ADMISSIONS

Online Registration Form                     

Please ensure all required fields marked [ * ] are complete.

         
 

* Course Applied for

:
 
     Category 
:
 
ST
  * Full Name
:
 
(The name should be as in the certificate of last   examination passed.)
  * Date of Birth
:
 
(mm / dd / yyyy)
  * Marital Status
:
 
Single   
  * Gender
:
 
Male Female  
  *  Nationality
:
 
  * Address for Communication
:
 
  * Telephone Number
:
 
 
ISD    
*STD
Phone Number
 
  * Mobile
:
 
  * E-mail Id    
         
  Academic Qualification :
   
 
 
 
Detail of Demand Draft(DD) : [optional]
       
DD Number
:
 
DD Date
:
 
Bank :  
Branch    
Amount    
       
*DD Should be of Amount 600 in Favour of "INDRAPRASTHA INSTITUTE OF TECHNOLOGY AND MANAGEMENT" Payable at New Delhi.
 
Details of Qualifying Written Test (UGAT) : [optional]
       
Date of Examination
:
 
Roll Number
:
 
Score :  
       
Declaration by Student :

Director
INDRAPRASTHA INSTITUTE OF TECHNOLOGY AND MANAGEMENT
Delhi

Sir,

I wish to apply for admission at INDRAPRASTHA INSTITUTE OF TECHNOLOGY AND MANAGEMENT(IITM), Delhi and promise to abide by the Rules and Regulations of the Institute. I certify that the information given by me in this application form is correct and complete to the best of my knowledge and belief. I agree to be assigned for teaching to any of the campuses of the Institute in Delhi without any prior notice. I understand and agree that misrepresentation concealment or omission of any fact will justify the denial or cancellation of the admission or expulsion from the Institute. I further declare that I shall submit myself to the disciplinary jurisdiction of the Director of the Institute.

 
    * Place  
    * Date  
         
   
 
 
 
 
 
 
 
                       
 
 
INDRAPRASTHA INSTITUTE OF TECHNOLOGY AND MANAGEMENT(IITM)
D - Block, Janakpuri Institutional Area , New Delhi - 110058
Tel : 9312727273 ,4 ,5 ,6 ,011 - 28525882 ,28525051 , 28520239
 
 
Copyright 2008 © IITM - All rights reserved