESH KUMAR SONI 4. Mother's Name: KRISHNA SONI
5. Address: B-129 VALLABH GARDEN NEAR PATEL NAGAR
BIKANER-334003
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9782410244 9. Phone No.:
10. Date of Birth: 23-02-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE, AJMER 2006 600 382 63.67
Sr. Sec. COMMERCE RBSE, AJMER 2008 650 448 68.92
Apearing for UG Final year exam YES U.G. B.COM MGSU, BIKANER 2011
Declaration
20
I PRAVEEN SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my
knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected
an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other
course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111192 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: PREETI TANWER
3. Father's Name : MOOLCHAND TANWER 4. Mother's Name: SANTOSH TANWER
5. Address:OUTSIDE JASSUSAR GATE BEHIND DEVISINGH BHATI HOUSE, GANGA NIWASH
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9784623009 9. Phone No.:
10. Date of Birth: 23-11-1989 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied Rajasthan 16. Domicile Category : A
21
Residence : 17. Qualifying Exam :
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary RAJASTHAN BOARD, AJMER 2006 600 341 56.83
Sr. Sec. ARTS RAJASTHAN BOARD, AJMER 2008 650 424 65.23
Apearing for UG Final year exam YES U.G. MARKETING B.B.A. 2011
Declaration I PREETI TANWER declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113757 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAFEEK MALAWAT
3. Father's Name : YASIN KHAN MALAWAT 4. Mother's Name: AJEEJAN 5. Address: 3E 268 JNV COLONY
BIKANER-334001
6. District: BIKANER
22
7 State: RAJASTHAN
8. Mobile No.: 9414450151 9. Phone No.:
10. Date of Birth: 02-03-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2003 600 275 45.83
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 337 51.85
Apearing for UG Final year exam YES U.G. BBA MGS BIKANER 2011
Declaration I RAFEEK MALAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117182 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 107 - JODHPUR
2. Name of Candidate: RAHUL GODARA
23
3. Father's Name : SUMER SINGH GODARA 4. Mother's Name: PERMESHWARI DEVI
5. Address: B-4 HET NAGAR UDASAR FANTA ;JAIPUR ROAD
BIKANER-334020
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 7597741099 9. Phone No.: 0151 -2231809
10. Date of Birth: 01-07-1989 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : B
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2005 500 282 56.40
Sr. Sec. ARTS CBSE 2007 500 311 62.20
Apearing for UG Final year exam YES U.G. B.A. MGSU 2011 1800
Declaration I RAHUL GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
24
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114333 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAJENDAR GODARA
3. Father's Name : GANESH NATH SIDH 4. Mother's Name: BHAGWATI
5. Address: A-95, KARNI NAGAR PAWNA PURI BIKANER
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9928109394 9. Phone No.:
10. Date of Birth: 04-08-1987 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2002 600 336 56.00
Sr. Sec. SCIENCE RAJASTHAN BOARD 2004 650 349 53.69
Apearing for UG Final year exam YES U.G. BBA MGSU 2011
Declaration I RAJENDAR GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
25
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113319 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAJNI SERVA
3. Father's Name : PREM CHAND SERVA 4. Mother's Name: SUMAN DEVI 5. Address: HOUSE NO 85 SEC 12 WARD NO 6
HANUMANGARH JN-335512
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9587713964 9. Phone No.:
10.Date of Birth: 24-05-1993 11. Sex: FEMALE
12.E-mail: [email protected]
13.Category: SC 14. Sub-Category: NONE 15.State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17.Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER 2006 600 340 56.67
Sr. Sec. ARTS AJMER 2008 650 394 60.62
Apearing for UG Final year exam YES U.G. BBA MGSU 2011
Declaration I RAJNI SERVA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination.
26
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114010 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 106 - JHUNJHUNU
2. Name of Candidate: RAJU JOGI
3. Father's Name : NARAYAN 4. Mother's Name: BHANWARI
5. Address: NEAR HANUMAN DHORA WARD NO 18
SARDARSHAHAR-331403
6. District: CHURU 7 State: RAJASTHAN 8. Mobile No.: 9828898864 9. Phone No.:
10. Date of Birth: 28-04-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSER AJMER 2006 600 399 66.50
Sr. Sec. COMMERCE BSER AJMER 2008 650 434 66.77
Apearing for UG Final year exam YES U.G. B.COM MGSU BIKANER 2011
Declaration I RAJU JOGI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 27
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113811 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAKESH KUMAR SUTHAR
3. Father's Name : DHARMARAM SUTHAR 4. Mother's Name: BHANWARI DEVI
5. Address: BHADASAR DIKHANADA SARDARSAHAR
SARDARSAHAR-331403
6. District: CHURU 7 State: RAJASTHAN 8. Mobile No.: 9468566148 9. Phone No.: 01564 -266161
10. Date of Birth: 27-10-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE AJMER 2006 600 236 39.33
Sr. Sec. COMMERCE RBSE AJMER 2008 650 429 66.00
Apearing for UG Final year exam YES U.G. B.B.A. MGSU BIKANER 2011
Declaration I RAKESH KUMAR SUTHAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
28
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116529 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAMAN DEEP KOUR
3. Father's Name : KALA SINGH 4. Mother's Name: SUKHWINDER KOUR
5. Address: M/S SAMTA KRISHI UDYOG NEAR BSNL OFFICE WARD NO. 12
RAWATSAR-335524
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9828713350 9. Phone No.: 01537 -250580
10. Date of Birth: 15-07-1991 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SEC. EDU.RAJASTHAN 2006 600 333 55.50
Sr. Sec. ARTS BOARD OF SEC. EDU. RAJASTHAN 2008 650 464 71.38
Apearing for UG Final year exam YES U.G. B.A. MGS UNIVERSITY BIKANER 2011
Declaration I RAMAN DEEP KOUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
29
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116981 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAMAN KADWASARA
3. Father's Name : LAXMAN RAM CHOUDHARY 4. Mother's Name: RAMA CHOUDHARY
5. Address: OLD SHIV BARI ROAD AMBEDKAR COLONY
BIKANER-334003
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9460562542 9. Phone No.:
10. Date of Birth: 10-10-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE, AJMER 2006 600 332 55.33
30
Sr. Sec. COMMERCE RBSE, AJMER 2008 650 361 55.54
Apearing for UG Final year exam YES U.G. BBA MGSU, BIKANER 2011
Declaration I RAMAN KADWASARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113040 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAVI SHANKER ROKANA
3. Father's Name : SITA RAM 4. Mother's Name: SUMITRA DEVI
5. Address: VPO HARKHEWALA TEH PADAMPUR DIST SRI GANGANAGAR
SRI GANGANAGAR-335061
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9461177930 9. Phone No.:
10. Date of Birth: 01-03-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE
31
15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD 2006 600 274 45.67
Sr. Sec. ARTS AJMER BOARD 2008 650 339 52.15
Apearing for UG Final year exam YES U.G. BBA MGS UNIVERSITY 2011
Declaration I RAVI SHANKER ROKANA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113286 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAVI VERMA
3. Father's Name : ASHOK KUMAR VERMA 4. Mother's Name: ANJU KUMAR VERMA
5. Address: NEAR SITA RAM GATE MUNDHRA BAGECHI
BIKANER-334001
32
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9694851010 9. Phone No.:
10. Date of Birth: 09-07-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD AJMER 2006 600 299 49.83
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2008 650 326 50.15
Apearing for UG Final year exam YES U.G. B.B.A MGS UNIVERSITY BIKANER 2011
Declaration I RAVI VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115223 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: RAVINDER CHOUDHARY
33
3. Father's Name : RATTIRAM CHOUDHARY 4. Mother's Name: RESHMA DEVI
5. Address:NEAR HOSPITAL ROAD VILLAGE-PALLU TAHSIL-RAWATSAR HANUMANGARH
PALLU-335524
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9461516231 9. Phone No.:
10. Date of Birth: 21-07-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE AJMER 2006 600 278 46.33
Sr. Sec. ARTS RBSE AJMER 2008 650 346 53.23
Apearing for UG Final year exam YES U.G. B.B.A. MGSU BIKANER 2011
Declaration I RAVINDER CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
34
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116030 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: REKHA FULIYA
3. Father's Name : HOTCHAND SINDHI 4. Mother's Name: DHARMA DEVI
5. Address: BEHIND OLD RADHA SWAMI SATSANG BHAWAN W.NO. 9
SURATGARH-335804
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9414904993 9. Phone No.:
10. Date of Birth: 17-05-1990 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSER RAJASTHAN 2006 600 393 65.50
Sr. Sec. ARTS BSER RAJASTHAN 2008 650 451 69.38
Apearing for UG Final year exam YES U.G. B.B.A. FINAL MGSU BIKANER 2011
Declaration I REKHA FULIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
35
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113738 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: ROOSTOM GIRI
3. Father's Name : MADAN GIRI 4. Mother's Name: JAIKORI GIRI
5. Address: ROOSTOM S/O MADAN GIRI WARD-5 NEAR ANUSUIYA ASHRAM RAWATSAR
RAWATSAR-335524
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9950374271 9. Phone No.:
10. Date of Birth: 23-09-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSE RAJASTHAN 2005 600 306 51.00
Sr. Sec. ARTS BSE RAJASTHAN 2007 650 348 53.54
Apearing for UG Final year exam YES U.G. B.A. MGS UNIVERSITY BIKANER 2011
Declaration I ROOSTOM GIRI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 36
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111101 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 107 - JODHPUR
2. Name of Candidate: SHIVANI SWAMI
3. Father's Name : RAJENDRA KUMAR SWAMI 4. Mother's Name: INDRA SWAMI 5. Address: OUTSIDE DHARAM NAGAR DWAR
BIKANER-334005
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9829500108 9. Phone No.:
10. Date of Birth: 16-02-1991 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 331 55.17
Sr. Sec. COMMERCE CBSE 2008 500 286 57.20
Apearing for UG Final year exam YES U.G. B.B.A. MGSU BIKANER 2011
Declaration I SHIVANI SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
37
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114019 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 106 - JHUNJHUNU
2. Name of Candidate: SHYOPAT RAM GODARA
3. Father's Name : DAYA RAM GODARA 4. Mother's Name: RAMPYARI
5. Address: VILLAGE MANAPHARSAR POST SHEKHSAR
TEHSIL LUNKARANSAR-334603
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9587742458 9. Phone No.:
10. Date of Birth: 01-05-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSER AJMER 2006 600 410 68.33
Sr. Sec. COMMERCE BSER AJMER 2008 650 429 66.00
