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7/27/2019 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.)