Indian Institute of Materials Management

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Page 1 of 6 Application Form ZU/PG.F1 (2015/2016)

Transcription:

Indian Institute of Materials Management (IIMM) a Centre of Higher Education and Research Studies, having its office at 4598/12 B, Daryaganj, New Delhi 110002, is going to conduct a Professional Diploma course in Contract Management (PDCM) for the executives of Coal India Limited and its Subsidiary Companies in E-3 to E-6 Grade having Bachelors Degree in any discipline., Kanke, Ranchi 834006 (IICM) will facilitate in conducting the said course. The details of the said course are as follows: 01. Course Fee Rs. 15000/- (non-refundable) 02. Course Duration Six Months 03. Downloading of Admission Form From: 10/01/2015 To: 11/03/2015 04. Last date of Receipt of Admission Forms at 11/03/2015 IICM 05. Forwarding of Valid Admission Forms to 23/03/2015 IIMM by IICM 06. Commencement of Programme 15/04/2015 07. Dispatch of Courseware by IIMM to 30/04/2015 Participants 08. Commencement of Contact Class at IICM July,2015 09. Assignment to Participants July, 2015 10. Submission of Assignment September, 2015 11. Term End Examination October, 2015 12. Publication of Result by IIMM Website - http://www.iimm.org November, 2015 NHQ : Plot No.102 & 104, Sector 15, Institutional Area, CBD Belapur, Navi Mumbai-400614. Tel: 022-27561754,27571022, Email: iimmnhq55@gmail.com Charter Member: International Federation of Purchasing & Supply Management

The Admission Form of the said course may be downloaded, free of cost from the official websites of both Indian Institute of Materials Management (www.iimm.org) and, Ranchi (www.iicm.ac.in). The executives of Coal India Limited and its Subsidiary Companies who are interested in enrolling themselves for the said course of PDCM of IIMM are requested to submit the duly filled in Admission Form along with the Admission Fee of Rs. 15,000/- (Rupees Fifteen thousand only) in the form of a Demand Draft in favour of Indian Institute of Materials Management, payable at Mumbai and other requisite documents as mentioned in the Admission Form, within the stipulated date in the following Address: Nodal Officer (PDCM IIMM) Indian Institute Of Coal Management Kanke, Ranchi 834 006. Contact No.: 8987434693/8987434149 NHQ : Plot No.102 & 104, Sector 15, Institutional Area, CBD Belapur, Navi Mumbai-400614. Tel: 022-27561754,27571022, Email: iimmnhq55@gmail.com Charter Member: International Federation of Purchasing & Supply Management

Admission Form for 2015-16 Reg. No.. Date.. 1. Program Name Professional Diploma in Contract Management Affix Passport Size Photo with Signature 3. DD Details a). DD No. b). DD Date c). Amount (Rs) 1 5 0 0 0 d). Bank (in favour of Indian Institute of Materials Management, Payable at Mumbai) 4. Name of the Candidate 5. Father s Name 6. Mother s Name 7. Address for Communication a). State b). PIN 8. Permanent Address a). State b). PIN 9. Tel. No. 10. Mob. No. 11. Email ID 1 P a g e

12. General Information a) Date of Birth b). Gender M F c). Category GEN SC ST OBC d) Nationality e) Date of Joining CIL 13. Academic Qualification Details S.No. Name of Examination Year of Passing Name of Board/University Aggregate Percentage 14. Whether you are Expelled/Restricted from any educational Institute or convicted by a Court of Law or if any case is pending against you in a Court of Law? If so, Give details I certified that the above statements have been filled in by me and that the entries made are correct. Place Date Signature of the Applicant 15. Enclosures a) The DD in favour of Indian Institute of Materials Management payable at Mumbai. b) Self Attested copies of the qualification documents. c) Certificate of being a SC/ST/OBC (issued by Competent Authority) 2 P a g e

FOR USE OF EMPLOYER OF THE CANDIDATE This is to certify that Shri/ Smt Designation of Grade presently posted at (Name of the Coal Company) is allowed to enroll FOR in OFFICIAL the Professional USE Diploma Course in Contract Management of IIMM. He will be released officially for the contact classes and examination to be conducted at IICM, Ranchi as and when notified by IIMM/IICM during the period of the course. (Signature of Forwarding Officer) Date: Page 2 of 3 (Name of Forwarding Officer) (Designation of Forwarding Officer) The application of Shri/ Smt Designation of Grade presently posted at is hereby forwarded along with DD No. dated of (Name of the Bank) (Name of the branch) in favour of Indian Institute of Materials Management payable at Mumbai for verification and further necessary action. (Signature of Nodal Officer, IICM) (Name of the Nodal Officer, IICM) It is hereby certified that the particulars given in this application form have been verified by us and found correct as per certificates enclosed. The name of the student, Father s name, date of birth & other details have been found matching with the certificates provided by the applicant. Date: Assistant Registrar IIMM Signature Chairman BOS, IIMM 3 P a g e