IIBM Institute of Business Management

M.O.: IIBM India 21, Paharpur Business Center, Nehru Place, New Delhi-19
Campus 1 : IIBM Tower, 1 Beripura, Near Era Mall, Delhi Road, Meerut 250002 (NCR)
Campus 2 : IIBM Tower, B 319, Pocket-B, Sec-1, Near Presidency School Shatabdi Nagar, Meerut 250002 (NCR)
Tel : (Admin Office) 0121-4054591/92/93/94 (Marketing Office) 09212113922, 09319231769

PLEASE FILL COMPLETE FORM IN BLOCK L E T T E R S

Counselor Name
Affix Photos
Student Category INDIAN NRI/INTERNATIONAL
(Attach 4 Extra
Copies with this
form for ID card
& Office Use)
(Mr./Ms./Dr.) (First Name)

(Middle Name)

(Last Name)

Date of Birth: d d m m y y y y Gender: MALE FEMALE

ADMISSION FORM

Correspondence Address (Please mention the address where you would like to receive your Study Material)

Address:
City:
State:
Country Pin Code:
: Tel.: S T D

Mobile
Email:
Alternate E-mail:

Permanent Address (Please fill if different from Correspondence Address or write 'SAME AS ABOVE')

Address:

City:
State:

Country: Pin Code:

S T D Mobile:
Tel.:

Your Current Organization Details

Name of the Organization
Total Service (Years) Current Designation:
 Academic Details (Highest Educational Qualification Only)
Examination Institute / Year of Passing Discipline Class / Division % Marks
University

Course Selected: (Please refer to the Information Brochure or ask your Counselor)

Dual Program:

Post Graduate Diploma in Management + Master Program in Business Administration 2 Years

Management Certification Programs:

Master Program in Business Administration- 1 Year

Master Program in Human Resource Management 1Year
Master Program in International Business - 1 Year
Master Program in Supply Chain Management 1 Year
Master Program in Business Administration + 3 Certifications 1 Year
Master Program in Business Administration 2 Year
Master Program in Business Administration + 3 Certifications - 2 Year
Executive Master Program in Business Administration 1 Year
Executive Master Program in Business Administration + 4 Certifications 1 Year
Certified Manager - 6 Months
Associate Certified Manager - 6 Months
Certified Manager + 3 Certifications - 6 Months
Associate Certified Manager + 3 Certifications- 6 Months
International Program:
Post Graduate Diploma in Management- IPMA, UK
Master Program:
Master Program in Computer Application - 1 Year
Diploma Programs:
Diploma in Business Administration - 6 Months
Advance Diploma in Business Administration - 6 Months
Integrated Programs:
Diploma in Business Administration + Master Program in Business Administration 1 Year
Diploma in Business Administration + Master Program in Business Administration + 3 Certifications 1 Year
Diploma in Business Administration + Master Program in Business Administration 2 year
Diploma in Business Administration + Master Program in Business Administration + 3 Certifications- 2 Year
Diploma in Business Administration + Executive Master Program in Business Administration- 1 Year
Diploma in Business Administration + Executive Master Program in Business Administration + 4
Certifications 1 Year
 Post Graduate Programs:
Post Graduate Diploma in Management 1 Year
Post Graduate Diploma in Management + 3 certifications 1 Year
Post Graduate Diploma in Management + Certified Manager + Best Manager Award 1 Year
Post Graduate Diploma Management + Certified Manager + 3 Certifications + Best Manager Award- 1 Year
Post Graduate Diploma in Digital Marketing- 1 Year

Specialization 1:
Specialization 2:

Opted For Credit Based System: Yes No

Examination Method: Online

Payment Method: Lumpsum Installment
Mode of Payment: DD/Cheque Online Transaction Cash Deposit
ADMISSION FORM

Course Fee:
Particulars Amount DD/Cheque Date Bank
Lumpsum / Ist Installment
IInd Installment
IIInd Installment
Examination Fee
GST 18%

*Self Attested photo copy of following Documents Attached herewith (Please Tick):
Graduation 3rd Year Marksheet / Diploma 4 Photographs Experience Certificate CV

Rules and Regulation of the Institute

The Institute reserves the right to accept or reject an application without assigning any reason whatsoever. The necessary fee to be paid would be 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.
Allotment of examination centre in a particular place will be at the discretion of the Board of Examination of the Institute which reserves the
right to cancel any centre if there is insufficient number of students. IIBM courses are industry endorsed certificate courses, not degrees.. The
Institute reserves the right to change the course details without notice as per the prevailing conditions GST-18% is applicable from 1st July on all
the course.

Certificate of Undertaking
I have carefully read the rules and regulations as given in this Application and agree to abide by the same. I understand these rules are only indicative
and may be modified/changed/revised from time to time. I agree not to countermand and to honor all the post dated cheques enclosed by me
towards the Installment Facility. I understand that in case I withdraw from the program I will not be entitled to claim any refund of amount paid. I
agree that I will settle the amount with IIBM whether or not I continue in the program, I understand the Jurisdiction for all disputes (if any)
relating to the Institute is only/exclusively Meerut, Uttar Pradesh. I hereby declare that the information provided by me in the Application is true
and correct to the best of my knowledge. My signature below certifies that I have read understood and agree to the rules and regulations, including
Legal Aspects and my financial responsibilities

Place: .......................... Date: ......................... Signature of Applicant: ..................................

Issue 24/02/2017