Apearing for UG Final year exam YES U.G. B.COM MGSU BIKANER 2011
Declaration I SHYOPAT RAM GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
38
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115374 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: SIMRAN BISHNOI
3. Father's Name : SUSHIL BISHNOI 4. Mother's Name: MEENA BISHNOI 5. Address: 5-D MADHAVAN COLONY
SRI GANGANAGAR-335001
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9462898959 9. Phone No.:
10. Date of Birth: 28-12-1989 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION RAJASTHAN, AJMER
2005 600 336 56.00
Sr. Sec. COMMERCE MAHARAJA GANGA SINGH UNIVERISTY 2007 500 233 46.60
Apearing for UG Final year exam NO U.G. BBA BBA 2010 3100 1867 60.23
Declaration I SIMRAN BISHNOI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
39
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113379 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: SUBHANGI YADAV
3. Father's Name : SATYAVIR SINGH YADAV 4. Mother's Name: SWATI YADAV
5. Address:C-84, S.S.YADAV, NEAR STAR TRACK SCHOOL, KANTA KHATURIYA COLONY,
BIKANER-334003
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9461392911 9. Phone No.: 0151 -2232722
10. Date of Birth: 19-08-1990 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : C
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION, RAJASTHAN
2004 600 372 62.00
40
Sr. Sec. GROUP-HOMESCIENCE
BOARD OF SECONDARY EDUCATION, RAJASTHAN
2007 650 439 67.54
Apearing for UG Final year exam YES U.G. B.C.A. MAHARAJA GANGA SINGH
UNIVERSITY, BIKANER 2011
Declaration I SUBHANGI YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115845 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 104 - BIKANER
2. Name of Candidate: SUMAN DHUKIA
3. Father's Name : DHARAMPAL DUKIA 4. Mother's Name: PARVTI DEVI 5. Address: SHIVDANPURA
SHIVDANPURA BHUDER-335503
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9828937096 9. Phone No.:
10. Date of Birth: 01-08-1992 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam :
41
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary RAJ BOARD 2006 600 445 74.17
Sr. Sec. ARTS RAJ BOARD 2008 650 471 72.46
Apearing for UG Final year exam YES U.G. B.COM RAJ UNI 2011
Declaration I SUMAN DHUKIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113129 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: SUMAN KUMARI
3. Father's Name : INDER JEET 4. Mother's Name: BIRMA DEVI
5. Address:SUMAN C/O SUNIL BISHNOI H.NO F32 PWD COLONY INFORNT SARSWATI COLLEGE
HANUMANGARH JUNCTION-335512
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9414482013 9. Phone No.:
42
10. Date of Birth: 03-07-1985 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RSB AJMER 2000 600 332 55.33
Sr. Sec. ARTS RSB AJMER 2002 650 414 63.69
Apearing for UG Final year exam NO U.G. B.A. UNIVERSITY OF BIKANER 2005 1800 976 54.22
Declaration I SUMAN KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112349 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: SUNANDAN ADHA 3. Father's Name : PARTH SARTHI 4. Mother's Name: PRATIBHA SARTHI 5. Address: 6-B-34 JAI NARAYAN VYAS COLONY
BIKANER-334001
43
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9799779219 9. Phone No.: 0151 -2230122
10. Date of Birth: 01-03-1987 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2003 500 360 72.00
Sr. Sec. SCIENCE CBSE 2006 500 260 52.00
Apearing for UG Final year exam NO U.G. B.E./B.TECH./B.ARCH. RTU 2010 7000 4483 64.04
Declaration I SUNANDAN ADHA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
44
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115834 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 109 - UDAIPUR
2. Name of Candidate: SUNIL KUMAR SUTHAR
3. Father's Name : LAXMAN LAL SUTHAR 4. Mother's Name: SHAYAMA DEVI
5. Address: NEAR RAILWAY CROSSING CHOKHUNTI BIKANER (RAJ.)
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9414425655 9. Phone No.:
10. Date of Birth: 24-12-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ. BOARD, AJMER 2006 600 311 51.83
Sr. Sec. COMMERCE RAJ. BOARD, AJMER 2008 650 428 65.85
Apearing for UG Final year exam YES U.G. B.B.A. M.G.S.U. BIKANER 2011
Declaration I SUNIL KUMAR SUTHAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
45
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115855 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 104 - BIKANER
2. Name of Candidate: SUNITA MEENA
3. Father's Name : HIRA SINGH MEENA 4. Mother's Name: SAYAR DEVI 5. Address: TETRA
TETRA-333704
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9413193111 9. Phone No.:
10. Date of Birth: 06-09-1990 11. Sex: FEMALE
12. E-mail: 13. Category: ST 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ BOARD 2006 600 300 50.00
Sr. Sec. ARTS RAJ BOARD 2008 650 422 64.92
Apearing for UG Final year exam YES U.G. BBA RAJ UNI 2011
Declaration I SUNITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 46
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113374 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: SURYA PARKASH
3. Father's Name : KRISHAN CHANDER VERMA 4. Mother's Name: RADHA DEVI
5. Address:
SURYA PARKASH S/O SH. KRISHAN CHANDER VERMA NAMDEV FLORE MILL NEAR VETENEARY HOSPITAL, WORD NO.-12
SANGARIYA-335063
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9509101511 9. Phone No.:
10. Date of Birth: 26-07-1992 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 302 50.33
Sr. Sec. SCIENCE RAJASTHAN BOARD 2008 650 347 53.38
Apearing for UG Final year exam YES U.G. BBA M.G.S 2011
Declaration I SURYA PARKASH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
47
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 110458 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: SUSHMA KUMARI
3. Father's Name : SATPAL MEEL 4. Mother's Name: MANJU DEVI 5. Address: VPO NIRWANA TEHSIL SURATGARH
SRI GANGANAGAR-335804
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9828425615 9. Phone No.:
10. Date of Birth: 04-06-1990 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION,RAJASTHAN
2006 600 526 87.67
Sr. Sec. SCIENCE CBSE 2008 500 360 72.00
Apearing for UG Final year exam YES U.G. BBA MGSU BIKANER 2011
Declaration I SUSHMA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
48
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 110667 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: VANDANA CHOUDHARY
3. Father's Name : TULSI RAM 4. Mother's Name: RENUKA CHOUDHARY
5. Address: VILL. 4 M L NEEMA WALA POST OFF. 5 E CHHOTI NAI WALA
SRI GANGA NAGAR-335001
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9460429504 9. Phone No.:
10. Date of Birth: 30-04-1992 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2006 600 303 50.50
Sr. Sec. ARTS RBSE 2008 650 398 61.23
Apearing for UG Final year exam YES U.G. BBA MAHARAJA GANGA SINGH
UNIVERSITY,BIKANER 2011
Declaration I VANDANA CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or
49
ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113227 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: VIJAY BHARGAVA
3. Father's Name : RAJENDER KUMAR BHARGAVA 4. Mother's Name: RANI DEVI
5. Address: F-65 RAJ NAGAR NEAR VIJAY PETROLPUMP JAIPUR ROAD BIKANER
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9251153332 9. Phone No.:
10. Date of Birth: 13-03-1992 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
50
Secondary RAJASTHAN BOARD AJMER 2005 600 361 60.17
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 422 64.92
Apearing for UG Final year exam NO U.G. B.SC. MGS UNIVERSITY 2010 2025 1326 65.48
Declaration I VIJAY BHARGAVA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112870 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 107 - JODHPUR
2. Name of Candidate: VIKASH CHHIMPA
3. Father's Name : RAJENDRA KUMAR CHHIMPA 4. Mother's Name: YASHODA DEVI CHHIMPA
5. Address:
VIKASH CHHIMPA S/O RAJENDRA KUMAR CHHIMPA, G.S. ROAD CHHIMPO KA MOHALLA, OPP.LAXMI PLAZA
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9785566774 9. Phone No.: 0151 -2527515
10. Date of Birth: 21-11-1985 11. Sex: MALE
12. E-mail: [email protected]
51
13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ. BORD AJMER 2002 600 323 53.83
Sr. Sec. SCIENCE RAJ. BORD AJMER 2004 650 330 50.77
Apearing for UG Final year exam NO U.G. B.A. BIKANER UNIVERSITY,BIKANER 2008 1800 858 47.67
Declaration I VIKASH CHHIMPA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112870 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 104 - BIKANER II. 107 - JODHPUR
2. Name of Candidate: VIKASH CHHIMPA
3. Father's Name : RAJENDRA KUMAR CHHIMPA 4. Mother's Name: YASHODA DEVI CHHIMPA
5. Address:
VIKASH CHHIMPA S/O RAJENDRA KUMAR CHHIMPA, G.S. ROAD CHHIMPO KA MOHALLA, OPP.LAXMI PLAZA
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN
52
8. Mobile No.: 9785566774 9. Phone No.: 0151 -2527515
10. Date of Birth: 21-11-1985 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ. BORD AJMER 2002 600 323 53.83
Sr. Sec. SCIENCE RAJ. BORD AJMER 2004 650 330 50.77
Apearing for UG Final year exam NO U.G. B.A. BIKANER UNIVERSITY,BIKANER 2008 1800 858 47.67
Declaration I VIKASH CHHIMPA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114176 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 104 - BIKANER II. 105 - JAIPUR
2. Name of Candidate: VIVEK TAK 3. Father's Name : JAI PRAKASH TAK 4. Mother's Name: KALAWATI TAK 5. Address: 2-E-9,PAWANPURI
53
BIKANER-334001
6. District: BIKANER 7 State: RAJASTHAN 8. Mobile No.: 9829626188 9. Phone No.:
10. Date of Birth: 22-07-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN 2006 600 328 54.67
Sr. Sec. COMMERCE RAJASTHAN 2008 650 290 44.62
Apearing for UG Final year exam YES U.G. B.B.A M.G.S.U 2011
Declaration I VIVEK TAK declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111786 Exam. Fee 1000
1. Choice of Examination Centre and Course Course :M.B.A.
54
I. 105 - JAIPUR II. 102 - BHARATPUR
2. Name of Candidate: ABHISHEK CHOUDHARY
3. Father's Name : LAL SINGH 4. Mother's Name: NIRMALA DEVI
5. Address: H.NO.24, GANPATI VIHAR TIJARA ROAD
ALWAR-301001
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 8058100580 9. Phone No.:
10. Date of Birth: 20-06-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE BOARD 2006 500 281 56.20
Sr. Sec. COMMERCE CBSE BOARD 2008 500 315 63.00
Apearing for UG Final year exam YES U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration I ABHISHEK CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
55
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111099 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ABHISHEK PADHIYAR
3. Father's Name : OMPRAKASH SAIN 4. Mother's Name: SAJANA SAIN
5. Address: 163/267,KUMBHAMARG SANGANER,JAIPUR
JAIPUR-302033
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 7891351828 9. Phone No.:
10. Date of Birth: 16-08-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD 2005 600 371 61.83
Sr. Sec. ARTS AJMER BOARD 2007 650 392 60.31
Apearing for UG Final year exam NO U.G. B.B.A. RAJSTHAN UNIVERSITY 2010 1800 1037 57.61
Declaration I ABHISHEK PADHIYAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination.
