The Institute of Islamic Banking and

Finance
#12-2-800/445, Dilshad Nagar, Mehdipatnam, Hyderabad 500028,
Telangana, India.
Tel: 91-40-23522847
E-mail: info@islamicbankinst.com
Website: www.islamicbankinst.com
Registration Form for

POST GRADUATE DIPLOMA IN ISLAMIC BANKING AND FINANCE

1.

Name of the candidate Mr. /Ms. /Mrs.:

2.

Date of Birth:

3.

Educational Qualification (Start with the latest with year of passing

and Class / Division secured Board / University):

Affix
Latest
Color
Photo

a)
b)
c)
d)
4.

Employer details, if employed:

5.

Address for communication - Mailing

Street:

City:

State:

Pin Code:

Country:
Tel. No.:
6.

Mobile:

Option (Select any one)

books form)

Fax:

B-Learning

E-mail:
(Course material in printed

E-Learning (Course material on CD only)

Dual-Learning (Both B & E)
*Note: The course fee for single option either B or E is Rs.9,000/- and
for dual
option i.e. Both B and E is Rs.10,000/-

Declaration
I hereby declare that the information furnished above is true to the best of my knowledge
and belief. I hereby agree to abide by all the rules and regulations of the Institute of
Islamic Banking and Finance in force and likely to be amended, modified in future.
Signature of the Candidate

DETAILS OF MODE OF REMITTANCE OF COURSE FEES

1. Direct deposit of cash into any of Oriental Bank of Commerce branches for credit
of our

The Institute of Islamic Banking and

Finance
#12-2-800/445, Dilshad Nagar, Mehdipatnam, Hyderabad 500028,
Telangana, India.
Tel: 91-40-23522847
E-mail: info@islamicbankinst.com
Website: www.islamicbankinst.com
account with their Mehdipatnam Branch, Hyderabad. Please mention the branch
where
deposit is made along with date - _____________________.
2. Online remittance through National Electronic Fund Transfer (NEFT). Please
mention the
Bank name and date - __________________________.
__________________________________________________________________________________
(Both 1&2 are meant for E-Registrations only wherein the student needs to
submit only the
scanned copy of the duly filled up registration form).
3. Through a Demand Draft No____________ dt ___________ for Rs.________ on
______________ Bank favoring The Institute of Islamic Banking and Finance
payable at Hyderabad. Please write your name on the reverse of the Draft in
pencil.
4. Paid in cash Rs._________ in the office on __________.

*Note:
1. This form is valid only upto 90 days from the date of receipt.
2. Form submission and fees payment have to be done on the
same day compulsorily.