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Application Form ISBR PGDM 2022 8628
Application Form ISBR PGDM 2022 8628
Program Details
Program Details
Course Preference Course Preference Course Preference
PGDM MARKETING MANAGEMENT BUSINESS ANALYTICS
1 2 3
Course Preference Course Preference
FINANCE SPORTS MANAGEMENT Academic Year 2022
4 5
Preferred City For
Batch Preference JULY 2022 DELHI
Interview
Personal Details
Title MR. First Name YASHWANT Middle Name
Last Name Email Id (Primary) YASH.ROHILLA.980.YR@GMAIL.COM Alternate Email ID
Mobile Number +91-8708253602 Gender MALE Date of Birth 08/11/1999
Religion HINDUISM Blood Group AB- Nationality INDIAN
Caste Category OBC Mother Tongue HARYANVI Domicile State HARYANA
Specify your
Aadhar Number 491057831217 Differently Abled? NO
Disability
Hostel
Age as on 30th
Accommodation YES Occupancy DOUBLE SHARING 20 YEARS , 7 MONTHS , 22 DAYS
June, 2021
Required?
Passport Details
Passport Number Country Place of Issue
Date of Issue Date of Expiry
Father's Details
Father's Mobile
Father's Name RANBIR SINGH +91-9034393085 Father's Email ID JAYANT.ROHILLA.980.YR@GMAIL.COM
Number
Father's Father's
BUSINESS SHOPKEEPER
Occupation Designation
Mother's Details
Mother's Mobile
Mother's Name VEENA DEVI +91-7404292182 Mother's Email ID VEENAROHILLA123@GMAIL.COM
Number
Mother's Mother's
TEACHER TGT
Occupation Designation
Address for Correspondence
Country INDIA State HARYANA District ROHTAK
City ROHTAK Address Line 1 HOUSE NUMBER 367 Address Line 2 WARD NUMBER 13,KALANAUR
Is Permanent
Address Same As
Pincode 124113 YES
Address For
Communication?
Permanent Address
Country INDIA State HARYANA District ROHTAK
City ROHTAK Address Line 1 HOUSE NUMBER 367 Address Line 2 WARD NUMBER 13,KALANAUR
Pincode 124113
Acadamic Details
Educational Details
SSC Details
HSC Details
Graduation Details
Post Graduation
Marks up to
Work Experience
Work Experience Details
Do you have any
NO
Work Experience ?
Work Experience Details
Total Work
Experience in
Months
Entrance Exam
Have you taken
any entrance YES
exam?
Entrance Exam Details
Declaration
I CERTIFY THAT ALL THE STATEMENTS MADE IN THIS APPLICATION FOR ADMISSION TO ISBR ARE CORRECT AND THAT THE INFORMATION FURNISHED IS COMPLETE. I AGREE TO ABIDE BY ALL
RULES AND REGULATIONS THAT ARE NOW, OR MAY BE IN THE FUTURE, IN FORCE, AT THE INSTITUTE.
I UNDERSTAND THAT WITHHOLDING OR GIVING FALSE INFORMATION WILL MAKE ME INELIGIBLE FOR ADMISSION AT ISBR. I ALSO UNDERSTAND THAT THE APPLICATION FEE AND PROGRAM FEE
PAID TO ISBR IS NOT REFUNDABLE UNDER ANY CIRCUMSTANCES.