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Office Record

Scholarship

Remarks

Photo of the applicant

Admission Form
Use() in appropriate box Diploma Bachelor Masters Ph.D

Course Name Campus Name Name (in block letters): Date of Birth: Fathers Name: Mother's Name:

Present Address:

Permanent Address:

Previous Academic Qualifications: S.L. Examination Year

Subject

Job Experience (For professionals) S.L Position Department/Organization

Start Date

End Date

FORMS : INTERNATIONAL CULTURE UNIVERSITY-2011

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Fees Payable to the International Culture University Use() in appropriate box Applied for the Degree course Diploma Bachelor Masters Ph.D Amount Bank Draft Payment Mode Western Union Money Gram Other(Please write)

Payment Document No:..........................................

Date: Did you apply for scholarship? Use() in appropriate box

Yes

No

Checklist: Please enclose attested copy of following documents:

1. 2. 3. 4. 5. 6.

Two copies of previous academic certificates each. Two copies of introductory pages of passport. Two copies of national identity. Four copies passport size photographs. Two recommendation letters from previous department (for professionals) or from previous institution (for students). One copy of detailed resume.

List of enclosures: 1. 2. 3. 4. 5. 6. 7. 8. 9. I hereby certify that the information given above is correct and I take full responsibility for any incorrect information. I clearly understand that acceptance of my application form and appearance in the test does not mean approval of my admission. I hereby agree to abide by the rules and regulations of the ICU, as applicable currently, and revised/updated/enforced, during the currency of program.

Date:

Signature: Name:

FORMS : INTERNATIONAL CULTURE UNIVERSITY-2011

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