Online Application Form
The ICFAI University, Dehradun
Campus-based Programs 2018

Admissions Officer :
The ICFAI University Dehradun,
Rajawala Road,
Central Hope Town, Selaqui,
Dehradun - 248197, Uttarakhand.
Toll Free number: 1800-599-0767
Email : admissions@iudehradun.edu.in
website : www.iudehradun.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)

:

Nationality

:

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

10

10+2

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 Uttarakhand*          Non - Domicile
 
* If you are a Domicile student of Uttarakhand, a certificate from the appropriate authority must be enclosed.
 
    7. Reservation (If any)*
 
SC          ST         OBC       General        Physically Handicapped        Others    
 
   8. SOURCE OF CONTACT

News Paper Article         News paper/Magazine advertisements       Social Media        FM/TV
        
Education Fairs       Friends          Events of IUD         Others       

 
   9. AWARDS AND RECOGNITIONS IN ACADEMICS AND SPORTS

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

Awards

Year

Basis

 
   10. 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

Occupation

Please Specify  :

Designation

Annual Salary/
Income

Organization
& Address

City

Pin

Ph (O)

Mobile

Personal
E-mail

Company Website

 

Mother

Name

Qualifications

Occupation

Please Specify  :

Designation

Annual Salary/
Income

Organization
& Address

City

Pin

Ph (O)

Mobile

Personal
E-mail

Company Website

   11 . MODE OF PAYMENT
Payment Mode
:
 
   12. DECLARATION
 

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

  I Agree