Personal Data Form

FOR PHD IN DEVELOPMENT STUDIES AND PUBLIC POLICY (WORKING PROFESSIONALS)
at IFHE, Hyderabad

Admissions Officer :
The ICFAI Group,
3rd Floor, Plot #65,
Nagarjuna Hills, Panjagutta,
Hyderabad - 500082.
Ph : 040 - 23440966
Email : isossphd@ifheindia.org
website : www.ifheindia.org

Program
PERSONAL DETAILS
ACADEMIC RECORDS
CLASS Name of the School/Collage Major Subjects Medium of Instruction Year of Passing % of Marks/ CGPA
Class X
Class XII
BA/B.Sc/B.Com/BBA/B.Tech/LLB
MA/M.Sc/MBA/M.Com/LLM/M.Tech
MPhil
If any Post Graduation Course
AWARDS AND RECOGNITIONS IN ACADEMICS AND SPORTS

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

Awards Year Basis


Language PROFICIENCY
Health (Did/Do you suffer from any major illness/disability in the past/present? Please tick (3))
Present WORK EXPERIENCE
Previous WORK EXPERIENCE
Legal Cases (Have you ever been convicted or is any case pending against you in any court of law? If yes, details)
(Max 450 characters only)
Have you been associated with ICFAI earlier?
Do you know any one in the ICFAI system?
Why do you want to join this program ?
(Max 450 characters only)
FAMILY BACKGROUND
Parents:
Special Points (Any special points you wish to bring to the notice of the Admission Committee in the support of your application?)
(Max 450 characters only)
What is your intended area of research within your specialization? Describe in 5-10 lines
(Max 450 characters only)
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DECLARATION

I certify that the information presented in thisApplication Form is accurate, complete and honest. I am aware of the eligibility criterion for the program. I understand and agree that any inaccurate information,misleading information or omission will be a cause for the withdrawal of any offer of admission or for disciplinary action, dismissal or revocation of diploma, certificate, or degree if discovered at a later date. I understand that all admissions are based strictly on merit and declare that I will not violate the rules against canvassing directly or indirectly to seek admission and/or to seek any undue/special favours outside the framework of rules in force from time to time. I hereby understand and accept that the decision of admission by the Admissions Committee is final and binding on me.
I certify that I have never been expelled from any college, not convicted by any court and no proceedings are pending against me. In the event I withdraw or my admission is cancelled by the institute, I am liable to refund the stipend and the tuition fee provided to me as financial assistance by the institute. To this end, I understand that I have to execute a financial assistance agreement along with a guarantor for the financial assistance provided by the institute and submit the same on the day of registration.