IEM-MANAGEMENT COLLEGE
(Approved by AICTE & Ministry of HRD, Govt.of india)
Campus: Kursi Road, P.OAnwari,Barabanki -225302
Phone:05240-273431; Telefax::05240-2733708; E-Mail:iempgdm@gmail.com
Permanent Student Identity (PSI) : PGDM
(FILL IN THE BLOCKS BELOW IN CAPITAL LETTERS USING BLUE INK ONLY )
Status
Graduate
Post Graduate
Name
Father's Name
Mobile No.
Mother's Name
Mobile No.
Occupation
(a)Father
(b)Mother
Permanent Address
City
Pin Code
TelePhone
Mailing address
E-Mail(self)
Date Of Birth
Mobile(self):
Whether You Belong to
SC
ST
OBC
GEN
Academic & professional Qualification : (Start with last examination passed)
Examination
Board/University
Passing Year
Main Subject/Specialization
% of Marks
Hobbies :
Any Other achievements :
Any other information which the candidate may like to share :
Note:
1.Attested copies of the mark sheets should be enclosed
2.Original character certificate from the last school/college attended/gazetted officer should be enclosed
3.Fees once paid shall not be remitted under any circumstances.
4.Disputes if any will be subject to lucknow jurisdication