Last Date for receipt of filled-in Application Form : Wednesday, 28 April 2010

INDIAN INSTITUTE OF FOREIGN TRADE

(DEEMED UNIVERSITY)
KOLKATA CAMPUS : J-1/14, EP & GP BLOCK, SECTOR V, SALT LAKE CITY,
KOLKATA-700091

Important Enclosures:

A demand draft of Rs 1,200/- (Rs 600/- in respect of SC/ST/PH candidates) in case

the Form is downloaded from the IIFTs website in favour of Indian Institute of
Foreign Trade payable at Kolkata.
SC/ST/PH/OBC (non-creamy layer) candidates to attach necessary certificate.
Complete Application Form along with necessary enclosures should be sent to Kolkata
Campus only.

APPLICATION FORM

MBA (INTERNATIONAL BUSINESS) : PART-TIME

(JULY 2010 MARCH 2013)
FOR OFFICE USE
D.D./IIFT Receipt No.: __________
PHOTO

Date: ______________________
Amount: ____________________
Bank: ______________________

1. Name in full: ___________________________________________________________

(in Capital Letters)

(First)

(Middle)

(Last)

2. Fathers Name _________________________________________________________

3. Mailing Address with Pin code:
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Tel. Nos.: (Res.) : ____________________________ (Off) : _______________________________________
Fax : ____________________________ Email : _____________________________________
Mobile : __________________________

4. Permanent Address with Pin Code:

_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Tel. Nos.: (Res.) : ____________________________ (Off) ; _______________________________________
Fax : ____________________________ Email : ______________________________________
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5. Category :

General

SC

ST

6. Do you expect your organization to reimburse your fee

PH

OBC
(non-creamy layer)

Yes

No

7. Demand Draft Details

Demand Draft No.

Amount (Rs.)

Date

Name & Address of the Bank : ______________________________________________________________

8. Nationality (Foreign Candidates to also indicate) : ______________________________

9. Date of Birth (dd/mm/yyyy) _______________________
10. Academic Record
In chronological order, list colleges/universities attended.
Degree

University/Institution

Duration
From
To

% of marks
obtained

Subjects

11. Details of computer proficiency:

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12. Work Experience
Please list the work positions you have held, including different positions within the same organisation:
Position

Name & Address of Organisation

From

To

13. Brief description of Job Profile (50-100 words)

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14. Describe any major achievement from your professional experience. (50-100 words)
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15. What are your broad career objectives and how does IIFT fit in these ojbectives? (50 words)
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16. What do you think are your important strengths in the context of your application for
admission to IIFTs programme? (50 words)
____________________________________________________________________
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17. What do you expect to learn from your fellow participants at IIFT? (100 words)
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18. Any other information. Please give any other information (attach a separate sheet, if necessary)
which you consider relevant for the Interview Board.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

DECLARATION BY THE CANDIDATE

I hereby declare that all statements made in this application are true, complete and
correct. In the event of any information being found false or incorrect or ineligibility being
detected before or after the examination, action may be taken by the Institute as deemed
fit, against me.

Date_____________

__________________
Signature

(Note: Application found incomplete in any respect is liable to be rejected.)