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Admission for Post Graduate Diploma in Banking Technology (PGDBT) - 2017 Session

Institute for Development and Research in Banking Technology (IDRBT)
Keep these ready for filling the application form:
- Passport photo of size less than 256KB (Should be 240 X 320 pixels)
- Scanned Signature images size less than 40KB (Should be 140 X 40 pixels)
- Scanned copy of the score card size less 500KB (Should be 400 X 500 pixels)
- NEFT Transaction Number for registration fees paid. (Registration fee is Rs.2000)
- In case of Multiple examinations appeared, please provide the details of exam with highest score only.
Name *

Prefix First Name Middle Name Last Name
Father/Mother Name *

First Name Middle Name Last Name
Date of Birth of the Candidate *

/ Day / Month Year
Date
Gender *

Male Female Transgender
Upload Recent Photograph *
Max size upto 256KB (only jpg , jpeg)
Choose the Valid Examination appeared by the candidate. *

CAT MAT XAT GRE CMAT GMAT ATMA
Registration No. *
Score Obtained *
Upload a Copy of respective Score Card *
Max Size upto 500KB (Only pdf, jpg, jpeg)

Contact Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Permanant Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number

- Area Code Phone Number
Candidate's Mobile Number *
Mobile Number of the Parent/guardian *
E-mail *
Alternative E-mail

Education *

	Qualification	Board	Specialization	Mo/yr Passed	Max Marks	Marks Scored	% or CGPA
Matric/SSC
Inter/HSC (10+2)
Bachelor's Degree
Master's Degree
Any Other

Please provide reasons for break in your academic career, if any

Work Experience Details (Latest First)

	Organization	Designation	Job Description	From	To	Total Exp. (In months)	Monthly Emoluments
1.
2.
3.

Total Work Experience in Full-time Jobs (as on May 15, 2017)
Years and Months

References (IDRBT may contact them if required) *

	Name	Designation	Organization	Mobile Number	E-mail
1.
2.

NEFT Transaction Details *

	Bank Name	Branch Name	Account Holder's Name	Transaction Date	Transaction Number	Transaction Amount
Details

Declaration by the Applicant *

I hereby declare that all the information furnished by me in this application and in the documents I have submitted in support of my application are true, complete and correct. In case any information in this application is found to be false or incorrect at any time (during or after completion of the course), this shall entail automatic cancellation of my admission, if granted, cancellation of the degree if awarded , besides rendering me liable to such action as the Institute may deem fit. In the event of any medical or other emergency, my parent/s or Guardian may be contacted at the address given above.
Place *
Date *

/ Day / Month Year
Date
Upload Signature of the Applicant *
Max size upto 40KB (Only Jpg, Jpeg)
Declaration by the Parent / Guardian *

My daughter/son/ward is applying for admission to the Institute. In case of her/his admission to the Institute, I shall be responsible for payment of all her/his fees and other charges including any emergency, medical or other expenses incurred by the Institute. In case any information in this application is found to be false or incorrect at any time (during or after completion of the course), this shall entail automatic cancellation of my daughter’s/son’s /ward’s admission, if granted, cancellation of the diploma if awarded, besides rendering her/him liable to such action as the Institute may deem fit. I will also be responsible for her/his good conduct and behaviour during the period of her/his stay in the Institute. Further, I may be contacted in the event of any emergency as determined by the Institute / University and I hereby promise that I will make myself present before the Institute authority at my own cost whenever the Institute require my presence.
Place *
Date *

/ Day / Month Year
Date
Upload Signature of the Parent / Guardian *
Max size upto 40KB (Only Jpg, Jpeg)
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Admission for Post Graduate Diploma in Banking Technology (PGDBT) - 2017 Session