Online Application Form
The ICFAI University, Himachal Pradesh (Baddi)
Campus-based Programs 2017

Admissions Officer :
The ICFAI Univeresity,
Himachal Pradesh (Baddi),
University Campus Address
# 5, HIMUDA Education Hub,
Kalujhanda, P.O. Mandhala,
Via Barotiwala, Baddi, Solan Dist.
Himachal Pradesh - 174103.
Toll-free: 1800 425 0767
E-mail: ugpgadmissions@iuhimachal.edu.in

 

   1. PLEASE SELECT THE PROGRAM YOU WISH TO ENROLL
 
 
   2. NAME OF THE CANDIDATE (use Capitals Only) [As it appears in the School certificates]

Prefix

:

Please upload your recent color Photograph (JPG / GIF format only)
(size 3.5 cm X 4.5 cm) 

(File size not more than
25-30 KB)

Name

:

   

(As it appears in the School Certificates)

 
   3. PERSONAL DETAILS (use capitals only)
 

Date of Birth

:

Blood Group

:

Mobile

:

E-mail

:

Tel (Res)

:

STD Code

Number 

Nationality

:

Mailing/Postal Address

:

City

:

State/UT

:

Pin

:

Permanent Address

:

City

:

State/UT

:

Pin

:

 
   4. ACADEMIC RECORD: SCHOOL/ COLLEGE

a.

Class

Name of the School/College

City

Board */ University

Group**

Medium of Instruction

Year of Passing

% of Marks

X

XII

Graduation

Diploma

* Indicate State Board/CBSE/ICSE etc., @ applicable for PG candidates only.
** Indicate PCM/Accounts/Commerce etc or Degree or branch of Diploma as applicable
.

b.

Name & Address of Institute last attended

:

 

City

:

State/UT

:

Pin

:

    6. DOMICILE STATUS
 
Domicile of Himachal Pradesh*          Non - Domicile
 
* If you are a Domicile student of Himachal, a certificate from the appropriate authority must be enclosed.
    7. Reservation (If any)*
 
SC          ST          Physically Handicapped        General
 
   7. TEST SCORES
 
Test
Score
Rank
Application No
National / State Level Law Entrance Test
 
   9. SOURCE OF CONTACT (Please select or mention how you came to know about ICFAI)
 
Search Engine (Google/Yahoo/Bing/Others)        Website        Social Media (Facebook/Twitter/Other)

New Paper Article         Newspaper/Magazine advertisements       Electronic Media (FM/TV)     
        
Education Fairs       Friends          Events of IUH       Alumni/Students of IUH         Teachers   
   

Others       
   13 . MODE OF PAYMENT
 
Payment Mode
:
 
   14. DECLARATION
 

I hereby declare that the above mentioned information is true to the best of my knowledge and belief.

 
  I Agree