INDIAN INSTITUTE OF MASS COMMUNICATION

(Deemed to be University) PASSPORT

PHOTO
REGISTRATION FORM (ACADEMIC YEAR 2025-26 / 2026-27)

(ALL INFORMATION IN BLOCK LETTERS)

Type of Program : MA Diploma

Type of Admission : Regular Supernumerary

Name of the Program :

Name of the Campus :

1. Applicant’s Aadhar No. :

2. Name of Applicant :

Name in Hindi : ______________________________________________________________

3. Gender : Male Female Others

4. Category : UR SC ST OBC EWS PWD

5. ABC ID :

6. Father’s Name :

Father’s Name in Hindi : ______________________________________________________________

7. Mother’s Name :

Mother’s Name in Hindi : ______________________________________________________________

8. Date of birth :

9. Correspondence Address with pincode number : ____________________________________________

____________________________________________________________________________________

____________________________________________________________________________________
10. Permanent Address with pincode number : _________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

11. Contact Number (Self) :

Contact Number (Father) :

Contact Number (Mother):

12. E-mail ID (Self) :

Parents/Guardian :

13. Blood Group :

14. Is Parent(s) / Guardians income tax payer? : Yes No

If yes, attach ITR; if No, fill column 15

15. Annual Family Income :

(Signature)
 Annexure A

CAMPUS CODE OF CONDUCT

Introduction:

Institute has formulated Code of Conduct to improve overall development of students by

creating effective teaching–learning atmosphere. It promotes the professional behaviour
and academic integrity. The reputation of institute depends on the academic performance
as well as on behaviour of the students. Our Motto is “Self Discipline Is The Best
Discipline” The purpose of this code of conduct is to make the studentsfamiliar about the
rules and regulations of the Institute and to progress towards the achievement of the
mission and vision of the Institute.

All students are expected to observe rules and regulations to enable the smooth working of
the Institute and keep Harmony, Silence and Educational Atmosphere in the Institutional
premises. Therefore, all students of are being introduced the following code of conduct
which must be followed by every student of the Institute.

1. The classes start from 10a.m. daily except on public holiday/ vacations notified by IIMC
HQs. New Delhi.

2. Students are required to maintain a high standard of discipline.

3. Any student who has been found guilty of indiscipline will automatically lose his/her
claim for the campus placement apart from any other disciplinary action deemed fit by the
administrative authorities.

4. Students are required to be regular in the classes. Students not joining class in time will
be treated as absent and his /her absence beyond permissible limits i.e. 75% will be liable
for action as notified by IIMC HQs.,New Delhi,besides debarring the student to appear in
the exams.

5. Parents/Guardians are expected to make frequent inquiries about the attendance of their
wards. It is not incumbent on the Institute to inform the parents/students about the shortage
of attendance.

6.No student shall leave the premises before the Institute timing without the prior
permission of HOD/ Course Director.

4. Attendance in seminars, special lectures and functions organized by the Institute is

compulsory. Any student who violates this shall be debarred from the Institutional
activities and placements.

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 5. Every student must adhere to the schedule of submission of class assignments, projects
etc.

6. The Institute would maintain details of the contributions made by a student for credit
entry in his/her Institute leaving certificate. Similarly, the student will invite negative
marks in the same certificate for any misconduct/indiscipline.

7. Students are required to carry identity card all the time on the Campus.

8. Only urgent/important notice shall be read out in classroom. Students should see the
notice board daily and keep themselves well informed about the various notices that may
be put up there from time to time.

9. No phone calls/ eatable /smoking are allowed in the Institution especially in classrooms.

8. Ragging is an offence. Ragging is strictly prohibited in the campus/premises. Any

student/students involved in such activities will be immediately expelled from the institute.

9. Students will abide by code of conduct as laid down under UGC notification 2016
(Prevention, Prohibition and Redressal of Sexual harassment of women employees and
students in higher educational institutions) Regulations 2015. Any case of sexual
harassment shall be dealt with as per rules of the UGC.

10. Every student help to keep college premises/campus/Classroom & desk- chairs clean
and neat, everyone must use dust bin for garbage.

11. Campus premises and classrooms are under CCTV surveillance. Everyone must follow
the disciplinary manners in campus premises /classroom.

12. During the conduct of lectures, students should not loiter in and around the Institutional
premises.

13.Use of mobile phones in the classrooms, Library, area etc. is strictly prohibited.

