| Course Opted for |
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| Personal Details |
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| Name: |
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Date of Birth |
(DD/MM/YYYY) |
| Father's Name: |
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Father's Occupation: |
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| Contact No. |
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Email Id |
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| Educational Qualifications |
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| Entrance Test Details Please fill the details below if you have appeared for any of the following |
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| Other: Please specify |
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I have not appeared for any of the above mentioned examination (please tick if applicable) |
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| Hostel facility required |
Yes No |
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| Address for Correspondence |
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| Awards |
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| Intrests and Hobbies |
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| Payment Details |
| Processing Fee: DD No |
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Date |
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| Amount: 500/- (DD in faver of IBMR payable at New Delhi/Gurgoun) |
| How did you get to know about IBMR? |
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| How would you finance studies at IBMR Self FamilyEmployer Loan Other Source |
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| Essay (compulsory) |
State, in not more than 100 words, how you expect to behind from the MBA/ PGDM/ BBM program
(please attached separate sheet, if necessary) |
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 Signature of the Applicant |
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Terms and Conditions
1. Payments of Fee should be made on or before the prescribed date notified by the authorities, failing which admission will be forfeited.
2. Amount once paid toward admission /programme fee is neither refundable nor transferable under any circumstance.
3. All candidates are requires any expected to follow the code of conduct, rules and regulations in force from time to the time.
4. The candidate must fulfill all academic requirements notified by the authorities from time to time.
5. Misleading information or misrepresent facts will disqualify the application from admission into IBMR.
6. IBMR reserves the right to amend the rules.
7. In case of discontinuation of course in between under any circumstance the student will have to pay all the semester fee.
8. Submission of originals is must on confirmation of admission.
9. Jurisdiction for all disputes (if any) relating to the IBMR is Hubli, Karnataka, India.
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| Student Declarations |
| I certify that all the statements made in this application for admission to IBMR are correct and that the information furnished is complete. I agree to abide by all rules and regulations that are now, or may be in the future, in force, at the institute. I understand that withholding or giving false information will make me ineligible for admission at IBMR. I also understand that the application fee and programme fee paid to IBMR is non-refundable under any circumstances. |
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Signature of the Applicant |
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| Present Declarations |
| I have read the application in detail and have no objection to my son / daughter taking admission to the IBMR management programme. I also understand that fee are to be paid in time and are subject to change as per the decision of the management. I also understand that in case my son / Daughter discontinue the course I am liable to pay the complete programme fee. |
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Signature of the Applicant |
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Parents/ Guardian Signature |
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