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Affiliated to Maulana Abul Kalam Azad University of Technology, West Bengal (MAKAUT, WB),
formerly West Bengal University of Technology (WBUT)

SBIHM SCHOOL OF MANAGEMENT - ADMISSION OPEN FOR 2017 - HELPLINE NO: 033-2358 9673 / 9831100773

APPLICATION FORM

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Course Applied for *
Under University
Name *
Middle Name
Last Name *
Date of Birth *
Father's Name
Mother's Name
Present Address *
Pincode *
Permanent Address *
Pincode *
Phone No. i *
Phone No. ii
Land Line No.
E-mail *
Caterory
General ST SC OBC Others 
Status of 10th Examination For Diploma
Passed Appeared 
Year:
Status of 10 + 2 Examination For Bachelor Degree
Passed Appeared 
Year:
Status of Graduation Examination For Master Degree
Passed Appeared 
Year:
Sex
Male Female 
Academic Stream *
Science Commerce Arts Vocational 
Hostel Required
Yes No 
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Declaration *
 I hereby declare that, the particulars furnished above are true and correct to the best of my knowledge and belief. After carefully going through the entire content of the prospectus and fees structure, I agree to abide by the terms and conditions imposed for taking admission in the aforesaid course.
Remarks
Date *