Indira Gandhi National Open University - Bse Training Institute LTD
Indira Gandhi National Open University - Bse Training Institute LTD
Indira Gandhi National Open University - Bse Training Institute LTD
FORM NO.
Payment Details
D/D Date
D/D Amount
/
Bank Name
(Middle Name)
(Surname)
(Middle Name)
(Surname)
3 (a) Address for Correspondence: House/ Flat No. Building, Street/Village/Mohalla (do no write Father's Or your name here)
City
District
State
Pin Code
0
3 (d) E-mail ID
5 Date of birth
Female
Date
Indian
Month
Other
Year
General
ST*
SC*
Married
Divorced
Widowed
Unmarried
Percentage of marks
Name of College
Name of University
Arts
Commerce
Engineering
Others
10 Work Experience
Duration in
Years
and
Months
Semi Govt.
Pvt. Sector
Self Employed
Delhi
Kolkata
Chennai
Bengaluru
Hyderabad
Pune
Chandigarh
Cochin
Guwahati
Jaipur
Panaji
Patna
Rajkot
Bhubaneshwar
Bhopal
Indore
Lucknow
Vadodra
Varanasi
Ludhiana
Nagpur
Noida
Kanpur
Ranchi
12 Attested photostat of submitted documents (Please list the documents attached with the form):
1
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10
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11
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12
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13
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14
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DECLARATION BY APPLICANT
I hereby declare that I have read and understood the conditions of eligibitlity for the program for which I seek admission. I fulfill the
minimum eligibility criteria and have provided necessary information in this regard. In the event of any information being found incorrect or
misleading, my candidature shall be liable to cancellation by BTIL at anytime and I shall not be entitled to refund of any fee paid by me to BTIL.
I would like BTIL to update me on the new products and services.
I have carefully studied the rules of BTIL as printed in the prospectus and I accept them and shall not raise any dispute over the same rules.
Date:
Date
Month
Year
Signature of candidate
* SC/ST candidates will have to submit the Category Certificate
Dear Student,
Thank you for joining MBA Financial Markets. We acknowledge the receipt of your
Application Form. Please mention Enrolment Number and course applied for in all your
correspondence with the University. To be filled in by the Students:
For Office Use Only
Program Applied for: ______________________
Your Enrolment number is
DD Number: ____________________________
..
DD Date: _______________________________
Amount: _______________________________
Bank: _________________________________
PASTE
LATEST PHOTGRAPH
TO BE PASTED WHICH
WILL BE ATTESTED BY
UNIVERSITY OFFICE
..
..
Pin code .
Full Signature of the Candidate
..
ATTESTED BY
Session / Date ..