14. No friends/ guests/ visitors/any outsider shall be allowed with the students in the
Institute premises/campus as well as in the classrooms.

15. Students should make use of Institute Library and must not loiter in the college premises
whenever they have a free period.

16. Any student who damages the reputation of the Institute in any way is liable to be
expelled. Offenders shall be liable to face legal action.

17. For any kind of misbehavior with Professors/ administrative staff or creating
disturbances in the Institute premises/ in classroom by a student or group of students, a full
range of disciplinary action will be taken against him/her/them.

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18. Furniture in the classrooms should not be moved or displaced.

19.Students must take proper care of all the Institute property. Any damage done to the
property of the Institute by disfiguring walls, doors, windows, fittings, furniture and such
other things is breach of discipline of the Institute and will be considered a punishable
offence.

20. Writing on walls/ pillars/ bath rooms/ furniture/ white boards is strictly prohibited.

21. Any type of malpractice is strictly prohibited in semester/final Examinations.

22. No function/programme/ birth day can be held in the Institute campus/ classroom
without prior permission of the HoD/ Competent Authority.

23. In case of any kind of problem or need of medical emergency in the Institute, student
should report to the HOD/concerning authority, which will help them solve their problem.

23. Students are prohibited from doing anything inside or outside the Institute that with
interfere with its orderly administration or affect its public image. No outside influence,
political or any other should be brought in to the Institute premises directly or indirectly.

24. Absence from Institute due to medical reasons should be followed by a medical
certificate from a government hospital (if absence is more than a week) and from the
medical board of a government hospital (if absence is more than 15 days) and a fitness
certificate from the medical board of a government hospital immediately at the time of
joining (in case the absence is more than 15 days).

25. Students are required to provide correct and authentic information to the administrative
authorities of the Institute as and when required. Any change in particulars given at the
time of admission should be intimated as and when they occur.

26. Students are not allowed to do unauthorized recording (audio/video) in classrooms.

27. Students shall refrain from

a) Smoking, drinking, gambling and drug taking in any form; the Institute is a SMOKE
FREE ZONE.
b) Causing damage to Institute building, furniture, fixtures, garden or to any other
property. Tampering with official records of Institute.
c) Bunking off classes, either individually or in group.
d) Making noise in corridors while teaching is in progress in other classrooms.
e) Demeaning the status, dignity, esteem & honor of students and staff.

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f) Indulging in verbal or digital abuse, aggression, indecent gestures and obscene
behavior or any kind of violence.
g) Carrying arms and ammunition.
h) Any conduct which acts as a threat to safety and security of the college fraternity.
i) Any acts of indiscipline, immorality, an illegal nature, harassment, bad behaviour
both inside and outside the Institute campus
j) Any activity which negatively affects the reputation of the Institute.

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 Annexure B

LIBRARY CODE OF CONDUCT

LIBRARY HOURS: 9.30 AM to 6.30 PM Monday to Friday

Reading Room: 9.00 AM to 8.00 PM Monday to Friday

Issue of Books: 10.00 AM to 5.00 PM.

The library will remain closed on all public holidays notified by the Government of India.
All users must prepare to leave the library ten minutes before the closing time and to be
out of the building by the closing time.

GENERAL LENDING RULES: Loan privileges and its conditions

1. Members must produce their valid library membership card when borrowing books.
Members must confirm that all library materials in their possession have been
properly checked out to them before leaving the library.

2. Members are held responsible for all materials charged to their cards.

3. Misbehavior in the library/in study room will lead to cancellation of

admission/Membership and serious disciplinary action will be taken against the
concerning student/s.

4. All students should sign the entry register of the library, before entering.

5. Students must handle the book/s very carefully.

6. All students should note that, Library Cards are not transferable.

7. Students are not allowed to carry any eatable items in library.

8. Members will be held responsible for any mutilation (including defacement) found
in library materials when returned. They must check and report any mutilation found
at the time of issuing the book.

9. Members must report the loss of library materials immediately to the Circulation
Section of the Library and they must compensate the loss as per Library rules. (Table
A)

10. Any book not returned in response to a final overdue notice would be considered as
lost and the member would be asked to pay compensation for the lost book.
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 11. Fines will be calculated, according to the Rates of Fines, from the due date and the
amount should be paid at the library.

12. Members must ensure that the books issued to them are returned or renewed on or
before the due date. Notices sent by the library serve only as a reminder and non-
receipt of the notices does not absolve any member from paying fines or other
penalties as stated in these Rules.

