Regd.No.

Academic Year : 2005-2006

Last Date for receipt of
Application
16.08.2005

JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY

HYDERABAD 500 072 , ANDHRA PRADESH

MBA (PART TIME) PROGRAMMES 2005-2006

APPLICATION FORM FOR ADMISSION TO MBA (PART TIME ) PROGRAMME

Affix recent passport

size
Photograpch duly
attested
By the Gazetted Officer
With Office Seal

Registration Fee Rs.500/- D.D. in favour of THE REGISTRAR, JNTU, HYDERABAD payable at
Hyderabad, on any Nationalised Bank.
D.D.No.

Date

1. Name (in block letters) :

Name of the Bank

___________________________________________________________

2. Father's / Husband's Name:

___________________________________________________________

3. Permanent Address :

___________________________________________________________
___________________________________________________________

4.Address for Correspondence :

5. Course registered for

___________________________________________________________

___________________________________________________________
: ___________________________________________________________

6. Details of ICET- 2005 :

Year of appearing

ICET H.T.NO.

ICET STATE RANK

7.Date of Birth
Date

Page 1 /6

Month

Year

8. Reservation : If you are claiming reservation under any category, write Yes in the relevant block.
If yes, enclose attested copy of certificate in support.
SC

ST

BC-A

BC-B

9. (a) Nationality & Religion :

(b) Do you belong to Andhra Pradesh :
(c) If not, mention the State to which you belong :
(d) Place of Birth :

Village

BC-C

Yes

BC-D BC-E

DISABLED

No

Mandal

District

State

i). Candidate
V

ii). Father / Mother

10. Particulars of Parent/guardian
(Guardian only if parent is not alive)

a. Name :
b. Relationship with the candidate :
c. Profession and designation :
d. Annual income from all sources :
(enclose attested copy of the
latest Income Certificate from
the Employer/M.R.O.)
11. Particulars of qualifying Examination :
Name of the
Qualifying Examination

Name of the
University or Board

Month & Year

of Passing

Total Marks Obtained

at the qualifying
examination

DECLARATION BY THE APPLICANT AND PARENT / GUARDIAN

Page 2 /6

DELCARATION BY THE APPLICANT

I declare that all the foregoing statements made in this application are true. I accept that any statement
made in this application, if found incorrect on scrutiny, will render the application liable for rejection and
admission, if granted on the basis of such incorrect information, will stand cancelled.
I declare that I have not joined and will not join in any course of study of any University/Institute during
the period of my study in this University and will abide by the rules and regulations of this University.

Signature of the Candidate:

Date :
Place :
Note :
1. Incomplete applications will be summarily rejected.
No correspondence in this regard will be entertained.
2. Fee paid will not be refunded under any circumstances.
3. University will not be responsible for any postal delay/loss in transit.
(a) Furnish the following details. (Bonafide certificate from Head(s) of Institutions(s) should be enclosed as
proof).
S.No.

Academic
Years
From SSC
onwards

Page 3 /6

Class in which studied during the year

(If did not study in any year, state
the reasons in the remarks column)

Name of the Institute in which

studied and the District in
which the Institute is
situated

Remarks

NO OBJECTION CERTIFICATE FROM THE EMPLOYER

This is to certify that Shri/Smt/Kum ___________________________________________________________
S/o./Daughter of ______________________________________________a candidate applying for admission
into M.B.A.(Part Time) course of JNTU is currently employed in regular service in our
Organisation and we have no objection to permit him to take admission in this programme.
The details of his/her employment are given below:
1.

Name and Address of the Organisation :

2.

Status of the Organisation

: Govt. Department/Public Sector Undertaking/

Private Sector Enterprise / any other organization
(with APGST)

3.

APGST NO. of the firm.

4.

Date of joining the Organisation

5.

(a) Present position and date of

Appointment /Promotion to this Post

(b) Scale of pay and total monthly Salary :

6.

Total period of full time service in this Organisation : ___________ Years________months

Name :
Designation :
Date :
Place :
Signature of Head of the Organisation
Seal of Office
Page 4/6

JAWAHARLAL NEHRU TECHNOLOGICAL UNIVERSITY

KUKATPALLY, HYDERABAD 500 072
INFORMATION TO CANDIDATES
MBA (PART TIME) Programme 2005-2006

S.No. Course

Eligibility

1.

Bachelors Degree in
any faculty or equivalent

M.B.A.(Part Time) (6 semesters)

(Master of Business Administration)
offered at School of Management Studies
Kukatpally, Hyd-72.

candidate must be presently employed in

and around Hyderabad.

1.
ADMISSIONS:
Admissions to the above programmes will be made on the basis of ICET-2005 rank. For candidates securing equal ranks, age
will be taken into consideration, older candidate being given priority.
33 1/3% of seats are reserved for women in all categories as per orders of Government.
2.

The application must be accompanied by the following documents (attested copies only).
a. Certificate of Educational qualifications
b. Certificate of Date of Birth (SSC or its equivalent)
c. Permanent Integrated Community Certificate from the competent Revenue authority in case of SC/ST BC
candidates.
d. In case of disabled candidate, Certificate issued by Medical Board.
e. Caste Certificate from the Institution last studied, or from Service Records.
f. Three self-addressed envelopes of 30cmx10cm size each with Rs.5/- stamps.
g. ICET-2005 Rank Card.
h. ICET-2005 Hall Ticket.
i. Latest No Objection Cetificate from the employer
j. Transfer Certificate from the institution last studied.

3.
4.

The University reserves the right to make alterations in intake and rules of admission.
Tuition Fee : M. B.A.
(Part Time)
Rs. 3,000/- per subject registered
( 5 subjects per semester)
( To be paid at the time of counseling by Demand Draft drawn in favour of The Registrar, JNT University, Hyderabad payable at
Hyderabad, on any Nationalised Bank)
5.
No Hostel accommodation will be provided.
6.
Fee once paid will not be refunded under any circumstances.
7.
Applications complete in all respects must be sent to
Coordinator(Admissions)
JNT University
Kukatpally, Hyderabad 500 072
so as to reach him on or before 16-08-2005. Incomplete applications will be summarily rejected. No correspondence in this
regard will be entertained.
8.
9.
10.

If it is detected that a candidate has been admitted due to any mistake made inadvertently in the processing of
applications and during the admission stage, the University reserves the right to cancel such ineligible admission at
any stage.
Admission will be closed within one month after the commencement of first semester class work irrespective of the
vacancies.
The University will not be responsible for postal delay/loss in transit.
Last date for receipt of Application forms

16-08-2005 by 4.00 pm.

COORDINATOR, ADMISSIONS

Page 5/6

Page 6 /6

ADDRESS SLIP
Name :
Full Address :

ADDRESS SLIP
Name :
Full Address :

ADDRESS SLIP:
Name :
Full Address :

**End**