Application No. JBS/MBA/2024-26/…...................

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Jaypee Business School

A Constituent of
Jaypee Institute of Information Technology Paste
(Declared Deemed to be University u/s 3 of the UGC Act, 1956) Recent Passport
A-10, Sector-62, Noida-201309 Size Colour
Email: jbs@jiit.ac.in Website: www.jbs.ac.in Photo
For Admission Enquiries Contact : 9560349500 / 700

MBA - ADMISSION APPLICATION FORM 2024

(Do not submit without copy of CAT/MAT/CMAT/XAT/GMAT/ATMA score card)

PLEASE FILL ALL DETAILS IN CAPITAL LETTERS ONLY

1. Name of Candidate

2. Father’s Name

3. Mother’s Name

4. Date of Birth D D M M Y Y Y Y 5. Nationality 6. Gender (M/F/TG)

7. Category: GEN/SC/ST/OBC 8. Religion (i.e. Hindu/Muslim/Sikh/Jain/Christian/Other)

9. Person with disability (Y/N) 10. AADHAAR NO.

11. Parent Annual Income (Tick ) Below 5 Lakh 5 - 8 Lakh Above 8 Lakh
12. Current Residential Address

State PIN Code

13. Permanent Address (Fill - ‘Same’, if permanent address is same as current address)

State PIN Code

14. Contact Details:

Mob No. (Candidate) Email-ID (Candidate)
Mob No. (Parent) Email-ID (Parent)

15. Details of Qualifications (Attach Attested Transcripts of Grades / Marks Secured)

Examination Stream Board/ Details of School/Institute/College Year of % of Marks
(See Eligibility Document) University Name State City Passing or CGPA

10th

12th

Bachelor’s*
Other (if any)
* Note: If appearing mention % of Marks so far, but must prove eligibility latest by September 30, 2023.

16. Please Fill as Applicable (Attach copy of score card - Mandatory)

Examination Month & Year of Appearing Composite/ Total Score Overall Percentile (%) Result Valid Upto
CAT
MAT
CMAT
Other
P.T.O.
17. Work Experience (if any) - Attach separate sheet, if required.
Position Name of Organization Job Profile Period
From To

18. Describe how will the JBS MBA help you in achieving your career goals?

19. Demand Draft Details: (Not applicable in case, form is purchased on payment of cash from Institutional Counter)
DD No. Dated Amount (Rs.)
Bank

20. Bank Details: (Required in case of Refund) (ONLY PARENT/SELF)

Name of Account Holder Bank Name
Account Number Branch Name
Address of Bank IFSC Code

IMPORTANT
Mail this completed application form to the Registrar with copy of valid CAT/MAT/CMAT/XAT/GMAT/ATMA score card and Demand Draft of Rs. 1000/- in favour
of Jaypee Business School payable at Noida/Delhi (No demand draft to be attached in case of purchased application form).

Eligibility
l Bachelor's Degree or its equivalent in any discipline from a statutory university with at least 50% aggregate marks or equivalent CGPA. Candidates graduating
by 31 July 2024 can also apply but must prove their eligibility latest by 30 September 2024. Those not producing the eligibility certificates as per the date
mentioned will be disqualified/de registered irrespective of their having joined the program provisionally.
l Applicants are required to have valid CAT/MAT/CMAT/XAT/GMAT/ATMA score.

Selection Process
l Shortlisted applicants only (on the basis of relative merit amongst received applications) will be called for Group Discussion (GD) and Personal Interview ( Pl).
GD/PI will be held at JIIT, Sector-62, Noida.
l Submission of application does not automatically qualify the candidate for GD/Pl and no refund of application fee is permissible on any account. The final
selection will be based on the test score, language proficiency and performance in the GD & Pl.

DECLARATION
1. I, hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I also understand that I have read the
notes above and the submission of application does not automatically qualify me for GD/Pl. In the event of suppression or distortion of any fact like date of
birth, nationality, category, qualification etc. made in my application form, I understand that I will be denied the opportunity to be admitted to JIIT and if
already admitted, my admission would stand cancelled. The Application Fee is non-refundable under any circumstances.
2. I am aware of University approach toward ragging and the punishment, to which I am liable, if found guilty of ragging.

DATE
PLACE SIGNATURE OF CANDIDATE