Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9772691056 9. Phone No.:
10. Date of Birth: 15-11-1989 11. Sex: FEMALE
12. E-mail: kavita.gahlot15@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : C
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2005 600 424 70.67
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 458 70.46
Apearing for UG Final year exam YES
U.G. B.C.A. MGSU BIKANER 2011
Declaration
I KAVITA GAHLOT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 7737049483 9. Phone No.:
10. Date of Birth: 24-03-1991 11. Sex: FEMALE
12. E-mail: kanuverma24@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 388 64.67
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 451 69.38
Apearing for UG Final year exam YES
MAHARAJA GANGA SINGH
U.G. B.C.A. 2011
UNIVERSITY
Declaration
I KIRAN KUMARI VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
2
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 116337
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: KULWINDER KOUR
3. Father's Name : GURCHARAN SINGH
4. Mother's Name: GURWINDER KOUR
5. Address: CHAK 19 GD PO 1 SKM
TEHSIL GHARSANA-335707
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9772451760 9. Phone No.:
10. Date of Birth: 18-04-1992 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSER AJMER 2006 600 431 71.83
Sr. Sec. ARTS BSER AJMER 2008 650 408 62.77
Apearing for UG Final year exam YES
U.G. B.A. MGSU BIKANER 2011
Declaration
I KULWINDER KOUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9660327332 9. Phone No.:
10. Date of Birth: 06-07-1991 11. Sex: MALE
12. E-mail: lalitverma91@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2006 600 380 63.33
Sr. Sec. SCIENCE RBSE 2008 650 351 54.00
Apearing for UG Final year exam YES
U.G. BBA MGS UNIVERSITY BIKANER 2011
Declaration
I LALIT PRAKASH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
4
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 117148
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: M ASREEN
3. Father's Name : MOHAMMAD ASLAM
4. Mother's Name: NASIM ASLAM
5. Address: 5-E-94 JAI NARAYAN VYAS COLONY
BIKANER-334003
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9950451230 9. Phone No.: 0151 -2232475
10. Date of Birth: 28-04-1990 11. Sex: FEMALE
12. E-mail: maslamqureshi@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary AJMER RAJ.
2006 600 452 75.33
Declaration
I M ASREEN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that
the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that
the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/
distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be
summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is
5
found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 114310
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: MANISH GURJAR
3. Father's Name : RAJENDRA KUMAR GURJAR
4. Mother's Name: SUMAN DEVI
NEAR SATTASAR HOUSE CHOTINA
5. Address:
WELL
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9828925201 9. Phone No.:
10. Date of Birth: 10-09-1990 11. Sex: MALE
12. E-mail: gurjarmanish90@gmail.com
13. Category: SBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary RAJASTHAN
2005 600 261 43.50
I MANISH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
6
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
RMAT - 2011 Form No. 114310
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: MANISH GURJAR
3. Father's Name : RAJENDRA KUMAR GURJAR
4. Mother's Name: SUMAN DEVI
NEAR SATTASAR HOUSE CHOTINA
5. Address:
WELL
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9828925201 9. Phone No.:
10. Date of Birth: 10-09-1990 11. Sex: MALE
12. E-mail: gurjarmanish90@gmail.com
13. Category: SBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary RAJASTHAN
2005 600 261 43.50
Declaration
7
I MANISH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 115681
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: MANISH MEGHWAL
3. Father's Name : BHAGGARAM MEGHWAL
4. Mother's Name: POORNIMA DEVI
5. Address: SARVODAYA BASTI,WARD NO.56,
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9413691096 9. Phone No.:
10. Date of Birth: 24-01-1989 11. Sex: MALE
12. E-mail:
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD, AJMER 2005 600 360 60.00
Sr. Sec. COMMERCE RAJASTHAN BOARD, AJMER 2007 650 401 61.69
Apearing for UG Final year exam NO
U.G. B.COM MGS UNIVERSITY, BIKANER 2010 1800 1088 60.44
Declaration
I MANISH MEGHWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
8
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
Declaration
9
I MANISH SINGH SENGAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA
AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand
cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113860
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: MANOHAR LAL
3. Father's Name : RAM KUMAR
4. Mother's Name: GUDEE DEVI
VPO HARKHE WALA TEHSIL
5. Address:
PADAMPUR
SRI GANGANAGAR-335001
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9636699591 9. Phone No.:
10. Date of Birth: 18-07-1986 11. Sex: MALE
12. E-mail: ranjeet53@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
10
BOARD OF SEC EDUCATION, AJMER
Secondary RAJASTHAN
2002 600 239 39.83
Declaration
I MANOHAR LAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113183
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 107 - JODHPUR
2. Name of Candidate: MOHD ASHRAF
3. Father's Name : MOHD. ABBAS
4. Mother's Name: SHAKILA BANO
5. Address: MOHALLA PAJAB GIRAN
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9001075673 9. Phone No.:
10. Date of Birth: 19-11-1991 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
11
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2006 600 242 40.33
Sr. Sec. ARTS RBSE 2008 650 340 52.31
Apearing for UG Final year exam YES
U.G. BBA MGS UNIVERSITY BIKANER 2011
Declaration
I MOHD ASHRAF declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
12
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9636127690 9. Phone No.:
10. Date of Birth: 28-07-1992 11. Sex: FEMALE
12. E-mail: ghoreladalip@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE AJMER 2006 600 357 59.50
Sr. Sec. ARTS RBSE AJMER 2008 650 469 72.15
Apearing for UG Final year exam YES
U.G. B.A. APP. 2011
Declaration
I MS BHAWNA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
13
4. Mother's Name: PUSHPA DEVI
MUKESH KUMAR S/O NARAYAN RAM
5. Address: WARD NO.-2 NEAR BHABUTA JI
MANDIR
RAWATSAR-335524
6. District: HANUMANGARH
7 State: RAJASTHAN
8. Mobile No.: 9782847417 9. Phone No.:
10. Date of Birth: 12-12-1988 11. Sex: MALE
12. E-mail: rawatsar@rediffmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSE RAJASTHAN 2005 600 296 49.33
Sr. Sec. ARTS BSE RAJASTHAN 2007 650 383 58.92
Apearing for UG Final year exam YES
U.G. B.A. MGS UNIVERSITY BIKANER 2010
Declaration
I MUKESH KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113159
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
14
Course :M.B.A.
I. 104 - BIKANER
II. 104 - BIKANER
RAJGARH-331023
6. District: CHURU
7 State: RAJASTHAN
8. Mobile No.: 9460927263 9. Phone No.:
10. Date of Birth: 21-01-1986 11. Sex: MALE
12. E-mail: anilcat2010@gmail.com
13. Category: OBC 14. Sub-Category: EX-S[EXS4]
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
EDUCATION BOARD OF BHIWANI,
Secondary HARYANA
2001 600 335 55.83
Declaration
I NARENDER SANGWAN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
15
Page 2/2
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9929297785 9. Phone No.:
10. Date of Birth: 22-06-1992 11. Sex: MALE
12. E-mail: nadvadbhati@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2006 600 350 58.33
Sr. Sec. COMMERCE RBSE 2008 650 371 57.08
Apearing for UG Final year exam YES
U.G. B.B.A MGSU BIKANER 2011
Declaration
I NAVED BHATI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
16
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9887012619 9. Phone No.: 0151 -2240339
10. Date of Birth: 15-07-1987 11. Sex: MALE
12. E-mail: naveenksingh21@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Other State 16. Domicile Category : 999
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2003 600 340 56.67
Sr. Sec. COMMERCE RAJASTHAN BOARD 2005 650 387 59.54
Apearing for UG Final year exam YES
U.G. BBA MGSU 2011
Declaration
I NAVEEN SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
17
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 113781
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 107 - JODHPUR
2. Name of Candidate: PANKAJ SWAMI
3. Father's Name : SHYAM SUNDER SWAMI
4. Mother's Name: SARITA SWAMI
SWAMI MOHALLA,NAYA SAHAR ,
5. Address:
BIKANER
BIKANER-334005
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 7568957971 9. Phone No.:
10. Date of Birth: 27-07-1992 11. Sex: MALE
12. E-mail: pswami23@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD,AJMER 2006 600 265 44.17
Sr. Sec. COMMERCE RAJASTHAN BOARD,AJMER 2008 650 387 59.54
Apearing for UG Final year exam YES
U.G. B.B.A M.G.S.UNIVERSITY,BIKANER 2011
Declaration
I PANKAJ SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
18
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 7737001956 9. Phone No.:
10. Date of Birth: 20-04-1991 11. Sex: MALE
12. E-mail: maheshwarinavneet807@gmail.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Other State 16. Domicile Category : 999
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 277 46.17
Sr. Sec. FINE ARTS RAJASTHAN BOARD 2008 650 408 62.77
Apearing for UG Final year exam YES
U.G. B.B.A M.G.S UNIVERSITY 2011
Declaration
I PAWAN SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
19
(Tick mark the relevant entries)
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9782410244 9. Phone No.:
10. Date of Birth: 23-02-1990 11. Sex: MALE
12. E-mail: prvnsoni9@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE, AJMER 2006 600 382 63.67
Sr. Sec. COMMERCE RBSE, AJMER 2008 650 448 68.92
Apearing for UG Final year exam YES
U.G. B.COM MGSU, BIKANER 2011
Declaration
I PRAVEEN SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
20
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 111192
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: PREETI TANWER
3. Father's Name : MOOLCHAND TANWER
4. Mother's Name: SANTOSH TANWER
OUTSIDE JASSUSAR GATE BEHIND
5. Address: DEVISINGH BHATI HOUSE, GANGA
NIWASH
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9784623009 9. Phone No.:
10. Date of Birth: 23-11-1989 11. Sex: FEMALE
12. E-mail: tanwer_preeti@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD, AJMER 2006 600 341 56.83
Sr. Sec. ARTS RAJASTHAN BOARD, AJMER 2008 650 424 65.23
Apearing for UG Final year exam YES
U.G. MARKETING B.B.A. 2011
Declaration
I PREETI TANWER declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
21
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113757
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: RAFEEK MALAWAT
3. Father's Name : YASIN KHAN MALAWAT
4. Mother's Name: AJEEJAN
5. Address: 3E 268 JNV COLONY
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9414450151 9. Phone No.:
10. Date of Birth: 02-03-1989 11. Sex: MALE
12. E-mail: kunwar437@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2003 600 275 45.83
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 337 51.85
Apearing for UG Final year exam YES
U.G. BBA MGS BIKANER 2011
22
Declaration
I RAFEEK MALAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 7597741099 9. Phone No.: 0151 -2231809
10. Date of Birth: 01-07-1989 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : B
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
23
Secondary CBSE 2005 500 282 56.40
Sr. Sec. ARTS CBSE 2007 500 311 62.20
Apearing for UG Final year exam YES
U.G. B.A. MGSU 2011 1800
Declaration
I RAHUL GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 114333
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: RAJENDAR GODARA
3. Father's Name : GANESH NATH SIDH
4. Mother's Name: BHAGWATI
A-95, KARNI NAGAR PAWNA PURI
5. Address:
BIKANER
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9928109394 9. Phone No.:
10. Date of Birth: 04-08-1987 11. Sex: MALE
12. E-mail: SIDH108@GMAIL.COM
13. Category: OBC 14. Sub-Category: NONE
24
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2002 600 336 56.00
Sr. Sec. SCIENCE RAJASTHAN BOARD 2004 650 349 53.69
Apearing for UG Final year exam YES
U.G. BBA MGSU 2011
Declaration
I RAJENDAR GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: HANUMANGARH
25
7 State: RAJASTHAN
8. Mobile No.: 9587713964 9. Phone No.:
10
Date of Birth: 24-05-1993 11. Sex: FEMALE
.
