ENROLLMENT
NO.
□ ISBM □ UNI □ CMI □ IIM □ NAIP □ BEPUK
Course Name Specialization
Personal Details
Full Name
(In Block latters) Surname First Name Middle Name
Fathers/Husbands Name
(In Block Letters) Surname First Name Middle Name
Correspondence Address
Area Gender Male / Female
Landmark & City Nationality
State & Pin Code Date of Birth
Telephone Number
(With STD Code) Residence Office Mobile
Email ID
Academic Details (Please list in Chronological order including examinations with results pending)
Examination Subject Results / Grades /
Degree/Certificate Institution Month and year OR Percentage
Month Year Specialization
Work Experience (If any). Starting with latest one
i
ii
FEES DETAILS
Basic Course Fees Other Charges Details Total Fees
Fees Paid
Examination Option □ Home □ Study Center □ Online Study Materials □ TAB □ BOOKS □ ONLINE
I certify that all information provided in this application is complete and accurate. I agree to familiarize
Declaration
myself with all the rules and regulations of the program set forth by ISBM and abide by them.
Date
Signature
Branch
FOR OFFICE USE ONLY
Amount: Payment Details :
Receipt No. :
Remarks :
Manager’s Signature :
FOR HEAD OFFICE USE ONLY
Record Entry No. : Examination Date :
Book Sending Date : Certificate Date :
No. of Books Sent : POD No.:
Authorised Signature :
Requirements Procedure
Requirements
□ Photocopies of Attested Mark Sheets
□ Four latest passport size colour photographs
□ Work Experience certificate
□ I.D.proof
Eligibility: Please refer course details.
Admission Procedure
□ Applicants are required to fill the complete application form any pay the fees at the
time of admission.
□ Students can pay the fees in Cash or by Cheque/D.D. The cheque/D.D should be
drawn in favour of “Indian School of Business management & Administration”
payable at Mumbai.
□ Application form is also available on our website www.isbm.org.in.The same can be
filled and submitted online. In this case, fees have to be paid online by Credit/Debit
card or bank transfer request. Refer to our website for more details.
Important Notes
□ Cheque/D.D should be payable in favour of “ Indian School of Business Management
& Administration” payable at Mumbai.
□ You can enrol for more than one certification at a time. In this case, fees will change
accordingly. Changed Fees , based on number of certifications, can be found out
from your nearest ISBM office. List of ISBM office details details available at the end
of this prospectus.
□ Fees are subject to revision at any time on discretion of ISBM.
□ Course once selected cannot be changed. You can change the course only on the
day of admission till the working hours.
□ Fees have to paid in full. Fees one paid will not be refunded under any circumstance.