APPLICATION FORM

NATIONAL INSTITUTE OF FINANCIAL MANAGEMENT

3 Months Certificate course in Cyber Security and Computer Forensics
st
(To reach latest by 01 June, 2011)

Affix recent Passport

size Photograph
(Self Attested)

TO BE FILLED IN BY THE APPLICANT

Name
Male
Age in Years

Female
Date of Birth

Address for Correspondence:

Mobile:
Tel.:
E-mail:

Educational Qualification (Graduation onwards)

SI.

Qualification

University

Working Knowledge of the Computers:

O Excellent

Year of Passing

O Good

Specialization

% Marks

O Average

Demand Draft/Pay Order Details (DD for Rs.500/-)

Demand Draft/Pay Order No.:

Issue Date:

Name of Issuing Bank:

Branch:

I undertake to declare that upon my admission to Certificate Course in Cyber Security and Computer Forensics, I would abide by rules
and regulations governing the conduct of the course.
Please return the completed form to:
Dr. Namrata Agrawal, Professor & Program Coordinator
Certificate Course in Cyber Security and Computer Forensics
NATIONAL INSTITUTE OF FINANCIAL MANAGEMENT
Sector-48, Pali Road, Near Badkhal Lake, Faridabad-121 001, Haryana (INDIA)
Tel.: +91-129-2418891,09818889919 (M), Fax: +91-129- 2418891, 2418867
(Dial code 0129 from Delhi and other stations)

Signature of the Applicant

HALL TICKET
3 Months Certificate Course in Cyber Security and Computer Forensics
TO BE DETACHED BEFORE SUBMITTING THE APPLICATION FORM
PLEASE BRING THE HALL TICKET AT THE TIME OF WRITTEN TEST ON
June 05, 2011

Affix recent
Passport size
photograph
(Self Attested)

Name of Applicant: ...............................................................................................................................................

Date of Birth: ........................................................................................................................................................
Address for Correspondence: ..............................................................................................................................
Demand Draft/Pay Order No: ......................................................................................................
Signature of the Applicant