APPLICATION NUMBER :
CHITKARA BUSINESS SCHOOL(CBS) ADMISSION-2009 MASTER OF BUSINESS ADMINISTRATION (MBA)
Explore Your Potential
ENTRANCE TEST CENTRES
C
H
A
N
D
I
G
A
R
H
D
E
L
H
(Tick one) Name (In Block Letters):
Father’s Name (In Block Letters) :
Date of Birth: D D M
M
Y
Y
PASSPORT SIZE PHOTO
Y
Y
Gender: (M/F)
Mailing Address:
City
PIN Code
Phone (with STD code):
Mobile Phone:
Email 1:
Email 2: Category (please tick ü ):
Blog/website (if any) State of domicile (in case of H.P., attach proof)
General
SC
ST
OBC
(Attach proof, no proof required for general category) Educational Qualifications (in order of X, XII, Graduation, Post Graduation) Courses Completed Std. X
Std. XII
Graduation
Post Graduation
Any Other
School /College
Board/University
Subjects/Type of Degree
Year of Passing
%/CGPA secured
Rank/Scholarship secured (if any)
I