Select 4 centres for GD & Interviews in your order of preference;Bangalore, Delhi, Mumbai, Chennai, Nagpur, Ahmedabad, Bhopal, Bhubaneswar, Calcutta, Coimbatore, Lucknow, Hyderabad, Kochi, Patna, Siliguri, Vishakapatnam, Gauhati, Nagpur, Mangalore, Panaji.
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PERSONAL DETAILS
First Name :
Category :
General
OBC
SC
ST
Middle Name :
Sex :
Date of Birth :
Relationship Status :
MarriedSingle
Complete Mailing Address :
City :
Pin Code :
Phone No :
Email :
Permanent Address if different from above :
Family
Father's Name :
Mother's Name :
Family Income :
Course Preffered :
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Academic Record From Class X to Bachelor's Degree
Degree / Diploma & Year of passing
University or Institution with address
Aggregate % of marks
Class Secured
Major Area of study Optionals
Name of Degree / Diploma ( B.A, B.Sc, B.Com, B.E, B.Tech, etc) :
University :
Class :
When do you expect to receive your final mark sheet?
State number of year of education in Vernacular and English medium seperately from standard one to final Degree
In Vernacular Medium :
Years
In Engllish Medium :
Years
If you are holding valid Scores, please fill in the same below
TEST
TEST DATE
MONTH
VALID TILL
REGISTER NO.
SCORE
CAT
MAT
GMAT
XAT
AIMS
KMAT
Work Experience :
One Year
Two Years
More than 3 Years
Employer
Job Title & Responsibilities
From
To
Reasons for leaving
Any other information you would like to submit :
Declaration: I hereby declare and submit, that the information provided by me, in this appplication form is true and correct to the best of my knowledge.I agree to abide by the rules and regulation of Intech IBM. I also agree to respect and maintain the confidentiality of material, cases and other learning inputs, which may be made available to me during the programme.