Professional Documents
Culture Documents
Lodhi Road
Gurgaon
Greater Noida
Instructions
1.
2.
3.
4.
5.
Personal Data
Gender:
Male
Female
______________________________________________
Academic Qualifications
Class X details
CAT
MAT
ATMA
XAT
JMET
GMAT
CMAT
Date Taken / To be Taken Language Score Math Score Total Percentile / Score
Family
Mothers name ________________________
Fathers name_____________________________
_________________________________________
_________________________________________
Occupation ________________________________
Occupation_______________________________
IILM Website
Alumni
Yes
No
Declaration by Applicant:
I declare that all information in my application is complete, factually correct, and honestly presented. I
have read the rules and regulations mentioned in the prospectus and will adhere to the same.
Signature __________________
Date _____________________
This information contained in this form will be used for the purpose of processing your application and, if it is successful, it
will form the basis of your Institute record. Please return the completed application with all required documents. This form is
free; no payment is required at the time of form submission.
Date:
Poor
1
Fair
2
Average
3
Good
4
Superior
5
Metro
Interviewer 1____________________________________Signature_____________________________
Interviewer 2____________________________________Signature_____________________________
Admission Manager___________________________________________________________________
(For official use only)
Date
Application No.
Counselors Remarks