DataSheet MBA

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FACULTY OF MANAGEMENT STUDIES

UNIVERSITY OF DELHI, DELHI - 110007

MBA (Full-Time)
Photo
Data Sheet

Roll No. ________________

1. Name Mr./Ms.: ________________________________________________________


(As per Matriculation Certificate)

2. Date of Birth :

D D M M Y Y Y Y

3. Gender: Male Female

4. Mailing Address: _________________________________________________________

_________________________________________________________Pin_______________

Mobile No.______________________E-mail______________________________________

5. Permanent Address________________________________________________________

__________________________________________________________________________

_________________Pin _______________Mobile/Phone No.________________________

6. Category: General SC ST OBC CW-I CW-II

(Enclose self attested photocopy of category certificate)

PH I II III
Visual Hearing Locomotor

7. Education: (Starting Class X Board Examination onwards)

Examination Subject Year Name of Board/University % of Marks


School/College Obtained
8. Please specify the scheme under which you have graduated:

10+2+3 or Any other ________________________________________________

9. Extra Curricular Activities ____________________________________________

__________________________________________________________________

10. List of Academic Honors, Prizes, Scholarship or other awards obtained by you:
__________________________________________________________________

__________________________________________________________________

11. Work Experience (after graduation, if any):

Organizations (s) Designation(s) From To Monthly


Salary

Signature of the candidate


12. Statement of Purpose: Discuss your career goals and state in about 200 words how
being at FMS can help you to achieve these goals.

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