Online Application Form
The ICFAI University, Sikkim
Campus-based Programs 2016

Admissions Officer :
The ICFAI Univeresity Sikkim,
Campus Address
Ranka Road, Lower Sichey,
Gangtok, Sikkim - 737101,
Ph : 9733008932, 9434164595, 9733309616
Email : admissions@iusikkim.edu.in
website : www.iusikkim.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. 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)

 
    6. DOMICILE STATUS
 
Domicile of Sikkim*          Non - Domicile
 
* If you are a Domicile student of Sikkim, Please provide the Certificate at the time of Interview
   7. TEST SCORES
 
Test
Score
Rank
Application No
CLAT 2016
National / State Level Law Entrance Test
 
   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 IUS       Alumni/Students of IUS         Teachers   
   

Others       
 
   10. WHY DO YOU WANT TO JOIN THE PROGRAM AT IUS? 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 IUS 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
 

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, Sikkim 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, Sikkim. 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, Sikkim is Gangtok. 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, Sikkim including my financial responsibilities.

  I Agree