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Imt Application Form

This document is an application form for management quota admission to IMT Law College, detailing personal information, educational background, and a declaration of adherence to college rules. It requires candidates to provide their name, contact details, examination results, and payment information for a registration fee of Rs.300. The form also includes a declaration that the applicant and their guardian agree to the college's regulations and acknowledges the consequences of misconduct.

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anveensh
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9 views2 pages

Imt Application Form

This document is an application form for management quota admission to IMT Law College, detailing personal information, educational background, and a declaration of adherence to college rules. It requires candidates to provide their name, contact details, examination results, and payment information for a registration fee of Rs.300. The form also includes a declaration that the applicant and their guardian agree to the college's regulations and acknowledges the consequences of misconduct.

Uploaded by

anveensh
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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KNOWLEDGE WORLD

IMT LAW COLLEGE


(Affiliated to University of Calicut & Recognized by the Bar Council of India)
Poopalam, Perinthalmanna, Malappuram DT – 679324, Kerala, India
Ph: +91 9562 443472

APPLICATION: MANAGEMENT QUOTA


Affix here a
Course to which applied: Recent Photo
of Applicant

1. Name of the Candidate ………………………………………………………………………


(In BLOCK LETTERS)
2. Father’s / Husband’s Name ………………………………………………………………………
3. (a) Permanent Address ………………………………………………………………………………….
………………………………………………………………………………….
…………………………………… Pin: ………………………………….
Ph: Land: …………………………Mob: …………………………………….
(b) Present Address ………………………………………………………………………………….
………………………………………………………………………………….
…………………………………… Pin: ………………………………….
Ph: Land: …………………………Mob: …………………………………….
(c) i) E-mail id:

ii) E-mail id in CAPITAL LETTERS:

4. Name of the School / College last attended ………………………………………………………………….


5. Examinations Passed:
Examination Board / Council / Roll No. / Year Division / Percentage of
University Class Marks

6. (a) Date of Birth (to be supported by documentary evidence): ……………………………………. ……………


(b) Age as on 1st July of this year: …………………………………………………………………………………….

7. (i) Name and address of the Candidate’s Parent / Guardian of the Candidate:

………………………………………………………………………………………………………………………………………………..

…………………………………………………………………………………………………………………………………………………

1
……………………………………………………… (ii) Relationship ……………………………………………………………...

8. Approximate yearly income of the Guardian:


From Salary (If employed) From business, property etc. Others
……………………………… ……………………………….. …………………………..
9. Nationality ………………………………. 10. Religion ……………………………………………
11. Sex ………………………………………. 12. Marital Status …………………………………….
13. Whether belongs to Schedule Caste / Tribe or any Other Backward Class. Yes / No, Specify:
14. Extracurricular activities, if any, …………………………………………………………………………
(National / State Level Participation be mentioned only. Certificates to be attached)
15. A payment of Rs.300/- to be remitted towards registration fee. Payment can be remitted in any of the following ways:
(i) Google Pay/NEFT/IMPS – Please mention : A/C holder Name…………………………………………………..,
Bank……………………….., Payment Date ……………………, Payment Reference Id………………………..
(ii) DD-Please enclose a DD for Rs.300/- in favour of “Al Jamia Imt Law College”. payable at Poopalam and mention:
DD No………..……………………Dt………….………..…..Bank:………………………………..………..…..……

DECLARATION
I, Sri / Smt. / Kum. ……………………………………………………, son / daughter / wife of Sri / Smt.
…………………………………………………… am applying for registration for admission after carefully reviewing the College
Prospectus and after inquiring in detail about the College, its infrastructure, resources, and the facilities provided, along with the
current fee structure for the course.

I declare that I will abide by the rules and regulations of the College, as they currently exist and as they may be updated from time
to time. I have applied for admission after being fully satisfied with the College’s standing and capability.

I confirm that I will not seek admission or continue studentship in any other course/institution while enrolled at this College. I
undertake to follow the rules, regulations, orders, and instructions of the College authorities and will not engage in any misconduct,
unruly behavior, or acts of indiscipline. If I am found involved in such activities, I understand that my studentship will be forfeited,
and I will be debarred from University examinations, along with other disciplinary actions decided by the College management.

I am aware that participation in any group activity or acts of indiscipline will lead to my immediate expulsion, and the College
management’s decision will be final and binding.

I agree to this undertaking, and my parent/guardian also agrees to the same by signing below
------------------------------------------------------------- -------------------------------------------------
Name & Signature of the Parent / Guardian Full Signature of the applicant.

Date ………………………….
Place …………………………

Note :

1. Attested copies of Mark-sheets & and the testimonials are to be attached.


2. Incomplete applications will be rejected.
3. Admission is liable to be cancelled if any error or suppression of information / data is detected at any stage after
admission.
4. Applications without Registration fee of Rs.300/- will not be considered.

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