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All
Fields marked with (*) are Mandatory
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Application
Form UG
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Year Of Admission
(*)
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2008 |
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Preferred Location
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Personal Information
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Last Name
(*)
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First Name (*)
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Date of Birth (*)
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Day
Month
Year
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Blood Group
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Gender (*)
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........................................................
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Email ID (*)
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Residential Address
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Address Line 1 (*)
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Address Line
2
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City (*)
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State (*)
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Country (*)
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Zip Code (*)
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Mailing Address
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Check if Mailing Address is same
as above Otherwise Provide Mailing Address Infomation |
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Address Line1 (*)
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Address Line2
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City (*)
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State (*)
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Country (*)
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Zip Code (*)
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Personal Mobile
Number(*)
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Academic Concentration
(*)
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Are you applying as
a (*)
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First Year
Transfer Student
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Term
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Academic
Qualification
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Class
Xth Details(*)
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Passing Year & Examination Board(*)
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School Address & Phone(*)
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| Use Comma (,) to separate |
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Class XIIth Details
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Passing Year & Examination Board
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| Use Comma (,) to separate |
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Test Information
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(If Applicable SAT/IELTS Etc.)
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Family Information
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Address (If Other From Your's)
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Address (If Other From Your's)
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Business/Organisation Name
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Business/Organisation Name
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Professional/Graduate School(if
any)
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Professional/Graduate School(if
any)
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Emergency No(*)
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Extracurricular
Activities
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Briefly describe
extracurricular, personal and volunteer activities
that you have pursued :
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Activities
(*)
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Which of the following societies
you like to be a part of at IILM(choose any two)
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Languages
(*)
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Which one of the following languages would you like to take at IILM ?
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Why do you wish to join IILM(*) ?
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How did you get to know about IILM(*)?
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Have any of your relatives or friends studied at IILM ? Please provide details.
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Have you applied to other colleges/universities ? If yes please provide details |
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| Personal Statement(*) |
In a few lines, please discuss an issue of personal, local, national or international concern and its importance to you.
(mandatory for the application to be processed)
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Declaration
(*)
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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 . I
also understand
that fees once paid will not be refunded under any circumstances. |
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List of
Enclosure
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Please bring the following documents
in original with one photocopy at the time of
the Personal Interview.
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1. Photocopy of X and XII mark sheet (with originals) |
4. Board Roll no. |
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2. Character Certificate from School (with originals) |
5. Address Proof |
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3. School leaving certificate (with originals) |
6. 3 passport size photographs |
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