INTERNATIONAL INSTITUTE FOR SPECIAL EDUCATION
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(Accredited by National Board of Accreditation of AICTE)
City Office : 1, Shanti Niketan, New Hyderabad,
Lucknow – 226007
Chairman (R):
2780055 Campus
: 2751066, 2751030 Fax (0522) – 2780411, 2751020
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ON LINE REGISTRATION FORM
APPLICATION FORM FOR ADMISSION TO IISE COURSES
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PLEASE DO NOT LEAVE ANY BLANK ENTRIES |
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COURSE APPLIED FOR : Ph.D/PGDBA/MCA/BBA/BCA |
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NAME OF THE APPLICANT |
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You are applying for admission |
Mention a,
b. |
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Through CAT (for PGDBA)
or (b) Directly for
Ph.D., MCA, BBA, BCA, Management Quota of PGDBA and
Others).
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Note: Students should bring their CAT score with them at the time of GD/Interview
.Those who are applying for (b), required to appear in a written test of IISE.
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CAT REGISTRATION NUMBER (if appeared in CAT or type NA )
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DATE OF BIRTH
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ADDRESS FOR CORRESPONDENCE |
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CITY |
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STATE |
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PIN |
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Email Address |
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PHONE NUMBER
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HIGHEST
EDUCATIONAL QUALIFICATION AGGREGATE WITH PERCENTAGE |
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ON LINE REGISTRATION FORM |
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Instructions
This is only the Registration Form -----not Admission
Form , which shall be sent to you with Brochure and IISE
CD if you send
Demand
Draft of:
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Rs. 1000/- for PGDBA (Full Time) Course
drawn in favour of “IISE, Lucknow”.
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Rs. 500/- for Other PG Courses including
PGDBA (Part Time) Course drawn in favour of
“IISE, Lucknow”.
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Rs. 300/- for Under Graduate Courses
drawn in favour of “IISE, Lucknow”.
Those who send Admission Form are bound to be called for G.D./Interview
Complete the following
I am enclosing herewith (if form is being sent by post)
or I am separately sending by post (in case the website form is being used for registration)
the Bank Draft.
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BD No. |
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Bank:
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Branch and City |
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Dated:
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Drawn in favour of IISE payable at Lucknow
and sent to Director IISE, 1-Shanti Niketan, New Hyderabad, Lucknow 226007.
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