IGEL microsite

Basic Details

Step 1 of 6

Course Preference *

Specialization Preference *

Applicant Details

Title *

First Name *

Middle Name

Last Name *

Gender *

Date of Birth *

Email Address *

Mobile Number * Country +Code(+91)

Alternate Mobile Number Country +Code(+91)

PAN Card / Aadhar Card Details (IF NOT TO BE SPECIFIED NOT AVAILABLE)

Parent Details

Step 2 of 6

Father Details

Title *

Father's Name *

Father's Mobile Number * Country +Code(+91)

Father's Email Address

Mother Details

Title *

Mother's Name *

Mother's Mobile Number * Country +Code(+91)

Mother's Email Address

Address for Correspondence

Step 3 of 6

Country *

State *

District *

City *

Address Line 1 *

Address Line 2

Pincode * In case your country doesn’t have pincode/zipcode enter 000000

Is Permanent Address Same As Address For Communication? *

Yes

No

Permanent Address

Country *

State *

District *

City *

Address Line 1 *

Address Line 2

Pincode * In case your country doesn’t have pincode/zipcode enter 000000

Academic Details

Step 4 of 6

10th Academic Details

Institute Name *

Board *

Year of Passing *

Obtained Percentage / CGPA *

Class / Division *

12th / Diploma Academic Details

Institute Name *

Board / University *

Year of Passing *

Obtained Percentage / CGPA *

Class / Division *

Have you taken the SAT/TOFEL/IELTS/Any Other ? *

Do You have any Academic Achievement ? *

Extra Curricular Activities

Have you ever participated in Extra Curricular activities ? *

Sports Activities

Have you ever participated in any Sports ? *

Step 5 of 6

Upload Your Recent Passport Size Photograph * Max Limit 1MB(Only jpeg,jpg,png allowed)

Upload Scanned Copy of Your Signature * Max Limit 1MB(Only jpeg,jpg,png allowed)

Upload Your 10th Marksheet * Max Limit 1MB(Only jpeg,jpg,png allowed)

Upload Your 12th/Diploma Marksheet Max Limit 1MB(Only jpeg,jpg,png allowed)

Upload Your Entrance Marksheet Max Limit 1MB(Only jpeg,jpg,png allowed)

Declaration

Step 6 of 6

I certify that the information submitted by me in support of this application, is true to the best of knowledge and belief. I understand that in the event of any information being found false or incorrect, my admission is liable to be rejected / cancelled at any stage of the program. I undertake to abide by the disciplinary rules and regulations of the institute.

Applicant Name *

Parent Name *

Date *

	Nature of Activites(The Activiy like Quiz,Debate,Music,Dance etc to specified)	Position/Patrticipation	Event Name and Details	Level Of Competitions	Please Specify
1
2
3
4

	Nature of Sports	Position/Participation	Event Name and Details	Level Of Competitions	Please Specify
1
2
3
4

Apply Online (Int'l)

Applicant Details

Father Details

Mother Details

Permanent Address

10th Academic Details

12th / Diploma Academic Details

Academic Achievements

Extra Curricular Activities

Sports Activities