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APPLICATION FORM PA102144

Checklist for filling Application Form

Kindly send the following documents to the ISBR Campus:


Bangalore Campus : Admission Officer, ISBR Business School, Electronic City - Phase I,
Near Infosys, Behind BSNL Telephone Exchange, Bangalore-560100. Ph : 09341733331.

10th Marks Card


12th Marks Card
Graduation Marks Cards (incase of final year send marksheet upto previous
semester)
Entrance Exam Score Cards, if any
Work Experience Letter, if any
Any other certificates

Kindly call 9845100510 / 9444334755 incase of any help.

Applied For: Bangalore


Choice of Program: PGDM

Personal Details: Affix


Recent
Candidate Name : MOHAMMAD Date of Birth : 00-00- 0 Photograph
ARISH KHAN
Nationality : Indian Category : General
Father's Name : MOHAMMAD
Mother's Name : SABIHA KHAN
AHMAR KHAN

Permanent Address: Address for Correspondence:

FLAT B, 3RD FLOOR, ROYAL CASTLE, NEAR SAGAR FLAT B, 3RD FLOOR, ROYAL CASTLE, NEAR SAGAR
COMPLEX, ANOOPSHAHAR ROAD COMPLEX, ANOOPSHAHAR ROAD
ALIGARH ALIGARH

Uttar Pradesh 202122

202122 Uttar Pradesh

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Contact Number: 9835079282 Mobile Number: 9560535929


Email Id (1): arish_khan@live.in Email Id (2):
Hostel facility Required: No

Educational Qualification:

From To Aggregate
Level Course Board/University Institute
Year Year Percentage
10th ICSE ISC
INTERNATIONAL
2008 2008 65
Standard SCHOOL, PATNA
12th 10+2 BSEB
R.L.S.Y. COLLEGE,
2008 2010 69
Standard AURANGABAD
MAGADH S. SINHA COLLEGE,
Graduation B.A. HONS. 2014 2018 63
UNIVERSITY AURANGABAD
Post
Graduation

Work Experience: 0 Year 0 Month


Award and Honors received:
Interest and Hobbies:

Finance Details:

What is your family's consolidated annual income (p.a)? Rs. 3,00,000 - 10,00,000

How would you finance studies at ISBR? Family

Entrance Test Details:

Your Score /
Registration
Examination Rank Percentage Result Awaited?
Number
E.g. 1700
MAT YES

Mode of Payment: Online Mode Payment Success


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Choice of Interview Location:


Delhi
Chandigarh

Declaration

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 program fee paid to
ISBR is not refundable under any circumstances.

Place: ALIGARH

Date: 07-02-2018 Signature of the applicant

Terms and Conditions

* ISBR has the sole discretion to alter or change the venue of the campus where * ISBR is no way responsible if the eligibility of the
programs are delivered, test centre, dates of written test, presentation, candidate is not considered by the University for Reasons
personal interview and the pattern of the Admission Process without any prior whatsoever
notice or approval.
* Admissions will be made only after completion of written test, presentation & * ISBR reserves the right to modify/ add / delete to the
personal interview. contents of the program / value added programs /
specializations and their delivery modes.
* Payment of fees should be made on or before the prescribed date notified by * The 2 year PGDM program at the Bangalore Campus is
the authorities, failing which admission will be forfeited. approved by AICTE, Ministry of HRD & Government of
India. The one year PGDM program is approved by the
Bangalore University.
* Amount once paid towards admission / program fees is neither refundable nor *
transferable under any circumstances.
Misleading information or misrepresented facts will
disqualify the applicant from Admissions into ISBR.
* All candidates are required and expected to follow the code of conduct, rules *
and regulations in force from time to time.
ISBR reserves the right to amend the rules.

* Any act of academic dishonesty, misconduct, indiscipline, violence or damage * In case of discontinuation of course in between under any
caused to people / property of ISBR will be construed as an offence against the circumstances the student will have to pay all the
Institute and such student will be debarred from further studies at ISBR. semester fees.
* The candidate must fulfill all academic requirements notified by the
Authorities from time to time.
* Jurisdiction for all disputes (if any) relating to the ISBR is
Bangalore, Karnataka, India
* Itspecializations
is the applicants responsibility to go through the details of the program,
offered, university details, minimum eligibility etc. before
applying to ISBR.

Signature of the applicant

Parent Declaration

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 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: ALIGARH

Date: 07-02-2018 Parent's/Guardian's Signature


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For office use only

Date of receipt of   Receipt   Acknowledgement


Application: No.: sent on:
Documents   
   2.
Missing : 1. 3.
Application
   Date:
verified by:
   Prescibed
Test Scores:
Fees:
Selected /
   Decision notified to
Not Selected
applicant on:
:

Signature Director Signature Admin

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