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Serial No. 2018/………….

(for office use only)


ARMYI NSTITUTEOFM ANAGEMENT ,K OLKATA (AIMK)
Judges Court Road, Opp. Alipore Telephone Exchange, Alipore, Kolkata-700027

APPLICATIONFORM
Fill in the application form carefully in Ball Pen in Capital letters, one letter in one box. Leave one box blank between two words.
Incomplete application will be rejected. Providing incorrect information may lead to rejection of your candidature.

Name Mr/Ms.
First Name*
Middle Name
Surname*
Affix your
Name of Father* (in full) recent passport
size photograph

Occupation of father / mother ( if Army personnel, indicate Rank and Corps / Regiment)*
Rank* Corps / Regiment*

Gallantry Award (Applicable only for Army personnel. Necessary certificate to be attached)

Name of Guardian &Relationship in case the father is not the Guardian*

Postal Address*:

PIN Mobile No

DATE MONTHYEAR
Date of Birth* Landline:

e-mail*:

Are you a child of Serving/Retired Army Personnel*- Yes No (Please put in the appropriate box) If

yes, fill up appropriate attached certificate - 1 / 2 / 3 (please check eligibility criteria as given in the Prospectus)

CAT Registration No* (Attached Xerox copy CAT Admit Card)

ALL FIELDS MARKED * AREMANDATORY

ARMYI NSTITUTEOFMANAGEMENT , KOLKATA (AIM)


ACKNOWLEDGEMENTCARD
(Self addressed envelope duly stamp of Rs 5/- to be enclosed)

Serial No : 2018/online/. . . . . ...


(for office use only)

Name of the candidate _

Receiving Date with initial


(for office use only)
2

EDUCATIONALBACKGROUND* Engineering Science Commerce


(BE/B.Tech)
(Specify BE,B.A, B. Sc, B.Com etc.)
Agriculture Arts Other(BBA,
BBM,BCA,
B.Phar (etc)

Graduation: Completed Not Completed (Please put in the appropriate box)

Month Year
If not completed, please mention expected date of completion

Work Experience (in months) as on date of submission

Fill in the table below. Do not leave any column blank


Years Class/
Name of Name of School / attended Max. Marks Marks /CGPA % of Marks
Division
Examination College/Board / University /CGPA obtained Obtained
From to obtained
/Institute
Secondary
School
Higher
Secondary
Part –
I/1styear
Part –
Bachelor’s
II/2 ndyear
Degree
Part –
III/3 rd year
Part – IV
/4thyear
Master’s /Professional
Degree

Ensure necessary enclosures are attached:-


 Certificate No - 1 / 2 / 3 (whichever is applicable)  Postage stamp of Rs5/-
(affixed on self addressed envelope)
 Passport photograph (affixed)  DSC personnel should attach PPO to proof Previous
Army Service
 Photocopy of PPO (In case wards of retired army person)  Photocopy of CAT admit card

N.B. Willingness Certificate and Proof of Date of Birth have to be submitted at the time of admission process.

Place: _

Date: (Signature of Applicant)

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