12 shreeshyamcomputers2008@gmail.co
.
E-mail:
m
13
Category: SC 14. Sub-Category: NONE
.
15 State of Bonafied Rajasthan 16. Domicile Category : A
. Residence :
17
.
Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary AJMER 2006 600 340 56.67
Sr. Sec. ARTS AJMER 2008 650 394 60.62
Apearing for UG Final year exam YES
U.G. BBA MGSU 2011
Declaration
I RAJNI SERVA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
26
2. Name of Candidate: RAJU JOGI
3. Father's Name : NARAYAN
4. Mother's Name: BHANWARI
NEAR HANUMAN DHORA WARD NO
5. Address:
18
SARDARSHAHAR-331403
6. District: CHURU
7 State: RAJASTHAN
8. Mobile No.: 9828898864 9. Phone No.:
10. Date of Birth: 28-04-1991 11. Sex: MALE
12. E-mail: rj4448@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSER AJMER 2006 600 399 66.50
Sr. Sec. COMMERCE BSER AJMER 2008 650 434 66.77
Apearing for UG Final year exam YES
U.G. B.COM MGSU BIKANER 2011
Declaration
I RAJU JOGI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that
the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that
the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/
distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be
summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is
found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: CHURU
7 State: RAJASTHAN
8. Mobile No.: 9468566148 9. Phone No.: 01564 -266161
10. Date of Birth: 27-10-1990 11. Sex: MALE
12. E-mail: sutharrakesh21@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE AJMER 2006 600 236 39.33
Sr. Sec. COMMERCE RBSE AJMER 2008 650 429 66.00
Apearing for UG Final year exam YES
U.G. B.B.A. MGSU BIKANER 2011
Declaration
I RAKESH KUMAR SUTHAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
28
Page 2/2
RMAT - 2011 Form No. 116529
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: RAMAN DEEP KOUR
3. Father's Name : KALA SINGH
4. Mother's Name: SUKHWINDER KOUR
M/S SAMTA KRISHI UDYOG NEAR
5. Address:
BSNL OFFICE WARD NO. 12
RAWATSAR-335524
6. District: HANUMANGARH
7 State: RAJASTHAN
8. Mobile No.: 9828713350 9. Phone No.: 01537 -250580
10. Date of Birth: 15-07-1991 11. Sex: FEMALE
12. E-mail: samdish_nirankari@yahoo.co.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BOARD OF SEC. EDU.RAJASTHAN 2006 600 333 55.50
Sr. Sec. ARTS BOARD OF SEC. EDU. RAJASTHAN 2008 650 464 71.38
Apearing for UG Final year exam YES
U.G. B.A. MGS UNIVERSITY BIKANER 2011
Declaration
I RAMAN DEEP KOUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
29
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 116981
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: RAMAN KADWASARA
3. Father's Name : LAXMAN RAM CHOUDHARY
4. Mother's Name: RAMA CHOUDHARY
OLD SHIV BARI ROAD AMBEDKAR
5. Address:
COLONY
BIKANER-334003
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9460562542 9. Phone No.:
10. Date of Birth: 10-10-1990 11. Sex: MALE
12. E-mail: bcbharat31@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE, AJMER 2006 600 332 55.33
Sr. Sec. COMMERCE RBSE, AJMER 2008 650 361 55.54
Apearing for UG Final year exam YES
U.G. BBA MGSU, BIKANER 2011
Declaration
I RAMAN KADWASARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
30
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113040
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: RAVI SHANKER ROKANA
3. Father's Name : SITA RAM
4. Mother's Name: SUMITRA DEVI
VPO HARKHEWALA TEH PADAMPUR
5. Address:
DIST SRI GANGANAGAR
SRI GANGANAGAR-335061
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9461177930 9. Phone No.:
10. Date of Birth: 01-03-1991 11. Sex: MALE
12. E-mail: rinkuverma63@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary AJMER BOARD 2006 600 274 45.67
Sr. Sec. ARTS AJMER BOARD 2008 650 339 52.15
Apearing for UG Final year exam YES
U.G. BBA MGS UNIVERSITY 2011
Declaration
I RAVI SHANKER ROKANA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
31
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113286
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: RAVI VERMA
3. Father's Name : ASHOK KUMAR VERMA
4. Mother's Name: ANJU KUMAR VERMA
NEAR SITA RAM GATE MUNDHRA
5. Address:
BAGECHI
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9694851010 9. Phone No.:
10. Date of Birth: 09-07-1991 11. Sex: MALE
12. E-mail: raviverma640@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD AJMER 2006 600 299 49.83
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2008 650 326 50.15
Apearing for UG Final year exam YES
U.G. B.B.A MGS UNIVERSITY BIKANER 2011
Declaration
32
I RAVI VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
PALLU-335524
6. District: HANUMANGARH
7 State: RAJASTHAN
8. Mobile No.: 9461516231 9. Phone No.:
10. Date of Birth: 21-07-1991 11. Sex: MALE
12. E-mail: sutharrakesh21@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE AJMER 2006 600 278 46.33
33
Sr. Sec. ARTS RBSE AJMER 2008 650 346 53.23
Apearing for UG Final year exam YES
U.G. B.B.A. MGSU BIKANER 2011
Declaration
I RAVINDER CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9414904993 9. Phone No.:
10. Date of Birth: 17-05-1990 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
34
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSER RAJASTHAN 2006 600 393 65.50
Sr. Sec. ARTS BSER RAJASTHAN 2008 650 451 69.38
Apearing for UG Final year exam YES
U.G. B.B.A. FINAL MGSU BIKANER 2011
Declaration
I REKHA FULIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113738
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: ROOSTOM GIRI
3. Father's Name : MADAN GIRI
4. Mother's Name: JAIKORI GIRI
ROOSTOM S/O MADAN GIRI WARD-5
5. Address: NEAR ANUSUIYA ASHRAM
RAWATSAR
RAWATSAR-335524
6. District: HANUMANGARH
7 State: RAJASTHAN
35
8. Mobile No.: 9950374271 9. Phone No.:
10. Date of Birth: 23-09-1988 11. Sex: MALE
12. E-mail: rawatsar@rediffmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSE RAJASTHAN 2005 600 306 51.00
Sr. Sec. ARTS BSE RAJASTHAN 2007 650 348 53.54
Apearing for UG Final year exam YES
U.G. B.A. MGS UNIVERSITY BIKANER 2011
Declaration
I ROOSTOM GIRI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
36
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9829500108 9. Phone No.:
10. Date of Birth: 16-02-1991 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 331 55.17
Sr. Sec. COMMERCE CBSE 2008 500 286 57.20
Apearing for UG Final year exam YES
U.G. B.B.A. MGSU BIKANER 2011
Declaration
I SHIVANI SWAMI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9587742458 9. Phone No.:
10. Date of Birth: 01-05-1989 11. Sex: MALE
12. E-mail: shypt@rediffmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSER AJMER 2006 600 410 68.33
Sr. Sec. COMMERCE BSER AJMER 2008 650 429 66.00
Apearing for UG Final year exam YES
U.G. B.COM MGSU BIKANER 2011
Declaration
I SHYOPAT RAM GODARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
38
Page 2/2
RMAT - 2011 Form No. 115374
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: SIMRAN BISHNOI
3. Father's Name : SUSHIL BISHNOI
4. Mother's Name: MEENA BISHNOI
5. Address: 5-D MADHAVAN COLONY
SRI GANGANAGAR-335001
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9462898959 9. Phone No.:
10. Date of Birth: 28-12-1989 11. Sex: FEMALE
12. E-mail: aonecybercafe@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary RAJASTHAN, AJMER
2005 600 336 56.00
Declaration
I SIMRAN BISHNOI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
39
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
BIKANER-334003
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9461392911 9. Phone No.: 0151 -2232722
10. Date of Birth: 19-08-1990 11. Sex: FEMALE
12. E-mail: shagun_purohit@rediffmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : C
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION,
Secondary RAJASTHAN
2004 600 372 62.00
Declaration
I SUBHANGI YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
40
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 115845
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 104 - BIKANER
2. Name of Candidate: SUMAN DHUKIA
3. Father's Name : DHARAMPAL DUKIA
4. Mother's Name: PARVTI DEVI
5. Address: SHIVDANPURA
SHIVDANPURA BHUDER-335503
6. District: HANUMANGARH
7 State: RAJASTHAN
8. Mobile No.: 9828937096 9. Phone No.:
10. Date of Birth: 01-08-1992 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ BOARD 2006 600 445 74.17
Sr. Sec. ARTS RAJ BOARD 2008 650 471 72.46
Apearing for UG Final year exam YES
U.G. B.COM RAJ UNI 2011
Declaration
I SUMAN DHUKIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
41
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
HANUMANGARH JUNCTION-335512
6. District: HANUMANGARH
7 State: RAJASTHAN
8. Mobile No.: 9414482013 9. Phone No.:
10. Date of Birth: 03-07-1985 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RSB AJMER 2000 600 332 55.33
Sr. Sec. ARTS RSB AJMER 2002 650 414 63.69
Apearing for UG Final year exam NO
U.G. B.A. UNIVERSITY OF BIKANER 2005 1800 976 54.22
Declaration
I SUMAN KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
42
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 112349
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: SUNANDAN ADHA
3. Father's Name : PARTH SARTHI
4. Mother's Name: PRATIBHA SARTHI
5. Address: 6-B-34 JAI NARAYAN VYAS COLONY
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9799779219 9. Phone No.: 0151 -2230122
10. Date of Birth: 01-03-1987 11. Sex: MALE
12. E-mail: ersunandan@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2003 500 360 72.00
Sr. Sec. SCIENCE CBSE 2006 500 260 52.00
Apearing for UG Final year exam NO
B.E./B.TECH./B.ARCH
U.G. RTU 2010 7000 4483 64.04
.
