IFHE MBA (WEEKEND PROGRAM)

Application Form

MBA (Weekend Program)
ICFAI Business School, Hyderabad

PERSONAL DETAILS

Salutation Full Name (As it appears in School Certificate) Date of Birth Blood Group MobileNo E-mail Id

Emergency Contact Number Annual Income Passport Number(if available) Passport Valid Upto(Passport if available) Passport Issued By(Passport if available) Nationality

Mailing Address City State Pincode

Permanent Address City State Pincode

ACADEMIC QUALIFICATIONS

CLASS	Name of the School/College	Board/University	Medium of Instruction	Year of Passing	% of Marks/ CGPA
Class X
Class XII
Graduation
Add. Qualification 1
Add. Qualification 2
Add. Qualification 3

AWARDS AND RECOGNITIONS IN ACADEMICS AND SPORTS

List awards, distinctions, honors and scholarships (academic, extracurricular, professional, community, etc).

Awards	Year

Health (Did/Do you suffer from any major illness/disability in the past/present?)

Legal Cases (Have you ever been convicted or is any case pending against you in any court of law? If yes, details)

Weekday Engagement(specify your occupation during weekdays)

Employed	Entrepreneur	Unemployed

Present Work Experience

Present Organization/Company Name Address How long have you been employed by the company

Type of Company

Designation

Telephone Number

Website

How long have you been holding the designation

Previous WORK EXPERIENCE

Previous Organization/Company Name Address

Telephone Number

Website

Type of Company

Designation

From

Have you been associated with ICFAI earlier?

Do you know any one in the ICFAI GROUP?

Briefly write about your Experience

Career Goal

FAMILY BACKGROUND

No. of Brothers:

No. of Sisters

Mother Name Mother Qualifications Mother Occupation

Father Name Father Qualifications Father Occupation

Are You Married Yes No

Spouse's Name Spouse's Qualifications Spouse's Occupation Spouse's Annual Income

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DECLARATION

I certify that the information presented in this Application Form is accurate, complete and honest. I am aware of the eligibility criterion for the program. I understand and agree that any inaccurate information, misleading information or omission will be a cause for the withdrawal of any offer of admission or for disciplinary action, dismissal or revocation of diploma, certificate, or degree if discovered at a later date. I understand that all admissions are based strictly on merit and declare that I will not violate the rules against canvassing directly or indirectly to seek admission and/or to seek any undue/special favors outside the framework of rules in force from time to time. I hereby understand and accept that the decision of admission by the Admissions Committee is final and binding on me.