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Name: |
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Father's Name: |
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Lodhi Road |
Gurgaon |
Greater Noida |
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Instructions |
1. Read the application form carefully before you fill it.
2. Please use tick marks (√) in appropriate boxes wherever required, except for question on academic concentration / major
where you need to list in numbers. Please re-check the form to ensure you have not left any data un-filled.
3. If there is not enough space for your answers, you can use additional page.
4. All information you provide will only be used by our Admission Department and will remain confidential.
5. The information contained in this prospectus is of general nature for the students seeking admissions in various programmes
offered by this institution. It is neither an exhaustive nor a legal document. Every effort has been made to ensure that the
information in this Prospectus is correct at the time of compilation. IILM Institute, however, reserves the right to make
changes wherever and whenever necessary. In the event of inconsistency between the information contained in the
Prospectus and the Institute’s regulations or Programmes where an interpretation of the Prospectus is required, the decision
of the Institute shall be final. The Prospectus does not form any part of a contract between any person and the Institute.
Management reserves its right to alter or modify the structure of any of the programs to attain the objective of excellence.
Management does not take any responsibility for any oral/verbal assurance by any person and student is advised to refer to
the latest student handbook available in the institute office or seek written clarification from the Director. |
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Personal Data |
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Academic Qualifications |
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Work Experience (if applicable) |
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Organization |
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Designation |
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Duration |
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Job Profile |
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Test appeared for |
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Family |
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Other Achievements |
Briefly describe any scholastic awards or scholarships you have received |
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Any past medical history records(if Yes ,please specify) |
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Have you at any time been convicted by a court for any criminal offence? If so, give name of the court
case number and offence. |
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Declaration by Applicant: |
I declare that all information in my application is complete, factually correct, and honestly presented. I
have read the rules and regulations mentioned in the prospectus and will adhere to the same. |
Signature
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This information contained in this form will be used for the purpose of processing your application and, if it is successful, it
will form the basis of your Institute record. Please return the completed application with all required documents. This form is
free; no payment is required at the time of form submission. |
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