Declaration
I SUNANDAN ADHA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
43
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9414425655 9. Phone No.:
10. Date of Birth: 24-12-1990 11. Sex: MALE
12. E-mail: nealstyle@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ. BOARD, AJMER 2006 600 311 51.83
Sr. Sec. COMMERCE RAJ. BOARD, AJMER 2008 650 428 65.85
Apearing for UG Final year exam YES
U.G. B.B.A. M.G.S.U. BIKANER 2011
Declaration
44
I SUNIL KUMAR SUTHAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
45
Declaration
I SUNITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
SANGARIYA-335063
6. District: HANUMANGARH
7 State: RAJASTHAN
8. Mobile No.: 9509101511 9. Phone No.:
10. Date of Birth: 26-07-1992 11. Sex: MALE
12. E-mail: verma_vs85@rediff.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
46
Secondary RAJASTHAN BOARD 2006 600 302 50.33
Sr. Sec. SCIENCE RAJASTHAN BOARD 2008 650 347 53.38
Apearing for UG Final year exam YES
U.G. BBA M.G.S 2011
Declaration
I SURYA PARKASH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 110458
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: SUSHMA KUMARI
3. Father's Name : SATPAL MEEL
4. Mother's Name: MANJU DEVI
5. Address: VPO NIRWANA TEHSIL SURATGARH
SRI GANGANAGAR-335804
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9828425615 9. Phone No.:
10. Date of Birth: 04-06-1990 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
47
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY
Secondary EDUCATION,RAJASTHAN
2006 600 526 87.67
Declaration
I SUSHMA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
48
8. Mobile No.: 9460429504 9. Phone No.:
10. Date of Birth: 30-04-1992 11. Sex: FEMALE
12. E-mail: www.akon40450com@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2006 600 303 50.50
Sr. Sec. ARTS RBSE 2008 650 398 61.23
Apearing for UG Final year exam YES
MAHARAJA GANGA SINGH
U.G. BBA 2011
UNIVERSITY,BIKANER
Declaration
I VANDANA CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113227
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 105 - JAIPUR
2. Name of Candidate: VIJAY BHARGAVA
3. Father's Name : RAJENDER KUMAR BHARGAVA
49
4. Mother's Name: RANI DEVI
F-65 RAJ NAGAR NEAR VIJAY
5. Address:
PETROLPUMP JAIPUR ROAD BIKANER
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9251153332 9. Phone No.:
10. Date of Birth: 13-03-1992 11. Sex: MALE
12. E-mail: vkbhargav099@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD AJMER 2005 600 361 60.17
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 422 64.92
Apearing for UG Final year exam NO
U.G. B.SC. MGS UNIVERSITY 2010 2025 1326 65.48
Declaration
I VIJAY BHARGAVA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
50
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 104 - BIKANER
II. 107 - JODHPUR
2. Name of Candidate: VIKASH CHHIMPA
3. Father's Name : RAJENDRA KUMAR CHHIMPA
4. Mother's Name: YASHODA DEVI CHHIMPA
VIKASH CHHIMPA S/O RAJENDRA
5. Address:
KUMAR CHHIMPA, G.S. ROAD
CHHIMPO KA MOHALLA, OPP.LAXMI
PLAZA
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9785566774 9. Phone No.: 0151 -2527515
10. Date of Birth: 21-11-1985 11. Sex: MALE
12. E-mail: vikash.chouhan1@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ. BORD AJMER 2002 600 323 53.83
Sr. Sec. SCIENCE RAJ. BORD AJMER 2004 650 330 50.77
Apearing for UG Final year exam NO
U.G. B.A. BIKANER UNIVERSITY,BIKANER 2008 1800 858 47.67
Declaration
I VIKASH CHHIMPA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
51
Page 2/2
BIKANER-334001
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9785566774 9. Phone No.: 0151 -2527515
10. Date of Birth: 21-11-1985 11. Sex: MALE
12. E-mail: vikash.chouhan1@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ. BORD AJMER 2002 600 323 53.83
Sr. Sec. SCIENCE RAJ. BORD AJMER 2004 650 330 50.77
Apearing for UG Final year exam NO
U.G. B.A. BIKANER UNIVERSITY,BIKANER 2008 1800 858 47.67
Declaration
I VIKASH CHHIMPA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
52
Page 2/2
6. District: BIKANER
7 State: RAJASTHAN
8. Mobile No.: 9829626188 9. Phone No.:
10. Date of Birth: 22-07-1990 11. Sex: MALE
12. E-mail: vivekvivu@aol.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN 2006 600 328 54.67
Sr. Sec. COMMERCE RAJASTHAN 2008 650 290 44.62
Apearing for UG Final year exam YES
U.G. B.B.A M.G.S.U 2011
Declaration
I VIVEK TAK declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM
student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
53
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 111786
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 102 - BHARATPUR
2. Name of Candidate: ABHISHEK CHOUDHARY
3. Father's Name : LAL SINGH
4. Mother's Name: NIRMALA DEVI
H.NO.24, GANPATI VIHAR TIJARA
5. Address:
ROAD
ALWAR-301001
6. District: ALWAR
7 State: RAJASTHAN
8. Mobile No.: 8058100580 9. Phone No.:
10. Date of Birth: 20-06-1991 11. Sex: MALE
12. E-mail: mailabhishek91@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE BOARD 2006 500 281 56.20
Sr. Sec. COMMERCE CBSE BOARD 2008 500 315 63.00
Apearing for UG Final year exam YES
U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration
I ABHISHEK CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
54
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 7891351828 9. Phone No.:
10. Date of Birth: 16-08-1990 11. Sex: MALE
12. E-mail: abhishek.padhiyar@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary AJMER BOARD 2005 600 371 61.83
Sr. Sec. ARTS AJMER BOARD 2007 650 392 60.31
Apearing for UG Final year exam NO
U.G. B.B.A. RAJSTHAN UNIVERSITY 2010 1800 1037 57.61
Declaration
I ABHISHEK PADHIYAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
55
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 113205
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ABHISHEK TANWAR
3. Father's Name : HARI RAM TANWAR
4. Mother's Name: PUSHPA TANWAR
38 SARASWATI NAGAR SUSHILPURA
5. Address:
SODALA
AJMER ROAD, JAIPUR-302006
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9251612848 9. Phone No.: 0141 -2221082
10. Date of Birth: 06-05-1989 11. Sex: MALE
12. E-mail: abhi060589@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BORAD,AJMER 2005 600 274 45.67
Sr. Sec. COMMERCE RAJASTHAN BORAD,AJMAER 2008 650 354 54.46
Apearing for UG Final year exam YES
U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration
I ABHISHEK TANWAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
56
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 116250
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ABHISHEK YADAV
3. Father's Name : KRISHNA KUMAR YADAV
4. Mother's Name: SANTOSH YADAV
2766, BAGRU WALON KA RASTA II
5. Address:
CROSSING CHANDPOLE BAZAAR
JAIPUR-302001
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9929000143 9. Phone No.:
10. Date of Birth: 01-05-1987 11. Sex: MALE
12. E-mail: abhishek2010yadav@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2003 500 317 63.40
Sr. Sec. SCIENCE CBSE 2005 500 315 63.00
Apearing for UG Final year exam NO
U.G. B.A. RAJASTHAN UNIVERSITY 2009 1800 918 51.00
Declaration
I ABHISHEK YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
57
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
I ADITYA SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
58
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
59
Declaration
I ADITYA SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9785925203 9. Phone No.:
10. Date of Birth: 25-04-1989 11. Sex: MALE
12. E-mail: agoshd5@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
60
Secondary RAJASTHAN BOARD 2004 600 450 75.00
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 352 54.15
Apearing for UG Final year exam NO
U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 1145 63.61
Declaration
I AGOSH DAGUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM
student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113467
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 105 - JAIPUR
2. Name of Candidate: AJAY KUMAR BHAIRA
3. Father's Name : MAHIPAL BHAIRA
4. Mother's Name: SANTRA DEVI
5. Address: BHAIRA KI DHANI
POST-PUROHITO KI DHANI-333001
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9024384560 9. Phone No.:
10. Date of Birth: 25-07-1989 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
61
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION,
Secondary RAJASTHAN
2005 600 399 66.50
Declaration
I AJAY KUMAR BHAIRA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 116568
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: AJAY KUMAWAT
3. Father's Name : RUDMAL KUMAWAT
4. Mother's Name: RATAN KUMAWAT
PL-38, KUMAWAT COLONY, BEHIND
5. Address: KUMAWAT SCHOOL,AJMER ROAD,
SODALA.
