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INDIAN INSTITUTE OF FOREIGN TRADE

APPLICATION FOR MBA (IB) 2017-2019


NOTE: Print only on A4 size paper in Portrait layout
Please verify the information given by you.
Application No
612191
Name of the Candidate
SUBHAM BISWAS
Date of Birth
01/09/1994
Father's/Guardian Name
PRANBALLAV BISWAS
Mother's Name
GITA BISWAS
Gender
MALE
Centre for written test
KOLKATA
Centre for Interview/GD
KOLKATA
D.D / Transaction No.
8721169562062390
(Retain this portion for your records.)

----------------------------------------------Application No.
Name of the Candidate
Category
Centre for written test
Centre for Interview/GD
Email Address
Alternate Email Address
Campus Preference
Degree
Year of Passing
Status
Name of Institute/University
Place of Institute/University
Work Experience
Telephone Number

-----------------------------------------------

612191
SUBHAM BISWAS
SC
KOLKATA
KOLKATA
pbrockstar143@gmail.com
pritambiswas143sree@hotmail.com
KOLKATA
B.E./B.TECH
2016
PASSED
HALDIA INSTITUTE OF TECHNOLOGY
HALDIA, WEST BENGAL
0 months
8093216917

Name & Address:

SUBHAM BISWAS
KK ITI NEW BUILDING

NEAR JEEVAN JYOTI SCHOOL,BEKARBANDH


DHANBAD

JHARKHAND, INDIA
826001

D.D/Receipt Number

8721169562062390

Bank Name

Amount

775.00

Date of Issue

26/08/2016

SIGNATURE OF THE APPLICANT

Document Check List

Please check the following things before sending the Print-out


of online form to IIFT.
1. Print-out of the Online Application Form.

2. Self attested copy of caste certificate for SC / ST / PH candidates.


3. Self attested copy of Central Level OBC (non creamy layer)
certificate (Sample).
4. Original Demand Draft of requisite amount with Name, Address &
Application No. mentioned on the back-side of the demand draft (if
not paying through credit / debit card).
Online form along with necessary enclosures should be sent
within 10 days of registration to following address by
Registered Post/ Speed Post/ Courier only.
Section Officer(GSD),
Indian Institute of Foreign Trade,
B- 21, Qutab Institutional Area,
New Delhi- 110016.
Ph. 011-2685 7908

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