LEI Distance MBA Scholarship Entrance Examination

Step: Applicant Details

Applicant Name *

Enter your full name exactly as mentioned on your Aadhaar card or school records.

Passport Size Photo *

Upload a recent passport size photograph.

• Allowed formats: JPG, JPEG, PNG
• Maximum file size: 2MB
• Photo should be clear and recent
• Face should be clearly visible

Date of Birth *

Select your date of birth exactly as mentioned in your Aadhaar card, birth certificate, or school records.

Gender *

Please select your gender.

Contact Number *

Enter a valid 10-digit mobile number. This number will be used for exam updates, admit card notifications, and scholarship announcements.

Email Address *

Enter a valid email address. Important notifications such as exam details, admit card information, and scholarship results may be sent to this email.

Permanent Address *

Enter your permanent residential address including house number, street, village/town, district, state, and PIN code.

Applicant Signature *

Upload a clear image of your signature on white paper. The signature should belong to the applicant and must be clearly visible.

Applicant Signature Date *

Select the date when the applicant signed the declaration form. This date should match the date written with the signature.