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RMAT - 2011 Form No. 114760


  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: KAVITA GAHLOT
3. Father's Name : BHANGA RAM GAHLOT
4. Mother's Name: SUNITA GAHLOT
NEAR GITA BHAWAN MALION KA
5. Address:
MOHALLA POST BHINASAHAR  
    BIKANER-334001

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. 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.  

1
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)

Page 2/2

RMAT - 2011 Form No. 114560


  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: KIRAN KUMARI VERMA
3. Father's Name : SHRI RAMESHWAR LAL VERMA
4. Mother's Name: VIDYA DEVI
5. Address: STREET NO. 8 OLD SHIV BARI ROAD
 
AMBEDKAR COLONY,BIKANER-
    334001

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

RMAT - 2011 Form No. 116370


  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: LALIT PRAKASH
3. Father's Name : MADAN LAL
4. Mother's Name: FULA RANI
RAMAN DARA SEC. SCHOOL, DURGA
5. Address:
MANDIR ROAD, JAITSAR MANDI  
    SRI GANGANAGAR-335702

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)

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. 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

BOARD OF SECONDARY EDUCATION


Sr. Sec. ARTS 2008 650 391 60.15
AJMER RAJ
      Apearing for UG Final year exam YES        
U.G. B.A. UNIVERSITY OF RAJASTHAN, JAIPUR 2011

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)

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. 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

BOARD OF SECONDARY EDUCATION


Sr. Sec. COMMERCE 2007 650 353 54.31
RAJASTHAN
      Apearing for UG Final year exam NO        
U.G. B.B.A. M.G.S.U.BIKANER 2010 3100 1874 60.45

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)

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. 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

BOARD OF SECONDARY EDUCATION


Sr. Sec. COMMERCE 2007 650 353 54.31
RAJASTHAN
      Apearing for UG Final year exam NO        
U.G. B.B.A. M.G.S.U.BIKANER 2010 3100 1874 60.45

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)

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. 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)

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. 117195


  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 SINGH SENGAR
3. Father's Name : K.B SINGH
4. Mother's Name: USHA SENGAR
A-81 KARNI NAGAR NEAR LALGARH
5. Address:
PALACE
    BIKANER-334401
6. District: BIKANER  
7 State: RAJASTHAN  
8. Mobile No.: 9950265101 9. Phone No.:
10. Date of Birth: 24-09-1987 11. Sex: MALE
12. E-mail: MANISHSENGAR3@GMAIL.COM    
13. Category: GEN 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 2003 500 236 47.20
Sr. Sec. ARTS RAJASTHAN BOARD 2007 650 337 51.85
      Apearing for UG Final year exam NO        
U.G. BBA RAJASTHAN UNIVERSITY 2010 1800 955 53.06

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)

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. 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

BOARD OF SEC EDUCATION AJMER,


Sr. Sec. ARTS 2005 650 362 55.69
RAJASTHAN
      Apearing for UG Final year exam NO        
U.G. B.A. MGS UNIVERSITY, BIKANER 2008 1800 937 52.06

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)

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. 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)

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. 112701


  1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  104 - BIKANER  
                            II. 101 - AJMER
2. Name of Candidate: MS BHAWNA
3. Father's Name : OM PRAKASH
4. Mother's Name: SURESH DEVI
VILL PALIWALA PO RAMSARA
5. Address:
JAKHARAN  
    SURATGARH-335804

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)

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. 114957


  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: MUKESH KUMAR  
3. Father's Name : NARAYAN RAM

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)

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. 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

2. Name of Candidate: NARENDER SANGWAN


3. Father's Name : SURAJMAL
4. Mother's Name: HAWAKAUR
IN FRONT GOVT HOSPITA PILANI
5. Address: ROAD SUBASH NAGAR WARD NO-12  
RAJGAR

    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

BOARD OF SECONDARY EDUCATION


Sr. Sec. SCIENCE 2005 650 419 64.46
RAJASTHAN
      Apearing for UG Final year exam NO        
MAHARAJA GANGA SINGH
U.G. B.SC. 2008 2025 1406 69.43
UNIVERSITY

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)

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.)

