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Registration Form / Admission Form
Course:*
Name:*
(As in Matriculation Certificate)
Father's Name:*
Date Of Birth:
Gender: Male Female 
Nationality:
Address of Correspondence:
Permenent Address:
Telephone Number:
Mobile Number:*
Email:*
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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
Declaration

 Director

International Institute of Management, Media & IT.
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.