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Admission Form for IIRM Courses

The document is an application form for admission to postgraduate diploma programs in insurance and risk management at the Institute of Insurance and Risk Management (IIRM) in Hyderabad, India. The application requests information such as the applicant's name, date of birth, academic background, work experience, and a declaration that the information provided is true. Applicants must submit the completed form along with a 300 rupee payment to be considered for admission to programs in life insurance, general insurance, or risk management.

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Shivangi Malhotra
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91 views1 page

Admission Form for IIRM Courses

The document is an application form for admission to postgraduate diploma programs in insurance and risk management at the Institute of Insurance and Risk Management (IIRM) in Hyderabad, India. The application requests information such as the applicant's name, date of birth, academic background, work experience, and a declaration that the information provided is true. Applicants must submit the completed form along with a 300 rupee payment to be considered for admission to programs in life insurance, general insurance, or risk management.

Uploaded by

Shivangi Malhotra
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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IIRMINSTITUTE OF INSURANCE AND RISK MANAGEMENT

(Jointly set up by IRDA and Government of Andhra Pradesh)


Plot No: 38/39, Financial District, APSFC Building,Ground Floor, Nanakramguda, Gachibowli, Hyderabad - 500 032,
Ph No: +91 40 23000005, Fax: +91 40 23000254 Email: [email protected], Website: www.iirmworld.org.in

FORM FOR ADMISSION TO INTERNATIONAL POST GRADUATE DIPLOMA

Course applied for IPGDI (Life) IPGDI (General) IPGDRM (Risk Management)

Application form No: to be filled by IIRM office.


To be filled in block letters by the applicant
Name of the candidate:
Date of birth: Age: Sex: Male Female
Email Id:
Father’s Name:
Postal Address for communication:
City:
Pin: State: Phone Mobile
Academic background:
Name of the College/Institution: Place
Name of the Course: Specialization:
Graduation/Post Month/Year of Board/University Marks obtained Aggregate Percentage
Graduate Details passing

Work Experience (if any):

Academic Honours / Extracurricular activities:

Send completed application along with DD in favor of IIRM, payable at Hyderabad for Rs.300/-
DD No: Date: Bank:

The completed application form should be mailed to I declare that the information furnished in this application is true to
Managing Director, Institute of Insurance and Risk the best of my knowledge and I further expressly understand my
Management, Plot No: 38/39, Financial District, APSFC admission is subject to satisfying the requirements of the IIRM and
Building,Ground Floor, Nanakramguda, Gachibowli, I shall abide by all the rules and regulations of the institute
Hyderabad - 500 032. applicable from time to time.
Note:
1. The attested copies of certificates of Degree/Professional Date:
Qualifications/Experience are to be submitted only at the time of Place: Student’s Signature
interview.
2. Those who are appearing for the Graduation Final Year Exam have to
submit the proof of having passed the examination with minimum 50%
Admission Status: Approved / Not Approved
marks before commencement of classes. Admission of such selected
candidates will be on provisional basis.
3. If the space provided is not sufficient, please attach information in a
separate sheet of paper
4. All disputes are subject to the jurisdiction of the courts at Hyderabad. Date: Managing Director

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