Academic Honours

75%

Briefly describe any scholastic awards or scholarships you have won

Discipline Information (Tick Yes / No):

i) Have you ever been placed on probation, suspended, removed, dismissed or expelled from any academic programme?

Yes

No

ii) Have you at any time been convicted by a court for any criminal offence?

Yes

No

iii) Have you ever suffered or/are suffering from any chronic / contagious disease / psychological concerns?

Yes

No

If your answer is yes to any question, please provide the details below

Are you a domicile of Haryana:

Yes

No

How did you get to know about IILM Gurgaon?

IILMWebsite

Google

FaceBook

Newspaper

Alumni

Friends

CareerLauncher

Coaching

AnyOther

Have any of your relatives or friends studied in any of our Programmes?

Yes

No

Name

Programme

Programme Year

Whether University Hostel Facilities Required?

Yes

No

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