International School of Informatics & Management
Accredited with grade ‘A’ by NAAC
Technical Campus, Sector-12, Mahaveer Marg, Mansarovar, Jaipur – 302 020 (Raj.)
Phone : 0141-2781154-55, Fax : 0141-2781158, email : iiim@icfia.org, Web : www.icfia.org

RENEWAL OF ADMISSION (Provisional) (To be filled in by the Applicant)

APPLICATION FORM–MBA, Batch-2015/16, Session 2017-18)

1. Admission No. : MCA/
2. Name (English):
Name: (Hindi)
3. Father’s Name: Mobile email
4. Mother’s Name: Mobile email
5. Residential Address:
Telephone: (Res.) Mobile email
6. Permanent Address
Telephone: (Res.)
Mobile
Email
7. Date of Birth (Day/Month/Year) :
8. Background (General/SC/ST/OBC/PH/KM/OTH.): Religion: Caste:
9. Detail of last exam. :
Aadhar No. :
Training/Project Undertaken :
Name of the Organisation:
Address:
Telephone:
Name of the Guide:
Address:
Telephone:
Area:
Project Title: Duration:
Date
 
Place
Date
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Upload the Signature of deponent
Upload the Signature of Father
Upload the Signature of Mother