56
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113205 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ABHISHEK TANWAR
3. Father's Name : HARI RAM TANWAR 4. Mother's Name: PUSHPA TANWAR
5. Address: 38 SARASWATI NAGAR SUSHILPURA SODALA
AJMER ROAD, JAIPUR-302006
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9251612848 9. Phone No.: 0141 -2221082
10. Date of Birth: 06-05-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BORAD,AJMER 2005 600 274 45.67
Sr. Sec. COMMERCE RAJASTHAN BORAD,AJMAER 2008 650 354 54.46
Apearing for UG Final year exam YES U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration I ABHISHEK TANWAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
57
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116250 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ABHISHEK YADAV
3. Father's Name : KRISHNA KUMAR YADAV 4. Mother's Name: SANTOSH YADAV
5. Address: 2766, BAGRU WALON KA RASTA II CROSSING CHANDPOLE BAZAAR
JAIPUR-302001
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9929000143 9. Phone No.:
10. Date of Birth: 01-05-1987 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2003 500 317 63.40
Sr. Sec. SCIENCE CBSE 2005 500 315 63.00
Apearing for UG Final year exam NO U.G. B.A. RAJASTHAN UNIVERSITY 2009 1800 918 51.00
Declaration I ABHISHEK YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
58
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117153 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 109 - UDAIPUR
2. Name of Candidate: ADITYA SINGH
3. Father's Name : SHER SINGH 4. Mother's Name: MEENA SINGH 5. Address: 82/21 SECT.-8 PRATAP NAGAR
SANGANER-302033
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 8890141188 9. Phone No.:
10. Date of Birth: 12-09-1991 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2006 500 294 58.80
Sr. Sec. COMMERCE CBSE 2008 500 300 60.00
Apearing for UG Final year exam YES U.G. B.COM UNIVERSITY OF RAJASTHAN 2011
59
Declaration I ADITYA SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116127 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: ADITYA SONI
3. Father's Name : NARENDRA KUMAR SONI 4. Mother's Name: PRAMILA SONI
5. Address: 4550,PURANI KOTWALI KA RASTA,JOHARI BAZAR,JAIPUR (RAJ.)
JAIPUR-302002
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9829598137 9. Phone No.:
10. Date of Birth: 08-01-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam :
60
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 383 63.83
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 404 62.15
Apearing for UG Final year exam YES U.G. B.E./B.TECH./B.ARCH. RTU 2011
Declaration I ADITYA SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116551 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: AGOSH DAGUR
3. Father's Name : SHIV RAM SINGH 4. Mother's Name: LAXMI DEVI 5. Address: 71/293, PATEL MARG MANSAROVAR
JAIPUR-302020
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9785925203 9. Phone No.:
61
10. Date of Birth: 25-04-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2004 600 450 75.00
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 352 54.15
Apearing for UG Final year exam NO U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 1145 63.61
Declaration I AGOSH DAGUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113467 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: AJAY KUMAR BHAIRA 3. Father's Name : MAHIPAL BHAIRA 4. Mother's Name: SANTRA DEVI 5. Address: BHAIRA KI DHANI
POST-PUROHITO KI DHANI-333001
62
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9024384560 9. Phone No.:
10. Date of Birth: 25-07-1989 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION, RAJASTHAN
2005 600 399 66.50
Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION, RAJASTHAN
2007 650 394 60.62
Apearing for UG Final year exam YES U.G. B.B.A RAJASTHAN UNIVERSITY 2011
Declaration I AJAY KUMAR BHAIRA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
63
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116568 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AJAY KUMAWAT
3. Father's Name : RUDMAL KUMAWAT 4. Mother's Name: RATAN KUMAWAT
5. Address:PL-38, KUMAWAT COLONY, BEHIND KUMAWAT SCHOOL,AJMER ROAD, SODALA.
JAIPUR-302006
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9829100407 9. Phone No.: 0141 -2450262
10. Date of Birth: 24-06-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: GEN 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION, RAJASTHAN
2004 600 310 51.67
Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION, RAJASTHAN
2006 650 313 48.15
Apearing for UG Final year exam NO U.G. B.B.A. UNIVERSITY OF RAJASTHAN 2010 1800 922 51.22
Declaration I AJAY KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
64
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112371 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AJAY SINGH
3. Father's Name : MAHAVIR SINGH GODARA 4. Mother's Name: MEERA DEVI 5. Address: VPO RAMPURA-RAMSARA TEH TIBBI
RAMPURA-335526
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9649000095 9. Phone No.:
10. Date of Birth: 03-02-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD 2006 600 451 75.17
Sr. Sec. ARTS CENTRAL BOARD OF SECONDARY EDUCATION
2008 500 314 62.80
Apearing for UG Final year exam YES U.G. B.A. ARTS 2011
Declaration I AJAY SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page.
65
9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115329 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 106 - JHUNJHUNU
2. Name of Candidate: AJAY VERMA
3. Father's Name : TULSI RAM VERMA 4. Mother's Name: DIPTI VERMA
5. Address: NEAR BHAGAT SINGH CIRCLE W.NO 19 LOHARU ROAD
PILANI-333031
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9636026870 9. Phone No.:
10. Date of Birth: 19-11-1989 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD, AJMER 2006 600 397 66.17
Sr. Sec. COMMERCE CBSE 2008 500 353 70.60
Apearing for UG Final year exam YES U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration I AJAY VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan.
66
4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116579 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: AJEET KUMAR
3. Father's Name : SHIV RAJ SINGH YADAV 4. Mother's Name: SUSHILA YADAV
5. Address: PLOT NO-89 MARUDHAR NAGAR DCM AJMER ROAD JAIPUR
JAIPUR-302024
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9352773416 9. Phone No.:
10. Date of Birth: 26-02-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2004 500 274 54.80
Sr. Sec. ARTS CBSE 2006 500 258 51.60
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I AJEET KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST
67
(Note : Incomplete forms are liable to be REJECTED without notice) (Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113105 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 107 - JODHPUR
2. Name of Candidate: AJIT SINGH
3. Father's Name : GOVIND RAM 4. Mother's Name: UMA DEVI
5. Address:WARD NO 1 CHOKHA KA BASS LOSAL. POST LOSAL, TEHSIL - DANTARAMGARH
SIKAR-332025
6. District: SIKAR 7 State: RAJASTHAN 8. Mobile No.: 9983273615 9. Phone No.:
10. Date of Birth: 10-08-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ BOARD AJMER 2005 600 521 86.83
Sr. Sec. SCIENCE RAJ BOARD AJMER 2007 650 473 72.77
Apearing for UG Final year exam NO U.G. B B A UNIVERSITY OF RAJASTHAN JAIPUR 2010 1800 1045 58.06
Declaration I AJIT SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
68
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112375 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AKASH SAINI
3. Father's Name : HANSRAJ SAINI 4. Mother's Name: SUSHEELA SAINI
5. Address: SHAKTI NAGAR SABJOHARA VIJAY MANDIR ROAD
ALWAR-301001
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 9214830116 9. Phone No.:
10. Date of Birth: 26-05-1990 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 293 48.83
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 358 55.08
Apearing for UG Final year exam YES U.G. B.B.A UNIV OF RAJASTHAN 2011
69
Declaration I AKASH SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112883 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 107 - JODHPUR
2. Name of Candidate: AKHILESH AKHAWAT
3. Father's Name : CHANCHAL SINGH 4. Mother's Name: SAVITRI KANWAR
5. Address: G-48 SIDDARTH NAGAR NAND PURI MALVIYA NAGAR
JAIPUR-302017
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9782770234 9. Phone No.: 0141 -2780306
10. Date of Birth: 20-03-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam :
70
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary C.B.S.E 2005 500 210 42.00
Sr. Sec. COMMERCE C.B.S.E 2007 500 320 64.00
Apearing for UG Final year exam NO U.G. B.B.A UNIVERSITY OF RAJASTHAN 2010 1800 1108 61.56
Declaration I AKHILESH AKHAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113797 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AKHILESH KUMAR
3. Father's Name : RAMDAVA 4. Mother's Name: GANGA DEVI 5. Address: VPO.GHANSOLI TEH. KISHANGARH
ALWAR-301405
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 9413067772 9. Phone No.:
71
10. Date of Birth: 28-09-1989 11. Sex: MALE
12. E-mail: 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 260 43.33
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 335 51.54
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I AKHILESH KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114762 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AKSHAY PILANIA 3. Father's Name : DEVILAL PILANIA 4. Mother's Name: BANAWATI PILANIA
5. Address: PLOT NO. 92, OFFICERS CAMPUS EXT. VAISHALI NAGAR, JAIPUR
JAIPUR-302004
72
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9784472697 9. Phone No.:
10. Date of Birth: 12-11-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE BOARD 2004 500 203 40.60
Sr. Sec. COMMERCE NOS, DELHI 2007 500 238 47.60
Apearing for UG Final year exam YES U.G. B.COM UNIVERSITY OF RAJASTHAN 2011
Declaration I AKSHAY PILANIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
73
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112186 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 108 - KOTA II. 105 - JAIPUR
2. Name of Candidate: RANJEET NAGAR
3. Father's Name : JAMANA LAL NAGAR 4. Mother's Name: GEETA NAGAR
5. Address: VILLAGE & POST DHOLAM, TEHSIL - CHHIPA BAROD, DIST. BARAN
BARAN-325221
6. District: BARAN 7 State: RAJASTHAN 8. Mobile No.: 9785948214 9. Phone No.:
10. Date of Birth: 09-06-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE, NEW DELHI 2005 500 264 52.80
Sr. Sec. SCIENCE RBSE, AJMER 2008 650 377 58.00
Apearing for UG Final year exam YES U.G. B.B.A. UNIVERSITY OF KOTA, KOTA 2011
Declaration I RANJEET NAGAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
74
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112176 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ALKA KARADIA
3. Father's Name : LAXMI NARAYAN KARADIA 4. Mother's Name: PREM DEVI KARADIA 5. Address: 1004,RAM NAGAR SHASTRI NAGAR
JAIPUR-302016
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9828895151 9. Phone No.: 0141 -2302556
10. Date of Birth: 21-05-1990 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : C
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 502 83.67
Sr. Sec. COMMERCE C.B.S.E. 2008 500 384 76.80
Apearing for UG Final year exam YES U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration I ALKA KARADIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 75
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115401 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 107 - JODHPUR
2. Name of Candidate: AMAN CHOUDHARY
3. Father's Name : SURENDRA CHOUDHARY 4. Mother's Name: LAXMI CHOUDHARY 5. Address: 102/116 PATEL MARG, MANSAROVER
JAIPUR-302020
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9529982772 9. Phone No.:
10. Date of Birth: 19-06-1990 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Other State 16. Domicile Category : 999
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 244 40.67
Sr. Sec. COMMERCE RAJASTHAN BOARD 2007 650 336 51.69
Apearing for UG Final year exam YES U.G. B.B.A. RAJASTHAN UNIVERSITY 2008
Declaration I AMAN CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
76
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113194 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AMAR SINGH GURJAR
3. Father's Name : RAJA RAM GURJAR 4. Mother's Name: KAMLA DEVI
5. Address: 10/556, KAVERI PATH NEAR KL SAINI STADIUM MANSAROVAR
JAIPUR-302020
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9460017898 9. Phone No.:
10. Date of Birth: 20-03-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE,AJMER 2006 600 309 51.50
Sr. Sec. ARTS RBSE,AJMER 2008 650 382 58.77
Apearing for UG Final year exam YES U.G. B.C.A. UNIVERSITY OF RAJASTHAN 2011
