Ishan Institute of Management & Technology

REGISTRATION FORM

Post Graduate Diploma in	Rank your Choice
Business Management
Marketing Management
International Business Management
Human Resource Management
Financial Management
Retail Marketing

CAT

MAT

Any Other Exam

Parents Details
Father's Name(*)
Occupation(*)
Designation(*)
Office/Business Address(*)
Telephone (with STD Code) Office(*)
Mobile(*)
Mother's Name(*)
Qualification
Email ID (Parents)

Academic Details

Examination Passed	Name Of Degree	Year Of Passing	Name of College/Institute	Board/ University	Major Subject Studied	% Marks	Medium of Education	Result Status
10 th
12 th
Graduation (B. Sc/B.com /B.A./B. Tech (Please Specify)						Ist Year
						IInd Year
						IIIrd Year		Awaited
						IVth Year		Awaited
Post Graduation								Awaited

Work Experience: If salary drawn is more than Rs.8000/-PM

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The Social category of the candidate as per the Government norms for reservation of seats. (Please attach the proof document along with the form if individual not belongs to GENERAL category)
Have you been interviewed with us earlier?
If Yes Please enter the previous form number
Category - Can the institute consider for higher fee category if you are not selected in normal fee
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Why would you like to join the ishan family (in less than 150 words)?

Declaration

I hereby declare that the information furnished by me is correct and agree that admission may be granted to me in accordance with the terms, conditions and rules of the Institution. I agree that my admission may be cancelled and tuition fee paid by me may be forfeited if any of the information given by me is subsequently found to be wrong, concealed or false.
I undertake tp produce the final graduation degree and mark sheet by 30th Oct., this year, failing which IIMT will be free to cancel my admission
The Institute can change specilisation as per their selection in GD/PI of availability of seats.
I further confirm that I will follow all the instructions mentioned in Prospectus and I will abide by all rules and regulations of the Ishan Institute of Management & Technology.

Yes, I agree