Admission Procedure for VMRF-DU (IIKM) courses

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					                    Admission Procedure for IIKM courses.

1. The admission procedure is given below:

Students after downloading the Application form from http://iikm.net have to send the
duly filled application form along with the required documents and draft to IIKM, 91,
Valluvarkottam High Road, Nungambakkam, Chennai-600034, Ph.044 – 28214342
address.

2. The Documentation required for admissions: 2 set copies of
a. Attested Copy of Graduation / Diploma certificate.
b. In case of final year students : All 3 years mark sheets (Attested Copy)
c. Proof for Date of Birth
d. 3 Photograph's


3. The Course Fee Details:
Check the fee details from the relevant course page.

Note: Please add the courier charges for sending the study materials (depends on the
location to be delivered).

4. The Course Fee to be paid:

Any payments (Course Fees, Late Fees, Registration Fees, etc). can be made in Demand
Draft / MICR Cheques to be drawn in favor of “IIKM-Chennai”.

5. Process of Completed Applications:

On receipt of the form and after a scrutiny, the institute will send an admission
confirmation with ID card and the first semester study material kit (courier charges
applicable).




                                              Application form           …………. Page 2
                                               Application for Admission
1. COURSE DETAILS                                                                                           Application No.
 Course Name:
 Enrollment Period: 200                 - 200                   Batch: July / January
 Department: Arts / Science / Management / Paramedical / Nursing / Engineering / Diploma / M.Phil / Ph.D
2. PERSONAL DETAILS (Use Capitals Only)
 Name : Mr./ Ms:

                                      (As it appears in Official Records)
 Sex:          Male / Female
 Mailing Address :                                                                                                       Paste a recent color
                                                                                                                            Photograph.

                                                                                                                             Do not staple
                                                      City :

 State:                                                Pin:

 Email* :
 Date of Birth: (Date /Month /Year):
 Telephone Number ( Please fill the phone no. with relevant STD code)
 (a) Phone No. (R):                                         (b) Phone No.(O) :
 (c) Mobile No.:
 Parent’s/Spouse’s Name : Mr./Ms.

3. ACADEMIC RECORD
 Examination Level          Qualification            Board / University / Institute   Medium of Instruction      Marks (%) /Grade       Year of Passing

 XII Class


 Bachelor’s Degree

 Master’s Degree

 Professional

 Others

4. CURRENT EMPLOYMENT DETAILS

 Name of the Organization & Address


 Date of Joining                                                            Present Designation

I have carefully read the rules and regulations of University as given in the prospectus. I also understand that university reserves the right to
change/modify the rules and regulations from time to time and I agree to abide by the same. I hereby declare that the information provided
by me in the Application is true and correct to the best of my knowledge. My signature below certifies that I have read, understood and
agree to the rules and regulations.

Place :
Date :                                                                                                      Signature of the Student

                FOR STUDY CENTRE USE ONLY                                                        FOR UNIVERSITY USE ONLY
 Date of Joining :                          Branch Code:                     Register No.
 Mode of Payment: DD/Cheque                 Center Code:

 Name of Study Center: IIIKM
                                                                             Date of Registration :


 Authorized Signatory & seal
                                                                             Authorized Signatory                                   Director

				
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posted:9/11/2012
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