IIM Kozhikode All Programs Payment

University/Institute *

Program *

Candidate ID *

Admission No *

Candidate Name *

Mobile *

Email *

On Account of *

GST no. of Student

Payment Done By: *
Company Sponsored Individual (self-Sponsored)

Name of the organization: *

Billing address: *

GSTIN Number: *

Organization PAN: *

Permanent Account number(Income tax PAN): *

GSTIN (Optional - If GST invoice required):

Fees Amount(including 18% GST) *