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m No : 4001733

MITY GLOBAL
USINESS SCHOOL
ONDON

pplication Form

nal

Title Mr
Surname / Family Name JAIN
First Name SAURABH
Previous surname (if changed)
Date of Birth Nov 11, 1990
Country of Birth India
Gender Male
Nationality INDIAN
Country of Permanent
India
Residence

datory
l- jain_saurabh@rocketmail.com
ess

ct No
lephonic +91 - 8087002996
iew

ess Add1 PLOT NO. 67A, NANDANVAN COLONY


spondence) Add2 NEAR SWAMI SAMARTH KENDRA
City BHUSAWAL
Pin 425201
Country India
State Maharashtra
Home Phone No 02582 - 225398
Other Phone No 02582 - 223097
Mobile No +91 - 8087002996

anent Add1 PLOT NO. 67A, NANDANVAN COLONY


ess (if
ent from Add2 NEAR SWAMI SAMARTH KENDRA
)
City BHUSAWAL
Pin 425201
Country India
State Maharashtra
Home Phone No 02582 - 225398
Other Phone No 02582 - 223097
Mobile No +91 - 8087002996

Form No : 4001
Did you
to know
Amity FROM MY FRIEND
l Business
l, London

amme
d for Program Study option Proposed Start date

MBA (1 Year) 1 Year in London January 2011

mmodatio
Will you need help in getting Hostel Accommodation Yes

ation
Name of school / University City Main Subjects / Stream Percentage Obtained

O Level / Equivalent BHUSAWAL SSC 70.81

A Level / Equivalent BHUSAWAL HSC COMMERCE 73.33

Under Graduation NASHIK COMMERCE

Post Graduation (if Applicable)

sh Applicants whose first language is not english or whose education is not in english must enclose a copy of their most recent english language test results : No
Applicable

ds/
vements, No
(last 2)

uct Have you ever been suspended, dismissed or put on academic probation or warning at any school or college? No
if Yes
null

oyment Work experience No


ry
plicable)

ssional Professional Courses Yes


es
Full / Part
Institute courses Dates attended Qualification G
Time

From : Jan 01,


INSTITUTE OF CHARTERED ACCOUNTANTS OF CHARTERED
FULL TIME 1900
INDIA ACCOUNTANT
To :Jan 01, 1900

ional
mation
may give
dditional
mation
ing your
chivement,
s,
nitions,

nal
ment
e give
s for I LIKE MANAGEMENT
ng this
mme of

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