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	Name
	Date of Birth
	Age
	Gender		Male Female
	Contact Number
	Email ID
	Graduation		B.A. B.Sc. B.Com. B.E./B.Tech. M.A./M.Sc./M.Com. M.E./M.Tech. B.M.S./B.B.A./B.B.M Others
	Status		Passed Appeared
	Year of Graduation
	Course Applying For		MBA - Finance MBA - HRM MBA - International Business MBA - Management of Information Technology MBA - Marketing MBA - Hospitality and Tourism Management MBA with PGPRM (rai) PGPRM (rai) Master of Professional Finance & Banking (MPFB) Master of Professional Accounting (MPA) Master of Hospitality Management (MHM) LLM in International Business Law Executive Programs
	Mailing Address
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	Venue for Group Discussion & Personal Interview
	Preference 1		Select Bangalore Chandigarh Delhi Hyderabad Kolkata Mumbai Patna
	Preference 2		Select Bangalore Chandigarh Delhi Hyderabad Kolkata Mumbai Patna
	I would like a Personal Counseling
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