Personal Information
Full Name*	:	(*Surname   First name   Middle name)
Father/Husband's Name*	:
Date of Birth*	:	Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month Jan Feb Mar Apr May June July Aug Sep Oct Nov Dec Year 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992
Age as on April 1, 2010*	:
Address ( Permanent )*	:
City*	:
Pin	:
Country*	:
Email **	:
Alternate Email	:
Phone - Residence*	:	(enter your STD Code along with phone no. e.g "02222222222")
Phone - Office	:
Phone - Mobile *	:	+ - (Enter only 10 digit mobile no. Do not add "0" eg 91-9812345678. Please enter the country code eg: 91 for India, 971 for Dubai, 65 for Singapore.)
Mode Of Payment * : DD Credit Card
Have You Already Applied To S P Jain - Dubai/Singapore: Yes No
If Yes Your Application No. :
Have You Taken S P Jain's Aptitude Test Earlier: Yes No
If Yes, Please enter the Date appeared on Score in Percentile
Do You Have Any Other Score : CAT GMAT None
*Mandatory to furnish this. Please give all email ids. Should there be any change in the same kindly advise the admissions office ** Please note that the SAME email id would have to be used for the entire process of registering and generating the hall ticket. For eg if you are submitting your email id: gmbastudent@hotmail.com at the time when you are filling in the payment details, the exact same id will have to be used at the time of generating the hall ticket and also each time you visit the apt test site as we will be matching your email id for internal purposes. If you submit an email id different from the one you are mentioning now you will not be able to register for the test nor generate your Hall Ticket.

PAYMENT
A student has the option of paying the fees by means of :

Pay Order (please note that we will not be accepting any cheques - even Mumbai based cheques). If paying by means of a PO/DD the examination fees will be Rs.2000/- and needs to be made out in favour of 'S P JAIN INSTITUTE OF MANAGEMENT AND RESEARCH' payable in Mumbai only.
OR
Credit Card (has to be an international Visa or Master card). The fees payable would be USD 40. The above amount would be converted into INR at the prevailing exchange rate and would be debited to the card account.

We will not be accepting any cash payments.

REGISTERING FOR THE EXAM
In order to proceed further and take a venue slot, it is essential that a student have made the payment as the PO/DD no.(in case if payment is made by PO/DD) or Pin no (incase if payment is made by credit card) is a student’s ID for registering for the exam. Without this a student will not be able to register.

POST REGISTERING
Post registering for the test, a student needs to send the payment (PO/DD) with the full name and test venue written at the back to the S P Jain, India Liaison Office at the address mentioned below..

S P JAIN CENTER OF MANAGEMENT
S P Jain Center
Kanta Terrace
533 Kalbadevi Road
Mumbai 400 002

A student can register anytime starting January 22, 2010 until February 9, 2010. The last date for receipt of payments (PO) at the above mentioned address is February 10, 2010 - end of day. Please send your payments in a timely manner considering also courier/mailing time. We will be extremely strict where the payment receipt deadline in concerned.

BOOKING A CENTER AND GENERATING A HALL TICKET
Starting February 11, 2010 (2.00 pm), a student is required to once again visit our website, and book the venue for the exam. Only those students whose payments have been received will be able to do so and generate the hall ticket. A copy of this needs to be carried to the venue of the exam.

FOR ANY PROBLEMS
Regarding REGISTRATION/HALL TICKET GENERATION, please mail lakshmi.jagtap@spjain.org.
Regarding PAYMENTS, please mail mary.dmello@spjain.org.

* PLS NOTE - The test timings have changed from 12 noon to 1 pm to 1pm to 2pm