THE INDIAN LAW INSTITUTE
(Deemed University)
Bhagwan Dass Road, New Delhi-110001
Website: www.ili.ac.in/ www.ilidelhi.org Email : [email protected]
E-learning initiative
Application Form for online Certificate Course on IPRs
Intellectual Property Rights and Information Technology in the Internet Age
1. Candidate’s Name (in Block Letters)………………………….………………………………………..
2. Father’s/Husband’s Name ………………………………………………………………………….…..
3. Date of Birth ……..……..… (DD/MM/YYYY) ……….. Years Sex………………….
4. Postal address ……………………………………………………………………………………………
……………………………………………………………………………………………………………
5. Tel.(Res.)…………………….(mobile)………………………E-mail………………………………….
6. Demand Draft No. ………………..Bank …………………for Rs. 4000/- (Rupees Four Thousand only)
dated …………. 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 ……………………. Name & Signature of the Applicant
Place…………………….
Instructions for filling the Application Form:
1. The Application Form can be downloaded from the ILI’s web site (www.ilidelhi.org).
2. A hard copy of the Application Form, duly filled in, along with a draft of Rs.4000/- drawn in favour of ‘Indian Law
Institute’ payable at New Delhi should be sent to the Registrar, Indian Law Institute, Bhagwandass Road, New Delhi-
110001.
3. Last date for the receipt of Application Form is __________.