International School of Business and Media 

 

                                           ONLINE APPLICATION FOR ADMISSION

            POST GRADUATE PROGRAMME IN BUSINESS MANAGEMENT (2010-2012) 

I wish to apply for the following course in the academic year 2010-2012:   

  ( * Marked Fields are Compulsory) 

 SECTION A

 * Choice of Programme: 

(Note: Supply Chain & Operation Management  is for Engineering Graduates only) 

 Choice of Entrance Exam Centre:

 * Choice 1:  *Choice 2:      * Choice 3: 

 * Choice of Centre for G.D. and P.I.:   

       (Between February 26 - March 4, 2010)

  XAT Identification Number: 

       (Attach Photocopy of Score Card)

CAT Identification Number:  

  SECTION B: PERSONAL INFORMATION:

* First Name: :    

* Surname:    

Father's / Guardian's Name: 

Professional Background of Parent / Guardian:

* Date of Birth:  * Date:        * Month:          * Year:   

Blood Group:         Height ( in Cm.):          Weight (in Kg):          

 Nationality:

Any Major Ailment or Continuing Health Problem:

 

Whether SC/ST/OBC or any other category (Please specify) :

CONTACT INFORMATION:

* Present Address: 

  

* City / Village:          Post Office:

* State:     * Pin Code:  

* Tel No. (With STD Code):  

* Mobile:      

* E Mail:

* Permanent Address:

 

* City / Village:       Post Office: 

* State:      * Pin Code:   

* Tel No. (With STD Code):

SECTION C: EDUCATIONAL BACKGROUND: ( First Row is Compulsory )

Course

Univ/Board

Institute

Year of Passing

Subjects

Marks(%)

Class / Grade

Std. 10:

 

Std. 12:

 

Graduation:

 

Others:

 

SECTION D: WORK EXPERIENCE

Sr No.

Company                   

From

To   

Position Held/KRAs

Location

 

 

 

What are your career growth expectations:

 

SECTION E: GENERAL

ABOUT ISB&M:

How did you hear about ISB&M ?       Print Media        Friends         Other Sources

Why do you think ISB&M is the best option ?

 

CAREER GOALS:

What are your long term objectives in life ?

 

Where do you see yourself five years from now  ? 

 

Mention your Strengths and Weaknesses: 

 

What qualities do you have which will make you a committed and responsible

professional in corporate field? 

 

SECTION F: PAYMENT DETAILS:

* Demand Draft No.:   

* Drawn on (Bank):  

* Demand Draft Date (dd/mm/yyyy):

   Cash Receipt No.:

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 of the Institute and shall take note of all communication put from time to time.

                                                                   I Agree                I Disagree