Declaration I AMAR SINGH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
77
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112730 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AMBA RAM YADAV
3. Father's Name : BHAIRU RAM YADAV 4. Mother's Name: RAMESHWARI DEVI
5. Address: VILLAGE CHIRNOTIYA, POST MURLIPURA VIA JOBNER, DIST JAIPUR
JAIPUR-303328
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9950553329 9. Phone No.:
10. Date of Birth: 01-07-1989 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2003 600 255 42.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 421 64.77
Apearing for UG Final year exam YES U.G. B.B.A. RAJASTHAN UNIVERSITY 2011
Declaration I AMBA RAM YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
78
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112730 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AMBA RAM YADAV
3. Father's Name : BHAIRU RAM YADAV 4. Mother's Name: RAMESHWARI DEVI
5. Address: VILLAGE CHIRNOTIYA, POST MURLIPURA VIA JOBNER, DIST JAIPUR
JAIPUR-303328
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9950553329 9. Phone No.:
10. Date of Birth: 01-07-1989 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2003 600 255 42.50
79
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 421 64.77
Apearing for UG Final year exam YES U.G. B.B.A. RAJASTHAN UNIVERSITY 2011
Declaration I AMBA RAM YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 110681 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 109 - UDAIPUR
2. Name of Candidate: AMBALAL MEGHWAL
3. Father's Name : SAMARAM 4. Mother's Name: PARVATI DEVI
5. Address: AT POST -BHARJA,VIA -ABUROAD TEH. -PINDWADA
BHARJA-307026
6. District: SIROHI 7 State: RAJASTHAN 8. Mobile No.: 9649123032 9. Phone No.:
10. Date of Birth: 17-05-1986 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE
80
15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 280 46.67
Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 437 67.23
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I AMBALAL MEGHWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116618 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: AMILAL OOOO
3. Father's Name : GHEESA RAM 4. Mother's Name: MANOHARI DEVI
5. Address: VILLAGE MANOTA KALAN TEHSIL KHETRI
MANOTA KALAN-333504
81
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9929081600 9. Phone No.:
10. Date of Birth: 01-07-1988 11. Sex: MALE
12. E-mail: 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION RAJATHAN AJMER
2003 600 280 46.67
Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION RAJASTHAN AJMER
2006 650 324 49.85
Apearing for UG Final year exam NO U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 877 48.72
Declaration I AMILAL OOOO declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116977 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
82
2. Name of Candidate: AMIR KHAN
3. Father's Name : MUMTAZ KHAN 4. Mother's Name: NASEEM BANO
5. Address:33,SAINIK MARG,RAGUNATHPURI,JHOTWARA JAIPUR,RAJATHAN
JAIPUR-302012
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9950726905 9. Phone No.:
10. Date of Birth: 14-06-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary C.B.S.E 2006 500 257 51.40
Sr. Sec. COMMERCE C.B.S.E 2008 500 332 66.40
Apearing for UG Final year exam YES U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration I AMIR KHAN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
83
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111775 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: AMIT KAROL
3. Father's Name : GOPICHAND KAROL 4. Mother's Name: MUKTA KAROL 5. Address: 132 K.V G.S.S RSEB COLONY
BAGAR-333023
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9782550182 9. Phone No.: 01592 -342112
10. Date of Birth: 01-07-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD 2005 600 340 56.67
Sr. Sec. SCIENCE AJMER BOARD 2007 650 386 59.38
Apearing for UG Final year exam YES U.G. B.E./B.TECH./B.ARCH. PURSING 2011
Declaration I AMIT KAROL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
84
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 110782 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: AMIT KUMAR
3. Father's Name : AMAR SINGH BHALOTHIA 4. Mother's Name: SUMAN DEVI 5. Address: Q. NO. - C 19 SECTOR I - A
KHETRI NAGAR-333504
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9413517216 9. Phone No.:
10. Date of Birth: 02-05-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2005 500 240 48.00
Sr. Sec. COMMERCE CBSE 2007 500 288 57.60
Apearing for UG Final year exam YES U.G. B.A. RAJASTHAN UNIVERSITY 2011
Declaration I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
85
8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113608 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 106 - JHUNJHUNU
2. Name of Candidate: AMIT KUMAR
3. Father's Name : MEHAR CHAND 4. Mother's Name: SARASWATI DEVI
5. Address: S 49 SHANTI NAGAR HASANPURA JAIPUR
JAIPUR-302006
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9680420772 9. Phone No.: 0141 -5114024
10. Date of Birth: 15-12-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary HARYANA BOARD 2003 600 441 73.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 372 57.23
Apearing for UG Final year exam NO U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 1187 65.94
Declaration I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan.
86
4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113608 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 106 - JHUNJHUNU
2. Name of Candidate: AMIT KUMAR
3. Father's Name : MEHAR CHAND 4. Mother's Name: SARASWATI DEVI
5. Address: S 49 SHANTI NAGAR HASANPURA JAIPUR
JAIPUR-302006
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9680420772 9. Phone No.: 0141 -5114024
10. Date of Birth: 15-12-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary HARYANA BOARD 2003 600 441 73.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 372 57.23
Apearing for UG Final year exam NO U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 1187 65.94
Declaration I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST
87
(Note : Incomplete forms are liable to be REJECTED without notice) (Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112872 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 102 - BHARATPUR
2. Name of Candidate: AMIT KUMAR
3. Father's Name : PHOOL SINGH 4. Mother's Name: PHOOL VATI 5. Address: 74/110 SHIPRA PATH MANSROVER
JAIPUR-302020
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9783860670 9. Phone No.: 0141 -2780306
10. Date of Birth: 07-02-1992 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJSTHAN BOARD 2005 600 242 40.33
Sr. Sec. ARTS RAJSTHAN BOARD 2007 650 397 61.08
Apearing for UG Final year exam NO U.G. B.B.A UNIVERSITY OF RAJSTHAN 2010 1800 1018 56.56
Declaration I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
88
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112267 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AMIT KUMAR JANGIR
3. Father's Name : RADHEYSHYAM JANGIR 4. Mother's Name: SUSHILA DEVI
5. Address: PLOT NO 1, JAMUNA COLONY, VIDHYADHAR NAGAR , JAIPUR(RAJ)
JAIPUR-302023
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9784762389 9. Phone No.:
10. Date of Birth: 08-07-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION, RAJASTHAN
2004 600 342 57.00
Sr. Sec. COMMERCE BOARD OF SECONDARY EDUCATION, RAJASTHAN
2006 650 343 52.77
Apearing for UG Final year exam NO U.G. B.COM UNIVERITY OF RAJASTHAN 2010 1800 975 54.17
89
Declaration I AMIT KUMAR JANGIR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116004 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: AMIT KUMAR RATHOR
3. Father's Name : ASHOK KUMAR RATHOR 4. Mother's Name: HEM LATA RATHOR
5. Address: NEAR GOVT WELL TAGAR MOHALLA BHAWANI MANDI
BHAWANI MANDI-326502
6. District: JHALAWAR 7 State: RAJASTHAN 8. Mobile No.: 7737033398 9. Phone No.:
10. Date of Birth: 08-07-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam :
90
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary BOARD OF SEC EDU RAJASTHAN 2005 600 319 53.17
Sr. Sec. ARTS BOARD OF SEC EDU RAJASTHAN 2007 650 354 54.46
Apearing for UG Final year exam YES U.G. BBA DAVV INDORE 2011
Declaration I AMIT KUMAR RATHOR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115344 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AMIT KUMAR SHARMA
3. Father's Name : RAMESH CHANDRA SHARMA 4. Mother's Name: PADMA DEVI
5. Address: 11, DEVI NAGAR, NEW SANGANER ROAD SODALA, JAIPUR
SODALA, JAIPUR-302019
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9001570227 9. Phone No.: 0141 -2290224
91
10. Date of Birth: 21-07-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 371 61.83
Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 399 61.38
Apearing for UG Final year exam YES U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration I AMIT KUMAR SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 110090 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AMIT KUMAR YADAV 3. Father's Name : SHIV KUMAR YADAV 4. Mother's Name: SANTOSH YADAV 5. Address: B-30 TAPOVAN-VIHAR
JAGATPURA-302025
92
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9414652637 9. Phone No.: 0141 -2752035
10. Date of Birth: 24-12-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : B
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN 2005 600 507 84.50
Sr. Sec. SCIENCE RAJASTHAN 2007 650 488 75.08
Apearing for UG Final year exam YES U.G. B.E./B.TECH./B.ARCH. RTU , KOTA 2011
Declaration I AMIT KUMAR YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
93
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111114 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: AMIT YADAV
3. Father's Name : RATAN LAL YADAV 4. Mother's Name: CHAMELI YADAV
5. Address: ADARSH COLONY BEHIND KLG SCHOOL
KHAIRTHAL-301404
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 9024477308 9. Phone No.:
10. Date of Birth: 23-01-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2004 600 479 79.83
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 427 65.69
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I AMIT YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
94
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114881 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 104 - BIKANER
2. Name of Candidate: AMRENDRA SINGH SINGH
3. Father's Name : IQBAL SINGH 4. Mother's Name: GURJINDRA KAUR 5. Address: V.P.O.SANTPURA TEH-SANGARIA
DT-HANUMANGARH-335063
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9413721366 9. Phone No.:
10. Date of Birth: 08-08-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD 2003 600 360 60.00
Sr. Sec. SCIENCE AJMER BOARD 2007 650 316 48.62
Apearing for UG Final year exam YES U.G. BBA SIKKIM MANIPAL UNIVERSITY 2011
Declaration I AMRENDRA SINGH SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 95
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113311 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: AMRESH YADAV
3. Father's Name : LAXMAN SINGH YADAV 4. Mother's Name: SHAKUNTALA YADAV
5. Address: A-5, BEHIND MAHAVEER DHABA JHALANA PYAU
MALVIYA NAGAR JAIPUR-302017
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9785373170 9. Phone No.:
10. Date of Birth: 08-07-1989 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Other State 16. Domicile Category : 999
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2004 600 355 59.17
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 361 55.54
Apearing for UG Final year exam YES U.G. B.SC. RAJASTHAN UNIVERSITY 2011
Declaration I AMRESH YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
96
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112849 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: ANCHAL SAINI
3. Father's Name : SUBHASH SAINI 4. Mother's Name: MANJU SAINI
5. Address: ANCHAL SAINI C/O RAMLAL SAINI NEAR RAILWAY STATION
NAWALGARH-333042
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9413547538 9. Phone No.: 01594 -223462
10. Date of Birth: 10-07-1989 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF AJMER RAJASTHAN 2004 600 346 57.67
Sr. Sec. ARTS BOARD OF AJMER RAJASTHAN 2005 650 397 61.08
Apearing for UG Final year exam NO U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 983 54.61
Declaration I ANCHAL SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
97
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115981 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANIL CHOUDHARY
3. Father's Name : SUBHASH CHAND 4. Mother's Name: KIRAN CHOUDHARY 5. Address: C-188 MAHESH NAGAR
JAIPUR-302015
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9828082318 9. Phone No.:
10. Date of Birth: 20-10-1985 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD 2001 600 368 61.33
Sr. Sec. SCIENCE AJMER BOARD 2003 650 371 57.08
Apearing for UG Final year exam NO U.G. B.SC. RAJASTHAN UNIVERSITY 2009 1350 719 53.26
Declaration I ANIL CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
98
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113182 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR 3. Father's Name : DEVA RAM 4. Mother's Name: PATASI DEVI
5. Address: 30/54/11,SWARN PATH MANSAROVAR
JAIPUR-302020
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9799260540 9. Phone No.:
10. Date of Birth: 09-06-1992 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE,AJMER 2006 600 390 65.00
Sr. Sec. ARTS RBSE,AJMER 2008 650 411 63.23
Apearing for UG Final year exam YES U.G. BBA UNIVERSITY OF RAJASTHAN 2011
99
Declaration I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114087 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 102 - BHARATPUR
2. Name of Candidate: ANIL KUMAR
3. Father's Name : KABOOL CHAND 4. Mother's Name: RAJBALA DEVI 5. Address: 2 KUSH MARG
ALWAR-301001
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 9982938918 9. Phone No.:
10. Date of Birth: 05-08-1990 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam :
100
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 297 49.50
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 423 65.08
Apearing for UG Final year exam YES U.G. B.A. RAJASTHAN UNIVERSITY 2011
Declaration I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115809 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR
3. Father's Name : SHREE AMAR SINGH 4. Mother's Name: SMT. INDRA DEVI
5. Address: VILL & POST - BUDHWALIYA TEH RAWATASAR
BUDHWALIYA-335524
6. District: HANUMANGARH 7 State: RAJASTHAN 8. Mobile No.: 9460622860 9. Phone No.:
101
10. Date of Birth: 05-02-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSER AJMER 2005 600 360 60.00
Sr. Sec. SCIENCE BSER AJMER 2008 650 399 61.38
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117160 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR BALODIA
3. Father's Name : HANUMAN PARSAD KUMAWAT 4. Mother's Name: VIDYA DEVI
5. Address: 771,SUMER NAGAR AGARWAL FARM MANSAROVAR JAIPUR
JAIPUR-302020
102
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9461688018 9. Phone No.:
10. Date of Birth: 18-03-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 337 56.17
Sr. Sec. COMMERCE RAJASTHAN BOARD 2007 650 430 66.15
Apearing for UG Final year exam NO U.G. B.B.A RAJASTHAN UNIVERSITY 2010 1800 1058 58.78
Declaration I ANIL KUMAR BALODIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112603 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR GURJAR
103
3. Father's Name : HARI SINGH GURJAR 4. Mother's Name: DHORI DEVI
5. Address: ANIL KUMAR GURJAR PLOT 231-A GOVERDHAN NAGAR TOLTEX
SANGANER-302033
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9571293232 9. Phone No.:
10. Date of Birth: 01-01-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 400 66.67
Sr. Sec. ARTS CBSE BOARD 2008 500 347 69.40
Apearing for UG Final year exam YES U.G. B.B.A RAJASTHAN UNIVERSITY 2011
Declaration I ANIL KUMAR GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
104
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111819 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR KUMAWAT
3. Father's Name : LAXMI NARAYAN 4. Mother's Name: DURGA DEVI
5. Address: C- 198 MAHESH NAGER 60 FEET ROAD
JAIPUR-302015
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9887487031 9. Phone No.:
10. Date of Birth: 01-01-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION RAJASTHAN
2005 600 273 45.50
Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION RAJASTHAN
2008 650 406 62.46
Apearing for UG Final year exam YES U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration I ANIL KUMAR KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
105
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115553 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 106 - JHUNJHUNU
2. Name of Candidate: ANIL KUMAR NUNIA
3. Father's Name : MOHAR SINGH 4. Mother's Name: BIMALA DEVI
5. Address: VILLAGE /POST -LALPUR DIST-JHUNJHUNU
JHUNJHUNU-333023
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9660563807 9. Phone No.:
10. Date of Birth: 01-07-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD AJMER 2005 600 372 62.00
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 416 64.00
Apearing for UG Final year exam YES U.G. B.SC. UNIVERSITY OF RAJASTHAN 2011
Declaration I ANIL KUMAR NUNIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
106
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114797 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR SONI
3. Father's Name : GHANSHYAM SONI 4. Mother's Name: PREMLATA SONI
5. Address: 305 NIRMAL VIHAR DADI KA PHATAK BENAD ROAD JHOTWARA
JAIPUR-302012
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 8233576764 9. Phone No.:
10. Date of Birth: 07-05-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD RAJASTHAN 2004 600 298 49.67
Sr. Sec. COMMERCE BOARD OF INTERMEDIATE EDUCATION A.P.
2006 1000 584 58.40
Apearing for UG Final year exam NO U.G. B.COM OSMANIA UNIVERSITY 2009 1800 900 50.00
Declaration I ANIL KUMAR SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST 107
(Note : Incomplete forms are liable to be REJECTED without notice) (Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111665 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANIL KUMAWAT
3. Father's Name : JAGDISH KUMAWAT 4. Mother's Name: ROOPA DEVI KUMAWAT
5. Address:VILLAGE POST KAREDA BUZURG TEH.NEWAI DIST.TONK RAJASTHAN PIN.304025
KAREDA BUZURG-304001
6. District: TONK 7 State: RAJASTHAN 8. Mobile No.: 9166154040 9. Phone No.:
10. Date of Birth: 06-08-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION RAJASTHAN
2005 600 331 55.17
Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION RAJASTHAN
2008 650 490 75.38
Apearing for UG Final year exam YES U.G. BBA BBA 2011
Declaration I ANIL KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
108
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117095 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANITA KASOTIYA 3. Father's Name : MANGU RAM REGAR 4. Mother's Name: SUNITA DEVI
5. Address: R-43,SHREEGANPATI NAGAR NEAR NEW SDM COURT,RAMSINGHPURA
SANGANER,JAPUR-302020
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9251348886 9. Phone No.:
10. Date of Birth: 01-06-1990 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE,AJMER 2006 600 377 62.83
Sr. Sec. ARTS RBSE,AJMER 2008 650 491 75.54
Apearing for UG Final year exam YES U.G. BBA MDS UNIVERSITY,AJMER 2011
Declaration I ANITA KASOTIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
109
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115921 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: ANITA KUMARI
3. Father's Name : BAJRANG LAL 4. Mother's Name: CHUKA DEVI
5. Address: VILL-BALWANTPURA POST-CHELASI,VIA-NAWALGARH
NAWALGARH-333042
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9828712626 9. Phone No.: 01594 -223632
10. Date of Birth: 19-11-1990 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
110
Secondary RBSE,AJMER 2006 600 238 39.67
Sr. Sec. FINE ARTS RBSE,AJMER 2008 650 470 72.31
Apearing for UG Final year exam YES U.G. BBA UNIVERSITY OF RAJASTHAN,JAIPUR 2011
Declaration I ANITA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115852 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: ANITA KUMARI
3. Father's Name : HARLAL SINGH 4. Mother's Name: SANTOSH DEVI 5. Address: DUDIA KI DHANI
DUDIA KI DHANI-333707
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9413434703 9. Phone No.:
10. Date of Birth: 23-02-1992 11. Sex: FEMALE
111
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ BOARD 2006 600 437 72.83
Sr. Sec. ARTS RAJ BOARD 2008 650 397 61.08
Apearing for UG Final year exam YES U.G. BBA RAJ UNI 2011
Declaration I ANITA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114520 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 107 - JODHPUR
2. Name of Candidate: ANITA MEENA 3. Father's Name : POORAN CHAND MEENA 4. Mother's Name: KAMLESH MEENA
5. Address: PLOT NO. 43, JANAKPURI - II (EXT.) IMALI WALA PHATAK
JAIPUR-302005
112
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9868331622 9. Phone No.:
10. Date of Birth: 10-11-1988 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: ST 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2003 500 313 62.60
Sr. Sec. SCIENCE CBSE 2006 500 296 59.20
Apearing for UG Final year exam YES U.G. B.SC. RAJASTHAN UNIVERCITY 2011
Declaration I ANITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
113
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115291 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: ANITA NIRMAL
3. Father's Name : KAMAL CHAND NIRMAL 4. Mother's Name: SUMITRA NIRMAL 5. Address: NEAR POST OFFICE SULTANA
CHIRAWA-333028
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9024130920 9. Phone No.:
10. Date of Birth: 01-06-1987 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE AJMER 2002 600 335 55.83
Sr. Sec. SCIENCE RBSE AJMER 2004 650 350 53.85
Apearing for UG Final year exam NO U.G. B.SC. UNVERSITY OF RAJASTHAN 2007 1350 831 61.56
Declaration I ANITA NIRMAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
114
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115317 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANITA SAINI
3. Father's Name : BANSHIDHAR SAINI 4. Mother's Name: MEERA DEVI
5. Address: LAXMINATH VASTRA BHANDAR LAXMINATH JI KA CHOWK CHOMU
CHOMU-303702
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9214922705 9. Phone No.: 01423 -221305
10. Date of Birth: 10-08-1989 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : B
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD AJMER 2006 600 400 66.67
Sr. Sec. ARTS RAJASTHAN BOARD AJMER 2008 650 468 72.00
Apearing for UG Final year exam YES U.G. B.B.A. B.B.A. 2011
Declaration I ANITA SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 115
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115717 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANJU RANWA
3. Father's Name : ROOPA RAM RANWA 4. Mother's Name: SOHANI DEVI 5. Address: VILL. - BHIRANA VAYA LOSAL
SIKAR-332025
6. District: SIKAR 7 State: RAJASTHAN 8. Mobile No.: 8104267363 9. Phone No.:
10. Date of Birth: 06-05-1988 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOSER AJMER 2006 600 348 58.00
Sr. Sec. ARTS BOSER AJMER 2008 650 322 49.54
Apearing for UG Final year exam YES U.G. B.B.A. BOSER AJMER 2011
Declaration I ANJU RANWA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
116
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116348 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANKIT KARORA
3. Father's Name : NARESH KARORA 4. Mother's Name: UPASANA KARORA
5. Address: BHAIRAV NIWAS, NEAR E.S.I. HOSPITAL HATWARA ROAD, SODALA
JAIPUR-302006
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9649999916 9. Phone No.: 0141 -2450727
10. Date of Birth: 20-12-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary R.B.S.E. 2006 600 408 68.00
Sr. Sec. SCIENCE R.B.S.E. 2008 650 342 52.62
Apearing for UG Final year exam YES U.G. BBA UNI. OF RAJASTAN 2011
Declaration I ANKIT KARORA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
117
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116463 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 104 - BIKANER
2. Name of Candidate: ANKIT KUMAR BAJDOLIYA
3. Father's Name : SAGAR MAL 4. Mother's Name: KOUSHALYA DEVI
5. Address: VILLAGE CHENPURA, POST DHINGPUR, TEHSIL DANTARAMGARH
CHENPURA-332601
6. District: SIKAR 7 State: RAJASTHAN 8. Mobile No.: 9001283807 9. Phone No.:
10. Date of Birth: 23-07-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: EX-S[EXS4] 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE BOARD 2006 500 360 72.00
Sr. Sec. ARTS CBSE BOARD 2008 500 389 77.80
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I ANKIT KUMAR BAJDOLIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
118
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115682 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANKIT KUMAR KASERA 3. Father's Name : MAHESH CHAND 4. Mother's Name: NEETA DEVI
5. Address: HOUSE NO 1492 LUHORAN KI GALI CHOURA RASTA
JAIPUR-302003
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9680893331 9. Phone No.: 0141 -2315080
10. Date of Birth: 09-06-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2005 600 289 48.17
Sr. Sec. COMMERCE RBSE 2007 650 414 63.69
Apearing for UG Final year exam NO U.G. BBA RAJASTHAN UNIVERSITY 2010 1800 1019 56.61
119
Declaration I ANKIT KUMAR KASERA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114431 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANKIT SHARMA
