8/7/2019 IIBM APPLICATION FORM[1]

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M.O.: ICR India 21, Paharpur Business Center, Nehru Place, New Delhi-19

Campus : IIBM, 1 Beripura, Near Era Mall, Delhi Road, Meerut 250002 (NCR)

Tel: 011-65478246, 9219514364, 9219514358

Application for Admission

Please fill up the form in CAPITAL LETTERS only and Tick Wherever necessary

1. Name of the Candidate :

2. Gender : Male Female :

3. Date of Birth :

4. Father's/Husband's Name :

5. Address for Communication :

State: Pin Code:

6. Phone No. : (With Code) Mobile No.:

7. E-mail ID :

8. Academic Qualifications :

9. Whether employed or not :

10. If Yes, specify the name and place of the Organization :

11.Examination Method Preferred : Postal Based Email Based Centre Based

12.Courses Selected

1.

2.

3.

P.T.O

Recent

Passport SizePhotograph

IIBM

Name of the Counsellor:-

II BM Institute of Business Management

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Electives Selected: (1)

(2)

13. Opted for Fast Track Yes No

14. Payment Mode Lumpsum Payment Scheme Installment Scheme

15. Course Fees :

I Installment Fee along with Application Form:

IInd Installment :

IIIrd Installment :

DD No & Date :

Name of Issuing Bank :

Checklist:

Application form properly filled and signed. 4 passport size photograph

Graduation / 3rd yr Mark Sheet / Diploma Certificate CV

Experience Certificate from the current employer Demand Draft

DECLARATION

I have read and understood the rules and regulations of IIBM Institute of Business Management given in the

prospectus and I do hereby agree to abide by the same.

Place:

Date: Signature of the Applicant

Rules and Regulation of the Institute

1. The Director of the Institute reserves the right to accept or reject an application without assigning any reasonwhatsoever.

2. The necessary fee by DD drawn in favour of IIBM Institute of Business Management Payable at NewDelhi/Meerut will have to be sent along with the filled up application form.

3. No refund or adjustment of fee paid other than mentioned in the prospectus shall be made under anycircumstance. In case of the rejection of an application, full fee paid will be refunded.

4. Allotment of examination centre in a particular place will be at the discretion of the Board of Examinations of theInstitute which reserves the right to cancel any centre if there is insufficient number of students.

5. The Management of IIBM reserves the right to change the course details without notice as per the prevailingconditions.

6. All disputes subject to Jurisdiction of Court in Meerut City Only.7. IIBM courses are industry endorsed certificate courses and are not recognized by UGC & AICTE.8. IIBM offered University Degrees which are fully approved by UGC.

IIBM

Issued : 26-0

Approvals, Accreditations & Memberships: