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Admission Application Form

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M.Tech B.Tech BBA B.COM B.SC.(MED) B.SC.(NON- MED) D(PHARMA) BSC(Nursing) ANM BCA BA Diploma Engineering

Please tick below if you belong to any of the following categories (for statistical information or for getting the benefit of relaxation in age or marks in the qualifying examination for eligibility or merit or reservation of seats I whichever is applicable).


Male Female Transgender

GEN SC ST OBC

Educational Qualification No :

Name of Qualifying
Examination Passed*
School/College from which passed Month/Year of Passing Univ./Board Maximum Marks Marks Obtained % Marks and Division
Graduation
10+2
10th
Any Other

If you required Hostel :

Yes No

If you required Transport :

Yes No

Declaration by the Applicant:

I declare that entries made by me in this Application Form are true and correct in all respects and in case any entry or information given by me in this form is found to be false, this shall entail automatic cancellation of my admission besides rendering me liable to such action as the University may deem proper.

I have noted that my admission to the College and my continuance on its rolls are subject to the provisions of the University and other rules and instructions as may be applicable from time to time. I also undertake that I shall abide by the rules of discipline and proper conduct as are applicable from time to time in the University.

I am fully aware of the Regulations of the UGC and other Regulating Bodies and law regarding Ragging as well as the punishment and that if found guilty on the account, I am liable to be punished accordingly. I undertake that i shall not indulge in any act of ragging. I also undertake that I have read and understood the Prospectus 2020-21 issued by the IITM Group.