Convocation Form 2015 for absentees

INDIAN INSTITUTE OF TOURISM AND TRAVEL MANAGEMENT
(An organisation of Ministry of Tourism, Govt. of India)
GOVINDPURI, GWALIOR - 474011
ANNUAL CONVOCATION FOR CONFERRING P.G. DIPLOMA
REGISTRATION FORM
Affix your
recent
passport Size
photograph
No. ______________
Note:
(1) All the entries in the registration form must be filled in correctly. Application with incorrect and incomplete information will be
rejected and no complaint in that regard will be entertained.
(2) Candidate is required to write his name accurately in capital letters only. The Diploma Certificate will be issued in the name as
written in the registration form.
(3) Students, who are not able to attend the convocation, may apply for their diploma after depositing fee of Rs. 2,000/- through
Demand Draft drawn in favour of Director, IITTM, payable at Gwalior. [*Students of 2012-14 batch have already paid the
convocation fee along with their semester/course fee during their course of study in IITTM. Therefore, they are not required to
deposit the convocation fee again. However, the students of other batches (2009-11, 2010-12 and 2011-13) are required to pay
the prescribed fee for convocation.]
(4) Photocopy of PG marks sheet must be self attested.
To
The Director
IITTM, Gwalior
For Office Use Only
Sir,
I do hereby state that I will attend the 2nd Convocation 2015 of Indian Institute of Tourism and Travel Management (An
Organization of Ministry of Tourism, Govt. of India), scheduled to be held on 22nd March, 2015 at IITTM Noida, A – 35,
36, Sector 62, NOIDA (U.P.). The particulars are given below:
(TO BE WRITTEN FULL NAME IN CAPITAL LETTERS BY THE CANDIDATE, AS PER THE MARKSHEET)
Name in English
Father’s/Husband's Name
Permanent Residential Address
_______________________________________________________________
_______________________________________________________________
City__________________State________ _______ Pin code No. __________
Contact No.: STD Code ___________ Phone No. _________________________
Mobile No. ___________________ Email ID:__________________________
S. No.
(1)
(2)
(3)
(4)
Particulars
Examination passed
Month & Year of passing
Class / Grade obtained
Tick (√)the Centre from where PG was
studied
To be filled by the candidate
Gwalior
[
Bhubaneswar [
]
]
To be filled by the office
NOIDA [
Nellore [
]
]

The prescribed fee for absentees is ₹ 2,000-/ (Two Thousand only), is being remitted by Crossed Demand Draft No.
_________ dated __________ drawn in favour of the Director, IITTM, Gwalior is enclosed herewith.

The photocopy of PGDM marks sheet enclosed.
Date :
-
- 2015
Signature of the Candidate _________________
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