CII Student Online Application

Batch* Programs* Mode* Student Category* Name of the Applicant* Mobile* Email* Alternate Email

Date of Birth*

Gender* Male Female

Nationality* PAN Card Number* Sector Designation Name of the Organization Experience

If Company Sponsored, Please furnish Company Contact Details

Contact Person Designation Company Email Contact Number

Address for Communication

Address*

City* Pin Code* Country* State*

Educational Qualification (Degree / PG Degree)*
Qualification*	Institute*	Year Of Passing*	CGPA / Percent*

Note: Maximum Upload Size is 350 KB. Supported Format: JPG, PNG

Upload Passport size Photo* Upload Degree / Diploma Certificate* Upload PG Degree Certificate* Sponsor Certificate from employer Experience Certificate PG Degree Marks Statements Entrance Exam Score Card (Only for Admission to PGDSCM) Other Certificate Any Discount Claim Documents? Mode Of Payment Amount*

Bank* Branch*

Note: Incomplete application will not be processed.

I hereby solemnly and sincerely affirm that the statements made and the information furnished in the application form, as also in all enclosures thereto, submitted by me are true.

I have read and understood the contents of the prospectus and undertake to abide by the norms prescribed by CII-IL from time to time. I understand that I need to visit CII-IL website frequently and watch the notice board therein for general notification for which individual communications will not be sent CII-IL.

I understand that it is my responsibility to furnish my email id which is operational and undertake to look for communications from CII-IL periodically. I understand that my responsibility to follow the schedule published by CII-IL from time to time in CII-IL website, and I shall not expect individual reminders.

Application Form