APPLICATION FORM
Form No.   100445

[Common for All Campuses]


Please read the instructions carefully before submitting the form.


Instructions :
 
  • Incomplete forms will not be considered.
  • Please keep a photocopy of the form, before submitting, as a ready reference
  • Please inform the Admissions Office in case of any changes in correspondence address or telephone no.
  • After submission, a copy of this form will be mailed to you at your email id.
  • Please submit the DD in the name of 'Globsyn Technologies Ltd' at the following address.

    Asian Institute of Family Business,
    Globsyn Crystals, X1- 11 & 12, Block EP
    Sector V, Salt Lake, Kolkata 700091. Phone :(033) 4000-3600

This form is applicable for the following programs

AIFB Programs
FMBA Family Managed Business Administration (FMBA)
PGDI&E PG Diploma in Innovation & Entrepreneurship (PGDI&E)

I, Mr./Ms. , am applying for the following Program
 FMBA
PG Program in Family Managed Business Administration (15 Month) 12 Month of Academic Intervention followed by 3 Month of Business Plan.		  PGDI&E
PG Diploma in Innovation & Entrepreneurship (From Lyles Center for Innovation & Entrepreneurship, California State University, Fresno) (1 year)

Personal Information:
Guardian's Name:        
     First Name       Middle Name                Last Name
Guardian's Contact:           
Date of Birth:  (DD) (MM) (YYYY)
Gender:   
Marital Status:   

Correspondence Address:
Address:      
City:  State: Pin:
STD Code: Phone: Mobile:
Primary E-mail ID:
Alternate E-mail ID:
If your Correspondence address and Permanent address are same then Click in the Checkbox.

Permanent Address:
Address:      
City:  State: Pin:
STD Code: Phone: Mobile:

Family Details :
  Father Mother Sibling Sibling
  

Academic Profile:
Examination Passed Marks(% or CGPA) Year Stream Institution University/Board
 

Major Subjects*
Graduation
Post Graduation
Others
  * In case of more than one major please insert a comma between subjects.

FOR FMBA ONLY
Name of the Company: Year of Establishment   
Ownership:   Promoter:  
Industry:       Product:  

Family Participation in Ownership:  

Family Participation in Management:  
Who from your family (must be involved in the business) would you like to be your mentor during the duration of the program. (Mandatory for the FMBA Program)   
Name:   Relationship:  
Role in Family Business :       Qualification:    
Performance: 
 
Year
Year
Sales
Profit Before Tax
Fixed Asset
Total Employees
Managers
Staff
Workers
What are the Pain Points in your Business :             
What are your expectations from this Program :      


FOR PGDI&E ONLY
Why do you want to be an entrepreneur ?                
What are your expectations from this Program ?       



Statement of Integrity

"I wish to apply for the postgraduate programs offered by Asian Institute of Family Business (AIFB). I have carefully read the prospectus, website and fees structure and agree to abide by the same. I understand that the information given are only indicative and that AIFB reserves the right to change/modify the information, rules and regulations from time to time and I agree to abide by the same. I agree to pay the fee as per the schedule of fee payment stipulated. I understand that in case I withdraw from the program, for reasons whatsoever, I will not be entitled to claim any refund of amount paid to AIFB. I hereby declare that the information provided by me in the Application is true and correct to the best of my knowledge. By submitting this application I certify that I have read, understood and agree to the academic content, rules and regulations and my financial responsibilities."