Online Application Form
The ICFAI University, Himachal Pradesh (Baddi)
Campus-based Programs 2018

Admissions Officer :
The ICFAI Univeresity,
Himachal Pradesh (Baddi),
University Campus Address
# 5, HIMUDA Education Hub,
Kalujhanda, P.O. Mandhala,
Via Barotiwala, Baddi, Solan Dist.
Himachal Pradesh - 174103.
Toll-free: 1800 121 2201
E-mail: admissions@iuhimachal.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

:

 
   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., @ applicable for PG candidates only.
** Indicate PCM/Accounts/Commerce etc or Degree or branch of Diploma as applicable
.

b.

Name & Address of Institute last attended

:

 

City

:

State/UT

:

Pin

:

    6. DOMICILE STATUS
 
Domicile of Himachal Pradesh*          Non - Domicile
 
* If you are a Domicile student of Himachal, a certificate from the appropriate authority must be enclosed.
    7. Reservation (If any)*
 
SC          ST          Physically Handicapped        General
 
   7. TEST SCORES
 
Test
Score
Rank
Application No
Name of the Qualifying Examination
 
   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 IUH       Alumni/Students of IUH         Teachers   
   

Others       
   13 . MODE OF PAYMENT
 
Payment Mode
:
 
   14. DECLARATION
 

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

 
  I Agree