Application Form
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Personal Information
*Name of the applicant
(Salutation) (First Name) (Middle Name) (Last Name)
*Date of Birth *Gender Male Female
*Nationality Country of Domicile
Place of Birth Blood Group
Correspondence Address
*Address Line 1 *Mobile No.
Address Line 2 Alternate No.
*Town/City Telephone
*Country
*Email Address
*State
*Confirm Email
*Pincode

Permanent Address Same as Correspondence Address?   Yes No

Residential/Permanent Address
*Address Line 1 *Mobile No.
Address Line 2 Alternate No.
*Town/City Telephone
*Country
*Email Address
*State
*Confirm Email
*Pincode
Other Details
Facebook Account Linked IN
Twitter
Do you need hostel accommodation? Yes  No
Do you need transport? Yes  No
Father's Details
Salutation *Name
Occupation/Profession Designation
Employer Telephone(office)
Address(Official) Email Address(Personal)
Town/City Email Address(Office)
Country
*Telephone(mobile)
State
Pincode
Mother's Details
Salutation Name
Occupation/Profession Designation
Employer Telephone(Office)
Address(Official) Email Address(Personal)
Town/City Email Address(Office)
Country
Telephone(mobile)
State
Pincode
Local Guardian/Emergency Contact Details
Salutation Telephone(Office)
First Name State
Last Name Street Address
Town/City Pincode
Country
Relationship
Guardian Mobile Email Address
Upload Your Photo
 
Do you want to upload your photo now ?   Yes  No 
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Course Details
*Please select Course category option
  Post Graduate   
Questions
Hobbies/Interests
Strengths
Weaknesses
Achievements/Awards
Reason for pursuing the program
Why did you choose ISM
Suffering from any known diseases/allergies
*Do you wish to apply for a scholarship? Yes No
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Qualification Details
Qualification Degree status Board/University Year of passing School/College Name School/College City School/College Country Marks%/Grades Course Stream Program Mode
  *10th
  *12th
*Graduation
Others
Work Experience details
Duration/Year Organization Designation Last Salary Drawn
Note: Please click on Next button to save your form and proceed.
Test Details
*Have you Appeared/Appearing in PROFESSIONAL ENTRANCE EXAM?
  Yes    No   
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How did you hear about ISM Programme?
*How did you hear about ISM Programme?         
Payment Procedure
Online through Debit/ Credit Card
DD/Cheque
Debit / Credit Card
TO PROCEED WITH PAYMENT PLEASE VERIFY THE DETAILS BELOW BEFORE GOING TO PAYMENT GATEWAY
*NAME
*AMOUNT (RS)
DD Details
*DD Amount
*DD Number
*DD Drawn Bank
*DD Dated
Cash Payment Details
*Cash
Campus Address
 

Campus Address
IIMT School of Management (ISM)
Garhi Murli (Garhi Bazidpur), Sohna Road, Gurgaon - 122102, Haryana
Contact no.: 1800 200 1189 (toll free)
Email: admissions@ism.edu.in | www.ism.edu.in

 
Application enclosures
Note: Your application should be accompanied by 1 set of photocopies of the following documents or at your next visit to ISM.
Class X Certificate(if available) Yes No
Class XII Certificate(if available) Yes No
Graduate Marksheet(if available) Yes No
Declaration by Candidate
 

I confirm that the information given in this form is correct and complete to the best of knowledge. Also, I have not been convicted by a court for any criminal offence.




 
    I Agree
   
Version 13.06.01