Application Form for Post Geaduate Diploma in Business Management

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Name

_______________________________________________________

Please affi passport photo (not later than si months)

Father's Name

_______________________________________________________

Date of Birth

_______________________________________________________

Gender

M

F

Address of Communication

_______________________________________________________________________

______________________________________________________________________________________________

_________________________________________________________________________

Permanent Address

______________________________________________________________________________________________ ______________________________________________________________________________________________

Email

_______________________

_______________________

Fa

_________________________

Telephone

CHECKLIST IMPORTANT Please Check and attach all relevent items. Incomplete Application will not be considered. Photocopy of school / PUC certificate. Photocopies of all degrees / diplomas from college / university and marks/grades obtained.Those who are     appearing for their final eaminations should send a copy of the marks-sheet of their previous eaminations MAT/ATMA/CAT/AIMET score card One stamp size photograph (not later than si months) Letter of sponsorship (in case of Sponsored Candidates) One Self-addressed envelope with postage stamps of Rs.50 only.(Please put the stamps inside the addressed     envelope) Application fee through a Bank Draft for Rs. 700/-drawn in favour of the Institute of Business Management &     Technology payable at Bangalore.

Educational Background:

Course Subjects School/College/University Year Percentage

Additional Qualification if any:

Course Subjects Institution Year Percentage

Work Eperience if any

Sl. No. Organisation Title Duration

Computer Proficiency:

Achievements (Etra 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