RAVENSHAW MANAGEMENT CENTRE, CUTTACK

Application Form
MASTER IN BUSINESS ADMINISTRATION- 2011-13

Instructions for filling the Application Form:

1. Fill in the application form in capital letters. The form should be complete in all respects.
2. Please use Blue or Black ball point pen only.
3. Completed Application form should reach Ravenshaw Management Centre, Ravenshaw Affix a recent
University, Cuttack-753003, Orissa, with Rs. 500 DD in favour of Ravenshaw University, Cuttack passport size
4. Please enclose a photocopy of XAT/MAT scorecard along with this form. If scorecard is photograph.
not available please enclose a photocopy of XAT/MAT admit card.
5. If you haven’t appeared for XAT/MAT, then you need to appear for Ravenshaw
Management Centre’s aptitude test.
6. Please do not enclose any testimonials along with this form. All original certificates
should be produced at the time of interview.
7. Incomplete forms will not be considered.
8. Tick (√) in the correct box properly

A. Personal Details
Name
(Capital letters Only) First Middle Last

Address: (Correspondence)
Pin
Tel: Mob:
Email: Gender(tick) Male Female
Date of Birth Age Marital Status
Category Gen SC ST OBC
Name of Father/Guardian
Occupation of Father/Guardian
Name of Mother
Occupation of Mother
Academic Qualification of Mother/Father/Guardian

B. Languages Known

Language Read Write Speak

C. Qualifying Test*

XAT ID. XAT Percentile MAT ID. MAT Percentile Other (specify) Percentile/marks

* if you have not appeared for any qualifying test, you need to appear for Ravenshaw Management Centre’s aptitude
test

D. Academic Credentials

Name of Actual/Expected Marks/Grade Academic Board/ Award/Prizes

Examination Year of Passing (%) Major Subjects University received

Class X

Class XII
Bachelor's
Degree, other(
please Specify)
Master's Degree,
Other (Please
Specify)

Other (please
specify)
Candidates in the final year of Graduation/ Post graduation should indicate the aggregate marks obtained till the latest
examination for which results are available

E. Other Qualification/Programs/courses (other than your academic courses) that you have completed and consider
important

Program/Course Year Institution

F. Work Experience

S.No. Position Organisation Full/Part Time Period

From To
G. Extra-Curricular Activities (if any)

H. Any other information that you consider important (not covered in the form) (if any)

(For field I, J, K if you require more space you can answer on plain paper and attach that sheet along with application form)
I. Why do you want to join MBA programme, why with RMC and why now?

J. According to you, what are the three major challenges India or Orissa is facing today?

K. What are your three most valued accomplishments and why do you view them as such?

L. How did you get information about RMC?

M. Select the admission cycle you are applying to

Cycle 1 Cycle 2

N. I agree to abide by the decision of RMC regarding my selection to the program. I certify that the information furnished in
this application form is correct to the best of my knowledge and belief. I am willing to produce original certificates on
demand.

Place Date Signature of Applicant