IIRM INSTITUTE OF INSURANCE AND RISK MANAGEMENT

(An IRDA Initiative)
Plot No. 38/39, Financial District, Nanakramguda, Gachibowli, Hyderabad-500 032
Ph No: +91 40 23000005, Mobile: +91 8106360044. Toll Free: 1800 425 2041. Email: admissions@iirmworld.org.in, Website: www.iirmworld.org.in

PGDM APPLICATION FORM

Note: In case of any technical issue while filling application form, you can contact 99486 07128 / 99480 82222
Name of the Student Mr/Ms: *
   
Father Name: *
   
Male Female
   
Mother Name: *
   
   
   
   
   
Course Applying for: *
CoursesStream
PGDM / Masters Program Test Score       
To be appearing later
Alumni                             
Specializations in order of preference
Specialization 1
Specialization 2
Specialization 3

Educational Certificates starting with highest qualification: *


Academic Honours / Extracurricular Activities:

Work Experience (if any):

Company From To Designation & Work Description
Declaration of the Applicant *
I declare that the information furnished in this application is true to the best of my knowledge. At the time of interview for admission I will produce documentary evidence of my qualification and experience.

Proceed to pay Rs.500 towards registration fee.