City Office: Plot No. 2167/A
Opposite IDBI Bank, Ashok Nagar,
Ranchi 834002, Jharkhand

Online Application Form
The ICFAI University, Jharkhand
Campus-based Programs 2017

Admissions Officer :
The ICFAI Univeresity Jharkhand,
Campus Address
Plot No. 2065,
Daladali Chowk, Simalia,
Near Kathal Mode,
Ranchi, Jharkhand - 835222.
Ph : 1800 425 0767
Email : ugpgadmissions@iujharkhand.edu.in
website : www.iujharkhand.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)

:

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.,
** Indicate PCM/Accounts/Commerce etc or Degree or branch of Diploma as applicable
.

b.

Name & Address of Institute last attended

:

 

City

:

State/UT

:

Pin

:

   5. WORK EXPERIENCE

 

Employer Name

Address

Period of Service

Designation

Area of Work

Date of Joining Date of Leaving

Students applying for MBA(Working Professionals)  are required to fill the above Column’s
   6. LANGUAGE PROFICIENCY

Please list languages.
The medium of instruction is English. All students are expected to have proficiency in speaking and writing good English.

Languages

Writing

Reading

Speaking

English

Other Languages


(Mother Tongue)

 
    7. DOMICILE STATUS
 
Domicile of Jharkhand*          Non - Domicile
 
* If you are a Domicile student of Jharkhand, Please provide the Certificate at the time of Interview
 
  8. AWARDS AND RECOGNITIONS IN ACADEMICS AND SPORTS

List awards, distinctions, honors and scholarships (academic, extracurricular, community services, etc).

Awards

Year

Basis

 
   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 IUJ       Alumni/Students of IUJ         Teachers   
   

Others       
 
   10. WHY DO YOU WANT TO JOIN THE PROGRAM AT IUJ? Describe briefly
 

Quality of Program       Fee Structure        Nearest to your Location

       Others
       

 
 
   11. FAMILY BACKGROUND
 

a.

No. of Brothers :

No. of Sisters :

        

b.

Did any of them studied at IUJ or any ICFAI Institute:
Yes No

 

Name of the Institute

 

Year of Passing

 

Course Completed

b. Parents Info

Father

Name

Qualifications

Occupation

Please Specify  :

Designation

Annual Salary/
Income

Organization
& Address

City

Pin

Ph (O)

STD Code

Number 

Mobile

Personal
E-mail

Company Website

 

Mother

Name

Qualifications

Occupation

Please Specify  :

Designation

Annual Salary/
Income

Organization
& Address

City

Pin

Ph (O)

STD Code

Number 

Mobile

Personal
E-mail

Company Website

 
   12. HOW DO YOU PLAN TO FINANCE YOUR EDUCATION?
 
Parents Support       Bank Loans      Others       
 
   13 . MODE OF PAYMENT
 
Payment Mode
:
 
   14. DECLARATION
 

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

 
  I Agree