3. Father's Name : MADAN LAL SHARMA 4. Mother's Name: MOHRI DEVI
5. Address: SECTOR-5,PRATAP NAGAR VILL-BAMBALA,BEHIND P.N.B.
SANGANER-302033
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 8058615386 9. Phone No.: 0141 -2793270
10. Date of Birth: 04-07-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam :
120
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary RBSE,AJMER 2004 600 261 43.50
Sr. Sec. ARTS RBSE,AJMER 2008 650 314 48.31
Apearing for UG Final year exam YES U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration I ANKIT SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113185 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANKIT VISHNOI
3. Father's Name : K.K BISHNOI 4. Mother's Name: ROSHANI DEVI
5. Address: 123/21, AGARWAL FARM MANSAROVAR
JAIPUR-302020
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9610448838 9. Phone No.: 0141 -2781844
121
10. Date of Birth: 23-07-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2005 500 279 55.80
Sr. Sec. COMMERCE CBSE 2008 500 279 55.80
Apearing for UG Final year exam YES U.G. B.COM UNIVERSITY OF RAJASTHAN 2011
Declaration I ANKIT VISHNOI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112090 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANKITA DABAR 3. Father's Name : RAJESH DABAR 4. Mother's Name: ANITA DABAR
5. Address: RAJAGARH ROAD SHANTI NAGAR WARD NO.1
PILANI-333031
122
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9352657577 9. Phone No.:
10. Date of Birth: 31-05-1990 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : B
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2006 500 254 50.80
Sr. Sec. COMMERCE CBSE 2008 500 320 64.00
Apearing for UG Final year exam YES U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration I ANKITA DABAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
123
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111548 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANKITA MEENA
3. Father's Name : DHARAM SINGH MEENA 4. Mother's Name: UGANTI MEENA
5. Address: 155, MUKTANAND NAGAR GOPALPURA MODE
JAIPUR-302018
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9414404065 9. Phone No.: 0141 -2546124
10. Date of Birth: 02-07-1991 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: ST 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 395 65.83
Sr. Sec. ARTS RAJASTHAN 2008 650 458 70.46
Apearing for UG Final year exam YES U.G. B.B.A. RAJASTHAN UNIVERSITY 2011
Declaration I ANKITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
124
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113644 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANKUR PACHAHARA
3. Father's Name : RAMESH CHOUDHARY 4. Mother's Name: UJJAWAL DEVI
5. Address: 53, JAI BHAWANI NAGAR KHATIPURA ROAD, JAIPUR
JAIPUR-302012
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 7737302356 9. Phone No.:
10. Date of Birth: 25-04-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2006 500 316 63.20
Sr. Sec. COMMERCE CBSE 2008 500 292 58.40
Apearing for UG Final year exam YES U.G. B.B.A RAJASTHAN UNIVERSITY 2011
Declaration I ANKUR PACHAHARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 125
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115211 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 106 - JHUNJHUNU
2. Name of Candidate: ANUP JANGIR
3. Father's Name : VIJAY KUMAR JANGIR 4. Mother's Name: ASHA DEVI 5. Address: 9/94 VIDHYADHAR NAGAR JAIPUR
JAIPUR-302023
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9828114316 9. Phone No.:
10. Date of Birth: 20-12-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary B.S.E. RAJASTHAN 2005 600 405 67.50
Sr. Sec. SCIENCE B.S.E. RAJASTHAN 2008 650 398 61.23
Apearing for UG Final year exam YES U.G. B.B.A UNIVERSITY OF RAJ 2011
Declaration I ANUP JANGIR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
126
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115237 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 102 - BHARATPUR
2. Name of Candidate: ANUPAM SAINI
3. Father's Name : GHANSHYAM LAL SAINI 4. Mother's Name: KANTA SAINI 5. Address: 1/59, NEB, HOUSING BOARD ALWAR
ALWAR-301001
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 9571378454 9. Phone No.:
10. Date of Birth: 19-12-1991 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSER, AJMER 2005 600 286 47.67
Sr. Sec. COMMERCE BSER, AJMER 2008 650 324 49.85
Apearing for UG Final year exam YES U.G. B.COM UNIVERSITY OF RAJASTHAN, JAIPUR 2011
Declaration I ANUPAM SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
127
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112710 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: ANURADHA MORE
3. Father's Name : R.S MORE 4. Mother's Name: SUNANDA MORE 5. Address: TYPE-2/107 ANUDEEP COLONY
RAWATBHATA-323307
6. District: CHITTORGARH 7 State: RAJASTHAN 8. Mobile No.: 9460679872 9. Phone No.:
10. Date of Birth: 13-06-1990 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2006 500 277 55.40
Sr. Sec. SCIENCE CBSE 2008 500 312 62.40
Apearing for UG Final year exam YES U.G. B.C.A. KOTA UNIVERSITY 2011
Declaration I ANURADHA MORE declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
128
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 110680 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: ANURADHA SHARMA
3. Father's Name : SUBHASH SHARMA 4. Mother's Name: VEENA DEVI
5. Address:VIRASAT MOBILE AND REPAIRING CENTER NEAR P.W.D. OFFICE NEW BUS STAND WARD NO. - 15
BEHROR-301701
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 9929948641 9. Phone No.: 01494 -221151
10. Date of Birth: 31-07-1991 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION, RAJASTHAN
2006 600 507 84.50
129
Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION, RAJASTHAN
2008 650 406 62.46
Apearing for UG Final year exam YES U.G. B.B.A. RAJASTHAN 2011
Declaration I ANURADHA SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116034 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: ANURAG POONIA
3. Father's Name : SURESH KUMAR POONIA 4. Mother's Name: KAMALA 5. Address: B-33, MAN NAGAR NEAR CLUB
JHUNJHUNU-333001
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9829987834 9. Phone No.: 01592 -234328
10. Date of Birth: 14-07-1991 11. Sex: MALE
12. E-mail:
130
13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BSER, AJMER 2005 600 323 53.83
Sr. Sec. SCIENCE BSER, AJMER 2007 650 422 64.92
Apearing for UG Final year exam YES U.G. B.A. UNIVERSITY OF RAJ. JAIPUR 2011
Declaration I ANURAG POONIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117061 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ANURAG SANGAT
3. Father's Name : DEEPAK SANGAT 4. Mother's Name: SANDHYA SANGAT 5. Address: KALI PALTAN VIKAS NAGAR TONK
TONK-304001
131
6. District: TONK 7 State: RAJASTHAN 8. Mobile No.: 9660388289 9. Phone No.: 01432 -244094
10. Date of Birth: 28-08-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2006 600 315 52.50
Sr. Sec. ARTS RBSE 2008 650 413 63.54
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I ANURAG SANGAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116190 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: ANUSHREE VERMA
132
3. Father's Name : MOHAN VERMA 4. Mother's Name: ANJU VER,A
5. Address: 165-VISHVESHWARIYA NAGAR GOPALPURA BUY PASS
JAIPUR-302018
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 8107017602 9. Phone No.: 0141 -2763612
10. Date of Birth: 02-09-1990 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 374 62.33
Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 380 58.46
Apearing for UG Final year exam YES U.G. B.COM UNIVERSITY OF RAJASTHAN 2011
Declaration I ANUSHREE VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
133
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111369 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ARADHANA YADAV
3. Father's Name : LAL CHAND YADAV 4. Mother's Name: KRISHNA DEVI
5. Address:ARADHANA YADAV D/O LAL CHAND YADAV DB-11 SIDDHART NAGAR GATOR MALVIYA NAGAR
JAIPUR-302017
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9024343179 9. Phone No.:
10. Date of Birth: 27-07-1991 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION RAJASTHAN
2006 600 266 44.33
Sr. Sec. ARTS BOARD OF SECONDARY EDUCATION RAJASTHAN
2008 650 402 61.85
Apearing for UG Final year exam YES U.G. B.A. UNIVERSITY OF RAJASTHAN 2011
Declaration I ARADHANA YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
134
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116126 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: ARCHANA SONI
3. Father's Name : NARENDRA SONI 4. Mother's Name: PRAMILA SONI
5. Address:4550,PURANI KOTWALI KA RASTA,JOHARI BAZAR,JAIPUR RAJASTHAN
JAIPUR-302002
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9413819558 9. Phone No.:
10. Date of Birth: 24-01-1989 11. Sex: FEMALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 444 74.00
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 380 58.46
Apearing for UG Final year exam YES U.G. B.E./B.TECH./B.ARCH. RTU 2011
Declaration I ARCHANA SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination.