15
Page 2/2

RMAT - 2011 Form No. 114710


  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: NAVED BHATI
3. Father's Name : SALIM AHMED BHATI
4. Mother's Name: FARZANA BHATI
156 MARUDHAR NAGAR OPPOSIT
5. Address:
RSV SCHOOL BIKANER  
    BIKANER-334001

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)

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.  

16
POSTAL ADDRESS :COORDINATOR RMAT- 2011, M. L. V. TEXTILE & ENGINEERING COLLEGE, PUR ROAD, BHILWARA - 311001(RAJ.)

Page 2/2

RMAT - 2011 Form No. 114368


  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: NAVEEN SINGH
3. Father's Name : LEELU RAM
4. Mother's Name: SANTOSH DEVI
B-38 GANDHI COLONY, NEAR
5. Address:
RELIANCE FRESH, PAWANPURI  
    BIKANER-334001

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

RMAT - 2011 Form No. 114006


  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: PAWAN SWAMI
3. Father's Name : JAGDISH CHAND SWAMI
4. Mother's Name: RAJU DEVI
5. Address: SWAMIYO KA MOHALLA , BIKANER
 
    BIKANER-334001

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)

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. 115763


  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: PRAVEEN SONI
3. Father's Name : MAHESH KUMAR SONI
4. Mother's Name: KRISHNA SONI
B-129 VALLABH GARDEN NEAR
5. Address:
PATEL NAGAR  
    BIKANER-334003

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)

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. 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)

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. 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)

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. 117182


  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: RAHUL GODARA
3. Father's Name : SUMER SINGH GODARA
4. Mother's Name: PERMESHWARI DEVI
B-4 HET NAGAR UDASAR FANTA
5. Address:
;JAIPUR ROAD  
    BIKANER-334020

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)

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. 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)

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. 113319


  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: RAJNI SERVA
3. Father's Name : PREM CHAND SERVA
4. Mother's Name: SUMAN DEVI
5. Address: HOUSE NO 85 SEC 12 WARD NO 6
 
    HANUMANGARH JN-335512

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)

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. 114010


  1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  104 - BIKANER  
                            II. 106 - JHUNJHUNU

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)

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. 113811


27
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  104 - BIKANER  
                            II. 105 - JAIPUR
2. Name of Candidate: RAKESH KUMAR SUTHAR
3. Father's Name : DHARMARAM SUTHAR
4. Mother's Name: BHANWARI DEVI
BHADASAR DIKHANADA
5. Address:
SARDARSAHAR  
    SARDARSAHAR-331403

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)

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.)

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)

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. 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)

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. 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)

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. 115223


  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: RAVINDER CHOUDHARY
3. Father's Name : RATTIRAM CHOUDHARY
4. Mother's Name: RESHMA DEVI
NEAR HOSPITAL ROAD VILLAGE-
5. Address: PALLU TAHSIL-RAWATSAR  
HANUMANGARH

    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)

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. 116030


  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: REKHA FULIYA
3. Father's Name : HOTCHAND SINDHI
4. Mother's Name: DHARMA DEVI
BEHIND OLD RADHA SWAMI
5. Address:
SATSANG BHAWAN W.NO. 9  
    SURATGARH-335804

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)

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. 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)

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. 111101


  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: SHIVANI SWAMI  
3. Father's Name : RAJENDRA KUMAR SWAMI
4. Mother's Name: INDRA SWAMI
5. Address: OUTSIDE DHARAM NAGAR DWAR
    BIKANER-334005

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)

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. 114019


37
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  104 - BIKANER  
                            II. 106 - JHUNJHUNU
2. Name of Candidate: SHYOPAT RAM GODARA
3. Father's Name : DAYA RAM GODARA
4. Mother's Name: RAMPYARI
VILLAGE MANAPHARSAR POST
5. Address:
SHEKHSAR  
    TEHSIL LUNKARANSAR-334603

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)

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.)

