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FOR ONLINE ENROLMENT PLEASE FILL THE FOLLOWING FORM

 
 

ENROLMENT FORM

         

          {The full fee should be paid along with enrolment form and where installments
          are applicable first installment should be paid} 

          I  wish  to  apply  for  enrolment  as  a  student   member  of  the  'Indian 
          Management Training  and Research institute' and undertake, if accepted 
          to observe the provisions of the Institute in force at that time.
 

          
            Course you wish to
       
    undertake
   Diploma      PG. Diploma    MBA  
   Academic
       
             Name of the course :-



             Student's Name :-



             Father's Name :-



             Date of  Birth :-



             Nationality :-



             Sex :- Male / Female :-



Bank Draft / Bank Transfer No. 


Date.     

             


Amount in Figures.



Name of the Bank.



     Examination passed. Documentary evidence of examinations  
     passed must be attached.
      Exam Passed           Subject         Roll No.  University/Board
         
         
         
         
   

 

 

 

 

 

 

 

             Home Address :-



             Business Address :-




             Present Occupation :-




            Select Card :-

 
            Name (on Card) :-
            Date of Birth :-
            Date of Expiry :-
            Card Number :-