AIPS

127B Pocket C, Sector-105, Noida-201301
Tel.: +91 9891735794, +91 9891735796
Email:- info@aipsglobal.com, Web.:- www.aipsglobal.com

APPLICATION FORM

Program applied for: (Tick Mark)*

Introductory Program in Paint & Coating Technology PTCT
Advance PG Program in Paint & Coating Technology APCT
Advance PG Program in Powder & Resin Technology PGPT
2 Yr Professional Program in Paint Technology & Allied Science PTAS
Advance Industry Program in Surface Coating Technology ASCT
Advance Industry Program in Leather Technology IPLT
Advance PG Program in Leather Technology PGLT
Advance Industry Program in Plastic & Fiber Technology IPFT
Advance Industry Program in Paper & Pulp Technology IPPT
Advance Industry Program in Sugar & Alcohol Technology ISAT
Advance Program in Event Management APEM
Advance Program in Tour Travel & Logistics ATTL

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PERSONAL DETAILS ( All in Block Letters)

1. Name*:
2. Father’s Name*:
3. Date of Birth*:
4. Gender*:
5. Permanent Address*:
6. PIN*:
7. Email ID*:
8. Mobile No*. (+91)
9. Tel. No:

ACADEMIC / WORKING DETAILS

Last Academic Qualification* Exam Passed Board / University Year
Working Experience (if applicable) Name of Organization Designation Total Work Experience

PAYMENT DETAILS

Mode (Tick Mark)*/
For Amount (In Words)
For Amount (In Figure)
Dated* :
Crossed cheque / DD. No*: Cash receipt No:
(for office use only)
*Mandatory to fill
** Important Note:
The program in which you are seeking participation, is 's independent knowledge enhancement program, which gives insight about mentioned study areas. The program does not promise any job guarantee nor provides any specific eligibility to pursue higher studies.

This is not a University / Government Program. In case of any dispute, it would have to be got resolved through arbitration under Arbitration and Conciliation Act 1996 by the sole arbitrator appointed by AIPS , Noida. The jurisdiction of the same will be to the Courts of District Gautam Buddha Nagar, Noida only. Fee once deposited is neither refundable nor adjustable under any circumstances. Terms ,Conditions and Procedures of Examination , Mark Sheet & Certificate will be under the jurisdiction of AIPS NOIDA.
**Declaration by the Candidate
I declare that I have carefully read and understood the details of the above program and that I have given the true and correct information while filling up the form. It may be open for the Institute to take action in case any of the information given by me is found incorrect.