JAIPUR-302006
6. District: JAIPUR
62
7 State: RAJASTHAN
8. Mobile No.: 9829100407 9. Phone No.: 0141 -2450262
10. Date of Birth: 24-06-1988 11. Sex: MALE
12. E-mail: AJAY.KUMAWAT1988@GMAIL.COM
13. Category: GEN 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION,
Secondary RAJASTHAN
2004 600 310 51.67
Declaration
I AJAY KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
6. District: HANUMANGARH
RAMPURA-335526
63
7 State: RAJASTHAN
8. Mobile No.: 9649000095 9. Phone No.:
10. Date of Birth: 03-02-1990 11. Sex: MALE
12. E-mail: ved.khicher@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary AJMER BOARD 2006 600 451 75.17
CENTRAL BOARD OF SECONDARY
Sr. Sec. ARTS 2008 500 314 62.80
EDUCATION
Apearing for UG Final year exam YES
U.G. B.A. ARTS 2011
Declaration
I AJAY SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
64
3. Father's Name : TULSI RAM VERMA
4. Mother's Name: DIPTI VERMA
NEAR BHAGAT SINGH CIRCLE W.NO
5. Address:
19 LOHARU ROAD
PILANI-333031
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9636026870 9. Phone No.:
10. Date of Birth: 19-11-1989 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD, AJMER 2006 600 397 66.17
Sr. Sec. COMMERCE CBSE 2008 500 353 70.60
Apearing for UG Final year exam YES
U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration
I AJAY VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9352773416 9. Phone No.:
10. Date of Birth: 26-02-1988 11. Sex: MALE
12. E-mail: ajityadavay@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2004 500 274 54.80
Sr. Sec. ARTS CBSE 2006 500 258 51.60
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration
I AJEET KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
66
Page 2/2
RMAT - 2011 Form No. 113105
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 107 - JODHPUR
2. Name of Candidate: AJIT SINGH
3. Father's Name : GOVIND RAM
4. Mother's Name: UMA DEVI
WARD NO 1 CHOKHA KA BASS
5. Address: LOSAL. POST LOSAL, TEHSIL -
DANTARAMGARH
SIKAR-332025
6. District: SIKAR
7 State: RAJASTHAN
8. Mobile No.: 9983273615 9. Phone No.:
10. Date of Birth: 10-08-1989 11. Sex: MALE
12. E-mail: as80017@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ BOARD AJMER 2005 600 521 86.83
Sr. Sec. SCIENCE RAJ BOARD AJMER 2007 650 473 72.77
Apearing for UG Final year exam NO
U.G. BBA UNIVERSITY OF RAJASTHAN JAIPUR 2010 1800 1045 58.06
Declaration
I AJIT SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
67
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 112375
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: AKASH SAINI
3. Father's Name : HANSRAJ SAINI
4. Mother's Name: SUSHEELA SAINI
SHAKTI NAGAR SABJOHARA VIJAY
5. Address:
MANDIR ROAD
ALWAR-301001
6. District: ALWAR
7 State: RAJASTHAN
8. Mobile No.: 9214830116 9. Phone No.:
10. Date of Birth: 26-05-1990 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 293 48.83
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 358 55.08
Apearing for UG Final year exam YES
U.G. B.B.A UNIV OF RAJASTHAN 2011
Declaration
I AKASH SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
68
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 112883
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 107 - JODHPUR
2. Name of Candidate: AKHILESH AKHAWAT
3. Father's Name : CHANCHAL SINGH
4. Mother's Name: SAVITRI KANWAR
G-48 SIDDARTH NAGAR NAND PURI
5. Address:
MALVIYA NAGAR
JAIPUR-302017
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9782770234 9. Phone No.: 0141 -2780306
10. Date of Birth: 20-03-1990 11. Sex: MALE
12. E-mail: akkubhabha@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary C.B.S.E 2005 500 210 42.00
Sr. Sec. COMMERCE C.B.S.E 2007 500 320 64.00
Apearing for UG Final year exam NO
U.G. B.B.A UNIVERSITY OF RAJASTHAN 2010 1800 1108 61.56
Declaration
I AKHILESH AKHAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
69
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
Declaration
I AKHILESH KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
70
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
71
Declaration
I AKSHAY PILANIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: BARAN
7 State: RAJASTHAN
8. Mobile No.: 9785948214 9. Phone No.:
10. Date of Birth: 09-06-1989 11. Sex: MALE
12. E-mail: rjnagar09@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
72
Secondary CBSE, NEW DELHI 2005 500 264 52.80
Sr. Sec. SCIENCE RBSE, AJMER 2008 650 377 58.00
Apearing for UG Final year exam YES
U.G. B.B.A. UNIVERSITY OF KOTA, KOTA 2011
Declaration
I RANJEET NAGAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 112176
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ALKA KARADIA
3. Father's Name : LAXMI NARAYAN KARADIA
4. Mother's Name: PREM DEVI KARADIA
5. Address: 1004,RAM NAGAR SHASTRI NAGAR
JAIPUR-302016
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9828895151 9. Phone No.: 0141 -2302556
10. Date of Birth: 21-05-1990 11. Sex: FEMALE
12. E-mail: alkakrd3@gmail.com
13. Category: SC 14. Sub-Category: NONE
73
15. State of Bonafied Rajasthan 16. Domicile Category : C
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 502 83.67
Sr. Sec. COMMERCE C.B.S.E. 2008 500 384 76.80
Apearing for UG Final year exam YES
U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration
I ALKA KARADIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM
student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
74
7 State: RAJASTHAN
8. Mobile No.: 9529982772 9. Phone No.:
10. Date of Birth: 19-06-1990 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Other State 16. Domicile Category : 999
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2005 600 244 40.67
Sr. Sec. COMMERCE RAJASTHAN BOARD 2007 650 336 51.69
Apearing for UG Final year exam YES
U.G. B.B.A. RAJASTHAN UNIVERSITY 2008
Declaration
I AMAN CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
75
4. Mother's Name: KAMLA DEVI
10/556, KAVERI PATH NEAR KL
5. Address:
SAINI STADIUM MANSAROVAR
JAIPUR-302020
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9460017898 9. Phone No.:
10. Date of Birth: 20-03-1989 11. Sex: MALE
12. E-mail: Rajdevchhawdi11@gmail.com
13. Category: SBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE,AJMER 2006 600 309 51.50
Sr. Sec. ARTS RBSE,AJMER 2008 650 382 58.77
Apearing for UG Final year exam YES
U.G. B.C.A. UNIVERSITY OF RAJASTHAN 2011
Declaration
I AMAR SINGH GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
JAIPUR-303328
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9950553329 9. Phone No.:
10. Date of Birth: 01-07-1989 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2003 600 255 42.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 421 64.77
Apearing for UG Final year exam YES
U.G. B.B.A. RAJASTHAN UNIVERSITY 2011
Declaration
I AMBA RAM YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
77
Page 2/2
RMAT - 2011 Form No. 112730
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: AMBA RAM YADAV
3. Father's Name : BHAIRU RAM YADAV
4. Mother's Name: RAMESHWARI DEVI
VILLAGE CHIRNOTIYA, POST
5. Address: MURLIPURA VIA JOBNER, DIST
JAIPUR
JAIPUR-303328
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9950553329 9. Phone No.:
10. Date of Birth: 01-07-1989 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2003 600 255 42.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 421 64.77
Apearing for UG Final year exam YES
U.G. B.B.A. RAJASTHAN UNIVERSITY 2011
Declaration
I AMBA RAM YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
78
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 110681
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 109 - UDAIPUR
2. Name of Candidate: AMBALAL MEGHWAL
3. Father's Name : SAMARAM
4. Mother's Name: PARVATI DEVI
AT POST -BHARJA,VIA -ABUROAD
5. Address:
TEH. -PINDWADA
BHARJA-307026
6. District: SIROHI
7 State: RAJASTHAN
8. Mobile No.: 9649123032 9. Phone No.:
10. Date of Birth: 17-05-1986 11. Sex: MALE
12. E-mail: amberneghwal@yahoo.in
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2005 600 280 46.67
Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 437 67.23
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration
I AMBALAL MEGHWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
79
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 116618
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 105 - JAIPUR
2. Name of Candidate: AMILAL OOOO
3. Father's Name : GHEESA RAM
4. Mother's Name: MANOHARI DEVI
VILLAGE MANOTA KALAN TEHSIL
5. Address:
KHETRI
MANOTA KALAN-333504
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9929081600 9. Phone No.:
10. Date of Birth: 01-07-1988 11. Sex: MALE
12. E-mail:
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary RAJATHAN AJMER
2003 600 280 46.67
Declaration
I AMILAL OOOO declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
80
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
81
Declaration
I AMIR KHAN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM
student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9782550182 9. Phone No.: 01592 -342112
10. Date of Birth: 01-07-1991 11. Sex: MALE
12. E-mail: amitkarol03@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
82
Secondary AJMER BOARD 2005 600 340 56.67
Sr. Sec. SCIENCE AJMER BOARD 2007 650 386 59.38
Apearing for UG Final year exam YES
B.E./B.TECH./B.ARCH
U.G. PURSING 2011
.
Declaration
I AMIT KAROL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9413517216 9. Phone No.:
10. Date of Birth: 02-05-1988 11. Sex: MALE
12. E-mail: amarsingh1963@rediffmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
83
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2005 500 240 48.00
Sr. Sec. COMMERCE CBSE 2007 500 288 57.60
Apearing for UG Final year exam YES
U.G. B.A. RAJASTHAN UNIVERSITY 2011
Declaration
I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113608
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 106 - JHUNJHUNU
2. Name of Candidate: AMIT KUMAR
3. Father's Name : MEHAR CHAND
4. Mother's Name: SARASWATI DEVI
S 49 SHANTI NAGAR HASANPURA
5. Address:
JAIPUR
JAIPUR-302006
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9680420772 9. Phone No.: 0141 -5114024
84
10. Date of Birth: 15-12-1989 11. Sex: MALE
12. E-mail: ravviyadav@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary HARYANA BOARD 2003 600 441 73.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 372 57.23
Apearing for UG Final year exam NO
U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 1187 65.94
Declaration
I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113608
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 106 - JHUNJHUNU
2. Name of Candidate: AMIT KUMAR
3. Father's Name : MEHAR CHAND
4. Mother's Name: SARASWATI DEVI
S 49 SHANTI NAGAR HASANPURA
5. Address:
JAIPUR
6. District: JAIPUR
7 State: JAIPUR-302006
RAJASTHAN
85
8. Mobile No.: 9680420772 9. Phone No.: 0141 -5114024
10. Date of Birth: 15-12-1989 11. Sex: MALE
12. E-mail: ravviyadav@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary HARYANA BOARD 2003 600 441 73.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 372 57.23
Apearing for UG Final year exam NO
U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 1187 65.94
Declaration
I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
86
5. Address: 74/110 SHIPRA PATH MANSROVER
JAIPUR-302020
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9783860670 9. Phone No.: 0141 -2780306
10. Date of Birth: 07-02-1992 11. Sex: MALE
12. E-mail: amit.070292@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJSTHAN BOARD 2005 600 242 40.33
Sr. Sec. ARTS RAJSTHAN BOARD 2007 650 397 61.08
Apearing for UG Final year exam NO
U.G. B.B.A UNIVERSITY OF RAJSTHAN 2010 1800 1018 56.56
Declaration
I AMIT KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM
student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
87
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: AMIT KUMAR JANGIR
3. Father's Name : RADHEYSHYAM JANGIR
4. Mother's Name: SUSHILA DEVI
PLOT NO 1, JAMUNA COLONY,
5. Address:
VIDHYADHAR NAGAR , JAIPUR(RAJ)
JAIPUR-302023
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9784762389 9. Phone No.:
10. Date of Birth: 08-07-1989 11. Sex: MALE
12. E-mail: amitjangir4@ibibo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION,
Secondary RAJASTHAN
2004 600 342 57.00
Declaration
I AMIT KUMAR JANGIR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
88
Page 2/2
RMAT - 2011 Form No. 116004
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 108 - KOTA
2. Name of Candidate: AMIT KUMAR RATHOR
3. Father's Name : ASHOK KUMAR RATHOR
4. Mother's Name: HEM LATA RATHOR
NEAR GOVT WELL TAGAR MOHALLA
5. Address:
BHAWANI MANDI
BHAWANI MANDI-326502
6. District: JHALAWAR
7 State: RAJASTHAN
8. Mobile No.: 7737033398 9. Phone No.:
10. Date of Birth: 08-07-1990 11. Sex: MALE
12. E-mail: amitrathor0411@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BOARD OF SEC EDU RAJASTHAN 2005 600 319 53.17
Sr. Sec. ARTS BOARD OF SEC EDU RAJASTHAN 2007 650 354 54.46
Apearing for UG Final year exam YES
U.G. BBA DAVV INDORE 2011
Declaration
I AMIT KUMAR RATHOR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
89
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 115344
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: AMIT KUMAR SHARMA
3. Father's Name : RAMESH CHANDRA SHARMA
4. Mother's Name: PADMA DEVI
11, DEVI NAGAR, NEW SANGANER
5. Address:
ROAD SODALA, JAIPUR
SODALA, JAIPUR-302019
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9001570227 9. Phone No.: 0141 -2290224
10. Date of Birth: 21-07-1990 11. Sex: MALE
12. E-mail: amitsharma210790@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 371 61.83
Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 399 61.38
Apearing for UG Final year exam YES
U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration
I AMIT KUMAR SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
90
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 110090
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: AMIT KUMAR YADAV
3. Father's Name : SHIV KUMAR YADAV
4. Mother's Name: SANTOSH YADAV
5. Address: B-30 TAPOVAN-VIHAR
JAGATPURA-302025
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9414652637 9. Phone No.: 0141 -2752035
10. Date of Birth: 24-12-1989 11. Sex: MALE
12. E-mail: atharv9024@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : B
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN 2005 600 507 84.50
Sr. Sec. SCIENCE RAJASTHAN 2007 650 488 75.08
Apearing for UG Final year exam YES
B.E./B.TECH./B.ARCH
U.G. RTU , KOTA 2011
.
