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Rohtak Form

The document is an application form for admission to the Post Graduate Programme in Management at the Indian Institute of Management Rohtak for the 2010-2012 batch. It requests information such as the applicant's name, date of birth, CAT registration number and score, current contact details, and category. The applicant must sign and submit the completed form by April 20, 2010 to be considered for admission. Incomplete or late applications will not be accepted.

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34 views

Rohtak Form

The document is an application form for admission to the Post Graduate Programme in Management at the Indian Institute of Management Rohtak for the 2010-2012 batch. It requests information such as the applicant's name, date of birth, CAT registration number and score, current contact details, and category. The applicant must sign and submit the completed form by April 20, 2010 to be considered for admission. Incomplete or late applications will not be accepted.

Uploaded by

prats_kill
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIAN INSTITUTE OF MANAGEMENT ROHTAK

POST GRADUATE PROGRAMME IN MANAGEMENT

Application Form for the Batch 2010 – 2012


Affix a recent
passport size
photograph

Name:

Category (Tick): General NC-OBC SC ST DA+ (If NC-OBC, SC, ST or DA,


attach necessary certificates)

Date of Birth (DD / MM / YYYY): Voucher No.:

CAT Registration No./Prometric Testing ID: SR CAT Score: Percentile

Test Date: Test Time: Test Site Code:

Current Mailing Address:

Pin Code:

Landline No.: Mobile No.:

E-mail ID:

Date: Candidate’s Signature:

___________________________________________________________________________
+ Differently Abled

N.B.: This Application Form should be completely filled in and sent to Admissions Office, Indian Institute of
Management Lucknow, Prabandh Nagar, Off Sitapur Road, Lucknow 226 013, U.P. latest by 20th
April, 2010. Incomplete application forms or application forms not received by the due date will not be
considered.

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