Jagannath International Management School

Online Application Form for Admission

* mandatory fields

Programme Applied for:

Category:

General

Campus Location:

Full Name:

(The name should be as in the certificate of last examination passed.)

Gender:

Male Female

Date of Birth:

[dd/mm/yyyy]

Marital Status:

Single Married

Nationality:

Address of Communication:

Telephone Number:

Mobile:

E-mail Id:

Academic Qualifications

Exam passed	Board/Univ.	Stream	Year	Aggregate Marks	Percentage
X
XII
Graduation
Any other Quatification

Details of Qualifying Written Test (MAT/CAT)

Qualifying Test:

Date of Examination :	[dd/mm/yyyy]

Roll Number :

Score:

Undertaking by the Applicant

1. I declare that the above information in the application form is correct to the best of my knowledge.
2. I agree to abide by the rules and regulations of the Jagannath International Management School.

Note the following points carefully:
1. Attested copies of certificates along with two passport size photographs afre to be attached with the admission application form.
2. At the time of admission the following are to be submitted:
   i) Original certificates
   ii) Secondary School certificate or any other certificate for verification of date of birth.
   iii) Marksheets of Xth and XIIth standard and of graduation examination.
   iv) Character certificate from the Head of the institution last attended..
3. Right of admission to the institute is reserved. In case of any dispute, the decision of the Management is deemed to be final and binding.