The ICFAI University, Jaipur
Application Form for Admission (2019)

Admissions Office:
The ICFAI University Jaipur,
Campus Address
The ICFAI University, Jaipur,
Agra Road, Jamdoli,
Near Cambay Golf Resort,
Jaipur, Rajasthan - 302031.
Ph : 09829214535, 08426043404
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

:

Mobile

:

E-mail

:

Tel (Res)

:

   

Parent Name

:

Mailing Address

:

City

:

State/UT

:

Pin

:

Aadhaar No.

:

 
   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
(applicaple for Ph.D)

 * 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 Rajasthan*          Non - Domicile
 
* If you are a Domicile student of Rajasthan, 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)

News Paper Article         News paper/Magazine Advertisements       Electronic Media (FM/TV)     
        
Education Fairs       Friends          Events of IUJaipur       Alumni/Students of IUJaipur         Faculty   
   

Marketing Officer          Others       
 
  7. WHY DO YOU WANT TO JOIN THE PROGRAM AT IUJAIPUR? Describe briefly
 

Quality of Program       Fee Structure        Nearest to your Location

       Others
       

 
   8. FAMILY BACKGROUND
 

a.

No. of Brothers :

No. of Sisters :

        

b.

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

b. Parents Info

Father

Name

Qualifications

Annual Salary/
Income

 

Mother

Name

Qualifications

Annual Salary/
Income


   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