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Registration Form / Admission Form
(As in Matriculation Certificate)
Father's Name:*
Date Of Birth (like : 01-Jan-1998):
Gender: Male Female 
Address of Correspondence:
Permenent Address:
Mobile Number:*
Telephone Number:
Fee Payment Details (Leave blank if you want to Pay Online/Cash/NEFT)
Demand Draft Number:
Demand Draft Issuing Bank:
Demand Draft Branch Name:
Demand Draft Date:
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
12th (10+2) Roll No

International Institute of Management, Media & IT (IIMMI).
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.