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Roll No.

Application No. :

Last Date :

IIBM Institute of Business Management

ISO 9001:2000 Certified
M.O. : ICR India 21, Paharpur Business Center, Nehru Place, New Delhi-19

Tel: 011-65478246, 9219514364, 9219514358

Campus : IIBM, 1 Beripura, Near Era Mall, Delhi Road, Meerut - 250002 (NCR)
Tel: 0121-4016161, 4016162, 4016163 Fax: 0121-4006123

Application for Admission

(Please fill up the form in CAPITAL LETTERS only and Tick Wherever necessary)
1.

Name of the Candidate :

2.

Gender :

3.

Date of Birth :

4.

Father's/Husband's Name :

5.

Address for Communication :

Male

State
6.

Phone No. : (With Code)

7.

E-mail ID :

8.

Academic Qualifications :

9.

Whether employed or not :

Female

Recent
Passport Size
Photograph

Pin Code
Mobile No.:

10. If Yes, specify the name and place of the Organization :

11. Examination Method preferred :

Postal Based

Email Based

Centre Based

12. Courses Selected:

MANAGEMENT COURSES
DBA, IIBM - 6 Months

Executive PGDBM -1 Year

Executive MBA - 1 Year

MBA - 1 Year

PGDMP, KGMC - 1 Year

PEQP IPMA - 1 Year

PGDBM - 2 Years
MBA - 2 Year
ADBA, IIBM - 6 mths.

P.T.O.
1

IIBM

COMPUTER APPLICATION COURSES

Diploma in Computer Application

Masters of Computer Application - 1 Yr.

Masters of Computer Application - 2 Yr.

QUALITY COURSES
Six Sigma Black Belt

Six Sigma Master Black Belt

Six Sigma Green Belt

Electives Selected: (1)
(2)
13. Payment Mode

Lump sum Payment Scheme

Inst allment Scheme

:
14. Course Fees
Ist Installment Fee along with Application Form :
IInd Installment
:
IIIrd Installment
:
DD No. & Date
:
Name of Issuing Bank :

Checklist:
Application form properly filled and signed.
Graduation / 3rd yr Mark Sheet / Diploma Certificate Also.
Experience Certificate from the current employer.

4 passport size photograph.

CV
Demand Draft

DECLARATION
I have read and understood the rules and regulations of IIBM Institute of Business Management given in the
prospectus and I do hereby agree to abide by the same
Place :
Date :

Signature of the Applicant

Rules and Regulation of the Institute

1.
2.
3.
4.
5.
6.
7.

The Director of the Institute reserves the right to accept or reject an application without assigning any reason whatsoever.
The necessary fee by DD drawn in favour of IIBM Institute of Business Management Payable at New Delhi/Meerut will
have to be sent along with the filled up application form.
No refund or adjustment of fee paid other than mentioned in the prospectus shall be made under any circumstance. In
case of the rejection of an application, full fee paid will be refunded.
Allotment of examination centre in a particular place will be at the discretion of the Board of Examinations of the Institute
which reserves the right to cancel any centre if there is insufficient number of students.
The management of IIBM reserves the right to change the course details without notice as per the prevailing conditions.
All disputes subject to Jurisdiction of Court in Meerut City Only.
The Management Courses offered by IIBM are approved and accreditated by Kent Graduate Management College, UK.
The Courses are not recognized by government of India, State Government, UGC & AICTE.

IIBM

Issued : 13-2-2009