Admission Query 2021
Admission Query
 
Admission Procedure
Admissions
Lal Bahadur Shastri Institute of Management & Technology
Two Year (Full-Time) Post Graduate Diploma in Management (P.G.D.M.)
2021-2023
Application Form (To be filled by the applicant)

Form no. (To be given by office)

Full Name

Date of Birth

Sex

Male     Female

Correspondence Address

State

District

City

PIN

FAX

Contact no.

Email Address

  Same As Correspondence Address

Permanent Address

State

District

City

PIN

Nationality

State of Domicile

Category

 General       Corporate Sponsored

Centre for GD & Interview

Name Of Qualifying Exam :-

A.

Name Of The Qualifying Written Exam

Date On Which Exam Was Held

Registration/Enrolment No.

Score In Precentile(% )

Centre Code

B.

Name Of The Qualifying Written Exam

Date On Which Exam Was Held

Registration/Enrolment No.

Score In Precentile(% )

Centre Code

Family Details :-

Father's/ Husband Name

Occupation

Official Address

State

District

City

Father's/ Husband Contact Info.

Mother's/ Wife's Name

Occupation

Official Address

State

District

city

Academic Qualifications :-
EXAMINATION PASSED YEAR OF PASSING OUT NAME OF SCHOOL / COLLEGE ALONG
WITH NAME OF BOARD / UNIVERSITY		 IMPORTANT SUBJECTS PERCENTAGE OF MARKS OBTAINED
10th
12th
1st
Graduation 2nd
3rd
Any Other Qualification

Academic Awards/ Extra-curricular Awards

Work Experiences ( If Any) :-
  Organization   Designation   From   To   Monthly Salary
Declaration :-

I declare that the information given in the application form is true. I also declare that I have not applied earlier with the same written score in the same category. The application, if found incorrect, at any stage, may be rejected without notice.


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Lal Bahadur Shastri Institute of Management & Technology
Address : Bareilly Bisalpur Road, Bareilly, U.P.
City Office : 29, Theatre Road Cantonment, Bareilly.
Website : www.lbsimt.com

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0581-2429203,
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+91-9068804906
Email :
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