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The Indian Law Institute: Bhagwan Das Road, New Delhi-110001

This document is an application form for an online certificate course in cyber law offered by The Indian Law Institute. It requests basic contact information from applicants such as name, address, payment details, education history, and a signature agreeing to abide by institute rules. There are instructions at the bottom explaining that the form can be downloaded from the institute website and payment of Rs. 5000 must be made either through demand draft or online payment gateway along with submitting the completed hard copy application form.

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MuthuRaj
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35 views1 page

The Indian Law Institute: Bhagwan Das Road, New Delhi-110001

This document is an application form for an online certificate course in cyber law offered by The Indian Law Institute. It requests basic contact information from applicants such as name, address, payment details, education history, and a signature agreeing to abide by institute rules. There are instructions at the bottom explaining that the form can be downloaded from the institute website and payment of Rs. 5000 must be made either through demand draft or online payment gateway along with submitting the completed hard copy application form.

Uploaded by

MuthuRaj
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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THE INDIAN LAW INSTITUTE

(Deemed University)
Bhagwan Das Road, New Delhi-110001
Website: www.ili.ac.in/ elearningilidelhi.org Email: [email protected]

E-learning initiative

Application Form for online Certificate Course in


CYBER LAW
1. Candidates Name (in Block Letters)...
2. Fathers/Husbands Name ...
3. Date of Birth ... Age (Years)/./ (DD/MM/YYYY)

Sex .

4. Postal address

5. Tel.(Res.).(mobile)E-mail.
6. Please specify Mode of Payment: [Online Payment/ Demand Draft] ________________
If payment made through Online Payment Gateway* :
Transaction ID _________________________ Date of Transaction _________________ for Rs.5000/(Rupees Five Thousand Only)
(*Please email copy of Payment Response page along with Application Form)

If payment made through Demand Draft


Demand Draft No. .. dated . Bank for Rs.5000/(Rupees Five Thousand only) in favour of The Indian Law Institute payable at New Delhi
7. Occupation
8. Designation...
9. Full name and address of office..
.
Tel...Fax No.. E-mail
10. Details of examinations passed commencing matriculation
Examination

Board/University

Institution

Year

Division

Marks (%)

Subjects

11. If admitted, I undertake to abide by all the rules and regulations of the Institute, issued from time to time.
Date .
Place.

Name & Signature of the Applicant

Instructions for filling the Application Form:


1. The Application Form can be downloaded from the ILIs web site (www.ili.ac.in).
2. If payment of Rs.5000/- is made through Online Payment Gateway, send hard copy of the duly filled Application Form alongwith
Payment Response page generated by Payment Gateway after successful transaction. Also send advance copy of the same through
email at [email protected].
3. Candidate is requested to send hard copy of the duly filled Application Form along with payment details of Rs.5000/- made either
through Demand Draft or Online Payment Gateway to the Dy. Registrar, Indian Law Institute, Bhagwan Das Road, New Delhi110001.
4. Last date for the receipt of Application Form is 18.08.2014.

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