No.

__________

Reg. No.__________

INDIAN INSTITUTE OF MANAGEMENT & COMMERCE

Accredited by NAAC with B Grade
SPONSORED BY VASAVI FOUNDATION AFFILIATED TO OSMANIA UNIVERSITY 6-1-91,ADJ.TELEPHONE BHAVAN, KHAIRTABAD, HYD-500 004. PH:23237902,23231542

APPLICA TION FOR B . Com . (Gener al) APPLICATION Com. (General)

1. Name of the applicant in full 2. Fathers Name Phone Number if any 3. Contact Address : : : : ____________________________________ __________________________ (O)___________(R)__________ __________________________ __________________________ __________________________ _______________________Pin Code:__________ 4. Date of birth as given in the H.S.C. : S.S.C. / X class record or any other equivalent document. 5. Particulars of Intermediate or I.S.C. or any other equivalent Examination passed Name of College Qualifying Exam. Class/ Division % Group Medium Marks Passed in one in English attempt or Comp.
A recent Pass-port size Photograph of the Candidate shall be affixed here.

Parents Mobile Number

6. State whether you belong to : SC/ST/BC.Tick the appropriate box A 7. Second Laungage (Hindi/Sanskrit/Telugu) 8. Physically Handicapped/ N.C.C./ N.S.S./ Ex-Servicemen/ Extra Curricular 9. Games & Sports played & Year :

BC

SC
B C D

ST

For Item Nos. 4,5,6,8&9 photostat copies of certificates should be enclosed

International/National/Schools Nationals/State (Inter Dist.) /Inter Junior College. I abide by the rules of admission and if found ineligible at any stage my admission may be cancelled.

10. Declaration

SIGNATURE OF THE PARENT/GUARDIAN

SIGNATURE OF THE APPLICANT

LAST DATE FOR SUBMISSION IS :

2013