Name of the Candidate:
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Date of Birth:
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Gender:
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Mode of Personal Interview:
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Mailing Address
House Number:
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Should not contain any special characters, symbols.
Street:
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Should not contain any special characters, symbols.
City:
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State:
Andaman & Nicobar
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
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Pincode:
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Please Enter Only Numbers
Personal E-Mail (which you access on daily basis):
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Incorrect Email ID
Re-type your Email address:
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Mis Match Email ID
Landline Phone no with STD code:
Mobile No:
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Enter a valid phone number
Re-type your Mobile No:
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Mis Match Phone Number
Academic Qualification
Class X
Board:
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Name of School:
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Year of Passing:
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Please Enter Year in yyyy
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Percentage of Marks Obtained (##.#)
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Mode of Study:
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Regular
Correspondence
Distance
Class XII
Board:
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Name of School:
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Year of Passing:
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Percentage of Marks Obtained (##.#)
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Enter value in presentage (##.#)
Mode of Study:
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Regular
Correspondence
Distance
Graduate Degree
Type of Graduation:
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3 years
4 years
5 years (Integrated)
Actual / Expected Year of Completion:
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Percentage of Marks (##.#)
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Enter value in presentage (##.#)
Name of College:
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Name of Univeristy:
Mode of Study:
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Full Time
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Correspondence
Stream:
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AGRI
ARTS
B.ARCH
BCA
BEH. SCIENCE
BIT
CA/ICWA
COMMERCE
ENGG/TECH
MBBS/BDS
MGMT.
OTHERS
PHARMACY
SCIENCE
Post-Graduate Degree (if applicable)
Stream:
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AGRI
ARTS
B.ARCH
BCA
BEH. SCIENCE
BIT
CA/ICWA
COMMERCE
ENGG/TECH
MBBS/BDS
MGMT.
OTHERS
PHARMACY
SCIENCE
Actual / Expected Year of Completion:
Please Enter Year in yyyy
Percentage of Marks (##.#)
Enter value in presentage (##.#)
Name of College:
Name of Univeristy:
Work Experience (till date), If Any
Total No. Work Experience: (in Months)
Please enter in numbers
Parent's Details
Father's Name:
Mandatory Field
Mother's Name:
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Parent's/Alternate Mobile:
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Enter a valid phone number
Test Details (if any), not mandatory
CAT Reg. No:
Qualifying Year:
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GMAT ID:
Qualifying Year:
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Candidate needs to take either of the below mentioned tests for final selection
IELTS Score:
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Qualifying Year:
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TOFEL Score:
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Qualifying Year:
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PTE Score:
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Qualifying Year:
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Other Information
How did you learn about IMT Dubai MBA
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Newspaper notification/s
Workshop/Seminar
IMT Website
Seniors/Friends at IMT
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Are you an applicant or a consultant?
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Applicant
Consultant
Login Details
Password:
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Re-type Password:
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Mis Match Password
Undertaking by Candidate
I have gone through the prospectus and the Rules & Regulations of the Institute. I declare that all the above information provided by me on this application form and supporting documents are correct to the best of my knowledge and belief. In case of any change in the given information, I will notify the same to the institute immediately. If the information is found incorrect at any stage, I will be responsible for the same and the Institute may take action as deemed fit.
Disclaimer
Instances of provision of incorrect information detected at any stage of the selection process will lead to disqualification of the candidate from the selection process and admission shall be cancelled by IMT. If such instances go undetected during the current selection process but are detected in subsequent years, such disqualification will take place with retrospective effect.
I Agree