isbr-2011 application form

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  • 8/7/2019 ISBR-2011 Application Form

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    APPLICATION FORMM B A P R O G R A M

    International School of

    Business & Research

    Checklist for application filling

    Essay Writing

    Photographs - 2nos.

    Photocopies of 10th marks cards

    Photocopies of 10+2 marks cards

    Photocopies of Graduation marks cards

    (In case in f inal year, please attach themarks cards already received)

    Entrance test score card, if any

    Work Experience Letter, if any

    Any other Certificates

    www.isbr.in

    / 2011

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    Educational Qualifications

    10th Standard

    12th Standard

    Graduation

    Post Graduation

    Others

    Level Course Board/University InstitutionYear Aggregate

    percentageFrom To

    ! If appearing for final year graduation examination, please mention the month and year of examination: Month: Year:

    ! If you have graduated already, please mention your Basic Qualification (i.e. B.A, B.Com, B.Sc, B.E etc)

    ! If you are appearing for the Final Year / Final Semester examination, then indicate last exam marks (e.g. B.E VII Semester or B.Com 2nd year)

    Awards and Honors received(Please attach separate sheet, if necessary)

    Interests and Hobbies(Please attach separate sheet, if necessary)Finance Details

    What is your family's consolidated annual income (p.a.)?

    < Rs. 1,00,000 Rs. 1,00,000 - 3,00,000 Rs. 3,00,000 - 10,00,000 > Rs. 10,00,000

    How would you finance studies at ISBR? Self Family Employer Loan Other source

    Entrance Test Details Please fill in the details below if you have appeared for any of the following

    MAT

    CAT

    XAT

    ATMA

    GMAT

    GRE

    Your ScoreExamination Percentage Registration Number Date of Examination TakenE.g. 1700/1800

    Others : Please specify

    I have not appeared for any of the above mentioned examinations (please tick if applicable)

    Essay(Compulsory)State, in not more than 100 words, how you expect to benefit from this Program (Please attach separate sheet, if necessary)

    Affix

    Recent

    Photograph

    www.isbr.in

    Personal Details

    Name

    First Name Middle Name Surname

    Date of Birth

    Date Month Year

    Gender Male Female Nationality

    City Pin State Country

    Contact No.

    STD Tel 1 STD Tel 2 Mobile

    E-mail (1) (2)

    Preferred Contact Time Do you have a passport? Yes No If yes, then please give the following details:

    Yes NoHostel facility required

    Program opted: Program 1 Program 2 Program 3

    Father/Guardians Name

    First Name Middle Name Surname

    Father/Guardians Occupation

    Address for Correspondence

    Permanent Address

    City Pin State Country

    Passport Number Year of Expiry Issued of

    Contact No.

    STD Tel 1 STD Tel 2 Mobile

    Choice of Campus

    Choice of Program

    Bangalore

    MBA

    Chennai

    PGDM

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    I certify that all the statements made in this application for admission to ISBR 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 ISBR. I also understand that the application fee and programme fee paid to ISBR is not

    refundable under any Circumstances.

    Place:Date: Signature of the applicant

    I have read the application in detail and have no objection to my Son / Daughter taking admission to the ISBR Management Programme.

    I also understand that the fees are to be paid in time and is subject to change as per the decision of the management. I also understand that in case

    my Son / Daughter discontinues the course I am liable to pay the complete programme fees.

    Place:

    Date: Parents/Guardian Signature

    www.isbr.in

    1. ISBR has the sole discretion to alter or change the venue of 8. It is the applicants responsibility to go through the details of the

    test center, dates of written test, group discussion and program, specializations offered, university details, minimum

    personal interview and pattern of the Admission Process eligibility etc. before applying to ISBR.

    without any prior notice or approval. 9. ISBR is no way responsible if the eligibility of the candidate is

    2. Admissions will be made only after completion of written test not considered by the University for Reasons whatsoever

    and interview. 10. ISBR reserves the right to modify/ add / delete to the contents

    3. Payment of fees should be made on or before the prescribed of the program / value added programs / specializations anddate notified by the authorities, failing which admission will their delivery modes.

    be forfeited. 11. The PGDM progam at the Bangalore campus is approved by

    4. Amount once paid towards admission / programme fees is AICTE, Ministry of HRD & Government of India. The MBA

    neither refundable nor transferable under any circumstances. program is offered from a UGC recognized university as an

    onsite partner / outreach partner.5. All candidates are required and expected to follow the code of

    conduct, rules and regulations in force from time to time. 12. Misleading information or misrepresented facts will disqualify

    the applicant from Admissions into ISBR.6. Any act of academic dishonesty, misconduct, indiscipline,

    violence or damage caused to people / property of ISBR will 13. ISBR reserves the right to amend the rules.

    be construed as an offence against the Institute and such 14. In case of discontinuation of course in between under anystudent will be debarred from further studies at ISBR. circumstances the student will have to pay all the semester fees.

    7. The candidate must fulfill all academic requirements notified 15. Submission of originals is must on confirmation of admission.by the Authorities from time to time. 16. Jurisdiction for all disputes (if any) relating to the ISBR is

    Bangalore, Karnataka, India

    Terms and Conditions

    Declaration

    10126

    56

    Parent Declaration

    Date of receipt of Application ___________________ Receipt No. ____________________ Acknowledgment sent on __________________

    Documents Missing 1. ______________________________ 2. _____________________________ 3. _________________________________

    Application verified by _________________________________________________________________________ Date _____________________

    Test Scores ______________________________________________ Prescribed Fees _________________________________________________

    Selected / Not selected ______________________________________ Decisions notified to applicant on _________________________________

    Signature Director Signature Admin.

    For office use only