IRM – Center for Executive Education 6, St. 56, F-6/4, Islamabad Telephone: (+9251) 282-2752, 282-2792 - Fax: 051-4486705 Email:
[email protected] - Website: www.irm.edu.pk
APPLICATION FOR ADMISSION Reference #:__________
QF-CEE-001
By signing this, I am granting my permission to use my name and picture in the publication or educational material of IRM-Center for Executive Education.
Two Recent Photographs 1” x 1”
Date(DD/MM/YYYY)
Applicant’s Signature
A. Personal History: Full Name
Date of Application (DD/MM/YYYY)
Home Address
Telephone Number
E-mail ID
Mobile Number
Date of Birth (DD/MM/YYYY)
National ID Card No.
Gender
Citizenship ¨ M ¨ F
B. Person to be Notified in Case of Emergency: Name
Relationship to the Applicant
Home Address
Telephone Number
C. Programme: Tick appropriate box to select a Programme:
¨
Executive Diploma in English Language Proficiency
¨
Diploma in Finance for Non Government Organizations Executive
¨ ¨ ¨
Diploma in Project Management Summer Internship Programme Basic Computer Application Skills
¨ ¨
Diploma in Proposal Writing
¨ ¨ ¨
Diploma in NGO Leadership & Management
Diploma in Business Administration for Clerical & Administrative Personnel Diploma in Human Resource Management Basic English Language Proficiency Course
D. Location: Where would you like to attend the Programme?
¨
IRM, Islamabad Institute of Rural Management House # 6, Street # 56, F-6/4, Islamabad, Pakistan. Tel: (+9251) 2822 752
¨
VTEC-Rawalpindi Vocational and Technical Education Center (VTEC) Opposite Rawalpindi Medical College, Tipu Road, Behbood Building Rawalpindi. Tel: (+9251) 5599 537
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IRM-Sukkur House # 27-A, Friends Housing Society, Shikarpur Road, Sukkur, Sindh. Tel: (+9271) 5632 645
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IRM-Jamshoro House # 51 A, Phase # 2, Sindh University Employees Housing Cooperative Society, Jamshoro, Sindh. Tel: (+9222) 2772 471
E. Educational Background: Degree/Certificate
Institution
Year of Passing
Grade/ Percentage/ CGPA
MS/M.Sc./Equivalent (18 years of Education) BS/B.Sc./Equivalent (16 years of Education) Graduation/Equivalent (14 years of Education) Intermediate/Equivalent (12 Years of Education) Matriculation/Equivalent (10 Years of Education)
F. Present Professional Situation: Current Status ¨ Professional ¨ Student ¨ Others Name of Employer
Source of Sponsorship ¨ Self-Financed ¨ Employer ¨ Others Address
Job Title
Website
Email ID
Telephone Number
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I certify that the information in my application is my own information, factually true and honestly presented. I have understood the attendance policy and I shall not be awarded the certificate in case my attendance is less than 75 percent. I shall abide by the rules and regulations of the Institute.
Date(DD/MM/YYYY)
Applicant’s Signature
