I hereby declare that aforementioned information and enclosed documents above are true and complete to the best of my knowledge and belief. I shall submit any other documents(s) that may be required by the Institute in future. I also agree that the Institution is empowered to cancel my admission, forego the fee deposited and also the claim for admission, if any information furnished by me is found to be incorrect, misleading or counterfeited. I further declare that the attested photocopies of the certificates submitted by me at the time of admission are the true copies of the originals.

I am aware of the fact that the course I desire to join is Autonomous Course run by the Institute of Indus- trial Technology and Management, (I.I.T.M), Haldia.

I also declare that after paying the fees installments no refund will be asked. During pursuing Training / Course/Hostel Accommodation, any misleading / Accident / anything happens to me physically/ mentally, Institution will not be responsible.