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

MAHARAJA GANGA SINGH


Sr. Sec. COMMERCE 2007 500 233 46.60
UNIVERISTY
      Apearing for UG Final year exam NO        
U.G. BBA BBA 2010 3100 1867 60.23

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

RMAT - 2011 Form No. 113379


  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: SUBHANGI YADAV
3. Father's Name : SATYAVIR SINGH YADAV
4. Mother's Name: SWATI YADAV
C-84, S.S.YADAV, NEAR STAR TRACK
5. Address: SCHOOL, KANTA KHATURIYA  
COLONY,

    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

GROUP- BOARD OF SECONDARY EDUCATION,


Sr. Sec. 2007 650 439 67.54
HOMESCIENCE RAJASTHAN
      Apearing for UG Final year exam YES        
MAHARAJA GANGA SINGH
U.G. B.C.A. 2011
UNIVERSITY, BIKANER

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

RMAT - 2011 Form No. 113129


  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: SUMAN KUMARI
3. Father's Name : INDER JEET
4. Mother's Name: BIRMA DEVI
SUMAN C/O SUNIL BISHNOI H.NO
5. Address: F32 PWD COLONY INFORNT  
SARSWATI COLLEGE

    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)

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. 115834


  1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  104 - BIKANER  
                            II. 109 - UDAIPUR
2. Name of Candidate: SUNIL KUMAR SUTHAR
3. Father's Name : LAXMAN LAL SUTHAR
4. Mother's Name: SHAYAMA DEVI
NEAR RAILWAY CROSSING
5. Address:
CHOKHUNTI BIKANER (RAJ.)  
    BIKANER-334001

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)

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. 115855


  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: SUNITA MEENA
3. Father's Name : HIRA SINGH MEENA
4. Mother's Name: SAYAR DEVI
5. Address: TETRA
    TETRA-333704
6. District: JHUNJHUNU  
7 State: RAJASTHAN  
8. Mobile No.: 9413193111 9. Phone No.:
10. Date of Birth: 06-09-1990 11. Sex: FEMALE
12. E-mail:    
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   RAJ BOARD 2006 600 300 50.00
Sr. Sec. ARTS RAJ BOARD 2008 650 422 64.92
      Apearing for UG Final year exam YES        
U.G. BBA RAJ UNI 2011

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)

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. 113374


  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: SURYA PARKASH
3. Father's Name : KRISHAN CHANDER VERMA
4. Mother's Name: RADHA DEVI
SURYA PARKASH S/O SH. KRISHAN
5. Address:
CHANDER VERMA NAMDEV FLORE  
MILL NEAR VETENEARY HOSPITAL,
WORD NO.-12

    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)

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. 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

Sr. Sec. SCIENCE CBSE 2008 500 360 72.00


      Apearing for UG Final year exam YES        
U.G. BBA MGSU BIKANER 2011

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)

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. 110667


  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: VANDANA CHOUDHARY
3. Father's Name : TULSI RAM
4. Mother's Name: RENUKA CHOUDHARY
VILL. 4 M L NEEMA WALA POST OFF.
5. Address:
5 E CHHOTI NAI WALA  
    SRI GANGA NAGAR-335001

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)

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. 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)

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. 112870

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)

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.)

51
Page 2/2

RMAT - 2011 Form No. 112870


  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: 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)

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.)

52
Page 2/2

RMAT - 2011 Form No. 114176


  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: VIVEK TAK
3. Father's Name : JAI PRAKASH TAK
4. Mother's Name: KALAWATI TAK
5. Address: 2-E-9,PAWANPURI
 
    BIKANER-334001

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

RMAT - 2011 Form No. 111099


  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: ABHISHEK PADHIYAR
3. Father's Name : OMPRAKASH SAIN
4. Mother's Name: SAJANA SAIN
163/267,KUMBHAMARG
5. Address:
SANGANER,JAIPUR  
    JAIPUR-302033

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)

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. 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)

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. 117153


  1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  105 - JAIPUR
                            II. 109 - UDAIPUR
2. Name of Candidate: ADITYA SINGH
3. Father's Name : SHER SINGH
4. Mother's Name: MEENA SINGH
5. Address: 82/21 SECT.-8 PRATAP NAGAR
    SANGANER-302033
6. District: JAIPUR  
7 State: RAJASTHAN  
8. Mobile No.: 8890141188 9. Phone No.:
10. Date of Birth: 12-09-1991 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   CBSE 2006 500 294 58.80
Sr. Sec. COMMERCE CBSE 2008 500 300 60.00
      Apearing for UG Final year exam YES        
U.G. B.COM UNIVERSITY OF RAJASTHAN 2011

