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POST GRADUATE PROGRAMME IN MANAGEMENT
Application Form for the Batch 2010 – 2012 Affix a recent passport size photograph
Category (Tick): General
(If NC-OBC, SC, ST or DA,
attach necessary certificates)
Date of Birth (DD / MM / YYYY):
CAT Registration No./Prometric Testing ID:
Test Date: Current Mailing Address:
Test Site Code:
Pin Code: Landline No.: E-mail ID: Mobile No.:
___________________________________________________________________________ + Differently Abled
N.B.: This Application Form should be completely filled in and sent to Admissions Office, Indian Institute of Management Calcutta, P.O. Joka, Diamond Harbour Road, Kolkata 700 104, W.B. latest by 31st March, 2010. Incomplete application forms or application forms not received by the due date will not be considered.