Professional Documents
Culture Documents
Stamp size
Course: _____________________________________________________________ photograph to
be attested
dully signed
Roll No. :___________________________________________________________ across
(For IIMM use)
CHOICE OF EXAM CENTRE :
(Select from the prospectus)
1. Name of the applicant (in BLOCK LETTERS, as in 10 +2 mark sheet/UG/PG/PG Diploma certificate)
2. Father’s Name
Declaration
I declare that all the information submitted in this application form is correct and complete. I
acknowledge that the IIMM reserves the right to vary or reverse any decision regarding admission on the
basis of incorrect or incomplete information provided by me.
I declare further that I had read & understood all contents of this application form & information
Brochure and that I am bound by all their contents for all purpose.
Max. Marks Min. Marks Marks obtd. Admitted Yes ……… No…….
Aptitude Test 100 50
Viva Voce 100 50 Signature of Course Coordinator