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    A Form

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    Shivangi Malhotra
    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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    A Form

    Uploaded by

    Shivangi Malhotra
    27 views1 page
    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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    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.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    27 views1 page

    A Form

    Uploaded by

    Shivangi Malhotra
    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.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    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@iirmworld.org.in, 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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