Application Form for Admission
Certificate Program in
Digital Agriculture Management - 2021

Admissions Office :
The ICFAI Univeresity Jharkhand,
Campus Address
Plot No. 2065, Daladali Chowk,
Simalia, Near Ring Road,
Ranchi - 835 222, Jharkhand.
Phone: 94386-80013, 77177-52967
E-mail: cert.admissions@iujharkhand.edu.in
website : www.iujharkhand.edu.in
   1. NAME OF THE CANDIDATE (use Capitals Only) [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)
  Gender  :

 
   2. PERSONAL DETAILS (use capitals only)

Date of Birth

 :

Mobile

:

E-mail

:

Father's Name

:

Tel (Res)

:

Mailing Address
:

City

 :

State/UT

:

Pin

:

   3. ACADEMIC RECORD

Examination Level

School / College / Board / Institution / University

Year of Passing

Group/Discipline

 

Mediun of Instruction

Marks(%) / Grade

X Class

XII Class

Bachelor's Degree

Others

   4. WORK EXPERIENCE

(Attach certificate of work experience. Please indicate special achievements, if any).

Employer's Name and Address

Date of Joining
(ddmmyyyy for ex: 05102014)

Date of Leaving

Designation

Area of Work

   5. 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)      Friends

News Paper Article     News paper/Magazine advertisements    Electronic Media (FM/TV)    Education Fairs   
        
Events of IUJ Alumni/Students of IUJ   Faculty    Marketing Officer Others  

   6. WHY DO YOU WANT TO PURSUE THE CERTIFICATE COURSE?


Career Growth in the current Job        Shift to Industry       Shift Function       Any Other Reason

   7. DECLARATION


I have carefully read the academic and administrative rules and regulations of the ICFAI University as given in the Prospectus and Application and agree to abide by the same. I understand that these rules are only indicative and the complete list of rules and regulations as updated from time to time will be given to me on my enrollment in the form of Student Handbook. I also understand that the ICFAI University reserves the right to change/modify the rules and regulations from time to time and I agree to abide by the same. I agree to pay the fee for the Programs as per the schedule of fee payment stipulated. I understand that the jurisdiction for all disputes (if any) relating to the ICFAI University, Jharkhand is Ranchi. I hereby declare that the information provided by me in the Application is true and correct to the best of my knowledge. My signature below certifies that I have read, understood and agree to the rules and regulations of the ICFAI University, including my financial responsibilities.

I Agree