APPLICATION FORM

NOTE: Nominating Authoritys letter must accompany this Application Form for registration.

(Course Title)
I wish to register for the course to be held at _______________________ from ______________
to _________________and enclose a crossed cheque in favour of PAKISTAN INSTITUTE OF MANAGEMENT for
Rs. _________________ to cover the course fee.
Name (in block letters) ______________________________________________________________________________
Designation ______________________________________________Dept. ____________________________________
Name of Organization _______________________________________________________________________________
Mailing Address____________________________________________________________________________________
_________________________________________________________________________________________________
Type of Business __________________________________________________________________________________
Telephone Number(s) (Office) _______________________________________________ (Res) ___________________
Fax Number(s) ____________________________________________________________________________________
E-mail: __________________________________________________________________________________________

Reporting Relationship (Please indicate job title only)

a) Whom do you report to? ___________________________________________________________________
b) Who reports to you? ______________________________________________________________________
Professional Training _______________________________________________________________________________
Experience _______________________________________________________________________________________

Signature __________________________________________

Date _________________________

Applications for registration alongwith the course fee should be forwarded to the Program Office, Pakistan Institute of
Management, Management House, Shahrah Iran, Clifton, Karachi-75600. Enquiries on Telephones: (021) 9251718,
9251680 EPABX 9251711-14 Fax Nos: (021) 9251715 & 9251716 E-Mail: pimkhi@pim.com.pk,
Web Site: http://www.pim.com.pk
For course at Lahore applications should be forwarded alongwith course fee to the Programme Office, Branch Office,
Pakistan Institute of Management, Management House, 70-B/2, Gulberg-III, Lahore. Telephones: (042) 9263133 &
9263136 Fax No: (042)9263138 E-Mail: pimlhe@wol.net.pk

PAKISTAN INSTITUTE OF
MANAGEMENT
Ministry of Industries & Production, Government of Pakistan