Application Form
Please Fill Complete Application Details
First Name: (*)
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Middle Name:
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Last Name:
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Date Of Birth: (*)
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Martial Status:
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Nationality: (*)
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Email ID: (*)
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Address for correspondence : (*)
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Permanent Address: (*)
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Telephone No. : (R) (*)
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Telephone No. : (O)
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Telephone No. : (M) (*)
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Please Enter Your Latest ACADEMIC DETAIL Below.
Name of the Institution/ College/School
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Exam Date
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Subject/ Specialization
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Upload Your Last Acamedic Certificate & Marksheet
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Work Experience (Starting with the recent one) :
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Fees Paid $/Rs. (*)
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DECLARATION BY THE CANDIDATE :

I wish to apply for the Program as a private candidate. I have carefully read the academic and administrative rules and regulations of the , national Institute Of Retail Management as given in this Website/Online Application Form and agree to abide by the same. I understand that these rules are only indicative and the complete list of rules and regulations as updated from time to time will be given to me on my enrollment in the form of Students Regulations Book. I also understand that the Institute reserves the right to change/modify the rules and regulations from time to time and I agree to abide by the same. I understand that in case I withdraw from the program I will not be entitled to claim any refund of amount paid to the Institute. . I hereby declare that the information provided by me in this Online Application is true and correct to the best of my knowledge. I have read, understood and agree to the rules and regulations of the Institute including "Legal Aspects" , and my financial responsibilities.

* Xerox copy of Mark sheets and Certificates in Proof of all examinations passed should be attached.
* The application form along with the Payment and Documents should be sent to the Institute through Courier / Speed Post.
* For more than one application, Xerox copy of this application Performa can be used.
* Please keep a Xerox copy of this application Performa for your record and reference.
  
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