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

Note: In case of any technical issue while filling application form, you can contact 99486 07128
Name of the Student Mr/Ms: *
   
Father/Spouse Name: *
   
Male Female
   
Mother Name: *
   
   
   
   
   
Course Applying for: *
CoursesStream
IPGD Investment Planning & 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)
PGD A&AS Analytics and Actuarial Science (1 Year)                        

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.