MBA Application Form Jan 2012_2

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    MBA Admissions 2012-2014 1

    Admission

    Procedure on

    Page 3

    MBAAPPLICATION No.: _______________ (office use only)

    SSN SCHOOL OF MANAGEMENT & COMPUTER APPLICATIONS (SSN SoMCA)(SSN College of Engineering AICTE Recognized, , ISO 9001: 2000 Certified, Affiliated to Anna University of Technology)

    Campus:Old Mahabalipuram Road, Kalavakkam 603110. Kanchipuram Dist. Tamilnadu

    Ph: 044 2746 9700/ 2746 9774; e-mail: [email protected] URL: www.somca.ssn.edu.in

    MMBBAA AADDMMIISSSSIIOONNSS 22001122 ((XXIIIIII BBaattcchh))(Management Quota - Application Form)

    Submit completed application form by 20th

    May 2012 (for CAT/XAT/MAT/CMAT/TANCET applicants).Refer Page 3 for instructions

    (Please fill in the application form carefully and tick mark the appropriate information wherever necessary)

    1. NAME IN BLOCK LETTERS (INITIALS AFTER THE NAME)_____________________________________________________

    2. MAILING ADDRESS_____________________________________________________

    _____________________________________________________

    ______________________________PIN CODE: _____________

    Phone No. with STD code: _________________________________

    E- Mail Address (mandatory):________________________________________________________ (Note: Invitation for GD and Interview for eligible candidates will be communicated by phone or e-mail)

    3. Date of Birth (as entered in SSLC/ HSC or equivalent certificate)4. SEX :5. COMMUNITY : OC / BC / MBC / SC / ST6.

    (a) NATIONALITY_______________________ (b) MOTHER TONGUE ___________________________

    7. (a) Fathers Name:___________________________ (b) Occupation_____________________________8. ANNUAL INCOME OF THE FAMILY Rs: ________________9. ENTRANCE TEST SCORES:

    NAME OF TEST REGISTRATION NUMBEROVERALL

    PERCENTAGE / SCORE

    OVERALL

    PERCENTILE

    Note: Attach copy of the entrance test hall ticket and score card, if issued.

    10. ACADEMIC INFORMATION reg Qualifying Exam: (Tick option applicable) BE BTech BSc BCom BA

    BCA BBA Others , Please Specify _________________________

    Passed Appearing in Apr / May 2012 Part time Full time

    Date Month Year

    Affix a recently taken passport

    size photograph here

    M F

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    MBA Admissions 2012-2014 2

    11. DETAILED ACADEMIC PROFILE Those who will complete their graduation in April / May 2012 should give their percentages till the latest Year/semester as available.

    (Strike off the options not applicable in the table below)

    Qualifying ExamYear of

    CompletionDiscipline/

    BranchName of the Institution

    & location

    Name of theBoard/

    University

    Aggregate(%) marks(All subjects

    included)

    SSC/X

    10+2/XII

    GraduationBE/BTech/BSc/BCom/BA/

    BCA/BBA/Others_______

    Post Graduation_____

    (No original to be sent. Photocopy of academic certificates are required to be sent along with this application)

    12. Work experience: ___________ years (as per details below:)(Start from latest and proceed backwards)

    Period ofemploymentName oforganization

    Address Nature of Business

    From To

    Designation

    13. List scholarships/ prizes/ honors won; sports/cultural achievements_________________________________________________________________________________

    _________________________________________________________________________________

    14. Project Work: Title of the project_______________________________________________________Project Description __________________________________________________________________

    __________________________________________________________________________________

    15. Processing Fee Details:(All payments to be made in the form of Demand Draft drawn in favor ofSSN School of Management &Computer Applications, payable at Chennai). Attach DD to the filled-in application form.

    Amount Name of the Bank Branch Demand Draft No. Dated

    Rs. 750

    16. Declaration by the prospective studentI, __________________________, do hereby confirm that the information provided above is true and correct. Further, in the event of my taking

    up admission at SSN SoMCA, I agree to abide by all the rules and regulations that may be in force at the institution.

    Station: Date: Signature of Applicant Parents Signature

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    MBA Admissions 2012-2014 3

    SSN SCHOOL OF MANAGEMENT & COMPUTER APPLICATIONS (SSN SoMCA)

    MBA ADMISSIONS 2012 - 2014

    (Management Quota - Applications)

    ADMISSION PROCEDURE

    The program is a compulsorily residential. Admissions for management quota seats are made purely on MERIT on ALL INDIA BASIS.

    Applicants seeking admission to MBA program of SSN SoMCA should have taken any one of the

    following all India admission Tests- CAT 2011 / XAT 2012/ MAT 2011-12 /CMAT 2012 /

    TANCET 2012.

    The final rank list would take into account past academic record, test scores, work experience,performance at GD and Interview to be held by us.Please note that SSN uses these test scores as

    one of the bases for admissions. The institutions conducting the tests have no role in the admissions of

    SSN SoMCA.

    Send filled-in form, with DD for Rs. 750/- in favor of SSN School of Management & ComputerApplications, payable at Chennai, to: TheAdministrative Officer, SSN Educational & Charitable

    Trust, 211/95, V M Street, Mylapore, Chennai 600 004. Tamil Nadu by 20th

    May 2012. The

    envelope should be super scribed APPLICATION FOR MBA 2012-14

    Candidates should compulsorily attach a copy of their mark sheet in admission test along with SSNapplication form.If the candidate is yet to receive a copy of the mark sheet, a copy of the hall ticket

    should be attached. Applications received without copy of mark sheet or hall ticket will not be

    considered.

    Attachments with application form:1. DD for Rs. 750/-

    2. Copy of entrance test hall ticket (and copy of score sheet if available)3.

    Copies of educational certificates and mark sheets