Application Form for

Certificate Program Foundation Course on
Digital Transformation of Business

The ICFAI University, Jharkhand, #2065, Daladali Chowk, Simalia, Near Ring Road, Ranchi - 835 222, Jharkhand. Ph: 7257004502 / 7379470804 Website: www.iujharkhand.edu.in

participants of the program
Personal Details
Address Details
Academic Information
Examination Level Group / Discipline School/ College/ Board/University/Institute Medium of Instruction Marks (%) / Grade Year of Passing
Class X
Class XII
Graduation
Others
Work Experience
Employer's Name and Address Period of Service Designation Area of Work
Date of Joining Date of Leaving
Source of Contact
WHY DO YOU WANT TO PURSUE THE CERTIFICATE COURSE ?
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