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

Admissions Officer :
The ICFAI Univeresity,Nagaland
Campus Address
6th Mile, Sovima Village,
Dimapur, Nagaland - 797112
Ph No.: 03862 - 282762, 280001, 280902
E-mail: admissions@iunagaland.edu.in
Website: www.iunagaland.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.,
** 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. DOMICILE STATUS
 
Domicile of Nagaland*          Non - Domicile
 
* If you are a Domicile student of Nagaland, Please provide the Certificate at the time of Interview
 
   6. 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 IUN       Alumni/Students of IUN         Teachers   
   

Others       
 
 
   7 . MODE OF PAYMENT
 
Payment Mode
:
 
   8. DECLARATION
 

I have carefully read the academic and administrative rules and regulations as given in the Prospectus and Application Material/Website and agree to abide by the same. I understand that these rules are only indicative and the complete list of rules and regulations as updated from time to time will be given to me on my enrollment in the form of Student Handbook / and / or any other communication issued from time to time. I also understand that the ICFAI University Nagaland reserves the right to change/modify the rules and regulations from time to time and I agree to abide by the same. I agree to pay the fee as per the schedule of fee payment stipulated. I understand that in case I withdraw from the program after 15 calendar days, from the date of registration, for reasons whatsoever, I will not be entitled to claim any refund of amount paid to the ICFAI University Nagaland. In the event of any dispute, I hereby declare and state that, I will not approach any Court of Law and/or seek redressal under the provisions of the Consumer Protection Act 1986 without first exhausting the remedy from the Arbitration. I understand that the jurisdiction for all disputes (if any) relating to the ICFAI University, Nagaland in Dimapur, Nagaland. I hereby declare that the information provided by me in the Online Application is true and correct to the best of my knowledge. I have read, understood and agree to the rules and regulations of the ICFAI University Nagaland including my financial responsibilities.

  I Agree