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)

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. 116127


  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: ADITYA SONI
3. Father's Name : NARENDRA KUMAR SONI
4. Mother's Name: PRAMILA SONI
4550,PURANI KOTWALI KA
5. Address:
RASTA,JOHARI BAZAR,JAIPUR (RAJ.)
    JAIPUR-302002
6. District: JAIPUR  
7 State: RAJASTHAN  
8. Mobile No.: 9829598137 9. Phone No.:
10. Date of Birth: 08-01-1990 11. Sex: MALE
12. E-mail: adityasn08@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 600 383 63.83
Sr. Sec. SCIENCE RAJASTHAN BOARD 2007 650 404 62.15
      Apearing for UG Final year exam YES        
B.E./B.TECH./B.ARCH
U.G. RTU 2011
.

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)

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. 116551


  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: AGOSH DAGUR
3. Father's Name : SHIV RAM SINGH
4. Mother's Name: LAXMI DEVI
5. Address: 71/293, PATEL MARG MANSAROVAR
 
    JAIPUR-302020

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)

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. 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

BOARD OF SECONDARY EDUCATION,


Sr. Sec. SCIENCE 2007 650 394 60.62
RAJASTHAN
      Apearing for UG Final year exam YES        
U.G. B.B.A RAJASTHAN UNIVERSITY 2011

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)

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. 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

BOARD OF SECONDARY EDUCATION,


Sr. Sec. SCIENCE 2006 650 313 48.15
RAJASTHAN
      Apearing for UG Final year exam NO        
U.G. B.B.A. UNIVERSITY OF RAJASTHAN 2010 1800 922 51.22

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)

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. 112371


  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 SINGH  
3. Father's Name : MAHAVIR SINGH GODARA
4. Mother's Name: MEERA DEVI
5. Address: VPO RAMPURA-RAMSARA TEH TIBBI

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)

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. 115329


  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: AJAY VERMA

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)

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. 116579


65
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  105 - JAIPUR  
                            II. 108 - KOTA
2. Name of Candidate: AJEET KUMAR
3. Father's Name : SHIV RAJ SINGH YADAV
4. Mother's Name: SUSHILA YADAV
PLOT NO-89 MARUDHAR NAGAR
5. Address:
DCM AJMER ROAD JAIPUR  
    JAIPUR-302024

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)

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.)

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)

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. 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)

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. 113797


  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: AKHILESH KUMAR
3. Father's Name : RAMDAVA
4. Mother's Name: GANGA DEVI
5. Address: VPO.GHANSOLI TEH. KISHANGARH
    ALWAR-301405
6. District: ALWAR  
7 State: RAJASTHAN  
8. Mobile No.: 9413067772 9. Phone No.:
10. Date of Birth: 28-09-1989 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 2005 600 260 43.33
Sr. Sec. ARTS RAJASTHAN BOARD 2008 650 335 51.54
      Apearing for UG Final year exam YES        
U.G. BBA RAJASTHAN UNIVERSITY 2011

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)

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. 114762


  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: AKSHAY PILANIA
3. Father's Name : DEVILAL PILANIA
4. Mother's Name: BANAWATI PILANIA
PLOT NO. 92, OFFICERS CAMPUS
5. Address:
EXT. VAISHALI NAGAR, JAIPUR
    JAIPUR-302004
6. District: JAIPUR  
7 State: RAJASTHAN  
8. Mobile No.: 9784472697 9. Phone No.:
10. Date of Birth: 12-11-1989 11. Sex: MALE
12. E-mail: akshaypilania@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   CBSE BOARD 2004 500 203 40.60
Sr. Sec. COMMERCE NOS, DELHI 2007 500 238 47.60
      Apearing for UG Final year exam YES        
U.G. B.COM UNIVERSITY OF RAJASTHAN 2011

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)

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. 112186


  1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  108 - KOTA  
                            II. 105 - JAIPUR
2. Name of Candidate: RANJEET NAGAR
3. Father's Name : JAMANA LAL NAGAR
4. Mother's Name: GEETA NAGAR
VILLAGE & POST DHOLAM, TEHSIL -
5. Address:
CHHIPA BAROD, DIST. BARAN  
    BARAN-325221

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)

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. 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)

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. 115401


  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: AMAN CHOUDHARY
3. Father's Name : SURENDRA CHOUDHARY
4. Mother's Name: LAXMI CHOUDHARY
5. Address: 102/116 PATEL MARG, MANSAROVER
 
    JAIPUR-302020

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)

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. 113194


  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: AMAR SINGH GURJAR  
3. Father's Name : RAJA RAM GURJAR

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)

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. 112730


76
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: 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)

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.)

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)

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. 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

BOARD OF SECONDARY EDUCATION


Sr. Sec. ARTS 2006 650 324 49.85
RAJASTHAN AJMER
      Apearing for UG Final year exam NO        
U.G. B.A. UNIVERSITY OF RAJASTHAN 2009 1800 877 48.72

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)

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. 116977


  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: AMIR KHAN
3. Father's Name : MUMTAZ KHAN
4. Mother's Name: NASEEM BANO
33,SAINIK
5. Address: MARG,RAGUNATHPURI,JHOTWARA
JAIPUR,RAJATHAN
    JAIPUR-302012
6. District: JAIPUR  
7 State: RAJASTHAN  
8. Mobile No.: 9950726905 9. Phone No.:
10. Date of Birth: 14-06-1991 11. Sex: MALE
12. E-mail: amir.k1991@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 2006 500 257 51.40
Sr. Sec. COMMERCE C.B.S.E 2008 500 332 66.40
      Apearing for UG Final year exam YES        
U.G. B.COM RAJASTHAN UNIVERSITY 2011

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)

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. 111775


  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: AMIT KAROL
3. Father's Name : GOPICHAND KAROL
4. Mother's Name: MUKTA KAROL
5. Address: 132 K.V G.S.S RSEB COLONY
 
    BAGAR-333023

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)

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. 110782


  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: AMIT KUMAR
3. Father's Name : AMAR SINGH BHALOTHIA
4. Mother's Name: SUMAN DEVI
5. Address: Q. NO. - C 19 SECTOR I - A
 
    KHETRI NAGAR-333504

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)

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. 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)

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. 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)

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. 112872


  1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
                              I.  105 - JAIPUR  
                            II. 102 - BHARATPUR
2. Name of Candidate: AMIT KUMAR  
3. Father's Name : PHOOL SINGH
4. Mother's Name: PHOOL VATI

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)

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. 112267

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

BOARD OF SECONDARY EDUCATION,


Sr. Sec. COMMERCE 2006 650 343 52.77
RAJASTHAN
      Apearing for UG Final year exam NO        
U.G. B.COM UNIVERITY OF RAJASTHAN 2010 1800 975 54.17

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)

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.)

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)

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. 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)

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. 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)

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. 114881


  1000
Application Form (Confirmation Page) Exam. Fee
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
                              I.  105 - JAIPUR
                            II. 104 - BIKANER
2. Name of Candidate: AMRENDRA SINGH SINGH
3. Father's Name : IQBAL SINGH
4. Mother's Name: GURJINDRA KAUR
5. Address: V.P.O.SANTPURA TEH-SANGARIA
    DT-HANUMANGARH-335063
6. District: HANUMANGARH  
7 State: RAJASTHAN  
8. Mobile No.: 9413721366 9. Phone No.:
10. Date of Birth: 08-08-1988 11. Sex: MALE
12. E-mail: www.amrender513@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 2003 600 360 60.00
Sr. Sec. SCIENCE AJMER BOARD 2007 650 316 48.62
      Apearing for UG Final year exam YES        
U.G. BBA SIKKIM MANIPAL UNIVERSITY 2011

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)

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. 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)

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. 112849


  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: ANCHAL SAINI
3. Father's Name : SUBHASH SAINI
4. Mother's Name: MANJU SAINI
ANCHAL SAINI C/O RAMLAL SAINI
5. Address:
NEAR RAILWAY STATION  
    NAWALGARH-333042

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)

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. 115981


  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 CHOUDHARY
3. Father's Name : SUBHASH CHAND
4. Mother's Name: KIRAN CHOUDHARY
5. Address: C-188 MAHESH NAGAR
 
    JAIPUR-302015

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)

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. 113182


  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 : DEVA RAM
4. Mother's Name: PATASI DEVI

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)

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. 114087


98
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  105 - JAIPUR  
                            II. 102 - BHARATPUR
2. Name of Candidate: ANIL KUMAR
3. Father's Name : KABOOL CHAND
4. Mother's Name: RAJBALA DEVI
5. Address: 2 KUSH MARG
 
    ALWAR-301001

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)

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.)

