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

APPLICATION FORM

Name of the Student Mr/Ms: *
   
Father/Spouse Name: *
   
Male Female
   
Mother Name: *
   
   
   
   
   
Course Applying for: *
CoursesStream
IPGD Life Insurance (1 Year +)
General Insurance (1 Year +)
Risk Management (1 Year +)
PGD Actuarial Science (1 Year +)
Business Analytics (1 Year +)
Health Insurance (1 Year +)
PG-CAAS Analytics and Actuarial Science (1 Years +)                        
PGC Motor Insurance (6 months)
Insurance Marketing (6 months)

Educational Certificates starting with highest qualification: *


Work Experience (if any):

Company From To Designation & Work Description

Academic Honours / Extracurricular Activities:

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 the interview for admission I will produce documentary evidence of my qualification and experience.
                                * Applications with out the registration fee are rejected.