Declaration
I AMIT KUMAR YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
91
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 111114
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 108 - KOTA
2. Name of Candidate: AMIT YADAV
3. Father's Name : RATAN LAL YADAV
4. Mother's Name: CHAMELI YADAV
ADARSH COLONY BEHIND KLG
5. Address:
SCHOOL
KHAIRTHAL-301404
6. District: ALWAR
7 State: RAJASTHAN
8. Mobile No.: 9024477308 9. Phone No.:
10. Date of Birth: 23-01-1989 11. Sex: MALE
12. E-mail: amityadav8980@yahoo.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2004 600 479 79.83
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 427 65.69
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration
92
I AMIT YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM
student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
93
Declaration
I AMRENDRA SINGH SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA
AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand
cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 113311
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: AMRESH YADAV
3. Father's Name : LAXMAN SINGH YADAV
4. Mother's Name: SHAKUNTALA YADAV
A-5, BEHIND MAHAVEER DHABA
5. Address:
JHALANA PYAU
MALVIYA NAGAR JAIPUR-302017
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9785373170 9. Phone No.:
10. Date of Birth: 08-07-1989 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Other State 16. Domicile Category : 999
Residence :
17. Qualifying Exam :
Detail Subject/Stream Board/University Year Max. Marks %
94
Marks Obt.
Secondary RAJASTHAN BOARD 2004 600 355 59.17
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 361 55.54
Apearing for UG Final year exam YES
U.G. B.SC. RAJASTHAN UNIVERSITY 2011
Declaration
I AMRESH YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9413547538 9. Phone No.: 01594 -223462
10. Date of Birth: 10-07-1989 11. Sex: FEMALE
12. E-mail: cps.saini@gmail.com
95
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BOARD OF AJMER RAJASTHAN 2004 600 346 57.67
Sr. Sec. ARTS BOARD OF AJMER RAJASTHAN 2005 650 397 61.08
Apearing for UG Final year exam NO
U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 983 54.61
Declaration
I ANCHAL SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
96
7 State: RAJASTHAN
8. Mobile No.: 9828082318 9. Phone No.:
10. Date of Birth: 20-10-1985 11. Sex: MALE
12. E-mail: anilchoudhary_7050@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary AJMER BOARD 2001 600 368 61.33
Sr. Sec. SCIENCE AJMER BOARD 2003 650 371 57.08
Apearing for UG Final year exam NO
U.G. B.SC. RAJASTHAN UNIVERSITY 2009 1350 719 53.26
Declaration
I ANIL CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
97
30/54/11,SWARN PATH
5. Address:
MANSAROVAR
JAIPUR-302020
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9799260540 9. Phone No.:
10. Date of Birth: 09-06-1992 11. Sex: MALE
12. E-mail: choudhary.anil727@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE,AJMER 2006 600 390 65.00
Sr. Sec. ARTS RBSE,AJMER 2008 650 411 63.23
Apearing for UG Final year exam YES
U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration
I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: ALWAR
7 State: RAJASTHAN
8. Mobile No.: 9982938918 9. Phone No.:
10. Date of Birth: 05-08-1990 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 297 49.50
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 423 65.08
Apearing for UG Final year exam YES
U.G. B.A. RAJASTHAN UNIVERSITY 2011
Declaration
I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
99
Page 2/2
RMAT - 2011 Form No. 115809
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR
3. Father's Name : SHREE AMAR SINGH
4. Mother's Name: SMT. INDRA DEVI
VILL & POST - BUDHWALIYA TEH
5. Address:
RAWATASAR
BUDHWALIYA-335524
6. District: HANUMANGARH
7 State: RAJASTHAN
8. Mobile No.: 9460622860 9. Phone No.:
10. Date of Birth: 05-02-1990 11. Sex: MALE
12. E-mail: saianil91@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSER AJMER 2005 600 360 60.00
Sr. Sec. SCIENCE BSER AJMER 2008 650 399 61.38
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration
I ANIL KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
100
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9461688018 9. Phone No.:
10. Date of Birth: 18-03-1991 11. Sex: MALE
12. E-mail: balodiaanilkumar@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2005 600 337 56.17
Sr. Sec. COMMERCE RAJASTHAN BOARD 2007 650 430 66.15
Apearing for UG Final year exam NO
U.G. B.B.A RAJASTHAN UNIVERSITY 2010 1800 1058 58.78
Declaration
I ANIL KUMAR BALODIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
101
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 112603
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR GURJAR
3. Father's Name : HARI SINGH GURJAR
4. Mother's Name: DHORI DEVI
ANIL KUMAR GURJAR PLOT 231-A
5. Address:
GOVERDHAN NAGAR TOLTEX
SANGANER-302033
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9571293232 9. Phone No.:
10. Date of Birth: 01-01-1991 11. Sex: MALE
12. E-mail: anilkumargurjar@rediffmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 400 66.67
Sr. Sec. ARTS CBSE BOARD 2008 500 347 69.40
Apearing for UG Final year exam YES
U.G. B.B.A RAJASTHAN UNIVERSITY 2011
Declaration
I ANIL KUMAR GURJAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
102
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9887487031 9. Phone No.:
10. Date of Birth: 01-01-1989 11. Sex: MALE
12. E-mail: anilkumawat17@yahoo.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary RAJASTHAN
2005 600 273 45.50
103
Declaration
I ANIL KUMAR KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Declaration
I ANIL KUMAR NUNIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
104
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
RMAT - 2011 Form No. 114797
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANIL KUMAR SONI
3. Father's Name : GHANSHYAM SONI
4. Mother's Name: PREMLATA SONI
305 NIRMAL VIHAR DADI KA PHATAK
5. Address:
BENAD ROAD JHOTWARA
JAIPUR-302012
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 8233576764 9. Phone No.:
10. Date of Birth: 07-05-1989 11. Sex: MALE
12. E-mail: armaansoni1989@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary AJMER BOARD RAJASTHAN 2004 600 298 49.67
BOARD OF INTERMEDIATE
Sr. Sec. COMMERCE 2006 1000 584 58.40
EDUCATION A.P.
Apearing for UG Final year exam NO
U.G. B.COM OSMANIA UNIVERSITY 2009 1800 900 50.00
Declaration
105
I ANIL KUMAR SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
KAREDA BUZURG-304001
6. District: TONK
7 State: RAJASTHAN
8. Mobile No.: 9166154040 9. Phone No.:
10. Date of Birth: 06-08-1989 11. Sex: MALE
12. E-mail: buvnesh.kumawat@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BOARD OF SECONDARY EDUCATION 2005 600 331 55.17
106
RAJASTHAN
BOARD OF SECONDARY EDUCATION
Sr. Sec. ARTS 2008 650 490 75.38
RAJASTHAN
Apearing for UG Final year exam YES
U.G. BBA BBA 2011
Declaration
I ANIL KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 117095
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANITA KASOTIYA
3. Father's Name : MANGU RAM REGAR
4. Mother's Name: SUNITA DEVI
R-43,SHREEGANPATI NAGAR NEAR
5. Address:
NEW SDM COURT,RAMSINGHPURA
SANGANER,JAPUR-302020
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9251348886 9. Phone No.:
10. Date of Birth: 01-06-1990 11. Sex: FEMALE
12. E-mail: annukansotiya@yahoo.in
13. Category: SC 14. Sub-Category: NONE
107
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE,AJMER 2006 600 377 62.83
Sr. Sec. ARTS RBSE,AJMER 2008 650 491 75.54
Apearing for UG Final year exam YES
U.G. BBA MDS UNIVERSITY,AJMER 2011
Declaration
I ANITA KASOTIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JHUNJHUNU
108
7 State: RAJASTHAN
8. Mobile No.: 9828712626 9. Phone No.: 01594 -223632
10. Date of Birth: 19-11-1990 11. Sex: FEMALE
12. E-mail: jka101@rediffmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE,AJMER 2006 600 238 39.67
Sr. Sec. FINE ARTS RBSE,AJMER 2008 650 470 72.31
Apearing for UG Final year exam YES
U.G. BBA UNIVERSITY OF RAJASTHAN,JAIPUR 2011
Declaration
I ANITA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
109
4. Mother's Name: SANTOSH DEVI
5. Address: DUDIA KI DHANI
DUDIA KI DHANI-333707
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9413434703 9. Phone No.:
10. Date of Birth: 23-02-1992 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ BOARD 2006 600 437 72.83
Sr. Sec. ARTS RAJ BOARD 2008 650 397 61.08
Apearing for UG Final year exam YES
U.G. BBA RAJ UNI 2011
Declaration
I ANITA KUMARI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9868331622 9. Phone No.:
10. Date of Birth: 10-11-1988 11. Sex: FEMALE
12. E-mail: mkmeenacwc@gmail.com
13. Category: ST 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2003 500 313 62.60
Sr. Sec. SCIENCE CBSE 2006 500 296 59.20
Apearing for UG Final year exam YES
U.G. B.SC. RAJASTHAN UNIVERCITY 2011
Declaration
I ANITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM
student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
111
Page 2/2
RMAT - 2011 Form No. 115291
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 105 - JAIPUR
2. Name of Candidate: ANITA NIRMAL
3. Father's Name : KAMAL CHAND NIRMAL
4. Mother's Name: SUMITRA NIRMAL
5. Address: NEAR POST OFFICE SULTANA
CHIRAWA-333028
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9024130920 9. Phone No.:
10. Date of Birth: 01-06-1987 11. Sex: FEMALE
12. E-mail: miss1699@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE AJMER 2002 600 335 55.83
Sr. Sec. SCIENCE RBSE AJMER 2004 650 350 53.85
Apearing for UG Final year exam NO
U.G. B.SC. UNVERSITY OF RAJASTHAN 2007 1350 831 61.56
Declaration
I ANITA NIRMAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
112
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 115317
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANITA SAINI
3. Father's Name : BANSHIDHAR SAINI
4. Mother's Name: MEERA DEVI
LAXMINATH VASTRA BHANDAR
5. Address:
LAXMINATH JI KA CHOWK CHOMU
CHOMU-303702
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9214922705 9. Phone No.: 01423 -221305
10. Date of Birth: 10-08-1989 11. Sex: FEMALE
12. E-mail: saini.antra.saini@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : B
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD AJMER 2006 600 400 66.67
Sr. Sec. ARTS RAJASTHAN BOARD AJMER 2008 650 468 72.00
Apearing for UG Final year exam YES
U.G. B.B.A. B.B.A. 2011
Declaration
I ANITA SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
113
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 115717
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANJU RANWA
3. Father's Name : ROOPA RAM RANWA
4. Mother's Name: SOHANI DEVI
5. Address: VILL. - BHIRANA VAYA LOSAL
SIKAR-332025
6. District: SIKAR
7 State: RAJASTHAN
8. Mobile No.: 8104267363 9. Phone No.:
10. Date of Birth: 06-05-1988 11. Sex: FEMALE
12. E-mail: anjuranwa@yahoo.co.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BOSER AJMER 2006 600 348 58.00
Sr. Sec. ARTS BOSER AJMER 2008 650 322 49.54
Apearing for UG Final year exam YES
U.G. B.B.A. BOSER AJMER 2011
Declaration
I ANJU RANWA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
114
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 116348
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANKIT KARORA
3. Father's Name : NARESH KARORA
4. Mother's Name: UPASANA KARORA
BHAIRAV NIWAS, NEAR E.S.I.
