Accman Institute of Management

Form Cost: Rs. 1000/-

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Personal
Education 1
Education 2
Work
Others
Declaration
Documents

Personal

Your Name *

Email *

Mobile Number *

Date of Birth *

Address *

City *

PIN Code

Country *

Are you an NRI? *

Father's/Husband's name *

Father's Profession/Business

Father's Designation

Name of the Organization where your Father works

Father's Office Address

Father's Official Phone No.

Education 1

Class 10th Board Name *

Class 10th School Name *

Class 10th Year of Passing *

Class 10th Marks % *

Class 10th Subjects Name *

Class 12th Board/University Name *

Class 12th School Name *

Class 12th Year of Passing *

Class 12h Marks % *

Class 12th Subjects Name *

Education 2

Graduation University Name *

Graduation College Name *

Graduation Year of Passing *Expected year, if not already graduate

Graduation Marks %

Graduation Subjects name *

Post Graduation Board/University Name

Post Graduation College Name

Post Graduation Year of Passing

Post Graduation Marks %

Post Graduation Subjects Name

Professional Qualification (if any)

Work

Are you employed? *

Name of the Organization you worked at

Address of the Organization

Your Designation

Job Profile

Period from which you worked at previous organization

Period till which you worked at previous organization

Others

CAT Score, if appeared

MAT Score, if appeared

XAT Score, if appeared

ATMA Score, if appeared

Any Other Test Scorealso specify the test name

Do you require hostel accommodation? *

Special Achievements (If Any)

Extra Curricular Activities/Hobbies

Declaration

I, the undersigned, affirm that the information furnished above is correct to the best of my knowledge and belief; and that I will accept as final and binding; the decision of ACCMAN INSTITUTE OF MANAGEMENT regarding my admission . If any information provided by me is found to be false or incorrect at a later date; I will be held solely responsible for the legal and other consequences. I hold my self-responsible for the dues and prompt payment of fees; if selected. I have noted that fees once paid are not refundable; under any circumstances. * Yes

Documents

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