Futura Institute Of Management Studies
(APPROVED BY A.I.C.T.E., MINISTRY OF H.R.D, NEW DELHI)
Vinamra Khand, Near Kathauta Crossing, Gomti Nagar Phase II.
Lucknow, Uttar Pradesh, INDIA.
Phone :- 0522-2721326, 09415101293, Fax - 0522-2306382
e-mail : fimslucknow08@gmail.com

 
ADMISSION FORM
 

Course Opted *
Full Name : Mr./Ms./Mrs.*

Father's/Husband's Name*

Father's/Husband's Profession

Designation

Name & Address of Organization

Mother's Name *

Date of Birth *

    Sex* :    Male      Female

Mailing Address *

Phone No. (Res)

              Phone No. (Off.)   Mobile No.

Permanent Address *

Phone No. (Res)

              Phone No. (Off.)   Mobile No.

Category (Gen./SC/ST/OBC)*  *

                Nationality 

Are you an NRI (Yes/No)*

   If yes, Country of domicile 

Do you require Hostel Accomodation Yes/No*    

 
Academic Qualification* :
School/ College
Exam passed
Year
Subject
% of Marks

 

(Attested copies of the Certificates & Mark sheets of the Examinations should be enclosed with the Print Out of application form)

 
Work Experience :

State details for all the employments you've had so far, starting with the recent

Profession Designation Organization Nature of Job & Duration of Work Reason for Leaving
   
Scholarships, Medals and Prizes
Extra Curricular Activities/Hobbies
CAT/MAT/UPSEE/Other Roll No.
Merit (Rank) Gen      S.C      S.T.     OBC 
  (enclose marks sheet)
Details of Fee*
Mode of Payment* Cash    D.D.    Cheque
Cheque/Bank Draft No.
Date                             Issuing Bank & Branch 
Amount (in Rs.)                                    Receipt No.  
 
The following documents are to be submitted with the Print out of Online Application Form.
  1. Passport size Photographs.
  2. Self Attested set of Certificates & marks sheets of Examinations passed.
  3. Photostat  copy  of MAT / CAT Score Card.