Beruflich Dokumente
Kultur Dokumente
M.O.: IIBM India 21, Paharpur Business Center, Nehru Place, New Delhi-19
Campus 1 : IIBM Tower, 1 Beripura, Near Era Mall, Delhi Road, Meerut 250002 (NCR)
Campus 2 : IIBM Tower, B 319, Pocket-B, Sec-1, Near Presidency School Shatabdi Nagar, Meerut 250002 (NCR)
Tel : (Admin Office) 0121-4054591/92/93/94 (Marketing Office) 011-32310200, 011-65151770
Counsellor Name
Student Category
INDIAN
Affix Photos
(Attach 4 Extra
Copies with this
form for ID card
& Office Use)
NRI/INTERNATIONAL
(Mr./Ms./Dr.)
(First Name)
(Middle Name)
ADMISSION FORM
(Last Name)
d
Date of Birth:
Gender:
MALE
FEMALE
Correspondence Address (Please mention the address where you would like to receive your Study Material)
Address:
City:
State:
Country
: Tel.:
Pin Code:
S
Mobile
Email:
Alternate E-mail:
Permanent Address (Please fill if different from Correspondence Address or write 'SAME AS ABOVE')
Address:
City:
State:
Country:
Tel.:
Pin Code:
S
Mobile
Current Designation:
Discipline
Class / Division
% Marks
Course Selected: (Please refer to the Information Brochure or ask your Counsellor)
Dual Certification Program:
Post Graduate Diploma in Management+ Master Program in Business Administration 2 Years
ADMISSION FORM
Diploma Programs:
Diploma in Business Administration - 6 Months
Advance Diploma in Business Administration - 6 Months
Integrated Certification Programs:
Diploma in Business Administration + Master Program in Business Administration - 1 Year
Diploma in Business Administration + Master Program in Business Administration - 1 Year + 3 Certifications
Diploma in Business Administration + Master Program in Business Administration - 2 Year
Diploma in Business Administration + Master Program in Business Administration - 2 Year + 3 Certifications
Diploma in Business Administration + Executive Master Program in Business Administration - 1 Year
Diploma in Business Administration + Executive Master Program in Business Administration - 1 Year + 4
Certifications
Post Graduate Certification Programs:
Post Graduate Diploma in Business Management - 2 Years
Executive Post Graduate Diploma in Business Management -1 Year
Specialization 1:
Specialization 2:
Opted For Fast Track:
Yes
Examination Method:
Postal Based
No
Email Based
Centre Based
Payment Method:
Lumpsum
Installment
Mode of Payment:
DD/Cheque
Online Transaction
Cash Deposit
Course Fee:
Particulars
Amount
DD/Cheque
Date
Bank
Self Attested photo copy of following Documents Attached herewith (Please Tick):
Graduation 3rd Year Marksheet / Diploma
4 Photographs
Experience Certificate
CV
ADMISSION FORM
Certificate of Undertaking
I have carefully read the rules and regulations as given in this Application and agree to abide by the same. I understand these rules are only indicative
and may be modified/changed/revised from time to time. I agree not to countermand and to honor all the post dated cheques enclosed by me
towards the Installment Facility. I understand that in case I withdraw from the program I will not be entitled to claim any refund of amount paid. I
agree that I will settle the amount with IIBM whether or not I continue in the program, I understand the Jurisdiction for all disputes (if any)
relating to the Institute is only/exclusively Meerut, Uttar Pradesh. I hereby declare that the information provided by me in the Application is true
and correct to the best of my knowledge. My signature below certifies that I have read understood and agree to the rules and regulations, including
Legal Aspects and my financial responsibilities.
Place: ..........................
Date: .........................