St Xavier's College

First Name:

Last Name:

Phone Number:

Alternate Mobile Number:

Primary Email:

Parent's Email:

Courses:

Date of Birth:

Age:

Marital Status:

Gender:

Category:

Religion:

NRI Status:

Passport No:

Nationality:

Father's Name:

Father's Contact No:

Father's Annual Income:

Father's Job:

Mother's Name:

Mother's Contact No:

Mother's Annual Income:

Mother's Job:

Present Address Line 1:

Present Address Line 2:

Present City:

Present State:

Permanent Address Line 1:

Permanent Address Line 2:

Permanent City:

Permanent State:

Year of Passing Class 10:

Name of Board Class 10:

Percentage Class 10:

Year of Passing Class 12:

Name of Board Class 12:

Major Subject Class 12:

Percentage Class 12:

How did you come to know about St. Xavier's Bangalore?

Explain why you have chosen to study at St. Xavier's Bangalore:

Do you have any existing medical conditions or concerns?

Do you have any allergies?

Name of Board/ University Degree

Duration of Degree

Overall percentage Degree

Education - PG Degree Post Graduation:

Year of Passing - Degree:

Title of Degree:

Mode of Learning - Degree:

Major Subject - Degree:

Other Recognized Course:

Roll No - XAT:

Percentile - XAT:

Roll No - CAT:

Percentile - CAT:

Roll No - CMAT:

Percentile - CMAT:

Roll No - MAT:

Percentile - MAT:

Roll No - KMAT:

Percentile - KMAT:

Photograph:

Signature:

Application Form Fees: Rs.1200 I hereby declare that the particulars given in this application are true and correct and will be supported by original documents when required. I confirm that I have fully read the terms and conditions regarding the admission to The Xaviers MBA program and pursuit of the same including those relating to withdrawal from the programme after admission.

Quick Links

Main Menu

FOR PGDM

ENQUIRE