DOON BUSINESS SCHOOL-GROUP

“Doon Business School-Global” “Doon Business School” “Doon Business School- International”
122 MI, Selaqui, Dehradun, Uttarakhand – 248001, Tel.: 0135-2699085, 3240733 Fax: 0135-2699231
Email: info@dbs.org.in, Logon. www.doonbusinessschool.com

COMBINED REGISTRATION FORM - SESSION 2011 – 2012

Course Applied For: College SI. No……..……

PGDM MBA MIB BBA BCA BA (Mass Comm.) Date………………………
Preference (1,2,3)
To,

The Director General, Affix one

Doon Business School Group, passport size
122 MI, Selaqui, Dehradun-248001. photograph
here
1. Full Name of the candidate: ……………………………………………………………..…...
(In Block letters)
2. Fathers Name: ………………………………………………………………………………….
3 Mothers Name: ………………………………………………………………………………….
4. Postal Address………………………………………………………………………………………………………………..
………………………………………………………………………………… Mobile No.: …………………………………..
5. Telephone No. (with STD Code): …………………………………….…. Email ID: ..……..…………………..…………
6. Date of Birth: ……..…………………………………………………………………………………………………………..
7. Do you belong to any reserved category? Gen SC ST OBC
8. Educational Qualifications:

NAME OF
EXAM PASSED BOARD/UNIVERSITY YEAR PERCENTAGE
SCHOOL/COLLEGE
10th
12th
Graduation
Post Graduation
Other

9. MAT/CAT Percentile: Month Year Score %tile

10. Whether Hostel facility required: Yes No

11. Work experience:……………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………….
12. Other achievements:………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………….

UNDERTAKING
I ……………………………………….hereby declare that the above information is true to the best of my knowledge and belief. I
further understand that any false statement or intentional omission will render me liable to prosecution. I hereby also agree
that I will obey all rules and regulations of the college and shall abide by all decisions of management.

Details of bank draft:……………………………………………………………………………………………………………..

Signature of parent/guardian
Date: …………………………. Signature of candidate
Place: …………………………