5. Address:
HOSPITAL HATWARA ROAD, SODALA
JAIPUR-302006
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9649999916 9. Phone No.: 0141 -2450727
10. Date of Birth: 20-12-1989 11. Sex: MALE
12. E-mail: jodhasinghgajendra@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary R.B.S.E. 2006 600 408 68.00
Sr. Sec. SCIENCE R.B.S.E. 2008 650 342 52.62
Apearing for UG Final year exam YES
U.G. BBA UNI. OF RAJASTAN 2011
Declaration
115
I ANKIT KARORA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: SIKAR
7 State: RAJASTHAN
8. Mobile No.: 9001283807 9. Phone No.:
10. Date of Birth: 23-07-1991 11. Sex: MALE
12. E-mail: ankitkhatu@gmail.com
13. Category: OBC 14. Sub-Category: EX-S[EXS4]
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE BOARD 2006 500 360 72.00
116
Sr. Sec. ARTS CBSE BOARD 2008 500 389 77.80
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration
I ANKIT KUMAR BAJDOLIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9680893331 9. Phone No.: 0141 -2315080
10. Date of Birth: 09-06-1990 11. Sex: MALE
12. E-mail: ankit_kasera@in.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
117
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2005 600 289 48.17
Sr. Sec. COMMERCE RBSE 2007 650 414 63.69
Apearing for UG Final year exam NO
U.G. BBA RAJASTHAN UNIVERSITY 2010 1800 1019 56.61
Declaration
I ANKIT KUMAR KASERA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 114431
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANKIT SHARMA
3. Father's Name : MADAN LAL SHARMA
4. Mother's Name: MOHRI DEVI
SECTOR-5,PRATAP NAGAR VILL-
5. Address:
BAMBALA,BEHIND P.N.B.
SANGANER-302033
6. District: JAIPUR
7 State: RAJASTHAN
118
8. Mobile No.: 8058615386 9. Phone No.: 0141 -2793270
10. Date of Birth: 04-07-1989 11. Sex: MALE
12. E-mail: ankit-sharma1249045@yahoo.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE,AJMER 2004 600 261 43.50
Sr. Sec. ARTS RBSE,AJMER 2008 650 314 48.31
Apearing for UG Final year exam YES
U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration
I ANKIT SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
119
JAIPUR-302020
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9610448838 9. Phone No.: 0141 -2781844
10. Date of Birth: 23-07-1988 11. Sex: MALE
12. E-mail: anky.remedy786@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2005 500 279 55.80
Sr. Sec. COMMERCE CBSE 2008 500 279 55.80
Apearing for UG Final year exam YES
U.G. B.COM UNIVERSITY OF RAJASTHAN 2011
Declaration
I ANKIT VISHNOI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9352657577 9. Phone No.:
10. Date of Birth: 31-05-1990 11. Sex: FEMALE
12. E-mail: ankita.dabar1234@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : B
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2006 500 254 50.80
Sr. Sec. COMMERCE CBSE 2008 500 320 64.00
Apearing for UG Final year exam YES
U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration
I ANKITA DABAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
121
Page 2/2
RMAT - 2011 Form No. 111548
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANKITA MEENA
3. Father's Name : DHARAM SINGH MEENA
4. Mother's Name: UGANTI MEENA
155, MUKTANAND NAGAR
5. Address:
GOPALPURA MODE
JAIPUR-302018
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9414404065 9. Phone No.: 0141 -2546124
10. Date of Birth: 02-07-1991 11. Sex: FEMALE
12. E-mail: meena.ankita@ymail.com
13. Category: ST 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 395 65.83
Sr. Sec. ARTS RAJASTHAN 2008 650 458 70.46
Apearing for UG Final year exam YES
U.G. B.B.A. RAJASTHAN UNIVERSITY 2011
Declaration
I ANKITA MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
122
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 113644
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ANKUR PACHAHARA
3. Father's Name : RAMESH CHOUDHARY
4. Mother's Name: UJJAWAL DEVI
53, JAI BHAWANI NAGAR
5. Address:
KHATIPURA ROAD, JAIPUR
JAIPUR-302012
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 7737302356 9. Phone No.:
10. Date of Birth: 25-04-1991 11. Sex: MALE
12. E-mail: 2525ankur@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2006 500 316 63.20
Sr. Sec. COMMERCE CBSE 2008 500 292 58.40
Apearing for UG Final year exam YES
U.G. B.B.A RAJASTHAN UNIVERSITY 2011
Declaration
I ANKUR PACHAHARA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
123
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 115211
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 106 - JHUNJHUNU
2. Name of Candidate: ANUP JANGIR
3. Father's Name : VIJAY KUMAR JANGIR
4. Mother's Name: ASHA DEVI
5. Address: 9/94 VIDHYADHAR NAGAR JAIPUR
JAIPUR-302023
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9828114316 9. Phone No.:
10. Date of Birth: 20-12-1988 11. Sex: MALE
12. E-mail: anup_jangir@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary B.S.E. RAJASTHAN 2005 600 405 67.50
Sr. Sec. SCIENCE B.S.E. RAJASTHAN 2008 650 398 61.23
Apearing for UG Final year exam YES
U.G. B.B.A UNIVERSITY OF RAJ 2011
Declaration
I ANUP JANGIR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
124
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 115237
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 102 - BHARATPUR
2. Name of Candidate: ANUPAM SAINI
3. Father's Name : GHANSHYAM LAL SAINI
4. Mother's Name: KANTA SAINI
5. Address: 1/59, NEB, HOUSING BOARD ALWAR
ALWAR-301001
6. District: ALWAR
7 State: RAJASTHAN
8. Mobile No.: 9571378454 9. Phone No.:
10. Date of Birth: 19-12-1991 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSER, AJMER 2005 600 286 47.67
Sr. Sec. COMMERCE BSER, AJMER 2008 650 324 49.85
Apearing for UG Final year exam YES
U.G. B.COM UNIVERSITY OF RAJASTHAN, JAIPUR 2011
Declaration
I ANUPAM SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
125
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 112710
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 108 - KOTA
2. Name of Candidate: ANURADHA MORE
3. Father's Name : R.S MORE
4. Mother's Name: SUNANDA MORE
5. Address: TYPE-2/107 ANUDEEP COLONY
RAWATBHATA-323307
6. District: CHITTORGARH
7 State: RAJASTHAN
8. Mobile No.: 9460679872 9. Phone No.:
10. Date of Birth: 13-06-1990 11. Sex: FEMALE
12. E-mail: armore13@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2006 500 277 55.40
Sr. Sec. SCIENCE CBSE 2008 500 312 62.40
Apearing for UG Final year exam YES
U.G. B.C.A. KOTA UNIVERSITY 2011
126
Declaration
I ANURADHA MORE declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
BEHROR-301701
6. District: ALWAR
7 State: RAJASTHAN
8. Mobile No.: 9929948641 9. Phone No.: 01494 -221151
10. Date of Birth: 31-07-1991 11. Sex: FEMALE
12. E-mail: annugudiya4982@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
127
BOARD OF SECONDARY EDUCATION,
Secondary RAJASTHAN
2006 600 507 84.50
Declaration
I ANURADHA SHARMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 116034
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 105 - JAIPUR
2. Name of Candidate: ANURAG POONIA
3. Father's Name : SURESH KUMAR POONIA
4. Mother's Name: KAMALA
5. Address: B-33, MAN NAGAR NEAR CLUB
JHUNJHUNU-333001
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9829987834 9. Phone No.: 01592 -234328
10. Date of Birth: 14-07-1991 11. Sex: MALE
12. E-mail:
128
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BSER, AJMER 2005 600 323 53.83
Sr. Sec. SCIENCE BSER, AJMER 2007 650 422 64.92
Apearing for UG Final year exam YES
U.G. B.A. UNIVERSITY OF RAJ. JAIPUR 2011
Declaration
I ANURAG POONIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: TONK
129
7 State: RAJASTHAN
8. Mobile No.: 9660388289 9. Phone No.: 01432 -244094
10. Date of Birth: 28-08-1989 11. Sex: MALE
12. E-mail: anurag.sangat@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2006 600 315 52.50
Sr. Sec. ARTS RBSE 2008 650 413 63.54
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration
I ANURAG SANGAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
130
4. Mother's Name: ANJU VER,A
165-VISHVESHWARIYA NAGAR
5. Address:
GOPALPURA BUY PASS
JAIPUR-302018
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 8107017602 9. Phone No.: 0141 -2763612
10. Date of Birth: 02-09-1990 11. Sex: FEMALE
12. E-mail: vermaahushree1990@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 374 62.33
Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 380 58.46
Apearing for UG Final year exam YES
U.G. B.COM UNIVERSITY OF RAJASTHAN 2011
Declaration
I ANUSHREE VERMA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
JAIPUR-302017
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9024343179 9. Phone No.:
10. Date of Birth: 27-07-1991 11. Sex: FEMALE
12. E-mail: devmann.yadav@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary RAJASTHAN
2006 600 266 44.33
Declaration
I ARADHANA YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
132
Page 2/2
JAIPUR-302002
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9413819558 9. Phone No.:
10. Date of Birth: 24-01-1989 11. Sex: FEMALE
12. E-mail: anukajotiya@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2005 600 444 74.00
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 380 58.46
Apearing for UG Final year exam YES
B.E./B.TECH./B.ARCH
U.G. RTU 2011
.
