Registration | Gian Jyoti Institute of Management and Technology

Date:

Session:

Registration Form

Please Fill in BLOCK LETTERS

NameD.O.B.Gender:MF
Father's NameMother's NameParent's ContactCategoryGeneralSCSTOBCOthers
ContactE-mailAddress
CityStateCountryPin/Postal Code

Select CourseMBAMCABBABCABTTMB.Com(Hons.)
Highest Degree Earned Pursuingwith% *till 2nd Year of Graduation or +1 Result(if final year result is awaited)
CAT/MAT:Month & Year of Examination:
Distinguished Achievement
Note: Please attach the photo copies of
1) Detailed mark sheets (Graduation, 12th & 10th) 2) Character Certificate 3) Migration Certificate 4) Three passport size photographs 5) Certificate of reserved category (if applicable) 6) Income Certificate (if applicable) 7) Residence Certificate (if applicable) 8) Aadhaar Card

I do declare that particulars given in this registration form are complete, correct and best of my knowledge and belief. I understand that if this information is found to be incorrect at any stage, my candidature for admission to the MBA/MCA/BBA/BCA/BTTM/B.Com(Hons.) degree course shall stand cancelled.

I understand that regisration is no guarantee for admission to the institute. I also fully understand that the sum of registration fee being deposited as a processing fee is neither adjustable against any other fee/person nor refundable on any account whatsover.

Student Name

Student Contact No.

Parent/Guardian Name

Parent/Guardian Contact No.

Registration Form

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