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Download Application Form - School of Management, KIIT University

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BBA 2013-16


INDEX NUMBER<br />

FOR OFFICE USE ONLY<br />

Affix your<br />

passport size<br />

photograph<br />

www.ksom.ac.in<br />

PIN Code<br />

Tel. No.<br />

(With STD Code).<br />

Mobile No.<br />

7. Permanent Address<br />

PIN Code


8. G<br />

9. 10. Mother Tongue .................................... 11. Religion..................................<br />

12.<br />

13. 14. Blood Group<br />

15.<br />

16. E<br />

17.<br />

18. If<br />

19.<br />

20.<br />

21.<br />

22.


............................................................<br />

............................................................<br />

FOR OFFICIAL USE<br />

The candidate has been selected / waitlisted in the interview held on........................................................................ for<br />

BBA Programme.<br />

Admission Permitted / Not Permitted<br />

Admission Officer Coordinator, Admissions Dean / Director, Admissions<br />

Completed application along with enclosures should reach:<br />

Admissions Executive<br />

<strong>School</strong> <strong>of</strong> <strong>Management</strong>, Campus-7<br />

<strong>KIIT</strong> <strong>University</strong>, Bhubaneswar-751024, Odisha, India<br />

Phone: +91-674-2725007 (D), Fax: 91-674-2725007, 2725278, 9937085344 (M)<br />

E-mail: admission@ksom.ac.in, web site: www.ksom.ac.in

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