Professional Documents
Culture Documents
Note :-
Before you mail this form, you must fill-up the CAT registration number (as indicated on your
CAT admit card issued by IIMs, during October 2009). The applicant should also attach a
photocopy of his/her CAT Admit Card. The filled in form, complete in all respects, should
reach IIFM Bhopal on or before 10th December 2009. Any application form without CAT
Registration No. will be considered invalid.
City:
State:
Pin:
Completed Application Form should reach IIFM on or before 10th December 2009
8. Contact STD Code: Telephone No. :
Mobile No.:
% marks
Particulars Board/University Year Exam Pass
secured
S.S.L.C./High School
Inter/Higher Secondary
Graduation
Post Graduation
Note:- Candidates purchasing application form from Coaching Institutes should enclosed the copy
of payment receipt along with this application form and such candidates should not attach
Demand Draft again.
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13. Briefly state the purpose for which you want to pursue PGDFM programme at IIFM:
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DECLARATION
14. I hereby declare that all the details given above are true, complete and correct to the
best of my knowledge and belief. In the event of any information being found false or
incorrect, my admission would stand cancelled without any further notice.
Date: …………………….
Place: …………………….
This is also to certify that he/she does not belong to the persons/sections (Creamy Layer)
mentioned in column 3 of the schedule to the Government of India, Department of Personnel
& Training O.M. No. 36012/22/93-Estt. (SCT), dated 8.9.93.
Dated
District Magistrate
Seal
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NB
(a) The term ‘ordinarily’ used here will have the same meaning as in Section 20 of the
Representation of the Peoples Act, 1950.
(b) Where the certificates are issued by Gazette Officers of the Union Government or
State Governments, they should be in the same form but countersigned by the District
Magistrate or Deputy Commissioner (certificates issued by Gazette Officers and
attested by District Magistrate/Deputy Commissioner are not sufficient).