Registration - eMDP
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eMDP Registration Form

Applying For*
*
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(Size of the photograph should be less than 250KB)

Personal Details

Name*

(as it will appear in the certificate)

Gender*
DOB*
Correspondence Address*
City*
Pincode*
State*
Country*
Mobile No.*
+91
E-mail*
Alternate E-mail
How did you come to know about this Programme?
  
Others, please specify

Professional Details

Current Organization*
Current Designation*
Industry*
Total Work Experience*
years
months

Education Qualification Details

Qualification*
Highest Education Qualification*
Class*
Highest Professional Qualification
Class

Statement of Purpose *

Please brief the statememt of purpose in less than 500 words

I hereby accept the Terms & Conditions and Declaration for the eMDP. I have read and understood the contents of Enrollment & Refund Policy etc.
I hereby confirms that I am fulfilling the eligibility criteria (Graduation and 3 years work experience) stipulated to enroll for the programme & agree to abide by the rules and regulations of the Institute.

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Contact Details

Indian Institute of Management Kozhikode
IIMK Campus P. O., Kozhikode, Kerala,
India,
PIN - 673 570

Enquiries/Reception
Phone: +91-495-2809100
Fax: +91-495-2803010-11

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