135
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114667 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ARJUN LAL CHOUDHARY
3. Father's Name : BANNA RAM CHOUDHARY 4. Mother's Name: DHAPU DEVI
5. Address: VILLAGE-KHEERWA, POST-KHERI,VIA-RENWAL. TH-PHULERA,JAIPUR
KHEERWA-303603
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9667488617 9. Phone No.:
10. Date of Birth: 25-01-1991 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ.BOARD 2006 600 312 52.00
Sr. Sec. SCIENCE RAJ.BOARD 2008 650 335 51.54
Apearing for UG Final year exam YES U.G. BBA BBA 2011
Declaration I ARJUN LAL CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
136
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117198 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ARPIT KUMAWAT
3. Father's Name : SATYA NARAYAN VERMA 4. Mother's Name: KUSUM VERMA
5. Address:DEFENCE PUBLIC SENIOR SECONDARY SCHOOL MEENA COLONY
SAWAI MADHOPUR-322001
6. District: SAWAIMADHOPUR 7 State: RAJASTHAN 8. Mobile No.: 9414270366 9. Phone No.: 07462 -222440
10. Date of Birth: 16-04-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION RAJASTHAN
2006 600 420 70.00
Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION RAJASTHAN
2008 650 388 59.69
Apearing for UG Final year exam YES U.G. B.E./B.TECH./B.ARCH. RAJASTHAN TECHNICAL UNIVERSITY 2011
Declaration I ARPIT KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
137
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111491 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ARUN KUMAR SAIN
3. Father's Name : RAMAVTAR SAIN 4. Mother's Name: MANJU DEVI
5. Address: V.P. MAHAROLI, VIA-RINGUS TEH. SHRIMADHOPUR
MAHAROLI-332603
6. District: SIKAR 7 State: RAJASTHAN 8. Mobile No.: 9024508215 9. Phone No.: 01575 -224157
10. Date of Birth: 26-07-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD, RAJASTHAN 2005 600 351 58.50
Sr. Sec. ARTS AJMER BOARD, RAJASTHAN 2007 650 408 62.77
Apearing for UG Final year exam NO U.G. B.B.A. RAJASTHAN UNIVERSITY 2010 1800 1003 55.72
Declaration I ARUN KUMAR SAIN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
138
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112402 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ARUN SINGH 3. Father's Name : SULTAN SINGH GARHWAL 4. Mother's Name: SMT LAXMI DEVI
5. Address: D 45 SAHNTI PATH PATRAKAR COLONY
TILAK NAGAR-302004
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9314653006 9. Phone No.:
10. Date of Birth: 24-07-1986 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2002 500 287 57.40
Sr. Sec. SCIENCE CBSE 2004 500 337 67.40
Apearing for UG Final year exam NO U.G. B.SC. RAJASTHAN UNIVERSITY 2008 1350 957 70.89
139
Declaration I ARUN SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116774 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ARUNA KUMARI SAIN
3. Father's Name : MAHAVIR PRASAD SAIN 4. Mother's Name: MADHU DEVI SAIN
5. Address:P.NO. 10-A, DEEPVIHAR-A, BENAR ROAD, DADI KA PHATAK, JHOTWARA, JAIPUR
JAIPUR-302012
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9414970389 9. Phone No.:
10. Date of Birth: 16-11-1990 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : B
17. Qualifying Exam :
140
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary RAJASTHAN EDU. BOARD AJMER 2005 600 234 39.00
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 386 59.38
Apearing for UG Final year exam YES U.G. B.A. RAJASTHAN UNIVERSITY 2011
Declaration I ARUNA KUMARI SAIN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111324 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 106 - JHUNJHUNU
2. Name of Candidate: ARUP BAL
3. Father's Name : A.K. BAL 4. Mother's Name: MAMTA BAL 5. Address: QR.-D-64 III B
KHETRI NAGAR-333504
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 7737459303 9. Phone No.:
141
10. Date of Birth: 04-04-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2005 500 285 57.00
Sr. Sec. COMMERCE CBSE 2007 500 389 77.80
Apearing for UG Final year exam YES U.G. B.COM UNI.OF RAJASTHAN 2011
Declaration I ARUP BAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112633 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ARVIND JANGID 3. Father's Name : BANWARI LAL JANGID 4. Mother's Name: SEEMA DEVI 5. Address: PLOT NO 198 WARD 39 NEAR
SARVODAYA PUBLIC SCHOOL PIPRALI ROAD SAMRATHPURA SIKAR
142
SIKAR-332001
6. District: SIKAR 7 State: RAJASTHAN 8. Mobile No.: 9982299922 9. Phone No.:
10. Date of Birth: 09-03-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF SECONDARY EDUCATION AJMER (RAJ)
2004 600 412 68.67
Sr. Sec. SCIENCE BOARD OF SECONDARY EDUCATION AJMER (RAJ)
2006 600 386 64.33
Apearing for UG Final year exam NO U.G. BBA UNIVERSITY OF RAJASTHAN 2010 1800 1029 57.17
Declaration I ARVIND JANGID declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
143
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113170 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ARVIND KUMAR
3. Father's Name : KRISHAN KUMAR 4. Mother's Name: RITA RANI 5. Address: W.NO. 15
SADULSHAHAR-335062
6. District: SRIGANGANAGAR 7 State: RAJASTHAN 8. Mobile No.: 9587051000 9. Phone No.:
10. Date of Birth: 04-07-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary AJMER BOARD 2005 600 253 42.17
Sr. Sec. ARTS AJMER BOARD 2007 650 324 49.85
Apearing for UG Final year exam YES U.G. BBA SMU 2008
Declaration I ARVIND KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
144
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117241 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHA RANI YADAV
3. Father's Name : KISHAN LAL YADAV 4. Mother's Name: SAVATRI DEVI
5. Address: VILL. MAJRA MANHIYA POST. BHINDUSI TEH. TIJARA DIST. ALWAR
ALWAR-301405
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 9828115955 9. Phone No.:
10. Date of Birth: 01-10-1990 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ. BOARD AJMER 2006 600 358 59.67
Sr. Sec. ARTS RAJ. BOARD AJMER 2008 650 383 58.92
Apearing for UG Final year exam YES U.G. BBA RAJ. UNIVERSITY 2011
Declaration I ASHA RANI YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 145
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116225 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 104 - BIKANER
2. Name of Candidate: ASHISH BUDANIA
3. Father's Name : HARISH BUDANIA 4. Mother's Name: NIRMALA BUDANIA 5. Address: WARD NO. 18 NEAR DHARAM STOOP
CHURU-331001
6. District: CHURU 7 State: RAJASTHAN 8. Mobile No.: 9309054991 9. Phone No.:
10. Date of Birth: 27-09-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2004 500 292 58.40
Sr. Sec. ARTS CBSE 2006 600 347 57.83
Apearing for UG Final year exam NO U.G. BBA UNIVERSITY OF RAJASTHAN 2010 1800 1067 59.28
Declaration I ASHISH BUDANIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
146
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113696 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: ASHISH CHOUDHARY
3. Father's Name : BHUPENDRA SINGH 4. Mother's Name: SHEELA CHOUDHARY
5. Address: 12 ROSE VILLA RAJENDRA NAGAR BHARATPUR
BHARATPUR-321001
6. District: BHARATPUR 7 State: RAJASTHAN 8. Mobile No.: 9667478558 9. Phone No.:
10. Date of Birth: 11-12-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJ.BOARD AJMER 2005 600 238 39.67
Sr. Sec. ARTS RAJ. BOARD AJMER 2007 650 304 46.77
Apearing for UG Final year exam NO U.G. B.A. RAJ. UNIVERSITY 2010 1800 967 53.72
Declaration I ASHISH CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
147
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111668 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 102 - BHARATPUR
2. Name of Candidate: ASHISH DAGUR DAGUR
3. Father's Name : SHRIRAM DAGUR 4. Mother's Name: SHANTI DAGUR
5. Address: ANIRUDHA NAGAR NEAR M.S.J. COLLAGE OPP. TO WELCOME HOTEL
BHARATPUR-321001
6. District: BHARATPUR 7 State: RAJASTHAN 8. Mobile No.: 9024149400 9. Phone No.: 05644 -232360
10. Date of Birth: 16-02-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 419 69.83
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 485 74.62
Apearing for UG Final year exam YES U.G. B.B.A. UNIVERSITY COMMERCE COLLEGE 2011
Declaration I ASHISH DAGUR DAGUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
148
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111004 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: ASHISH DANGI 3. Father's Name : UMMED SINGH DANGI 4. Mother's Name: SANTARA DANGI 5. Address: VPO SHYOPURA VIA CHIRAWA
DIST JHUNJHUNU-333026
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9887078761 9. Phone No.:
10. Date of Birth: 01-07-1990 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD AJMER 2005 600 423 70.50
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 482 74.15
Apearing for UG Final year exam NO U.G. B.SC. RAJASTHAN UNIVERSITY JAIPUR 2010 1350 857 63.48
Declaration
149
I ASHISH DANGI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my
knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected
an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other
course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111060 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 107 - JODHPUR
2. Name of Candidate: ASHISH MEENA
3. Father's Name : KHEM RAJ MEENA 4. Mother's Name: SONTOSH MEENA 5. Address: PLOT NO 17 SAKET COLONY
DEOLI-323001
6. District: BUNDI 7 State: RAJASTHAN 8. Mobile No.: 7597946653 9. Phone No.:
10. Date of Birth: 27-03-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: ST 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
150
Secondary CBSE 2004 500 313 62.60
Sr. Sec. SCIENCE RBSE 2006 650 385 59.23
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I ASHISH MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112920 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHISH NAGARWAL
3. Father's Name : HARISH KUMAR NAGARWAL 4. Mother's Name: DAVKI NAGARWAL
5. Address: 294 MARUTI NAGAR NEAR AIRPORT SANGANER
JAIPUR-302011
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9784087857 9. Phone No.:
10. Date of Birth: 18-04-1990 11. Sex: MALE
151
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Other State 16. Domicile Category : 999
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 262 43.6
Sr. Sec. COMMERCE RAJSTHAN BOARD 2007 650 375 57.6
Apearing for UG Final year exam YES U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration I ASHISH NAGARWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 113941 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHISH TANWAR 3. Father's Name : BANWARI LAL TANWAR 4. Mother's Name: VIMLA DEVI TANWAR
5. Address:P.NO-14 MAHAVEER COLONY NEAR RAJASTHAN ACADEMY SCHOOL KARTARPURA JAIPUR
JAIPUR-302006
152
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9667678242 9. Phone No.:
10. Date of Birth: 15-08-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD AJMER 2005 600 479 79.83
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 535 82.31
Apearing for UG Final year exam NO U.G. B.C.A. UNIVERSITY OF RAJASTHAN 2010 1800 1263 70.17
Declaration I ASHISH TANWAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
153
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115573 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHOK KUMAR
3. Father's Name : MADAN LAL 4. Mother's Name: TIJO DEVI
5. Address: A-104, INDIRA VERMA COLONY, SHASHTRI NAGAR,
JAIPUR-302016
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9024967357 9. Phone No.:
10. Date of Birth: 03-06-1991 11. Sex: MALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : B
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF RAJASTHAN 2006 600 373 62.17
Sr. Sec. SCIENCE BOARD OF RAJASTHAN 2008 650 376 57.85
Apearing for UG Final year exam YES U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration I ASHOK KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
154
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112207 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 109 - UDAIPUR
2. Name of Candidate: ASHOK KUMAR
3. Father's Name : RUGHNATH RAM 4. Mother's Name: RUKAMA DEVI
5. Address: VILL-MADHOPURA POST-SHYAMPURA VAYA-RANOLI
SIKAR-332403
6. District: SIKAR 7 State: RAJASTHAN 8. Mobile No.: 9950425858 9. Phone No.: 01572 -222608
10. Date of Birth: 15-10-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2004 600 381 63.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 422 64.92
Apearing for UG Final year exam YES U.G. B.SC. RAJASTHAN UNIVERSITY 2011
Declaration I ASHOK KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure.
