Alliance: Alliance School of Business
Alliance: Alliance School of Business
Alliance: Alliance School of Business
ALLIANCE
UNIVERSITY
Alliance School of Business
Chikkahagade Cross
Chandapura-Anekal Main Road
Anekal, Bangalore - 562 106, Karnataka, India
Tel.: +91 80 30938000/1/2/3/4
www.bus.alliance.edu.in
Application Form
Course:
Year:
Month:
Applicants information
Name:
Gender:
Date of Birth:
(dd/mm/yyyy)
/
Affix photograph
Blood Group:
Category:
SC
ST
Others
Nationality:
Indian
NRI
Country:
State:
Pincode:
Tel.: (Residence)
(with STD/ISD code)
Mobile:
Alternative E-mail:
E-mail:
Mother
Name:
Occupation:
Organization:
Designation:
E-mail:
Mobile:
Residential Address:
Pincode:
Telephone: (Office)
(with STD/ISD code)
Country:
State:
(Residence)
Other professional
qualifications
XII
Bachelors degree
(please specify)
Postgraduate degree
(if any, please specify)
Name of
Examination/Degree
Name of the
Institution
Educational qualifications
Name of University/Board
Year of
State passing
Ag
gre
gat
VIII
Correspondence
Part time
Full time
Correspondence
Part time
Full time
Correspondence
Part time
Full time
Correspondence
VI
VII
Part time
Correspondence
Part time
Full time
Mode of study
Full time
Main subjects
IV
III
II
Percentage
Year/Semester
Date
Percentile
Statement of purpose
a.
b.
What is your career vision and why is this choice meaningful to you?
Composite score
Employment history
(Please give your full-time employment history to date or other relevant professional experience)
Work experience
To
In months
Yes
No
Declaration
1.
I have read and understood the full requirements of the course, eligibility criteria, terms and conditions and other
important information as indicated in the Prospectus.
2.
I confirm that the information furnished by me in this Application Form is true to the best of my knowledge. I understand
that any false or misleading statement given by me may lead to the cancellation of admission or expulsion from the
course at any stage.
3.
I undertake to abide by the rules and regulations of the Alliance School of Business as prescribed from time to time. If I
violate at any point of time any of the stipulated rules and regulations, then Alliance University is free to initiate
appropriate disciplinary action against me.
Signature:
Date:
Application fee
Enclose along with your filled-in application form a non-refundable processing fee of `1,000/- (`2,000/- for NRI and
SAARC national applicants and US$50 for other foreign national applicants) in the form of a
crossed demand draft in favour of Alliance University payable at Bangalore.
Checklist
1. Copies of the following documents:
X mark sheet/transcript
DD No.:
Date:
Bank: