International School of Business and Media
ONLINE APPLICATION FOR ADMISSION
BACHELOR OF BUSINESS ADMINISTRATION - BBA (2011-2014)
I wish to apply for BBA in the academic year May 2011 - April 2014
CAMPUS CHOICE:
Campus Choice 1: Enter Campus Choice 1 Pune (Viman Nagar) CampusKolkata CampusNoida Campus
Campus Choice 2: Enter Campus Choice 2 Pune (Viman Nagar) CampusKolkata CampusNoida Campus
Campus Choice 3: Enter Campus Choice 3 Pune (Viman Nagar) CampusKolkata CampusNoida Campus
CHOICE OF WRITTEN EXAMINATION CENTRE :
Centre Choice 1: Enter Centre Choice 1 01-Allahabad 02-Amethi 03-Bangalore04-Bhopal05-Chandigarh06-Dehradun07-Delhi08-Gorakpur09-Guwahati10-Hyderabad11-Jamshedpur12-Jaipur13-Kanpur14-Kolkata15-Lucknow16-Mumbai17-Nagpur18-Nasik19-Noida20-Patna21-Pune22-Raipur23-Ranchi24-Varanasi 25-Calicut 26-Shillong 27-Dibrugarh
Centre Choice 2: Enter Centre Choice 2 01-Allahabad 02-Amethi 03-Bangalore04-Bhopal05-Chandigarh06-Dehradun07-Delhi08-Gorakpur09-Guwahati10-Hyderabad11-Jamshedpur12-Jaipur13-Kanpur14-Kolkata15-Lucknow16-Mumbai17-Nagpur18-Nasik19-Noida20-Patna21-Pune22-Raipur23-Ranchi24-Varanasi 25-Calicut 26-Shillong 27-Dibrugarh
PERSONAL INFORMATION:
Candidate's Name (As stated in the last School Leaving Certificate):
Father's Name / Guardian's Name:
Date of Birth: Date: 12345678910111213141516171819202122232425262728293031 Month: 123456789101112 Year: 1970197119721973197419751976197719781979198019811982198319841985198619871988198919901991199219931994199519961997
Nationality:
Height: Ft. Inch. Weight ( in Kg ):
Any Major Ailment (Type NA if not applicable):
Blood Group: Whether SC/ST/OBC:
CONTACT INFORMATION:
Present Address:
City / Village: Post Office:
Pin Code: State: Enter State ANDAMAN & NICOBAR ISLANDS ANDHRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHANDIGARH CHATTISGARH DADRA & NAGAR HAVELI DAMAN & DIU DELHI GOA GUJARAT HARYANA HIMACHAL PRADESH JAMMU & KASHMIR JHARKHAND KARNATAKA KERALA LAKSHADWEEP MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ORISSA PONDICHERRY PUNJAB RAJASTHAN SIKKIM TAMIL NADU TRIPURA UTTAR PRADESH UTTARAKHAND WEST BENGAL
Tel No. (With STD Code):
Parent's Mobile:
Candidate's Mobile:
E Mail:
Correspondence Address:
EDUCATIONAL BACKGROUND: ( First Row is Compulsory )
IMPORTANT: In Marks do not enter % sign, only enter number (ex: 50.5)
Course
Univ/Board
Institute
Subjects
ADDITIONAL INFORMATION:
Work Experience (Type NA if not applicable):
Designation:
Company:
Duration:
Project Done (if any):
Extra Curricular Activities:
Family Information:
Annual Family Income (Rs.) :
ABOUT ISB&M:
How did you hear about ISB&M ? Print Media Friends Other Sources
PAYMENT DETAILS:
Demand Draft No.:
Drawn on Bank:
Demand Draft Date (dd/mm/yyyy):
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 I shall take note of all communications put from time to time.
I Agree I Disagree