I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 155
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116941 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 103 - BHILWARA
2. Name of Candidate: ASHOK KUMAR BAIRWA
3. Father's Name : TEJPAL BAIRWA 4. Mother's Name: GOVINDI DEVI
5. Address: AB-363, NIRMAN NAGAR JANPATH ROAD
JAIPUR-302019
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9571417027 9. Phone No.:
10. Date of Birth: 08-07-1990 11. Sex: MALE
12. E-mail: 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Other State 16. Domicile Category : 999
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2005 600 252 42.00
Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 322 49.54
Apearing for UG Final year exam NO U.G. B.B.A RAJASTHAN UNIVERSITY 2010 1800 903 50.17
Declaration I ASHOK KUMAR BAIRWA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
156
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form. POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111621 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHOK KUMAR CHOUDHARY
3. Father's Name : BHAGIRATH CHOUDHARY 4. Mother's Name: BARJBALA DEVI
5. Address: VPO RADAWAS VIA AMARSAR DHANI RATAN SAGAR
TECH SHAHPURA-303601
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 8122273904 9. Phone No.: 01422 -214020
10. Date of Birth: 21-07-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2001 600 320 53.33
Sr. Sec. SCIENCE RBSE 2003 650 416 64.00
Apearing for UG Final year exam YES U.G. B.E./B.TECH./B.ARCH. VIT 2011
Declaration I ASHOK KUMAR CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its
information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may
lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily
cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand
cancelled.
Place :
157
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115896 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 107 - JODHPUR
2. Name of Candidate: ASHOK KUMAR MEENA
3. Father's Name : LALLU RAM MEENA 4. Mother's Name: KAMALA DEVI MEENA
5. Address: VILL DHIGARIA POST DHANAWAR VIA DUBBI TEH BASWA
DHIGARIA TAPPA-303304
6. District: DAUSA 7 State: RAJASTHAN 8. Mobile No.: 9785775459 9. Phone No.:
10. Date of Birth: 12-07-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: ST 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary BOARD OF AJMER RAJ 2005 600 297 49.50
Sr. Sec. COMMERCE BOARD OF AJMER RAJ 2007 650 364 56.00
Apearing for UG Final year exam NO U.G. B.COM UNIVERSITY OF RAJ 2010 1800 922 51.22
Declaration I ASHOK KUMAR MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
158
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116218 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHOK KUMAR ROLANIYA
3. Father's Name : SHIMBHU DAYAL ROLANIYA 4. Mother's Name: KISTOORI DEVI
5. Address:VILL.-HANUTPURA ,POST-KHORALADKHANI,VAYA-GATHWARI,TEH.-SHAHPURA
HANUTPURA-303120
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 7737862283 9. Phone No.: 01422 -237142
10. Date of Birth: 15-07-1987 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2004 600 471 78.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 410 63.08
159
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I ASHOK KUMAR ROLANIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 110165 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHUTOSH JANGID
3. Father's Name : RAJENDRA KUMAR SHARMA 4. Mother's Name: MANJU SHARMA
5. Address: 2 KA 3 , KALA KUAN HOUSING BOARD , ARAVLI VIHAR
ALWAE-301001
6. District: ALWAR 7 State: RAJASTHAN 8. Mobile No.: 9784725040 9. Phone No.: 0144 -2360610
10. Date of Birth: 30-11-1986 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied Rajasthan 16. Domicile Category : A
160
Residence : 17. Qualifying Exam :
Detail Subject/Stream Board/University Year Max. Marks
Marks Obt.
%
Secondary CBSE 2002 500 342 68.40
Sr. Sec. SCIENCE CBSE 2004 500 325 65.00
Apearing for UG Final year exam NO U.G. B.E./B.TECH./B.ARCH. RAJASTHAN UNIVERSITY 2008 7000 4380 62.57
Declaration I ASHUTOSH JANGID declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 116946 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 107 - JODHPUR
2. Name of Candidate: ASHWANI CHOUDHARY
3. Father's Name : NANDLAL CHOUDHARY 4. Mother's Name: SANTOSH DEVI
5. Address:B-134,JAGDAMBA NAGAR,BEHIND-HEERA PURA POWER HOUSE AJMER ROAD
JAIPUR-302024
6. District: JAIPUR
161
7 State: RAJASTHAN
8. Mobile No.: 9929677573 9. Phone No.:
10. Date of Birth: 10-01-1988 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD AJMER 2004 600 374 62.33
Sr. Sec. ARTS RAJASTHAN BOARD AJMER 2007 650 333 51.23
Apearing for UG Final year exam NO U.G. B.A. UNOVERSITY OF RAJASTHAN 2010 1800 887 49.28
Declaration I ASHWANI CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the
best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114150 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHWANI GURAWARIYA
162
3. Father's Name : BABULAL GURAWARIYA 4. Mother's Name: SHEELA GURAWARIYA
5. Address: 102 BHRIGU NAGAR AJMER ROAD JAIPUR
JAIPUR-302021
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9461802595 9. Phone No.: 0141 -2351011
10. Date of Birth: 30-08-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: SC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE 2006 500 300 60.00
Sr. Sec. SCIENCE CBSE 2008 500 260 52.00
Apearing for UG Final year exam YES U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration I ASHWANI GURAWARIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
163
RMAT - 2011 Application Form (Confirmation Page)
Form No. 115083 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: ASHWANI KUMAR
3. Father's Name : GANESH DATT BIJARNIYA 4. Mother's Name: GOTHI DEVI
5. Address: MALKHAN SINGH BIJARNIYA MAIN STATION MARKET
REENGUS-332404
6. District: SIKAR 7 State: RAJASTHAN 8. Mobile No.: 9785099051 9. Phone No.:
10. Date of Birth: 25-08-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD 2006 600 402 67.00
Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 407 62.62
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration I ASHWANI KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I
have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
164
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 114753 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 105 - JAIPUR
2. Name of Candidate: BABITA SAINI
3. Father's Name : SHYAM LAL SAINI 4. Mother's Name: PUSPA SAINI
5. Address: QR NO. D-24, SECTOR 2ND B KHETRI NAGAR
KHETRI NAGAR-333504
6. District: JHUNJHUNU 7 State: RAJASTHAN 8. Mobile No.: 9460635853 9. Phone No.:
10. Date of Birth: 08-09-1990 11. Sex: FEMALE
12. E-mail: 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2006 600 270 45.00
Sr. Sec. ARTS RBSE 2008 650 329 50.62
Apearing for UG Final year exam YES U.G. B.A. UNIVERSITY OF RAJASTHAN 2011
Declaration I BABITA SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 165
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112919 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 107 - JODHPUR
2. Name of Candidate: BAJRANG LAL
3. Father's Name : MAMAN CHAND 4. Mother's Name: SUMARATI DEVI
5. Address:ROOM NO.-16,M.P HOSTEL.COMMERCE COLLEGE,J.L.N MARG,JAIPUR JAIPUR
JAIPUR-302004
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9785691795 9. Phone No.: 01494 -291154
10. Date of Birth: 15-12-1990 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : B
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary R.B.S.E AJMER 2006 600 408 68.00
Sr. Sec. COMMERCE R.B.S.E AJMER 2008 650 450 69.23
Apearing for UG Final year exam YES U.G. B.COM UNIVERSITY OF RAJASTHAN, JAIPUR 2011
Declaration I BAJRANG LAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to cancellation of this
application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I
know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries) 1. Completed all entries in the On Line Application Form
166
2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 111623 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: BAJRANG SINGH CHOUDHARY
3. Father's Name : SITA RAM CHOUDHARY 4. Mother's Name: KAMLA DEVI
5. Address: 39,BAJRANG COLONY RAMNAGAR ,SODALA
JAIPUR-302019
6. District: JAIPUR 7 State: RAJASTHAN 8. Mobile No.: 9887777566 9. Phone No.:
10. Date of Birth: 05-02-1991 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RBSE 2005 600 299 49.83
Sr. Sec. ARTS RBSE 2007 650 341 52.46
Apearing for UG Final year exam NO U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 841 46.72
Declaration I BAJRANG SINGH CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its
information Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may
lead to cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily
cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand
cancelled.
Place :
167
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 112836 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM I. 105 - JAIPUR II. 108 - KOTA
2. Name of Candidate: BALJEET MEENA
3. Father's Name : RAMESHWAR MEENA 4. Mother's Name: SHARDA DEVI 5. Address: V/P- KHANDIP HANUMAN NAGAR
GANGAPUR CITY-322205
6. District: SAWAIMADHOPUR 7 State: RAJASTHAN 8. Mobile No.: 9928990225 9. Phone No.: 07463 -203964
10. Date of Birth: 01-07-1992 11. Sex: MALE
12. E-mail: [email protected] 13. Category: ST 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary CBSE,NEW DELHI 2006 600 327 54.50
Sr. Sec. COMMERCE CBSE,NEW DELHI 2008 600 357 59.50
Apearing for UG Final year exam YES U.G. BBA RAJASTHAN UNIVERSITY,JAIPUR 2011
Declaration I BALJEET MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM student and if it is
found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
168
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.) Page 2/2
RMAT - 2011 Application Form (Confirmation Page)
Form No. 117099 Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A. I. 105 - JAIPUR II. 101 - AJMER
2. Name of Candidate: BALRAM BIJARNIA
3. Father's Name : SANWAL RAM 4. Mother's Name: SANTOSH DEVI
5. Address:DHANI RAGHAV DAS KI BHUDHOLI ROAD NEAR GANPATI BRICKS UDYOG,
NEEM KA THANA-332713
6. District: SIKAR 7 State: RAJASTHAN 8. Mobile No.: 9772297435 9. Phone No.:
10. Date of Birth: 10-04-1989 11. Sex: MALE
12. E-mail: [email protected] 13. Category: OBC 14. Sub-Category: NONE 15. State of Bonafied
Residence : Rajasthan 16. Domicile Category : A
17. Qualifying Exam : Detail Subject/Stream Board/University Year Max.
Marks Marks Obt.
%
Secondary RAJASTHAN BOARD, AJMER 2003 600 285 47.50
Sr. Sec. SCIENCE RAJASTHAN BOARD, AJMER 2006 650 394 60.62
Apearing for UG Final year exam YES U.G. B.A. UNIVERSITY OF RAJASTHAN, JAIPUR 2011
Declaration I BALRAM BIJARNIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information
Brochure. I further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that the suppression of factor giving false information may lead to
cancellation of this application. I undertake that if I am found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be summarily cancelled without
169
any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Date : Full Signature of Applicant(in the box)
CHECK LIST (Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form 2. Paste Your Passport Size photograph if you have not uploaded it online. 3. Attached copy of proof of Domicile of Rajasthan. 4. Attached copy of proof of Secondary Certificate(10th). 5. Attached copy of proof of Senior Secondary (10+2) Examination. 6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011) 7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM). 8. Signed the confirmation page. 9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA -
311001(RAJ.)
170