Consent Form to Participate in May 2010 MAT

Please fill up the required information.* Fields marked with asterisk are mandatory.
 
Institute/University Details
* Name of the Institute/University Department
* Full Address
* City
* Pin Code
* State/U.T.

* Telephone Number with STD Code Fax No.
* E-mail ID * Retype E-mail ID
(Do not copy and paste)
  Web site
Details of Contact Person
* Name of Contact Person
* Designation
* Telephone Number with STD Code   Mobile
  E-mail ID
Programmes for which MAT Score will be considered
Serial No.Programme NameMode of Teaching as approved by the Approving Authority Name of Approving Authority/Affiliating University$
1. MBA Full Time Part Time Distance Learning
2. PGDM Full Time Part Time Distance Learning
3. Other, if any, please specify Full Time Part Time Distance Learning
4. Other, if any, please specify Full Time Part Time Distance Learning
5. Other, if any, please specify Full Time Part Time Distance Learning
6. Other, if any, please specify Full Time Part Time Distance Learning
$ Attach copy of supporting document of Approving Authority/Affiliating University.
* Group to which the B-School belongs to Click here to View Group Details
* We, hereby, provide notification material for MAT bulletin consisting of
Pages (Rs.24000/- per page)
* Does your notification material for MAT Bulletin contain information as to MAT Score as screening/selection criteria?
* Does your notification material for MAT Bulletin contain information about the Mode of Teaching as approved by the Approving Authority?
Note: AIMA is exempted from the TDS (Tax Deduction at Source) vide order no 358 dated 26 May 2008 under letter no F.No. DGIT(E)/10(23C)(vi)/2008 dated 26 May 2008 of the Director General of Income Tax (Exemptions), Department of Revenue, Ministry of Finance, Government of India and hence the payment should be in full without any tax deduction.
Demand Draft Details (Please write Institute/University Name and auto generated Provisional Registration at the back of the Draft before dispatching)
* Draft No. * Amount
* DD Date   * Issuing Branch
If other, then specify
Declaration

Certify that the particulars given in this consent form are true and correct. We, hereby, agree to abide by the terms and conditions given in the offer letter for participating in the administration of MAT May 2010.