Jagannnath Institute of Management Sciences

Jagannath Institute of Management Sciences

Online Application Form for Admission

* mandatory fields

Personal Information

Programme Applied for:

Category:

General Management

Campus Location:

Full Name:

(The name should be as in the certificate of last examination passed.)

Gender:

Male Female

Date of Birth:

[dd/mm/yyyy]

Marital Status:

Single Married

Nationality:

Address of Communication:

Telephone Number:

Mobile:

E-mail Id:

Academic Qualifications

Exam passed	Board/Univ.	Stream	Year	Aggregate Marks	Percentage
X
XII
Graduation
Any other Quatification

Payment Details

Draft No.

* DD. Date: [dd/mm/yyyy]

Name of Bank

Details of Qualifying Written Test (MAT/CAT):

Qualifying Test:

Date of Examination:

[dd/mm/yyyy]

Roll Number:

Score:

Undertaking by the Applicant

1. I declare that the above information in the application form is correct to the best of my knowledge.
2. I agree to abide by the rules and regulations of the Jagannnath Institute of Management Sciences.

Note the following points carefully:
1. Attested copies of certificates must be attached with the application form and 2 passport size photographs at the time of admission.
   i) Original certificates are required to be submitted at the time of admission)
   ii) Secondary School certificate or any other certificate for verification of date of birth.
   iii) A certificate of marks obtained at the (a) Secondary (b) Senior Secondary (c) Graduate level
   iv) A character certificate from the Head of the Institution last attended.
2. Right of admission to the institute is reserved. In case of any dispute, the decision of the Management shall be final and binding.