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Registration Form / Admission Form
Course:*
Name:*
As written in Matriculation (10th) Certificate
Father's Name:*
Date Of Birth (like : 01-Jan-1998):*
Gender: Male Female 
Aadhaar No:
Nationality:
Address of Correspondence:*
Permanent Address:
Mobile Number:*
Telephone Number:
Email:*
Educational Background
Examination Board/University Year Of Passing Total Marks Percentage
(a) Matric
(b) 10+2 or its equivalent
(c) BA/B.Com/B.Sc./BBA/BCA
(d) BJMC/PGDMC/PGDAPR
Counsellor Name
Declaration

Director,
International Institute of Management, Media & IT (IIMMI).
Delhi
Sir,
I wish to apply for admission in International Institute of management, Media & IT. , Delhi and promise to abide by the Rules 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.
By submitting this form I completely agree with the above statement.

INTERNATIONAL INSTITUTE OF MANAGEMENT, MEDIA & IT

Delhi (NSP) :
G-23, Ground Floor, NDM-1, Netaji Subhash Place(NSP),
Pitampura, Delhi -110034

Ph. : 9560434466
E-mail: info@iimmieducation.com, admissions@iimmieducation.com, iimmiindia@gmail.com

Haryana:
Sector -6, Near Gauriyya Tourist Complex,
Bahadurgarh (Haryana)
Mob. : 01276-242511
Email: iimmibahadurgarh@gmail.com

www.iimmieducation.com