13. Each borrowing member will be issued library tickets as per their entitlement.

14. In case the members (Students) fail to return the borrowed documents on or within
the due date, they shall be liable to pay overdue charges at the rate of Rs.2.00 per
day on the spot. The privileges given to the student members shall be suspended if
overdue materials are not returned. If there is a delay of two months from the due
date for the return of books the membership of student member will become invalid
and the renewal of membership would be possible with a deposit of fee of Rs. 200.

15. The borrowing member who repeatedly fails to return documents on due date
consecutively on five occasions may lose the privilege of the membership of the
library. They will also not be allowed to borrow books.

16. The documents on loan with the members can be recalled by the library at any time.

17. If the refundable library deposit of Rs 5,000 is not claimed within one year of the
termination of the Programme, the same shall be forfeited.

Filled in application in prescribed form duly forwarded by the head of the respective unit
(in case of staff) along with two recent photographs (passport size) shall be submitted to
the library. Membership is granted on the express understanding that member legally bind
themselves to return all documents issued to them on their own and obtain a ‘No-Dues
Certificate’ at the time of Retirement, Resigning/termination. Borrower’s card issued to the
members shall be maintained in the library. The member has to fill the entry on every
transaction.

TYPES OF RESOURCES AND THE CONDITIONS FOR USE

1. Reference Books: only for consultation within the library.

2. General books available in general section, area studies can be borrowed.
3. Serials (Journals/Magazines/News Papers): only for consultation within the
library.
4. Official Publications: only for consultation within the library.
5. Rare books: consultation with the permission of competent Authority.
6. Non-Print documents: only for consultation within the library.

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DOCUMENT ISSUE:

Privileges of members in respect of borrowing documents are given below:

Borrowers No. Of Documents Loan Period Overdue charges

Entitled
Academic staff Twelve (12) Maximum90days Reminders
Non-Academic Two (2) Maximum30 days Reminders
Staff
Students Two (2) Maximum 7 days 2 Rs. per day

LOST OR DAMAGED BOOKS:

The borrower is obliged to compensate lost or damaged items either by substituting the
material by its latest edition available in the market or paying for it as per the table “A”.
Fines will be calculated, according to the Rates of Fines, from the date due to the date when
the material was reported lost.

In the case of Ex. Employees/ special members the amount due for the lost book will be
intimated in writing and in case the same is not paid then it will be recovered from the
security deposit made by the user. The membership will also be forfeited.

Table A

S. No. Year of Publication Cost Plus Surcharge to be recovered

1 Prior to 1940 Current publishers Price plus 200% as surcharge.

2 1940‐1950 Current Publishers Price Plus 175% as surcharge.

3 1950‐1960 Current Publishers price plus 150% as surcharge.

4 1960‐1970 Current publishers price plus 140% as surcharge

5 1970‐1980 Current publishers price plus 125% as surcharge

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 Annexure C

UNDERTAKING
(In Duplicate)

I,______________________________S/o/D/o__________________________________

R/o_____________________________________________________________________

have read and understood the ‘Campus Code of Conduct& Library Code of Conduct’ given

above. I, hereby, undertake that I will comply with each and every clause of the Campus

Code of Conduct& Library Code of conduct. I understand that in the event of

noncompliance on my part the Administrative Authorities of the Institute will be free to

take any action against me as per the given Campus Code of Conduct.

Counter Signed

______________________ _____________________
(Signature of Student) (Signature of Parent /Guardian)

Name: ________________________ Name: __________________________

Programme:_______________________ Relationship______________________

Date: _________________________ Date:____________________________

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 Annexure E

UNDERTAKING BY CANDIDATES ADMITTED TO VARIOUS

PROGRAMMES

(Batch 20_________)

I, ___________________________aged _____________ years son / daughter of

__________________________________________________now residing at
__________________________________________________________________
seeking admission to ______________________________________ programme &
branch at IIMC……………and admitted to the IIMC, I shall agree to obey the
following conditions diligently.

I am aware that admission is subject to my discipline and conduct. I shall

abide by the rules and regulations of IIMC in force, during my education at IIMC. I
shall cease to be a student of the Institute if at any time I go on strike or absent
myself from the classes during the period of strike or violate any rules and
regulations prescribed by the Institution.

I am aware that I shall be summarily expelled if I am found at any time, in

possession or in custody of including but not limited to any object or sexually
explicit item, or arms or rods, chains, swords, knives, sticks etc., or in possession or
custody of drugs, alcohol or psychotropic substances or found to have consumed
any of the above within the premises or in the precincts of the Institute or Hostel.

