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Photograph Name of The Course Applied For

This document is an application form for the Asian Institute of Management Technology. It requests information such as the applicant's name, contact details, educational background, work experience, examination preferences, and payment options. The applicant must also provide documents like a resume, academic certificates, references, photographs, and an application fee. The applicant declares that all information provided is true and complete. The form is then submitted to the institute for review.

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7827126391
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© Attribution Non-Commercial (BY-NC)
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Download as PDF, TXT or read online on Scribd
24 views

Photograph Name of The Course Applied For

This document is an application form for the Asian Institute of Management Technology. It requests information such as the applicant's name, contact details, educational background, work experience, examination preferences, and payment options. The applicant must also provide documents like a resume, academic certificates, references, photographs, and an application fee. The applicant declares that all information provided is true and complete. The form is then submitted to the institute for review.

Uploaded by

7827126391
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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APPLICATION FORM

ASIAN INSTITUTE OF MANAGEMENT TECHNOLOGY

Course details:
Photograph
Name of the course applied for: _________________________________________

Specialization (if any)

Candidate Details:
Name in full: Shri/ Smt/ Kum:

Father's/Husband's Name:

Mother's Name:

Address for correspondence:

Pin

Telephone No: Mobile No:

E-mail ID:

Permanent Address:

Pin

Marital Status: Married ( ) Unmarried ( ) Others (pl specify) ( )


(Please tick whichever is applicable)

Date of Birth (DD/MM/YY):


Gender: Male( ) Female ( )

(Please tick whichever is applicable)

Educational Qualifications:

Degree Name of University/Board Month and Year Percentage


Institution of passing

Any other qualifications, please specify:


______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Experience Details:

Name of Date of Joining Date of Leaving Designation Nature of Work


Employer

Examination Options:

Classroom System: ( ) Online Test( ) Exam From Home ( )

Fees Payment Options:

Cash ( ) Cheque( ) Demand Draft ( )


Cheque/DD Details: Amount____________ Dated_________________Drawn on: _____________________
Declaration:

I, _____________________________, Son/Daughter of _____________________, hereby declare that all the


statements made in this application are true and correct to the best of my knowledge and belief. I understand that in the
event of any information being found false or incorrect, my candidature for the said programme is liable to be
cancelled/rejected at any stage without giving any notice to me.

Date:

Place:

(Signature of the Applicant)

For Office Use only:

Name of the Counselor:

Documents Attached:
… A Latest CV or resume
… Photocopy of Academic certificates
… Two references
… Three Passport Size Photographs
… A non-refundable application fee

Received by:

Date: ___________________________

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