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Application Form

This document is an application form for the Indian Institute of Business Management & Studies (IIBMS). It requests information such as the applicant's name, date of birth, address, contact details, academic qualifications, work experience, exam options, and payment details. The applicant must declare that they have understood the course aspects and agree to abide by the institute's conditions and standards. Documentation like photocopies of marks sheets and certificates must be attached with the application.

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Atish Satam
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© Attribution Non-Commercial (BY-NC)
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45 views

Application Form

This document is an application form for the Indian Institute of Business Management & Studies (IIBMS). It requests information such as the applicant's name, date of birth, address, contact details, academic qualifications, work experience, exam options, and payment details. The applicant must declare that they have understood the course aspects and agree to abide by the institute's conditions and standards. Documentation like photocopies of marks sheets and certificates must be attached with the application.

Uploaded by

Atish Satam
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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IN Maharashtra Govt Reg No.

F/36745

IIBMS

The Indian Institute Of Business Management & Studies


Application Form

Course Name: ________________________________________________

Specialization: ________________________________________________

Counselor Name: ______________________________________________

APPLICANT DETAILS I
Name:
(Surname) (First Name) (Middle Name)

D.O.B. Male Female


D D M M Y Y Y Y

Married: Unmarried: Nationality: _____________

Father’s/Husband’s Name:

Mother’s Name:

Correspondence Address:

P I N :

Permanent Address:

P I N :

Tel. No.: (M)

(R) with STD Code

(O)

E-mail:

Alternate E-mail:
IN

IIBMS The Indian Institute Of Business Management &Studies

Academic Details:

Qualification Board/University Passing Year/Month Grade/Class Specialization if any

Work Experience: (Starting with recent experience)

Company Name City/state Designation From


Year/Month To Year/Month Remarks

Exam Option: From Home: Study Center: E-mail:

Fee Paid: Rs. ____________ Cash/D.D./Cheque/C.C. No.: ______________________

Bank: _______________________________________________________________

Declaration by Applicant: I declare that I have understood the course aspects and norms of
Indian Institute of Business Management and Studies. I assure to abide by the
conditions and standards of the institute. I am fully aware that if I am found violating any
conditions then my admission may be cancelled and I will be entirely responsible for it. I
have followed the instructions for application:

 Photocopy of Mark sheets and certificates in proof of all examination passed must be attached.
 The application form along with the bank Draft should be sent to the Institute though Courier/Speed Post.
 For more than one application photocopy of this application form may be used.
 Fees once paid is non refundable under any circumstances.

Date: ______________ Signature: ________________

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