National Institute of Technology, Agartala

Barjala, Agartala 799 055 (Tripura)

No. NITA.5/(66-Acad)/MBA/2010-11/

Date 23/02/2012

MBA ADMISSION NOTIFICATION 2012

Applications are invited from the eligible candidates intending to pursue two year (four semester) full time MBA programme at the School of Management of National Institute of Technology, Agartala for the session commencing from July, 2012. Minimum Qualification: Graduate in any discipline with a minimum of 60% marks or equivalent for candidates with degree in Engineering and 50% marks or equivalent for the others with valid CAT / CMAT / GMAT / XAT score. Application forms can be downloaded from the website of NIT Agartala i.e www.nitagartala.in. Application form complete in all respect along with a demand draft of Rs.500/- for general candidates and Rs.300 for SC and ST candidates drawn in favour of Registrar, NIT, Agartala payable at SBI, NIT Agartala Branch, Code- 0011491 should reach the office of the Registrar, NIT Agartala latest by 25th April, 2012. Registrar

Fee Structure of MBA at NIT Agartala from 1st to 4th Semester:

Particulars Admission Fee INR Tuition Fee (Including fee of Grade Card) INR All other Fee INR Student Activity Fee INR Medical INR Caution Money INR Alumni fee INR RF ID Card INR Sub-Total INR : 1st Sem 1000 43800 2000 1000 1000 5000 1000 200 55000 2nd Sem 00 36000 2000 1000 1000 00 00 00 40000 3rd Sem 00 36000 2000 1000 1000 00 00 00 40000 4th Sem 00 36000 2000 1000 1000 00 00 00 40000

GRAND TOTAL INR

1,75,000

Degree : Department :

Date of Receipt : Reg. No. :

National Institute of Technology, Agartala

Barjala, Agartala 799 055 (Tripura)

Application Form for Admission to M.B.A for 2012-2013 Session SCORES IN QUALIFYING EXAMINATION (Attested copy of certificate must be attached): EXAM SCORE VALID UPTO CAT CMAT GMAT XAT

1. Name : .. Male / Female .. (Tick )

Affix Recent Passport size Photograph

2. Fathers Name : . 3. Mothers Name : .. 4. Address : (a) For Correspondence

(b) Permanent

( c) Email:
2

(d) Phone :

(e) Fax:

5. (a) Date of Birth : (b) Age on 01.07.2012 .. (c) Nationality .. (d) Marital Status .. ( e) Whether SC/ST . (if yes, a certificate must be attached) (f) Specify if you belong to any Other Backward class:...

6. Category :

Regular

7. Details of Universities/Institutions attended (from 10th standard onwards) (attested copies of certificates and mark sheets/grade cards must be attached)
University/College/Board Degree obtained(with discipline) Year % of marks/ CGPA/CPI Class Obtained (if applicable Subject taken

8. (a) Professional Experience (Teaching/Research/Industrial) if any (proof to be attached) : Sl.No. Name of organization Position held Type of work From Period To

(i) (ii) (iii) (b) Attach a list of publications/projects etc. separately, if any :
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9. (a) If employed, name of the present employer : . (b) Whether employers permission obtained?: (c) If yes, whether NOC in form I/II/III is enclosed?: 11.List of Enclosures : a. b C d e f Yes No

g h i j k l

Declaration
I hereby declare that the entries made in this application form are correct to the best of my knowledge and belief. If selected for admission, I undertake to abide by the rules and regulations of the Institute as exist and amended from time to time.

I note that the decision of the Institute is final in regard to selection for admission and assignment to a particular department and field of study. The Institute shall have the right to take any action it deems fit, including expulsion, against me at any time after my admission. If it is found that information furnished by me are false or incorrect. I shall abide by the decision of the Institute, which shall be final.

Place : Date :

Signature of the applicant

For office use only

a) To be filled in by Departmental Admission Committee after verification and selection test: 1. 2. 3. 4. 5. 6. 7. 8. Subjects taken in Graduation % of Marks/ Grade in Graduation Subjects taken in Post-Graduation % of Marks/ Grade in PostGraduation CAT/CMAT/GMAT/XAT Score Performance of Selection Test Position in order to merit Category (General/SC/ST)

Recommendation for admission:

Signature of member

Signature of member Signature of member Departmental PG Admission Committee

Chairman

b. To be filled by Central Admission Committee: (i) Verified and found suitable and recommended to Chairman, Senate for admission. (ii) Recommendation for MBA Assistantship .. (iii) Not recommended for admission ..

(Signature of members)

..

..

c. Admitted on approval from Chairman, Senate. Date :

5

Dean (Academic)

FORM - I SPONSORSHIP LETTER (This should be typed on the letter head of the sponsoring organization) Reference No. Date : To The Director, National Institute of Technology Agartala Agartala 799055

Subject: Sponsoring an Employee for MBA Programme.

Dear Sir, We hereby sponsor the candidature of Mr. / Mrs. / Ms. .. who is an employee in our organization, for joining MBA programme at your Institute as a full-time student. We shall relieve him/her of his/her duties in the organization during the two years of the MBA Programme. Yours faithfully Date. ./..2012 Signature and seal of the Sponsoring Authority