Declaration
I ARCHANA SONI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
133
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 114667
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ARJUN LAL CHOUDHARY
3. Father's Name : BANNA RAM CHOUDHARY
4. Mother's Name: DHAPU DEVI
VILLAGE-KHEERWA, POST-
5. Address: KHERI,VIA-RENWAL. TH-
PHULERA,JAIPUR
KHEERWA-303603
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9667488617 9. Phone No.:
10. Date of Birth: 25-01-1991 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ.BOARD 2006 600 312 52.00
Sr. Sec. SCIENCE RAJ.BOARD 2008 650 335 51.54
Apearing for UG Final year exam YES
U.G. BBA BBA 2011
Declaration
I ARJUN LAL CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA
AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand
cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
134
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 117198
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ARPIT KUMAWAT
3. Father's Name : SATYA NARAYAN VERMA
4. Mother's Name: KUSUM VERMA
DEFENCE PUBLIC SENIOR
5. Address: SECONDARY SCHOOL MEENA
COLONY
SAWAI MADHOPUR-322001
6. District: SAWAIMADHOPUR
7 State: RAJASTHAN
8. Mobile No.: 9414270366 9. Phone No.: 07462 -222440
10. Date of Birth: 16-04-1990 11. Sex: MALE
12. E-mail: arpitk66@yahoo.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary RAJASTHAN
2006 600 420 70.00
Declaration
I ARPIT KUMAWAT declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
135
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: SIKAR
7 State: RAJASTHAN
8. Mobile No.: 9024508215 9. Phone No.: 01575 -224157
10. Date of Birth: 26-07-1989 11. Sex: MALE
12. E-mail: arunsain5@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary AJMER BOARD, RAJASTHAN 2005 600 351 58.50
Sr. Sec. ARTS AJMER BOARD, RAJASTHAN 2007 650 408 62.77
Apearing for UG Final year exam NO
U.G. B.B.A. RAJASTHAN UNIVERSITY 2010 1800 1003 55.72
Declaration
I ARUN KUMAR SAIN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
136
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9314653006 9. Phone No.:
10. Date of Birth: 24-07-1986 11. Sex: MALE
12. E-mail: ARUNGARHWAL24@GMAIL.COM
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2002 500 287 57.40
Sr. Sec. SCIENCE CBSE 2004 500 337 67.40
Apearing for UG Final year exam NO
U.G. B.SC. RAJASTHAN UNIVERSITY 2008 1350 957 70.89
Declaration
137
I ARUN SINGH declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
JAIPUR-302012
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9414970389 9. Phone No.:
10. Date of Birth: 16-11-1990 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : B
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN EDU. BOARD AJMER 2005 600 234 39.00
138
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 386 59.38
Apearing for UG Final year exam YES
U.G. B.A. RAJASTHAN UNIVERSITY 2011
Declaration
I ARUNA KUMARI SAIN declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 7737459303 9. Phone No.:
10. Date of Birth: 04-04-1989 11. Sex: MALE
12. E-mail: arupbal777@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
139
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2005 500 285 57.00
Sr. Sec. COMMERCE CBSE 2007 500 389 77.80
Apearing for UG Final year exam YES
U.G. B.COM UNI.OF RAJASTHAN 2011
Declaration
I ARUP BAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare that
the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand that
the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have concealed/
distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable to be
summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if it is
found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 112633
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ARVIND JANGID
3. Father's Name : BANWARI LAL JANGID
4. Mother's Name: SEEMA DEVI
PLOT NO 198 WARD 39 NEAR
5. Address: SARVODAYA PUBLIC SCHOOL
PIPRALI ROAD SAMRATHPURA SIKAR
SIKAR-332001
6. District: SIKAR
7 State: RAJASTHAN
140
8. Mobile No.: 9982299922 9. Phone No.:
10. Date of Birth: 09-03-1990 11. Sex: MALE
12. E-mail: arvindjangid1989@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
BOARD OF SECONDARY EDUCATION
Secondary AJMER (RAJ)
2004 600 412 68.67
Declaration
I ARVIND JANGID declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
141
SADULSHAHAR-335062
6. District: SRIGANGANAGAR
7 State: RAJASTHAN
8. Mobile No.: 9587051000 9. Phone No.:
10. Date of Birth: 04-07-1990 11. Sex: MALE
12. E-mail: arvind.sevta@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary AJMER BOARD 2005 600 253 42.17
Sr. Sec. ARTS AJMER BOARD 2007 650 324 49.85
Apearing for UG Final year exam YES
U.G. BBA SMU 2008
Declaration
I ARVIND KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
ALWAR-301405
6. District: ALWAR
7 State: RAJASTHAN
8. Mobile No.: 9828115955 9. Phone No.:
10. Date of Birth: 01-10-1990 11. Sex: FEMALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ. BOARD AJMER 2006 600 358 59.67
Sr. Sec. ARTS RAJ. BOARD AJMER 2008 650 383 58.92
Apearing for UG Final year exam YES
U.G. BBA RAJ. UNIVERSITY 2011
Declaration
I ASHA RANI YADAV declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
143
Page 2/2
RMAT - 2011 Form No. 116225
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 104 - BIKANER
2. Name of Candidate: ASHISH BUDANIA
3. Father's Name : HARISH BUDANIA
4. Mother's Name: NIRMALA BUDANIA
5. Address: WARD NO. 18 NEAR DHARAM STOOP
CHURU-331001
6. District: CHURU
7 State: RAJASTHAN
8. Mobile No.: 9309054991 9. Phone No.:
10. Date of Birth: 27-09-1988 11. Sex: MALE
12. E-mail: budaniaashish@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2004 500 292 58.40
Sr. Sec. ARTS CBSE 2006 600 347 57.83
Apearing for UG Final year exam NO
U.G. BBA UNIVERSITY OF RAJASTHAN 2010 1800 1067 59.28
Declaration
I ASHISH BUDANIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
144
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 113696
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 105 - JAIPUR
2. Name of Candidate: ASHISH CHOUDHARY
3. Father's Name : BHUPENDRA SINGH
4. Mother's Name: SHEELA CHOUDHARY
12 ROSE VILLA RAJENDRA NAGAR
5. Address:
BHARATPUR
BHARATPUR-321001
6. District: BHARATPUR
7 State: RAJASTHAN
8. Mobile No.: 9667478558 9. Phone No.:
10. Date of Birth: 11-12-1990 11. Sex: MALE
12. E-mail: jhon4555@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJ.BOARD AJMER 2005 600 238 39.67
Sr. Sec. ARTS RAJ. BOARD AJMER 2007 650 304 46.77
Apearing for UG Final year exam NO
U.G. B.A. RAJ. UNIVERSITY 2010 1800 967 53.72
Declaration
I ASHISH CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
145
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 111668
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 102 - BHARATPUR
2. Name of Candidate: ASHISH DAGUR DAGUR
3. Father's Name : SHRIRAM DAGUR
4. Mother's Name: SHANTI DAGUR
ANIRUDHA NAGAR NEAR M.S.J.
5. Address:
COLLAGE OPP. TO WELCOME HOTEL
BHARATPUR-321001
6. District: BHARATPUR
7 State: RAJASTHAN
8. Mobile No.: 9024149400 9. Phone No.: 05644 -232360
10. Date of Birth: 16-02-1991 11. Sex: MALE
12. E-mail: rahulkatara11@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 419 69.83
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 485 74.62
Apearing for UG Final year exam YES
U.G. B.B.A. UNIVERSITY COMMERCE COLLEGE 2011
Declaration
I ASHISH DAGUR DAGUR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
146
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 111004
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 105 - JAIPUR
2. Name of Candidate: ASHISH DANGI
3. Father's Name : UMMED SINGH DANGI
4. Mother's Name: SANTARA DANGI
5. Address: VPO SHYOPURA VIA CHIRAWA
DIST JHUNJHUNU-333026
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9887078761 9. Phone No.:
10. Date of Birth: 01-07-1990 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD AJMER 2005 600 423 70.50
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 482 74.15
Apearing for UG Final year exam NO
U.G. B.SC. RAJASTHAN UNIVERSITY JAIPUR 2010 1350 857 63.48
Declaration
I ASHISH DANGI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
147
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
Declaration
148
I ASHISH MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9784087857 9. Phone No.:
10. Date of Birth: 18-04-1990 11. Sex: MALE
12. E-mail: kumarashish.akn@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Other State 16. Domicile Category : 999
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2005 600 262 43.6
149
Sr. Sec. COMMERCE RAJSTHAN BOARD 2007 650 375 57.6
Apearing for UG Final year exam YES
U.G. B.COM RAJASTHAN UNIVERSITY 2011
Declaration
I ASHISH NAGARWAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
JAIPUR-302006
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9667678242 9. Phone No.:
10. Date of Birth: 15-08-1990 11. Sex: MALE
12. E-mail: atanwar2258@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
150
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD AJMER 2005 600 479 79.83
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 535 82.31
Apearing for UG Final year exam NO
U.G. B.C.A. UNIVERSITY OF RAJASTHAN 2010 1800 1263 70.17
Declaration
I ASHISH TANWAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 115573
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ASHOK KUMAR
3. Father's Name : MADAN LAL
4. Mother's Name: TIJO DEVI
A-104, INDIRA VERMA COLONY,
5. Address:
SHASHTRI NAGAR,
JAIPUR-302016
6. District: JAIPUR
7 State: RAJASTHAN
151
8. Mobile No.: 9024967357 9. Phone No.:
10. Date of Birth: 03-06-1991 11. Sex: MALE
12. E-mail:
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : B
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BOARD OF RAJASTHAN 2006 600 373 62.17
Sr. Sec. SCIENCE BOARD OF RAJASTHAN 2008 650 376 57.85
Apearing for UG Final year exam YES
U.G. BBA UNIVERSITY OF RAJASTHAN 2011
Declaration
I ASHOK KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
152
SIKAR-332403
6. District: SIKAR
7 State: RAJASTHAN
8. Mobile No.: 9950425858 9. Phone No.: 01572 -222608
10. Date of Birth: 15-10-1988 11. Sex: MALE
12. E-mail: ashokkiit6120@yahoo.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2004 600 381 63.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 422 64.92
Apearing for UG Final year exam YES
U.G. B.SC. RAJASTHAN UNIVERSITY 2011
Declaration
I ASHOK KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND PGDM
student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9571417027 9. Phone No.:
10. Date of Birth: 08-07-1990 11. Sex: MALE
12. E-mail:
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Other State 16. Domicile Category : 999
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2005 600 252 42.00
Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 322 49.54
Apearing for UG Final year exam NO
U.G. B.B.A RAJASTHAN UNIVERSITY 2010 1800 903 50.17
Declaration
I ASHOK KUMAR BAIRWA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
154
Page 2/2
RMAT - 2011 Form No. 111621
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ASHOK KUMAR CHOUDHARY
3. Father's Name : BHAGIRATH CHOUDHARY
4. Mother's Name: BARJBALA DEVI
VPO RADAWAS VIA AMARSAR DHANI
5. Address:
RATAN SAGAR
TECH SHAHPURA-303601
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 8122273904 9. Phone No.: 01422 -214020
10. Date of Birth: 21-07-1988 11. Sex: MALE
12. E-mail: ashok3036@ymail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2001 600 320 53.33
Sr. Sec. SCIENCE RBSE 2003 650 416 64.00
Apearing for UG Final year exam YES
B.E./B.TECH./B.ARCH
U.G. VIT 2011
.
