Helpline Nos. 9163393666 / 9163393668


(Academic Session: 2023-24)

General Details

Permanent Address

Present Address

Other Details

Academic Qualification

Name of the Examination Year of Passing %age/CGPA Stream University/Board

Work Experience if any (the most recent one)

Organisation Designation Period Job Profile
From To (Max word limit: 50)

Extra Curricular Activities

Have you appeared for any Entrance Examination?
If yes
Name of Entrance Examination Composite Score Percentile
Are you being counselled by any EIILM team Member?

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This form is an integral part of the Admission Process. Please provide correct information. Admission granted on incorrect information will be ipso facto null and void.
Fill the Application Form legibly. Incomplete Forms shall not be considered.
Enclose Self-Attested Photocopies of all Final Year/Sem Mark Sheet with this Form.
In all matters regarding Admission to the Programme, the decision of the Institute will be final and binding on the applicant.
Uploaded Images file should only be in .jpg or .jpeg format.
Need to produce all Certificates and Mark Sheets in original and submit Photocopies of the same during admission.
Produce Photocopy of Passport/Aadhar Card/Voter Card/Driving License at the time of admission.