{[ promptMessage ]}

Bookmark it

{[ promptMessage ]}

Please submit your application so as to reach iim

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: Please submit your application so as to reach IIM Indore on or befo re April 4, 20 14 along with attested copies of academic marksheets/certificates. IIM Indore will not be responsible for any postal dela y. The application fee of Rs. 1000/- (for General and NC-OBC Category) or Rs. 500 /- (for SC, ST an d DA ) is payable by candidates in the form of a Demand Draft (DD)/Banker’s Cheque (BC) drawn in favour of “Indian Institute of Management Indore”, payable at Indore. Application Fee is non-refundable. 1. 2. 3. 4. 5. 6. Application Fee Details; Drawee Bank Branch Location DD/BC No. DD/ BC Date Amount (Rs.) (I) PERSONAL DAT A T Name of the Candidate (As given in the certificates) D D M Date of Birth M Y Y Y Y Age as o n July 31, 2014 Years Months Gender (Tick appropriate one) Male Female Affix your recent passport size colour photograph here Category (Tick appropriate one) General NC-OBC SC ST Please tick the relevant box if you belong to Differently Abled (DA)/Persons with Disabil ity (PWD) catego ry and your Physical Disability is to the extent of not less than 40% (as per the Person with Disabilities Act, 1995) Blindness/ Locomotors Disability/ Hearing Impairment Cerebral Palsy Low Vision Please mention the percentage of Disability (%) Note: (Candidates belonging to NC-OBC/SC/ ST/DA(PWD) need to submit valid cer tificate...
View Full Document

{[ snackBarMessage ]}

Ask a homework question - tutors are online