INSTITUTE OF BUSINESS MANAGEMENT & TECHNOLOGY
                     # 298, 100 Feet Ring Road, 4th Phase,7th Block Extn.
                     Banashankari-3rd Stage,Bangalore - 560085
                     PHONE :91-80-26791740, 26798528; TELEFAX : 91-80-6790517
                     EMAIL : ibmtedu@vsnl.com     WEBSITE : www.ibmtedu.org



  APPLICATION FORM

Name :
Please affix passport photo (not later than six months)
Father's Name :
Date of Birth :
        DD::     MM:   YY:
Gender :
         Male        Female  
Address of Communication:
  
Permanent Address :
Email :
Telephone: Fax :
     
     
Test Appeared For [ Attach Score Card ]:
         MAT    ATMA    CAT   AIMET
Date of Test :
        DD:   MM: YY :
   
Programmes of Study :
Masters Program in Business Management & Technology PG Diploma in Bio Informatics
Masters Program in International Business Management Professional Diploma in Sales & Marketing Management
Masters Program in Tourism Administration Professional Diploma in Human Resource Management
PG Diploma in Management Professional Diploma in Financial Management
PG Diploma in Information Technology Management  
Educational Background:  
Course
Subjects
School/College/University
Year
Percentage

Additional Qualification if any:
 
Course
Subjects
Institution
Year
Percentage

Work Experience if any
 
Sl. No.
Organisation
Title
Duration

Computer Proficiency:

Achievements (Extra Curricular):

Details of Application Fee:
 
Demand Draft No: Date:    
Bank:                    Branch:
Want to avail residential accomodation: Yes No   (If yes, then please attach hostel application form, available
                                                                                                                              with the  hostel manual page)

Why do you wish to pursue the Management Programe ?(Not more than 200 words)

Why do you wish to study at IBMT ?(Not more than 100 words)

I hereby declare that the information provided in this form is true to the best of my knowledge and belief.
I understand that any information found to be untrue at any point of time will be a reason for cancellation of my admission.
I undertake & abide by the rules of admission to the institute.
   
Date:  
Place:
Signature