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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]
     
* Age: years  months
     
* Marital Status: Single Married
     
* Nationality:
     
* Address of Communication:
     
* Telephone Number:    Mobile:
     
* E-mail Id:
     
* Father's Name:  
     
* Father's Occupation:  
     
* Mother's Name:  
     
Person Name to be contacted Address Mobile Number
     
* Academic Qualifications  
Exam passed
Board/Univ.

Stream

Year
Aggregate Marks
Percentage
X

XII

     
  
Payment Details:
DD No. DD Date Amount Name & Address of Bank

Declaration by Student :

Director
JaganNath Institute of Management Sciences
Delhi


Sir,

I wish to apply for admission at JaganNath Institute of Management Sciences, Delhi and promise to abide by theRules 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.

     
Date (mm/dd/yyyy) * Place *

Note :: Kindly ensure that all the fields are filled correctly.