International School of Business and Media (ISB&M)

                                                                                                UNDERGRADUATE PROGRAMME

                                                                                                                             BATCH (2016-2019) 

                                                                                                     ONLINE APPLICATION FOR ADMISSION

                              I wish to apply for Undergraduate Programme in the academic year 2016:

IMPORTANT: Please enter everything in block letter
 
SECTION A: CHOICE OF COURSE:
 

Select Course:

SECTION B: PERSONAL INFORMATION:
 

Candidate's Name (As stated in the last School Leaving Certificate):

Father's / Guardian's Name:

                                      Date of Birth:

Date:

Month:

Year:

Height (in Ft.):

Weight (in Kg.):

Nationality:

Blood Group:

Any Major Ailment or Sickness (Type NA if not applicable):

Are you a member of SC/ST/OBC?

 
CONTACT INFORMATION:
 

Present Address:

City / Village:

Post Office:

Pin Code:

State:

Tel No. (With STD Code):

 Parent's Mobile (Enter exactly 10 numbers):

Candidate's Mobile (Enter exactly 10 numbers):

E Mail:

 

Is Correspondence Address same as Present Address (Y/N)?

          YES                             NO 
 

Correspondence Address:

City / Village:

Post Office:

Pin Code: 

State:

Tel No. (With STD Code):

 
SECTION C: EDUCATIONAL BACKGROUND:
 
IMPORTANT: In Marks do not enter % sign, only enter number (ex: 50.5)
                           Do not enter ' in any field.
 
Course University/Board Institute Year of Passing Subjects Marks(%) Class / Grade/Points
Std. 10
Std. 12
 
SECTION D: ADDITIONAL INFORMATION:
 
Work Experience (Will be required to furnish proof of working / experience certificate at the time of interview):
 

Designation:

Company:

Duration:

Project Done (if any):

Extra-Curricular Activities:

Family Information:

Annual Family Income (Rs.):

 
SECTION E: ABOUT ISB&M:
 
ABOUT ISB&M:

How did you hear about ISB&M?

           
 
PAYMENT DETAILS (If Submitted by Post):
(Type NA for Cash Payment)

Demand Draft No.:

Drawn on Bank:

Demand Draft Date (dd/mm/yyyy):

 

Admission Form Number (Type NA for online application):

 
UNDERTAKING:
 

1)  I hereby submit to the jurisdiction of the Pune court in the event of any dispute. I have carefully noted the rules and process of admission as given in the prospectus which I am required to follow and shall in matters of interpretation, accept the decision given by the Director in this respect as final and binding.

2)  I shall conduct myself as per the rules and norms of ISB&M, failing which I shall not approach the Director for any concession in this regard  and shall be liable to be debarred from the Institute. Manual of Policies will be provided at the time of admission.

3) I have also read, understood and accepted the code and conduct and the notification displayed on the general notice board of the Institute  and shall take note of all communication put from time to time.

4) All the information furnished above is true as per my knowledge.

 

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