Application Form >>
CHEQUE / DEMAND DRAFT WILL BE PAYABLE IN FAVOUR OF BIRLA INSTITUTE OF FUTURISTICS STUDIES AT KOLKATA

Punjab National Bank
Park Circus Branch
A/C No. 142600210000738


(Payment Will Be Either Cheque Or Demand Draft, No Other Payment Mode Will Be Accepted)

Application Forms


( To be filled in by the candidates)

Name (required) :

Email (required) :

Payment Mode : Cheque Demand Draft

Cheque No / Demand Draft. (required) :

Name of Bank (required) :

Name of Brach(required) :

Date of Birth :

Name of father / guardian :

Residential Address :

Phone No. :

Occupations :

Educational Qualifications :

School / college currently attending:

Name of the organisation ( if in employment ):
Address of the organisation :
Course enrolled for :

Date of enrollment :



Academic Qualifications :


Examination/s Passed :

Name of the Institution:

Registration No. :
Subjects :

Year of Passing:

Marks Obtained % :

Class / Division :

   
I hereby declare that the particulars given above are correct and complete .


Details of Job Experience ( if any):



 

                              

 
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Signature
 
After completing the successful registration they can take a print out of the filled in application form & admit card , affix his passport size photograph put his/her signature and send the same by ordinary post along with original Demand Draft / Cheque.
 
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