Online Application Form
The ICFAI University, Dehradun
Campus-based Programs 2019

Admissions Office:
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 [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

Date of Birth

:

Mobile

:

E-mail

:

Tel (Res)

:

Parent Name

:

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 / PG/ Others

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


News Paper Article            News paper/Magazine advertisements           Social Media          Website          FM/TV             
        
Education Fairs          Friends            Events of IUD           Alumni/Students        Marketing Officer      

Faculty                Others       


    8. AWARDS AND RECOGNITIONS IN ACADEMICS AND SPORTS

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

Awards

Year

Basis

 
   9. 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


   10 . MODE OF PAYMENT
Payment Mode
:
 
   11. DECLARATION
 

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

  I Agree