I shall subject myself & undergo medical test /check-up /breathe tests/drugs
screening/ blood sample collection etc., by a medical or para-medical professional
as may be required by the Institution, at any point of time while I am the student of
this Institute. I consent to permit the treating doctor to collect and store blood/urine
samples and also to disclose the results IIMC if necessary. I also consent and permit
the Institute to access health records from Institute Health Centre. I undertake to
keep the institution informed at all times if I am afflicted with any communicable
disease.

I am fully aware that ragging in any form is prohibited and an illegal activity
and I have full knowledge of the relevant provision of the Indian Penal Code and
UGC regulations on curbing the menace of ragging in Higher Education
Institution,2009. Ragging as defined by the Ragging Act also includes physical or
mental harm including teasing, abusing, playing practical jokes etc. If I indulge in
ragging, I am liable for IMPRISONMENT FOR TWO YEARS with a fine up to
INR Rs. 10,000/- (Rupees Ten Thousand). I am also aware that I am liable to be
expelled from the Institute and Hostel, at the discretion of the Institution authorities,

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if I indulge in ragging, eve teasing and other acts of violence or abet with persons
indulging in such activities.

I am fully aware that, while the Institute encourages healthy interaction

between boys and girls, it prohibits eve teasing/sexual harassment, any indecent
behaviour or any physical contact or public display of affection (PDA) among
students and other such conducts prohibited under the Sexual Harassment of
Women in workplace (Prevention, Prohibition & Redressal) Act and the relevant
UGC Regulations. Those involved in such activities will be summarily expelled
from the Institute and may also be liable for criminal action.

I am fully aware that possession of cell phone / any electronic devices inside
the examination hall is strictly prohibited and if violated, liable to be confiscated
and punished as per the examination rules of the Institution. I am also aware that
impersonation in any form will lead to expulsion from the Institute.

I am fully aware that if I engage in any unbecoming act, that shall damage
the reputation of IIMC in any manner whatsoever, I shall be expelled from the
Institute and Hostel. I shall also disclose and assist the authorities if I am aware of
any such violation committed by any person.

If I am expelled from the Institute for any reason whatsoever, I am aware that
I shall forthwith be expelled from the Hostel also. I am aware that my re-admission
to the Institution shall be entirely at the discretion of the Institute authorities and if
I am permitted to rejoin the Institute, I shall be liable to remit readmission fees
prescribed by the Institute.

I have read “Campus code of conduct for the students and Code of Conduct
of IIMC Library for the students of the Institute” and understood the codes. I shall
abide all the codes of conduct. I have signed undertaking for all these codes of
conduct.

Signature of the Parent/Guardian Signature of the Applicant

Name: Name:
Date: Date:
Mobile No.: Mobile No.:

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 Annexure G

CHARACTER CERTIFICATE

Certified that I have known Mr./Ms./Mrs._______________________________

S/o/D/o Shri _______________________________________________ for the last

___________ years ___________ months and that to the best of my knowledge and belief

he/she bears reputable character and has no antecedents which render him/her

unsuitable for admission in any institute.

That Shri/Ms./Mrs. __________________________________ is not related to me.

Place: _________________________ Signature: ________________

Date: __________________________ Designation: ______________

Stamp: ____________________

*(to be signed by anyone of the following)

1. Gazetted Officers of Central or State Government.
2. Sub Divisional Magistrate / Officers.
3. Principal/Headmaster of the recognised School / College / Institution where the
candidate studied last.

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 Annexure H

INDEMNITY BOND BY PARENTS

(On Rs.100/-Non-Judicial Stamp Paper

Duly Notarized)

I,……………………………………………S/o……………………………………………

R/o …………………………………………………………………………………………

father of Mr./Ms…………………………………………………………………………..,

hereby affirm that my ward has taken admission in …………………………………...

Programme of ……………………………………………………..(Name of Institution)

Indian Institute of Mass Communication, New Delhi (hereinafter referred as IIMC)

in Academic Year 20……………, bearing Enrolment number ………………………..

I hereby declare that no criminal case is pending or contemplated against my ward in any
Court of Law and I declare that if anything contrary is found, I and my ward shall be solely
responsible for the consequences arising therefrom including cancellation of my ward’s
admission/expulsion from IIMC NEW DELHI.

