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Online Registration Form

Fields with * are mandatory

Courses :

The Registrar,
International School of Corporate Management
Pune.

I wish to apply for admission to the post graduate programme –PGPCS/PGPGM/PGPRM

I understand that if admitted, my admission is subject to production of eligibility certificate from the University/college/institution (as the case may be).

My personal details are given below : Personal Information (Please use block letters)

* Name in Full :


Last	Middle	First


* Postal Address :


Permanent Address :

* Mobile :

Landline : (with STD code)

* E-mail :

* Date of Birth : (dd/mm/yyyy)

Gender :

Male

Female

Marital Status :

Blood Group :

Father's / Spouse's Name :

Occupation :

* Education Details :

Please mention all University/Board Examinations beginning with 10th standard.

Course/
Examination

University/ Board

Name of College/University

Year of
Passing

% of Marks

Special/Optional Subject

* Graduation

* HSC (12th)

* SSC (10th)

Any Other

Work Experience if any :

Name of Company	Designation	Duration

FOR PGPGM : Current Handicap

* For PGPCS only :

(a) CAT/MAT/XAT/CET Score %
(b) I have not appeared for any National level Entrance Exam and would like to appear for the ISCOM Entrance Exam.

Passport Details : (for PGPCS & PGPGM)


1. Passport No. :
2. Issuing Authority :
3. Valid upto :
(Passport must be valid upto 31st July 2014)

Demand Draft Details :


(a) Demand Draft No. :
Drawn on which BANK :
Date of Demand Draft :
Amount :
Courier Name :
Docket Number :
OR

(b) Kindly deposit an amount of Rs. 450/- in any of the HDFC BANKS across India & Fax us
your Pay-in-slip at the following FAX No. 020-66202278. Account Number and Name
given below :

Account Number : 00521000078766

Account Name : International School of Corporate Management.

*The Application form will be processed only after receipt of the above mentioned payment and
subsequently Prospectus (for all courses), Admission Kit (for PGPCS Only) will be couried to candidates.

Undertaking :

(a) I have carefully noted the rules and process of admission which I am required to follow and shall in matters of interpretation, accept the decision of the Director, as final and binding.
(b) I shall conduct my self as per the rules and norms of ISCOM. In case of any misdemeanour
on my part, I shall not approach the Director for any concession and shall be liable to be debarred from the school.
(c) I understand that I am required to read and comply with the code of conduct of the Institute which shall be provided to me on reporting for the course. I shall also note and comply with all communications put up from time to time on the General Notice Board of the Institute.
(d) I understand that as a part of the curricular and / or extracurricular activities organised by
the institute during the course I may be required to travel to places away from the institute in transport arranged by the Institute or under my own arrangements and participate actively in the various events. I hereby indemnify ISCOM from any injury or fatality that may accidentally result during any process (es) involved.
(e) All disputes will be subject to Pune jurisdiction.

* This form duly filled should be submitted directly to the institute at the mentioned
address.
* Please keep a photocopy of the filled application form for your record.
* Please feel free to contact us for any clarification at 9970079165/9158992778