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
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
Application form …………. Page 2
Application for Admission
1. COURSE DETAILS Application No.
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
Do not staple
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
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.
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