R.K. INSTITUTE OF MANAGEMENT AND COMPUTER SCIENCE
 
M.B.A / M.C.A / M.Sc Bio-Technology / M.Sc App.-Genetics /
B.B.M / B.C.A / B.Sc Computer Science / B.Sc Bio-Technology / B. Com / Llb / B.Ed
PGDPM / PGDMM / PGDFM

Photo

  Full Name Of the Applicant (IN BLOCK LETTER) as shown in the certificate.
 

Nationality
Religion
Mother Tongue
Sex
 
     
Male
Female

Caste
Marital Status
Date of Birth
 
 
Married :
Unmarried:
Date : Month : Year :

PERMANENT ADDRESS
ADDRESS FOR CORRESPONDENCE
 
__________________________________________
__________________________________________
__________________________________________
__________________________________________
. . STD Code........................Phone...............................		 _____________________________________________
_____________________________________________
_____________________________________________
_____________________________________________
. . STD Code........................Phone...............................

  Name Of the Parent / Guardian ( if Parent is not Alive )
 
                                   

  Occupation Of the Parent / Guardian. Annual Income in Rupees.
 
 
 
 

 
Whether the candidate belongs to SC/ST or BC/BT if
Yes Enclose Certificate

YES . . . . . . . . . . . . . . . . . . . .NO		 Local Address (if any)______________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
. STD Code........................Phone...............................
Whether the candidate is NRI / Foreign National if
Yes Enclose Certificate

YES . . . . . . . . . . . . . . . . . . . .NO

Course Applied (Preference-wise). . . 1._______________________ 2.___________________ 3._____________________

  I Heard about R.K. Institute of Management & Computer Science through:
Newspaper : Consellor :
Magazine : Website :
Television : Others.: Please Specify___________________

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