Indian Institute of Management Indore

Nomination Form

(* indicates required information)

Financial Statement Analysis (Click Link for Detail)

This is an Online Nomination Form. Please fill in the details and click "Send" after completing it.

Program
Name of the programme:	*
Programme Dates:

Particulars of Nominee

Name of the Participant:	*
Designation:	*
Mailing Address:	*
Telephone Number (Office):	*
Telephone Number (Residence):
Mobile No.:
E-mail:	*
Alternate E-mail:
Fax No.:

Description of Present Responsibility:	*
Qualifications:	*
Work Experience:	*
Other MDPs Attended:
What are your expectations from this programme?

Sponsor

Name of Sponsoring Organisation:
Name of Sponsoring Authority:
Designation:
Mailing Address:
Telephone Number:
Fax No.:
Telex No.:
Email :

Payment details

Draft No.:
Dated:
Amount
Drawn on:
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	*

Notes:- (1) The programme dates mentioned may undergo changes. (2) Brochures on each programme will be available two months before the commencement of the programme. (3) For Registration process and certification details please click here


You may also download the Nomination Form (PDF) by clicking the link
Download Nomination Form
Duly completed nominations along with a crossed demand draft in favour of Indian Institute of Management Indore may please be sent to:

MDP Office Indian Institute of Management Indore Prabandh Shikhar Rau - Pithampur Road, Indore - 453331 Phone: +91-731-2439750 (D) / 2439752 / 2439753 Fax: + 91-731-/2439751 (D), 2439800 Email id: mdp@iimidr.ac.in Website: www.iimidr.ac.in


(The Nomination Form may be photocopied for multiple nominations)