AMITY UNIVERSITY

UTTAR PRADESH

AMITY BUSINESS SCHOOL

Declaration MBA & Specialized MBA

Name of the Student _________________ Enrollment No _____________________

Programme ______________________ Batch _____________________________

i) Career Aspiration (Kindly Tick√)

• Looking for Campus Placement

• Joining Family Business
• Want to start own Venture
• Interested in Higher Studies
• Preparation for Competitive Examinations
• Preparation for Higher studies Entrance Examinations
Brief about your Career Objective

ii) Dream Company Name/s : ________________________________________

iii) Location Preference : PAN India Delhi NCR

iv) Do you have any experience : Yes / No

If yes then total experience in no of Months _____________________________

(Enclose the experience certificate/reliving letter and also provide the following details).

Name of the Company________________ Designation______________________

Location___________________________ Salary Package___________________

Kindly provide two references from your previous Organization

1. Name ________________________ 2. Name _______________________________

Designation____________________ Designation___________________________

Mobile No_________________ Mobile No ____________________________

v) Are you an active or participating member of any business carried out by your family/Friend?

Yes / No.

vi) Is your PAN Card being used in any business/position? Yes / No.

If yes then kindly provide the details.

Name of the Company___________________________ Position ___________________

vii) Are you investing/trading in Shares/Bonds/Mutual funds? Yes / No

If yes then the Approximate value of your Investment____________________

viii) Is there any legal/criminal case ever registered against you? Yes / No

If yes then kindly provide the following details related to trials/ proceeding.

- Case Type________________________________

- City /Town where the case is registered _________________

- Name of the state ___________________________________________________________

- Status as on date ___________________________________________________________

- Any other relevant details_____________________________________________________

Date :

____________________________ _________________

Program Leader Signature Student Signature