Further, I have understood that my son/daughter shall be required to participate in all

activities beyond classrooms which the Institute shall arrange, requiring travels, industrial
visits, educational tours, field work, seminars, conferences, workshops, quiz/technical
competition, cultural programs, sports, training programs, to present research papers and
such other curricular, co-curricular and extra-curricular activities.

I hereby affirm that I have gone through the rules, regulations and guidelines with regard
to academics, examination, hostel, discipline, tours and all other activities, as notified by
the IIMC NEW DELHI. I fully understand that all these notifications and such other
guidelines and norms, as may be notified by IIMC NEW DELHI from time to time are to
be followed by my ward in true spirit, during entire tenure of my ward with the Institute.

I further affirm that I shall keep the IIMC NEW DELHI indemnified and shall hold IIMC
and its parent body, the Foundation, and their employees/officials harmless, from every
type of mishaps, unfortunate incident/accident, loss or damage(s) or any kind of medical
issues/ financial expenses in medical treatment of my ward or other things which may
arise out of any of such activities aforesaid stated.

Further I shall indemnify IIMC and its parent body, the Foundation, and their
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employees/officials against any loss and/or damages caused due to any undesirable action
on the part of my son/daughter and any admissible claims arising out of such actions.

Signature of the Indemnifier

1.Signature of Witness:

Name:

Address:

Date:

2.Signature of Witness:

Name:

Address:

Date

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 ANNEXURE I
AFFIDAVIT BY STUDENTS
(This matter has to be typed on a non-judicial stamp paper of 10/-)

I, ..................................................................................................................... (full name of student with

admission/registration/enrolment number) s/o d/o Mr./Mrs./Ms., having been admitted to (name of the
institution), have received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher
Educational Institutions, 2009, (hereinafter called the “Regulations”) carefully read and fully understood the
provisions contained in the said Regulations.

2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulation and am fully aware of the penal and
administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging,
actively or passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
(a) I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the
Regulations.
(b) I will not participate in or abet or propagate through any act of commission or omission that may be
constituted as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the
Regulations, without prejudice to any other criminal action that may be taken against me under any penal
law or any law for the time being in force.

6) I hereby declare that I have not been expelled or debarred from admission in any institution on account
of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further affirm
that, in case the declaration is found to be untrue, I am aware that my admission is liable to be
cancelled.
Declared this .............. day of .............. month of................ year.

Signature of deponent

Name:

VERIFICATION
Verified that he contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false
and nothing has been concealed or misstated therein.
Verified at .............. (place) on this the .............. (day), of .............. (month), ................ (year).

Signature of deponent

Solemnly affirmed and signed in my presence on this the.......................... (day) of .............. (month)……………. (year)
after reading the contents of this affidavit.

OATH COMMISSIONER / ADVOCATE AND NOTARY PUBLIC

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 ANNEXURE J
AFFIDAVIT BY PARENTS / GUARDIAN
(This matter has to be typed on a non-judicial stamp paper of 10/-)

1) Mr./Mrs./Ms. ………………………………………………………..……………(full name of parent/guardian) father/mother/

guardian of ………………………………………………..., (full name of student with admission/registration/enrolment
number), have been admitted to (name of the institution), have received a copy of the UGC Regulations on
Curbing the Menace of Ragging in Higher Educational Institutions, 2009, (hereinafter called the
“Regulations”), carefullyread and fully understood the provisions contained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.
3) I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and
administrative action that is liable to be taken against my ward in case he/she is found guilty of or abetting
ragging, actively or passively, or being part of a conspiracy to promote ragging.
4) I hereby solemnly aver and undertake that
a) My ward will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the
Regulations.
b) My ward will not participate in or abet or propagate through any act of commission or omission that may
be constituted as ragging under clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of
the Regulations, without prejudice to any other criminal action that may be taken against my ward under
any penal law or any law for the time being in force.
6) I hereby declare that my ward has not been expelled or debarred from admission in any institution on
account of being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further
affirm that, in case the declaration is found to be untrue, the admission of my ward is liable to be
cancelled.

Declared this .......................... day of ............. month of .....................year.

Signature of Deponent
Name:
Address:
Telephone / Mobile No:

VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is
false and nothing has been concealed or misstated therein.
Verified at ............................ (place) on this the............................ (day), of ................... (month), ……………...(year).

Signature of deponent
Solemnly affirmed and signed in my presence on this the ................. (day), of .................... (month), …………(year)
after reading the contents of this affidavit.

OATH COMMISSIONER / ADVOCATE AND NOTARY PUBLIC

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