Application No. - iitrade/25/09/36620
Application Form
Basic Details
Academic / Professionals Qualifications
Declaration
Payment Details
Course Applied :
Post Graduate Program in Management
Date :
25/09/2023
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Name Of Applicant :
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Father's / Guardian's Name :
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Mobile No. :
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Father's / Guardians Occupations :
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Anual Household Income :
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Organisation's Name :
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Present Address :
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Permanent Address :
Telephone No. :
(with STD Code)
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Mobile No. :
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E - Mail Address :
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Date Of Birth :
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Blood Group :
AB+
AB-
A+
A-
B+
B-
O+
O-
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Gender :
Male
Female
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Religion :
Hinduism
Islam
Christianity
Sikhism
Buddhism
Jainism
Other
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(Specify)
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Nationality :
Indian
Other
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(Specify)
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Category :
General
SC
ST
OBC
Minority
Academic / Professionals Qualifications
Examination Passed
Year of Passing
Stream
Name of School & Bord / College & University
Place
(%) of Marks
Class X
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Class XII
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Graduation*
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Post Graduation*
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
Other*
Declaration / Undertaking
*
Date :
25/09/2023
*
Place :
Do you wish to avail
#
Accomodation Facility
Educational Loan
Scolarship
Source of information about IItrade
Internet
Word Of Mouth
Banner
Education Consultant
Newspaper
Yellow Pages
Hoarding
Other (Specify)
Payment Details
Payment Mode :
Cheque / DD
Paypal
in favour of '
Institute of International Trade
', Payable at
Kolkata
provisional Admission :
Direct Admission :
Amount(in word) :
*
Dmand Draft No. :
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Date :
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Drawn on(Bank) :
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City :
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Branch :
Registration will be confirmed upon receipt of payment.