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

RMAT - 2011 Form No. 117160


  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: ANIL KUMAR BALODIA
3. Father's Name : HANUMAN PARSAD KUMAWAT
4. Mother's Name: VIDYA DEVI
771,SUMER NAGAR AGARWAL FARM
5. Address:
MANSAROVAR JAIPUR  
    JAIPUR-302020

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)

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. 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)

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. 111819


  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 KUMAWAT
3. Father's Name : LAXMI NARAYAN
4. Mother's Name: DURGA DEVI
C- 198 MAHESH NAGER 60 FEET
5. Address:
ROAD  
    JAIPUR-302015

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

BOARD OF SECONDARY EDUCATION


Sr. Sec. ARTS 2008 650 406 62.46
RAJASTHAN
      Apearing for UG Final year exam YES        
U.G. BBA UNIVERSITY OF RAJASTHAN 2011

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)

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. 115553


  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: ANIL KUMAR NUNIA
3. Father's Name : MOHAR SINGH
4. Mother's Name: BIMALA DEVI
VILLAGE /POST -LALPUR DIST-
5. Address:
JHUNJHUNU
    JHUNJHUNU-333023
6. District: JHUNJHUNU  
7 State: RAJASTHAN  
8. Mobile No.: 9660563807 9. Phone No.:
10. Date of Birth: 01-07-1991 11. Sex: MALE
12. E-mail: ANIL.CCNA09@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 600 372 62.00
Sr. Sec. SCIENCE RAJASTHAN BOARD AJMER 2007 650 416 64.00
      Apearing for UG Final year exam YES        
U.G. B.SC. UNIVERSITY OF RAJASTHAN 2011

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)

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. 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)

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. 111665


  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: ANIL KUMAWAT
3. Father's Name : JAGDISH KUMAWAT
4. Mother's Name: ROOPA DEVI KUMAWAT
VILLAGE POST KAREDA BUZURG
5. Address: TEH.NEWAI DIST.TONK RAJASTHAN  
PIN.304025

    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)

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. 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)

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. 115921


  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 KUMARI
3. Father's Name : BAJRANG LAL
4. Mother's Name: CHUKA DEVI
VILL-BALWANTPURA POST-
5. Address:
CHELASI,VIA-NAWALGARH  
    NAWALGARH-333042

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)

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. 115852


  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 KUMARI  
3. Father's Name : HARLAL SINGH

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)

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. 114520


110
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :MBA AND PGDM
                              I.  105 - JAIPUR  
                            II. 107 - JODHPUR
2. Name of Candidate: ANITA MEENA
3. Father's Name : POORAN CHAND MEENA
4. Mother's Name: KAMLESH MEENA
PLOT NO. 43, JANAKPURI - II (EXT.)
5. Address:
IMALI WALA PHATAK  
    JAIPUR-302005

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)

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.)

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)

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. 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)

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. 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)

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. 116463


  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: ANKIT KUMAR BAJDOLIYA
3. Father's Name : SAGAR MAL
4. Mother's Name: KOUSHALYA DEVI
VILLAGE CHENPURA, POST
5. Address:
DHINGPUR, TEHSIL DANTARAMGARH  
    CHENPURA-332601

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)

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. 115682


  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: ANKIT KUMAR KASERA
3. Father's Name : MAHESH CHAND
4. Mother's Name: NEETA DEVI
HOUSE NO 1492 LUHORAN KI GALI
5. Address:
CHOURA RASTA  
    JAIPUR-302003

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)

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. 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)

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. 113185


  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: ANKIT VISHNOI  
3. Father's Name : K.K BISHNOI
4. Mother's Name: ROSHANI DEVI
5. Address: 123/21, AGARWAL FARM
MANSAROVAR

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)

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. 112090


120
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: ANKITA DABAR
3. Father's Name : RAJESH DABAR
4. Mother's Name: ANITA DABAR
RAJAGARH ROAD SHANTI NAGAR
5. Address:
WARD NO.1  
    PILANI-333031

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)

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.)

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)

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. 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)

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. 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)

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. 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)

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. 110680


  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 SHARMA
3. Father's Name : SUBHASH SHARMA
4. Mother's Name: VEENA DEVI
VIRASAT MOBILE AND REPAIRING
5. Address: CENTER NEAR P.W.D. OFFICE NEW  
BUS STAND WARD NO. - 15

    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

BOARD OF SECONDARY EDUCATION,


Sr. Sec. SCIENCE 2008 650 406 62.46
RAJASTHAN
      Apearing for UG Final year exam YES        
U.G. B.B.A. RAJASTHAN 2011

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)

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. 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)

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. 117061


  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: ANURAG SANGAT
3. Father's Name : DEEPAK SANGAT
4. Mother's Name: SANDHYA SANGAT
5. Address: KALI PALTAN VIKAS NAGAR TONK
 
    TONK-304001

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)

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. 116190


  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: ANUSHREE VERMA  
3. Father's Name : MOHAN VERMA

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)

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. 111369


131
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: ARADHANA YADAV
3. Father's Name : LAL CHAND YADAV
4. Mother's Name: KRISHNA DEVI
ARADHANA YADAV D/O LAL CHAND
5. Address: YADAV DB-11 SIDDHART NAGAR  
GATOR MALVIYA NAGAR

    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

BOARD OF SECONDARY EDUCATION


Sr. Sec. ARTS 2008 650 402 61.85
RAJASTHAN
      Apearing for UG Final year exam YES        
U.G. B.A. UNIVERSITY OF RAJASTHAN 2011

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)

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.)

132
Page 2/2

RMAT - 2011 Form No. 116126


  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: ARCHANA SONI
3. Father's Name : NARENDRA SONI
4. Mother's Name: PRAMILA SONI
4550,PURANI KOTWALI KA
5. Address: RASTA,JOHARI BAZAR,JAIPUR  
RAJASTHAN

    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

BOARD OF SECONDARY EDUCATION


Sr. Sec. SCIENCE 2008 650 388 59.69
RAJASTHAN
      Apearing for UG Final year exam YES        
B.E./B.TECH./B.ARCH
U.G. RAJASTHAN TECHNICAL UNIVERSITY 2011
.

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)

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. 111491


  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: ARUN KUMAR SAIN
3. Father's Name : RAMAVTAR SAIN
4. Mother's Name: MANJU DEVI
V.P. MAHAROLI, VIA-RINGUS TEH.
5. Address:
SHRIMADHOPUR  
    MAHAROLI-332603

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)

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. 112402


  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: ARUN SINGH
3. Father's Name : SULTAN SINGH GARHWAL
4. Mother's Name: SMT LAXMI DEVI
D 45 SAHNTI PATH PATRAKAR
5. Address:
COLONY  
    TILAK NAGAR-302004

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)

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. 116774


  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: ARUNA KUMARI SAIN
3. Father's Name : MAHAVIR PRASAD SAIN
4. Mother's Name: MADHU DEVI SAIN
P.NO. 10-A, DEEPVIHAR-A, BENAR
5. Address: ROAD, DADI KA PHATAK,  
JHOTWARA, JAIPUR

    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)

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. 111324


  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: ARUP BAL
3. Father's Name : A.K. BAL
4. Mother's Name: MAMTA BAL
5. Address: QR.-D-64 III B
 
    KHETRI NAGAR-333504

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)

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. 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

BOARD OF SECONDARY EDUCATION


Sr. Sec. SCIENCE 2006 600 386 64.33
AJMER (RAJ)
      Apearing for UG Final year exam NO        
U.G. BBA UNIVERSITY OF RAJASTHAN 2010 1800 1029 57.17

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)

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. 113170


  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 KUMAR  
3. Father's Name : KRISHAN KUMAR
4. Mother's Name: RITA RANI
5. Address: W.NO. 15

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)

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. 117241


142
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: ASHA RANI YADAV
3. Father's Name : KISHAN LAL YADAV
4. Mother's Name: SAVATRI DEVI
VILL. MAJRA MANHIYA POST.
5. Address: BHINDUSI TEH. TIJARA DIST.  
ALWAR

    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)

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.)

