Bhusad Group
TM
Institute of Advanced Studies in Management
ASM
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APPLICATION FORM
Sr. No................................
Course Applied For
MBA
BBA
PERSONAL DETAILS
Applicant Name _____________________________________________________________________________________________ Age Sex Email Category Tel. Father's Name Father's Occupation Mobile Mother's Name Mother's Occupation Date of Birth Maritial Status Blood Group
Annual Income
Annual Income
ADDRESS
Permanent Address __________________________________________________ __________________________________________________ __________________________________________________ Pin Code __________________________________________ STD Code ____________ Phone _______________________ Mobile ____________________________________________ Correspondence Address __________________________________________________ __________________________________________________ __________________________________________________ Pin Code __________________________________________ STD Code ____________ Phone _______________________ Mobile ____________________________________________
4. EDUCATIONAL DETAILS Please attach the relevant photocopies of your educational qualifications Certificates
QUALIFICATION
YEAR OF PASSING
NAME OF THE INSTITUTION
BOARD/ UNIVERSITY
STREAM
DIVISION AND SUBJECT / SPECIALIZATION MARKS OBTAINED
5. WORK EXPERIENCE (IF ANY) ORGANISATIONS TYPE OF BUSINESS DESIGNATION/ YOUR JOB TITLE PART/ FULL TIME DURATION FROM TO ANNUAL GROSS EMOLUMENTS
NO. OF YEARS OF WORK EXPERIENCE:
YEARS
MONTHS
6. DETAIL OF QUALIFYING EXAMINATION (S) EXAM SCORE CAT XAT MAT OTHERS
7. ADDITIONAL INFORMATION IN SUPPORT OF YOUR APPLICATION Describe your self in one sentence.
Reason for applying to the course.
What are your carrer goal and plans?
Highlight your strengths, weakness and values.
Please specify your source(s) of information about iASM MAT Bulletin : Newspaper Friends : Others :
Specify-: __________________________________________________________________________________ 8. WHO WILL PAY YOUR TUITION FEES? Yourself Parents Sponsor/Your Employer Education Loan
DECLARATION I_________________________________________________________ declare that the information I have Provide in this application is complete & correct. I understand that if any information is found to be false, this application may be cancelled. If I Subsequently acception offer and enroll in the course I am applying for, I hereby agree that I will observe the rules and regulations of iASM I undertake to pay all the fees and charges by the due date, falling which my registration will be cancelled.
Date ____________________________________ Signature of Applicant ______________________________________
TERMS AND CONDITIONS: 1. Your admission is subject to your clearing the qualifying examination. 2. iASM reserves the right of admission in any course. 3. The admission of a candidate may stand cancelled if it is found that he / she has submitted false documents, or has made incorrect submissions in his / her interview. 4. A candidate found indulging in drug abuse, ragging, violence of improper behavior and who does not adhere to the iASM rules and regulation as are relevant from time to time, he / she may be rusticated depending on the recommendations of the disciplinary committee. 5. Except for the refundable security (Rs. 5000/-) none of the components of the fees once paid is refundable under any circumstances 6. iASM reserves the right to revise its fee structure. 7. Activities, that have the effect of intension of interfering with education, pursuit of knowledge, or fair evaluation of a student's performance are prohibited. ENCLOSURES / PRE REQUISITIES Please enclose all relevant photocopies ( Birth certificate, mark sheets, medical certificate, one photograph & Certificates of other achievements)
OFFICE USE ONLY : Date of receipt of application ____________________________________________________________________________ Decision of Admission Board Accept Decline Scholarship Given
Any other comments : _________________________________________________________________________________ ___________________________________________________________________________________________________ __________________________________________________________________________________________________ PRICE RS. 500/-