MBA 2022 Application Form

Application No: MBA2022-12764

Program Details
Program Details
Preferred City For Batch Applying
Course Preference MBA LUCKNOW JULY 2022
Interview For
Personal Details
Title MR. First Name SHASHWAT Middle Name
Last Name SHUKLA Email Id (Primary) SHASHWAT.SHUKLA787@GMAIL.COM Alternate Email ID
Mobile Number +91-9664866625 Gender MALE Date of Birth 15/05/1999
Religion HINDUISM Blood Group A+ Nationality INDIAN
Caste Category GENERAL Mother Tongue HINDI Domicile State UTTAR PRADESH
Specify Your
Aadhar Number 772657460256 Differently Abled? NO
Disability
Hostel
Accommodation YES Occupancy SINGLE SHARING
Required?
Passport Details
Passport Number Country Place of Issue
Date of Issue Date of Expiry
Father's Details
Father's Mobile
Father's Name VINAY SHUKLA +91-9879585048 Father's Email ID VINAY.SHUKLA1972.VS@GMAIL.COM
Number
Father's Father's
ENGINEER PRODUCTION MANAGER
Occupation Designation
Mother's Details
Mother's Mobile
Mother's Name ARCHNA SHUKLA +91-9825249056 Mother's Email ID SHASHWAT.SHUKLA787@GMAIL.COM
Number
Mother's Mother's
HOME MAKER
Occupation Designation
Address for Correspondence
Country INDIA State UTTAR PRADESH District KANPUR NAGAR
A-504, ELDECO GARDEN ESTATE,
City KANPUR Address Line 1 Address Line 2 RAIPURWA , AFIMKOTHI
86/245 GARG ROAD
Is Permanent
Address Same As
Pincode 208003 YES
Address For
Communication?
Permanent Address
Country INDIA State UTTAR PRADESH District KANPUR NAGAR
A-504, ELDECO GARDEN ESTATE,
City KANPUR Address Line 1 Address Line 2 RAIPURWA , AFIMKOTHI
86/245 GARG ROAD
Pincode 208003

Acadamic Details
Educational Details
SSC Details

Registration Max Marks Year of

Name of Institution Board Evaluation Type Percentage
Number Marks Obtained Passing
CENTRAL BOARD OF
WELSPUN VIDYA
X /SSC SECONDARY EDUCATION GRADE POINT 10 7.8 2015 78
MANDIR
(CBSE)

HSC Details

Name of Registration Year of Max Marks

Board Stream Evaluation Type Percentage
Institution Number Passing Marks Obtained
CENTRAL BOARD OF
XII / SAINT ANN'S
SECONDARY 2017 SCIENCE PERCENTAGE 500 377 75.4
HSC SCHOOL
EDUCATION (CBSE)

Graduation Details
 Completion Mode of Honours Subject College
College Name University Name Stream Exam Type
Year Study Name City
AMITY INTERNATIONAL AMITY UNIVERSITY,
UG BBA 2021 FULL TIME SEMESTER WISE MARKETING NOIDA
BUSINESS SCHOOL UTTAR PRADESH

Year Wise Marks (In %)

Max Marks Obtained Marks Percentage

Year I
Year II
Year III
Year IV
Aggregate Percentage

Semester Wise Marks (In %)

Max Marks Obtained Marks Percentage

Semester-1 10 8.64 86.4
Semester-2 10 8.88 88.8
Semester-3 10 8.63 86.3
Semester-4 10 8.68 86.8
Semester-5 10 7.79 77.9
Semester-6 10 7.88 78.8
Semester-7
Semester-8
Sem Aggregate Percentage 60 50.5 84.17

Are you Post

NO
Graduate?
Post Graduation Details

Honours Subject Completion / Expected Post Graduation Marks (In

College Name University Name Stream Status
Name Completion Year Percentage)
PG

Post Graduation
Marks up to

Work Experience
Work Experience Details
Do you have any
NO
Work Experience ?
Work Experience Details

Organisation's Name Designation From Year To Year Work Experience(In Months)

1.
2.
3.

Total Work
Experience in
Months

Entrance Exam
Have you taken
any entrance YES
exam?
Entrance Exam Details

Registration No. Exam Date Exam Name Result Status Score/Rank/Percentile

1. GD200063877 09/12/2021 NMAT RESULT DECLARED 223
2.
3.

Upload and Declaration

Upload Documents
Upload Your Recent
Upload Your Xth/SSC Upload Your
Passport Size Photograph YES YES
Marksheet : XIIth/HSCMarksheet :
:

Upload Your Graduation Upload Your Post

Marksheet (Last Graduation Marksheet
YES NO Upload ID Proof : YES
Semester)/Bachelor (Last Semester)/Bachelor
Degree : Degree :

Upload Transfer Certificate Upload Entrance Test Upload Migration

NO YES NO
: Score Card : Certificate :

Declaration
I CERTIFY THAT ALL THE STATEMENTS MADE IN THIS APPLICATION FOR ADMISSION TO ISBR ARE CORRECT AND THAT THE INFORMATION FURNISHED IS COMPLETE. I AGREE TO ABIDE BY ALL
RULES AND REGULATIONS THAT ARE NOW, OR MAY BE IN THE FUTURE, IN FORCE, AT THE INSTITUTE.
I UNDERSTAND THAT WITHHOLDING OR GIVING FALSE INFORMATION WILL MAKE ME INELIGIBLE FOR ADMISSION AT ISBR. I ALSO UNDERSTAND THAT THE APPLICATION FEE AND PROGRAM FEE
PAID TO ISBR IS NOT REFUNDABLE UNDER ANY CIRCUMSTANCES.

Applicant Name SHASHWAT SHUKLA Parent Name VINAY SHUKLA Date 08/01/2022