iittm_gd_pi registration form

Gwalior Bhubaneswar Delhi Goa Nellore

INDIAN INSTITUTE OF TOURISM & TRAVEL MANAGEMENT (An Organisation of Ministry of Tourism, Government of India)

Govindpuri, Gwalior – 474011

FORM for GD / PI

Date of GD / PI ....................... Centre for GD / PI..................

1. Name of the Candidate (In Block Letters)

2. Father's / Husband's Name

3. Mother's name

4. Gender (Tick any one) Male Female

5. Date of Birth

6. Permanent Address

7. Correspondence Address

8. Phone No. / Mobile No.

9. Blood Group

10. E-mail Address

11. Qualification Graduation: Tick (√) Pass ( ) Appearing ( )

12. Valid Score card CAT MAT CMAT GMAT XAT ATMA

13. Grading

14. Choice of Programmes & Study Centre:

{Please indicate (√ ) your choice of PGDM course and study centres} : Write 1, 2, 3, 4, 5, 6, & 7 ; where 1 = first choice; 2

= second choice; 3 = third choice and so on)

1. PGDM (Services) Gwalior { } 5. PGDM (Tourism and Travel) Bhubaneswar { } 2. PGDM (International Business) Gwalior { } 6. PGDM (International Business) Bhubaneswar { } 3. PGDM (Tourism and Travel) Gwalior { } 7. PGDM (Tourism and Cargo) Nellore { } 4. PGDM (Tourism and Leisure) Noida { } *Bring Graduation original certificates, valid score card & one set of photocopies needed for submission.

Declaration by the candidate:

I certify that the information given is true and I am liable for disciplinary action by the institute, if any

information found false/ incorrect.

Date: _______________ __________________

Place: _______________ Signature of the Candidate

Registration No........................... (For office use only)

Rs........................... Name of Bank..............................................................

To be filled up by the candidate

D.D. No. ..............................