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)

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. 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)

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. 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)

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. 111060


  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: ASHISH MEENA
3. Father's Name : KHEM RAJ MEENA
4. Mother's Name: SONTOSH MEENA
5. Address: PLOT NO 17 SAKET COLONY
    DEOLI-323001
6. District: BUNDI  
7 State: RAJASTHAN  
8. Mobile No.: 7597946653 9. Phone No.:
10. Date of Birth: 27-03-1988 11. Sex: MALE
12. E-mail: ashish.meena2788@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 2004 500 313 62.60
Sr. Sec. SCIENCE RBSE 2006 650 385 59.23
      Apearing for UG Final year exam YES        
U.G. BBA RAJASTHAN UNIVERSITY 2011

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)

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. 112920


  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: ASHISH NAGARWAL
3. Father's Name : HARISH KUMAR NAGARWAL
4. Mother's Name: DAVKI NAGARWAL
294 MARUTI NAGAR NEAR AIRPORT
5. Address:
SANGANER  
    JAIPUR-302011

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)

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. 113941


  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: ASHISH TANWAR
3. Father's Name : BANWARI LAL TANWAR
4. Mother's Name: VIMLA DEVI TANWAR
P.NO-14 MAHAVEER COLONY NEAR
5. Address: RAJASTHAN ACADEMY SCHOOL  
KARTARPURA JAIPUR

    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)

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. 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)

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. 112207


  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: ASHOK KUMAR  
3. Father's Name : RUGHNATH RAM
4. Mother's Name: RUKAMA DEVI
5. Address: VILL-MADHOPURA POST-
SHYAMPURA VAYA-RANOLI

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)

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. 116941


153
Application Form (Confirmation Page) Exam. Fee 1000
1. Choice of Examination Centre and Course
Course :M.B.A.
                              I.  105 - JAIPUR  
                            II. 103 - BHILWARA
2. Name of Candidate: ASHOK KUMAR BAIRWA
3. Father's Name : TEJPAL BAIRWA
4. Mother's Name: GOVINDI DEVI
AB-363, NIRMAN NAGAR JANPATH
5. Address:
ROAD  
    JAIPUR-302019

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)

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.)

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

RMAT - 2011 Form No. 116218


  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 ROLANIYA
3. Father's Name : SHIMBHU DAYAL ROLANIYA
4. Mother's Name: KISTOORI DEVI
VILL.-HANUTPURA ,POST-
5. Address: KHORALADKHANI,VAYA-  
GATHWARI,TEH.-SHAHPURA

    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)

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. 116946


  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: ASHWANI CHOUDHARY
3. Father's Name : NANDLAL CHOUDHARY
4. Mother's Name: SANTOSH DEVI
B-134,JAGDAMBA NAGAR,BEHIND-
5. Address: HEERA PURA POWER HOUSE AJMER  
ROAD

    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)

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. 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)

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. 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)

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. 114753


  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: BABITA SAINI
3. Father's Name : SHYAM LAL SAINI
4. Mother's Name: PUSPA SAINI
QR NO. D-24, SECTOR 2ND B
5. Address:
KHETRI NAGAR  
    KHETRI NAGAR-333504

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)

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. 112919


  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: BAJRANG LAL
3. Father's Name : MAMAN CHAND
4. Mother's Name: SUMARATI DEVI
ROOM NO.-16,M.P
5. Address: HOSTEL.COMMERCE COLLEGE,J.L.N  
MARG,JAIPUR JAIPUR

    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)

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. 111623


  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: BAJRANG SINGH CHOUDHARY  
3. Father's Name : SITA RAM CHOUDHARY

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)

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. 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

2. Name of Candidate: BALJEET MEENA


3. Father's Name : RAMESHWAR MEENA
4. Mother's Name: SHARDA DEVI
5. Address: V/P- KHANDIP HANUMAN NAGAR
 
    GANGAPUR CITY-322205

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)

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. 117099

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)

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.)

167

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