The ICFAI University, Jaipur
Application Form for Admission (2017)

Admissions Officer :
The ICFAI University Jaipur,
Campus Address
The ICFAI University, Jaipur,
Agra Road, Jamdoli,
Near Cambay Golf Resort,
Jaipur, Rajasthan - 302031.
Ph : 0141-5144466, 0141-5129388
Email : admissions@iujaipur.edu.in
website : www.iujaipur.edu.in

 

   1. PLEASE SPECIFY 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)

:

   

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 Class

XII Class

Bachelor's Degree

Post Graduate Degree

 * Indicate State Board/CBSE/ICSE etc.,
** Indicate PCM/Accounts/Commerce etc or Degree or branch of Diploma as applicable.
 
    5. DOMICILE STATUS
 
Domicile of Rajasthan*          Non - Domicile
 
* If you are a Domicile student of Jaipur, Please provide the Certificate at the time of Interview
 
    6. HOSTEL FACILITY / ASSISTANCE REQUIRED
 
Yes                         No
 
 
   7. 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 IUJaipur       Alumni/Students of IUJaipur         Teachers   
   

Others       
 
  8. WHY DO YOU WANT TO JOIN THE PROGRAM AT IUJAIPUR? Describe briefly
 

Quality of Program       Fee Structure        Nearest to your Location

       Others
       

 
 
   9 . MODE OF PAYMENT
 
Payment Mode
:
 
   10. DECLARATION
 

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

  I Agree