NMAT ID.

PERSONAL INTERVIEW APPLICATION FORM

NMAT ID PI Interview Date Reporting Time Name Date of Birth Age Gender Address City Mobile Number Telephone (Residence) Telephone (Office) Email Community

Educational Qualification SSC/Matriculation Passing Year Passing Year Name of UG Degree Name of PG Degree Board % of Marks % of Marks Stream

HSC/Higher Secondary

Board

Stream

Under Graduate Degree

University/ Institute

Passing % of Marks Year (completed) Passing % of Marks Year (completed)

% of Marks (appearing) % of Marks (appearing)

Post Graduate Degree Last College Name Work Experience

University/ Institute

Company Name

Designation

Gross Salary P.A

Period From To

NMAT ID. Bank Details DD No Bank Name Demand Draft Date

I certify that all the information furnished by me is true and if at later stage any of my details are found to be incorrect or if I am found to be ineligible or if I canvass for admission in any manner, my application will be null and void and NMIMS decision will be binding on me.

Place : Date : Signature of the Applicant