Student Registration Form

Program Details

Program Type

Regular Distance

Program Name

Admission For

Personal Information

Title

Name

Father's/Husband's Name

Father's/Husband's Designation

Father's/Husband's Orgainsation

Mother's Name

Mother's Designation

Mother's Orgainsation

Nationality

Date of Birth

Marital Status

Address

City

State

Country

Pin Code

Email ID

Phone / Mobile No.

Academic Information

Examinations Passed	University/Institution	Year of Passing	Division/Rank	Percentage

Common Entrance Test

Applicable

Exam Name

Exam Score

Occupation Information

Occupation	Name of Employer	Designation	Period of Service

Payment

Payment Mode

Bank/PO

Branch

Amount

Date

I would like to be considerd under NRI Corporate Category?

Other Information

Major Extracurricular Activities

Distinctions and Awards

Why do you wish to join this programme? (100 words)

Any additional information you wish to furnish

References

Reference 1 Name

Reference 1 Designation

Reference 1 Orgainsation

Reference 1 email

Reference 2 Name

Reference 2 Designation

Reference 2 Orgainsation

Reference 2 email

Declaration

I agree to the IIF's Terms of Service and Privacy Policy. I declare that the information submitted is true and my application is liable to be rejected in case anything is found to be false or fabricated.

Admission Form