Application Form

Application form for Course : IMU CET

Fields Marked with * are Mandatory


PERSONAL DETAILS
FIRST NAME*
MIDDLE NAME
LAST NAME
DATE OF BIRTH*
MOBILE NO.*
E-MAIL ID*
PASSPORT DETAILS
PASSPORT NO.
DATE OF ISSUE
VALID UPTO
PLACE OF ISSUE
10th ACADEMIC QUALIFICATION
RESULT STATUS*
YEAR OF PASSING*
ENGLISH PERCENTAGE*
FINAL PERCENTAGE*
SCHOOL / COLLEGE*
BOARD / UNIVERSITY*
12th ACADEMIC QUALIFICATION
RESULT STATUS
YEAR OF PASSING
ENGLISH PERCENTAGE
PCM PERCENTAGE
FINAL PERCENTAGE
SCHOOL / COLLEGE
BOARD / UNIVERSITY
DIPLOMA DETAILS
BRANCH
RESULT STATUS
YEAR OF JOINING
YEAR OF PASSING
ENGLISH PERCENTAGE
FINAL PERCENTAGE
AGGREEGATE PERCENTAGE
SCHOOL / COLLEGE
BOARD / UNIVERSITY
DEGREE DETAILS
COURSE
RESULT STATUS
YEAR OF JOINING
YEAR OF PASSING
ENGLISH PERCENTAGE
FINAL PERCENTAGE
AGGREEGATE PERCENTAGE
SCHOOL / COLLEGE
BOARD / UNIVERSITY
UPLOAD DOCUMENTS
10th Class Marksheet* - (Colour Scan)(format: PDF - 200 KB)
12th Class Marksheet - (Colour Scan)(format: PDF - 200 KB)
Aadhaar Card* - (format: PDF - 200 KB)
Rank Card (If Any) - (format: PDF - 200 KB)
OBC/SC/ST/NCL certificate - (format: PDF - 200 KB)
Photograph* (as described in guidelines) - (format: JPG/PNG - 200 KB) (Click here for sample)

* Academic issued by the state open board shall not be accepted by the IMU, 10th 12th mark sheet of National Institute of Open Schooling {NIOS} is permitted.
* I wish to attend preparative training as an extra if provided by the institute; send mail /request: msm@gmail.com.

I hereby declare that I have read and understood the conditions of eligibility for the course to which I seek admission.
I fulfil the minimum eligibility criteria and I have provided necessary information in this regard.
In the event of any information being found incorrect or misleading my candidature shall be liable to cancellation at any time and I shall not be entitled to refund of any fee paid by me to the Academy.
The original certificates will be produced at the time of interview.