Admissions

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Online Application

(Fields with * are compulsory and have to be filled completely.)

Course Applied For*

First Name Mr./Ms. *

(eg.Raj)

Last Name *

(eg.Garg)

[The name should be as in the certificate of the last exam passed]

Date of Birth : *(mm/dd/yyyy)

Identification Mark

Blood Group

Marital Status

Married Unmarried

Gender

Male Female

Religion

Nationality

Languages Known

Please select the region you belong to*

Father's Name *

Occupation (giving details)

Office Address

Office Tel

e-mail

Mother's Name

Occupation (giving details)

Office Address

Office Tel

e-mail

Parent's Monthly Income (Rs.)

Residential Address *

Tel. No. *

( eg.0141-27042296 )

e-mail *

Address for communication *

Local Contact Address
[in case of out-station candidates only]

Tel. No.

Hostel Address
[In case of out-station candidates only]

Tel. No.

In case of emergency

Name of Contact Person	Address	Tel. & Mobile.

Exam Passed	Name of the Course	Board/ University	Year	Subjects	Marks	%
Academic Qualifications *
X
XII
Graduation
Post Graduation
Computer Course
Any Other Course

Participation in Extra-curricular Activities

Name of Company	Address of the Company	From... To...	Designation	Nature of work	Salary
Professional Experience

Name	Occupation	Address	Tel. No
Reference of two persons not related to you.

You are requested to kindly send in the following documents by post at the earliest.
* State briefly in not more than 200 words, "your objective in pursuing the aforesaid programme at JIMS."
* "To grow in business you need not to be dishonest" Elucidate in not more than 200 words.
Where did you come to know about the Institute and the programmes:
Friend/Family Newspaper Magazine
Please specify the name of magazine / newspaper
* Attested copies of certificates listed below must be sent by post: Demand Draft of Rs.850/- in favour of JIMS, payable at Jaipur Class X Marksheet and Certificate. Class XII Marksheet and Certificate. Graduation Marksheet and Degree. Post Graduation Marksheet and Degree. Character Certificate. Extra-curricular activities certificate(if any). Three Passport Size Photographs.
Examination Taken
Roll No.	( eg.20000017 )
Score*
Examination Date (mm/dd/yyyy)	( eg.12/31/2001 )

Jagan Institute of Management Studies
Jaipur

Sir,
I wish to apply for admission to Jagan Institute of Management Studies, Jaipur and promise to abide the Rules 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 understand and agree that misrepresentation or omission of facts will justify the denial of admission, the cancellation of the admission or expulsion.

I further declare that I shall submit myself to the disciplinary jurisdiction of the Director of the Institute.

I have read and do hereby consent to the terms and the conditions for the admission mentioned in the prospectus.

Place *

( eg.Jaipur )

Date (mm/dd/yyyy) *

( eg.12/31/2001 )