Form cover
Page 1 of 7

Institute of Design & Media (Batch 2025-2029)

Refund Request Form
Dear Candidate,

We would have highly appreciated the opportunity to be part of your future but we do respect your decision to request a refund. To proceed, please fill this form as a mandatory step. This form is also meant to help you make an informed decision as it may affect your future goals. We wish you all the best!

Note:
1. Once you submit this form, you will receive a confirmation via email with further details. Kindly make sure all details entered are correct.
2. Your request will be processed as per ITM’s refund policy, with a refund timeline of 90 to 120 days. Refund will be processed as per candidate's eligibility for refund amount as per the refund guidelines.
3. A Processing Fee of Rs.1000/- will be deducted from the Final Refund Amount.
4. In case of any queries before proceeding with the refund, you can email your concerns on applicant.support@itm.edu

Please fill the below details-

Enter your Name as per the Application Form-

Enter your Application Number-

Enter your E-mail ID-

Enter your Mobile Number-

Parent's Mobile Number-

Total Amount Paid (in Rupees)-

Seat Reservation Fee Receipt Number-

Any Other Receipt-

Select the Program you applied for

1. What Motivated you to Reserve your Seat at ITM Institute of Design & Media?

1. What Motivated you to Reserve your Seat at ITM Institute of Design & Media?

2. What Aspects of ITM Institute of Design & Media Stood Out to you During your Application Journey?

2. What Aspects of ITM Institute of Design & Media Stood Out to you During your Application Journey?