THE INDIAN LAW INSTITUTE

(Deemed University)
Bhagwan Dass Road, New Delhi-110001
Website: www.ili.ac.in Email: e_cyber@ili.ac.in

E-learning initiative

Application Form for online Certificate Course in

CYBER LAWS
1. Candidates Name (in Block Letters)...
2. Fathers/Husbands Name ...
3. 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.7500/(Rupees Seven Thousand Five Hundred 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.7500/(Rupees Seven Thousand Five Hundred 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 .

Name & Signature of the Applicant

Place.
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.7500/- is made through Online Payment Gateway, send Application Form along with copy of Payment Response
page duly generated by system after successful transaction through email only at e_cyber@ili.ac.in.
3. If payment is made through Demand Draft, and send hard copy of the duly filled Application Form along with a draft of Rs.7500/drawn in favour of Indian Law Institute payable at New Delhi to the Registrar, Indian Law Institute, Bhagwan Dass Road, New
Delhi-110001.
4. Last date for the receipt of Application Form is 02.01.2017.