MBA_PT_KOL_2010_13

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    INDIAN INSTITUTE OF FOREIGN TRADE(DEEMED UNIVERSITY)

    KOLKATA CAMPUS : J-1/14, EP & GP BLOCK, SECTOR V, SALT LAKE CITY,

    KOLKATA-700091

    APPLICATION FORM

    MBA (INTERNATIONAL BUSINESS) : PART-TIME(JULY 2010 MARCH 2013)

    1. Name in full: ___________________________________________________________

    (in Capital Letters) (First) (Middle) (Last)

    2. Fathers Name _________________________________________________________

    3. Mailing Address with Pin code:

    _____________________________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

    Tel. Nos.: (Res.) : ____________________________ (Off) : _______________________________________

    Fax : ____________________________ Email : _____________________________________

    Mobile : __________________________

    4. Permanent Address with Pin Code:

    _____________________________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

    Tel. Nos.: (Res.) : ____________________________ (Off) ; _______________________________________

    Fax : ____________________________ Email : ______________________________________

    FOR OFFICE USE

    D.D./IIFT Receipt No.: __________

    Date: ______________________

    Amount: ____________________

    Bank: ______________________

    PHOTO

    Last Date for receipt of filled-in Application Form : Wednesday, 28 April 2010

    Important Enclosures:

    A demand draft of Rs 1,200/- (Rs 600/- in respect of SC/ST/PH candidates)in casethe Form is downloaded from the IIFTs website in favour of Indian Institute of

    Foreign Trade payable at Kolkata.

    SC/ST/PH/OBC (non-creamy layer) candidates to attach necessary certificate. Complete Application Form along with necessary enclosures should be sent to Kolkata

    Campus only.

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    5. Category : General SC ST PH OBC

    (non-creamy layer)

    6. Do you expect your organization to reimburse your fee Yes No

    7. Demand Draft Details

    Demand Draft No. Amount (Rs.) Date

    Name & Address of the Bank : ______________________________________________________________

    8. Nationality (Foreign Candidates to also indicate) : ______________________________

    9. Date of Birth (dd/mm/yyyy) _______________________

    10.Academic Record

    In chronological order, list colleges/universities attended.

    Degree University/Institution Duration % of marks Subjects

    From To obtained

    11. Details of computer proficiency:

    _____________________________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

    _____________________________________________________________________

    12. Work Experience

    Please list the work positions you have held, including different positions within the same organisation:

    Position Name & Address of Organisation From To

    2 0 1 0

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    13. Brief description of Job Profile (50-100 words)

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    14. Describe any major achievement from your professional experience. (50-100 words)____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ________________________________________________________________________________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    15. What are your broad career objectives and how does IIFT fit in these ojbectives? (50 words)

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ________________________________________________________________________________________________________________________________________

    ____________________________________________________________________

    16. What do you think are your important strengths in the context of your application for

    admission to IIFTs programme? (50 words)

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ________________________________________________________________________________________________________________________________________

    ____________________________________________________________________

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    17. What do you expect to learn from your fellow participants at IIFT? (100 words)

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    18. Any other information. Please give any other information (attach a separate sheet, if necessary)

    which you consider relevant for the Interview Board.

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    ____________________________________________________________________

    DECLARATION BY THE CANDIDATE

    I hereby declare that all statements made in this application are true, complete and

    correct. In the event of any information being found false or incorrect or ineligibi lity being

    detected before or after the examination, action may be taken by the Institute as deemed

    fit, against me.

    __________________

    Date_____________ Signature

    (Note: Application found incomplete in any respect is liable to be rejected.)