1
CERTIFICATE PROGRAMME IN CAPITAL AND FINANCIAL
MARKETS (Online)
(APRIL 2012-AUGUST 2012)INDIAN INSTITUTE OF FOREIGN TRADE (DEEMED UNIVERSITY)
B-21 QUTAB INSTITUTIONAL AREA, NEW DELHI-110016
APPLICATION FORM
1. Name in full: ________________________________________________________
(in Capital Letters) (First) (Middle) (Last)
2. Father’s Name: ______________________________________________________
3. Mailing Address with Pin Code: ________________________________________
_______________________________________
_______________________________________
Tel. Nos.: (Res.) (Off): _____________________________
Mobile: ______________ Email: ___________________________ , Fax: ________
4. Permanent Address with Pin Code: ______________________________________
_______________________________________
_______________________________________
Tel. Nos.: (Res.) ______________________ (Off) ____________________________
Mobile: _________________ Email:__________________________________
Fax: __________
PHOTO
2 5. Academic Record (starting with class XII, and proceeding in sequence):
Year Degree/
Diploma
University/Institute Major Subjects
From TO
Divn. & %age
.
6. Work Experience (if any)
Name of organisation
Designation and Department
Experience Monthly Salary (Gross)
7. Experience in years (as on April 2012):
8. Category: General S C √ ST PH OBC
(Non-Creamy Layer) 9. Date of Birth (dd/mm/yyyy): ___________________________________
10. What are your broad career objectives and how does IIFT fit in these objectives?
(50 words)
11. What do you expect to learn from your fellow participants at IIFT? (100 words)
3 12. Any other information which you consider is relevant
___________________________________________________________________
DECLARATION BY THE CANDIDATE
14. I hereby declare that all statements made in this application are true, complete
and correct. In the event of any information being found false or incorrect or ineligibility being detected before or after the examination, action may be taken by the Institute as deemed fit, against me.
Signature
13. Information Regarding Employers/Sponsoring Organization Name & Address
14. Are you a sponsored candidate ? If yes, get the following section completed by the sponsoring organization.
SPONSORSHIP
We sponsor Shri/Km./Smt. ________________________________ for participation in Certificate Programme in Capital & Financial Markets (Online) being organized by the Indian Institute of Foreign Trade, New Delhi, during April 2012-Aug. 2012. The tuition fee for the Course will be paid by the organization/by the candidate.
_______________________________
(Signature with seal of the organization)
4 Note:
Attested photocopies of academic qualifications and work experience would need to be submitted and originals have to be shown to IIFT at the time of admission, for verification.