Faculty of Management Studies

INSTITUTE OF RURAL MANAGEMENT, JAIPUR

(Affiliated to AICTE, Ministry of HRD, Govt. of India)

Application for Admission in Session (2018 - 19)

Estd. 1994

( Post Graduate Diploma in Business Management )

( Post Graduate Diploma in Management – Rural Management )


CONTACT  DETAILS

PERMANENT  ADDRESS (For all communication by the Institute)

OTHER  INFORMATION

(This information is required for database purposes only and will not have any impact on the Admission process)
Family Details Name Qualification Occupation Mobile No Email Id
Father
Mother
Guardian

ACADEMIC  INFORMATION

Name of Examination Board / University Name of Institution Year Subject CGPA / Percentage
CLASS X*
CLASS XII*
Graduation*
Post-Graduation
Others

ACADEMIC / PROFESSIONAL / EXTRA - CURRICULAR  ACHIEVEMENTS


WORK  EXPERIENCE



CHECKLIST  OF  ENCLOSURES


DECLARATION  BY  THE  APPLICANT 


1. All the particulars given by me in this application form are true and correct to the best of my knowledge.
2. I shall immediately inform the institute in writing, if there is any change in the information I have provided in this application.
3. I have carefully read and understood the instructions of the institute and agree to abide by the rules and regulations mentioned therein.
4. I am aware that the fee deposited by me is not refundable, except the caution deposit, that too after making necessary deductions. I am fully aware and accept the responsibility of all expenses towards my education related matters while studying in the institute.
5. I will not use any type or any form of unfair means during any of the examinations conducted by the institute. In case I am found guilty, my examination(s) may be cancelled.
6. I am aware that 75% attendance in the class is made compulsory by the institute. If, I do not fulfill the condition, I may not be permitted to appear in the examination(s).
7. While enrolled in the institute, if I indulge in any act of ragging, indiscipline, misbehavior, unethical, immoral, anti-social, anti-national, criminal, illegal activities or acts prohibited by law, the institute will have the right to take strict disciplinary action (Rustication/ Penalty/Legal action/Forfeiture etc.) against me. In such circumstances neither I, nor my parents/guardians/relatives shall claim any sort of damages from the institute.
8. I authorize the college to contact me via Telephone /Mobile SMS/ E-mail etc. and use my photos and other information for social media, advertising and related purposes.

Signature of Applicant

DECLARATION  BY  THE  PARENT  /  GUARDIAN


1. I have carefully read and understood all the rules and regulations of the institute. Me and my son/ daughter /ward agree to abide by them in all respects.
2. I am aware that the fee once deposited is non-refundable, except for the caution money, that too after making necessary deductions.
3. I am fully aware & accept the responsibility of all expenses towards my son’s/daughter’s/ ward’s education and related matters while studying in the institute.
4. I assure that my son/daughter/ward will attend the institute regularly and mark minimum of 75% attendance in the class as per the rules of the institute. In case of failure of the same, he/she will not be allowed to appear in the examination(s).
5. My son/daughter/ward will not use any type or any form of unfair means during any of the examinations conducted by the institute.
6. If at any time the information provided here is found to be untrue, the admission may be cancelled without refund of the deposited fee.
7. While enrolled in the institute, if my son/daughter/ward indulges in any act of ragging, indiscipline, misbehavior, unethical, immoral, anti-social, anti-national, criminal, illegal activities or acts prohibited by law, the institute will have the right to take strict disciplinary action (Rustication/Penalty/Legal action/Forfeiture etc.) against him/her. In such circumstances neither I, nor my son/daughter/ward/relatives shall claim any sort of damages from the institute.


Signature of Parent/Guardian