Online Application Form
The ICFAI University, Himachal Pradesh (Baddi)
Campus-based Programs 2019

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.
Phone No.: 9218403060
Toll-free: 1 800 121 2201
E-mail: admissions@iuhimachal.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

:

Blood Group

:

Mobile

:

E-mail

:

Parentís Name

:

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 / Diploma

Graduation

Post Graduation

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

    5. 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.
    6. Reservation (If any)*
 
SC          ST          Physically Handicapped        General
 
   7. SCORE OF THE QUALIFYING EXAMINATION
 
Test
Score
Rank
Application No
  Name of the Qualifying Examination
 
   8. 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       
   9. FAMILY BACKGROUND
 
No. of Brothers :

No. of Sisters :

Any Family members studied at ICFAI, Hyderabad:
:
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