Declaration
I ASHOK KUMAR CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA
AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand
cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
155
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 115896
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 107 - JODHPUR
2. Name of Candidate: ASHOK KUMAR MEENA
3. Father's Name : LALLU RAM MEENA
4. Mother's Name: KAMALA DEVI MEENA
VILL DHIGARIA POST DHANAWAR
5. Address:
VIA DUBBI TEH BASWA
DHIGARIA TAPPA-303304
6. District: DAUSA
7 State: RAJASTHAN
8. Mobile No.: 9785775459 9. Phone No.:
10. Date of Birth: 12-07-1990 11. Sex: MALE
12. E-mail: hansrajin@yahoo.co.in
13. Category: ST 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary BOARD OF AJMER RAJ 2005 600 297 49.50
Sr. Sec. COMMERCE BOARD OF AJMER RAJ 2007 650 364 56.00
Apearing for UG Final year exam NO
U.G. B.COM UNIVERSITY OF RAJ 2010 1800 922 51.22
Declaration
I ASHOK KUMAR MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
156
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
HANUTPURA-303120
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 7737862283 9. Phone No.: 01422 -237142
10. Date of Birth: 15-07-1987 11. Sex: MALE
12. E-mail: haritwal123@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD 2004 600 471 78.50
Sr. Sec. SCIENCE RAJASTHAN BOARD 2006 650 410 63.08
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration
I ASHOK KUMAR ROLANIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
1. Completed all entries in the On Line Application Form
157
2. Paste Your Passport Size photograph if you have not uploaded it online.
3. Attached copy of proof of Domicile of Rajasthan.
4. Attached copy of proof of Secondary Certificate(10th).
5. Attached copy of proof of Senior Secondary (10+2) Examination.
6. Attached copy of proof of Graduation OR appearing in final year of graduation(if Appearing in 2011)
7. Attached copy of proof of Category (SC/ST/OBC/SBC/PH/EX-S/KM).
8. Signed the confirmation page.
9. Spare photograph (Form No. & Name metioned backside) stapled with this form.
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)
Page 2/2
RMAT - 2011 Form No. 110165
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ASHUTOSH JANGID
3. Father's Name : RAJENDRA KUMAR SHARMA
4. Mother's Name: MANJU SHARMA
2 KA 3 , KALA KUAN HOUSING
5. Address:
BOARD , ARAVLI VIHAR
ALWAE-301001
6. District: ALWAR
7 State: RAJASTHAN
8. Mobile No.: 9784725040 9. Phone No.: 0144 -2360610
10. Date of Birth: 30-11-1986 11. Sex: MALE
12. E-mail: ashutosh.jangid@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2002 500 342 68.40
Sr. Sec. SCIENCE CBSE 2004 500 325 65.00
Apearing for UG Final year exam NO
B.E./B.TECH./B.ARCH
U.G. RAJASTHAN UNIVERSITY 2008 7000 4380 62.57
.
Declaration
I ASHUTOSH JANGID declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Date : Full Signature of Applicant
158
(in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
JAIPUR-302024
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9929677573 9. Phone No.:
10. Date of Birth: 10-01-1988 11. Sex: MALE
12. E-mail: ashwani00013@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD AJMER 2004 600 374 62.33
Sr. Sec. ARTS RAJASTHAN BOARD AJMER 2007 650 333 51.23
Apearing for UG Final year exam NO
U.G. B.A. UNOVERSITY OF RAJASTHAN 2010 1800 887 49.28
Declaration
I ASHWANI CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A.
159
student and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 114150
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ASHWANI GURAWARIYA
3. Father's Name : BABULAL GURAWARIYA
4. Mother's Name: SHEELA GURAWARIYA
102 BHRIGU NAGAR AJMER ROAD
5. Address:
JAIPUR
JAIPUR-302021
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9461802595 9. Phone No.: 0141 -2351011
10. Date of Birth: 30-08-1991 11. Sex: MALE
12. E-mail: ash.gurawariya@gmail.com
13. Category: SC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE 2006 500 300 60.00
Sr. Sec. SCIENCE CBSE 2008 500 260 52.00
Apearing for UG Final year exam YES
U.G. BBA UNIVERSITY OF RAJASTHAN 2011
160
Declaration
I ASHWANI GURAWARIYA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA
AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand
cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
RMAT - 2011 Form No. 115083
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: ASHWANI KUMAR
3. Father's Name : GANESH DATT BIJARNIYA
4. Mother's Name: GOTHI DEVI
MALKHAN SINGH BIJARNIYA MAIN
5. Address:
STATION MARKET
REENGUS-332404
6. District: SIKAR
7 State: RAJASTHAN
8. Mobile No.: 9785099051 9. Phone No.:
10. Date of Birth: 25-08-1991 11. Sex: MALE
12. E-mail: a.ashwani786@yahoo.co.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Detail Subject/Stream Board/University Year Max. Marks %
161
Marks Obt.
Secondary RAJASTHAN BOARD 2006 600 402 67.00
Sr. Sec. COMMERCE RAJASTHAN BOARD 2008 650 407 62.62
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY 2011
Declaration
I ASHWANI KUMAR declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
6. District: JHUNJHUNU
7 State: RAJASTHAN
8. Mobile No.: 9460635853 9. Phone No.:
10. Date of Birth: 08-09-1990 11. Sex: FEMALE
12. E-mail:
162
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2006 600 270 45.00
Sr. Sec. ARTS RBSE 2008 650 329 50.62
Apearing for UG Final year exam YES
U.G. B.A. UNIVERSITY OF RAJASTHAN 2011
Declaration
I BABITA SAINI declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
JAIPUR-302004
6. District: JAIPUR
163
7 State: RAJASTHAN
8. Mobile No.: 9785691795 9. Phone No.: 01494 -291154
10. Date of Birth: 15-12-1990 11. Sex: MALE
12. E-mail: RINKUDAGUR@GMAIL.COM
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : B
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary R.B.S.E AJMER 2006 600 408 68.00
Sr. Sec. COMMERCE R.B.S.E AJMER 2008 650 450 69.23
Apearing for UG Final year exam YES
U.G. B.COM UNIVERSITY OF RAJASTHAN, JAIPUR 2011
Declaration
I BAJRANG LAL declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further declare
that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I understand
that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to have
concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be liable
to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student and if
it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
Page 2/2
164
4. Mother's Name: KAMLA DEVI
39,BAJRANG COLONY RAMNAGAR
5. Address:
,SODALA
JAIPUR-302019
6. District: JAIPUR
7 State: RAJASTHAN
8. Mobile No.: 9887777566 9. Phone No.:
10. Date of Birth: 05-02-1991 11. Sex: MALE
12. E-mail: chandu_cdfst@yahoo.co.in
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RBSE 2005 600 299 49.83
Sr. Sec. ARTS RBSE 2007 650 341 52.46
Apearing for UG Final year exam NO
U.G. B.A. RAJASTHAN UNIVERSITY 2010 1800 841 46.72
Declaration
I BAJRANG SINGH CHOUDHARY declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I
further declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and
belief. I understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am
found to have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission
shall be liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA
AND PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand
cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
RMAT - 2011 Form No. 112836
1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
I. 105 - JAIPUR
165
II. 108 - KOTA
6. District: SAWAIMADHOPUR
7 State: RAJASTHAN
8. Mobile No.: 9928990225 9. Phone No.: 07463 -203964
10. Date of Birth: 01-07-1992 11. Sex: MALE
12. E-mail: baljeetkhandip@gmail.com
13. Category: ST 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary CBSE,NEW DELHI 2006 600 327 54.50
Sr. Sec. COMMERCE CBSE,NEW DELHI 2008 600 357 59.50
Apearing for UG Final year exam YES
U.G. BBA RAJASTHAN UNIVERSITY,JAIPUR 2011
Declaration
I BALJEET MEENA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am MBA AND
PGDM student and if it is found that I have joined any other course simultaneously, my admission to MBA AND PGDM shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
166
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A.
I. 105 - JAIPUR
II. 101 - AJMER
2. Name of Candidate: BALRAM BIJARNIA
3. Father's Name : SANWAL RAM
4. Mother's Name: SANTOSH DEVI
DHANI RAGHAV DAS KI BHUDHOLI
5. Address: ROAD NEAR GANPATI BRICKS
UDYOG,
NEEM KA THANA-332713
6. District: SIKAR
7 State: RAJASTHAN
8. Mobile No.: 9772297435 9. Phone No.:
10. Date of Birth: 10-04-1989 11. Sex: MALE
12. E-mail: sureshbijaraniya@gmail.com
13. Category: OBC 14. Sub-Category: NONE
15. State of Bonafied Rajasthan 16. Domicile Category : A
Residence :
17. Qualifying Exam :
Max. Marks
Detail Subject/Stream Board/University Year %
Marks Obt.
Secondary RAJASTHAN BOARD, AJMER 2003 600 285 47.50
Sr. Sec. SCIENCE RAJASTHAN BOARD, AJMER 2006 650 394 60.62
Apearing for UG Final year exam YES
U.G. B.A. UNIVERSITY OF RAJASTHAN, JAIPUR 2011
Declaration
I BALRAM BIJARNIA declare that I have read the rules and the eligibility criteria for RMAT-2011 given in its information Brochure. I further
declare that the information given by me in this application is true and completed in all respects to the best of my knowledge and belief. I
understand that the suppression of factor giving false information may lead to cancellation of this application. I undertake that if I am found to
have concealed/ distorted any material and information or ineligibility detected an any time before or after admission, my admission shall be
liable to be summarily cancelled without any further notice. I know fully well, that I can’t join any other course so long as I am M.B.A. student
and if it is found that I have joined any other course simultaneously, my admission to M.B.A. shall stand cancelled.
Place :
Full Signature of Applicant
Date : (in the box)
CHECK LIST
(Note : Incomplete forms are liable to be REJECTED without notice)
(Tick mark the relevant entries)
167