APPLICATION FORM

POST GRADUATE DIPLOMA

IN
INTELLECTUAL PROPERTY RIGHTS AND PATENT LAW
One-year (part-time) program (Saturday classes: 9.30 AM to 5.30 PM)

FORM NO: ____________ (please leave blank)

INSTRUCTIONS

• Incomplete forms will not be considered

• This form is divided into Section A, B, and C.
Personal Information ..................................... Section A
Assessment Questions ..................................... Section B
Misc Course Related Information ..................................... Section C

• Selection to the program is at the discretion of the Institute

DATE OF SUBMISSION: _______________

Please Paste
your recent passport
size photograph here
(3.5 cm X 3.5 cm)
Name: Date of Birth:

Marital Status: Gender:

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 SECTION A: PERSONAL DATA

CONTACT INFORMATION

Correspondence
Address:

Permanent
Address:

Phone:
(mandatory)
Alternate Phone:

Mobile:
(mandatory)
Email id:

ACADEMIC RECORD

Institution Board/University Year of Major Marks Examination

passing Subjects (% or Passed
CGPA)

WORK EXPERIENCE (Present Job to the First Job)

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Total Work Experience, if any ____________________ months

Organization Designation Start date Brief Job Mention any specific

– End date Description experience / achievements

(please mention if any work

experience in field of IP)

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 SECTION B: ASSESSMENT QUESTIONS

Please do not leave any question unanswered in this section.

Use Additional Sheets, if required.

1. Please describe below your special academic interest(s) and objective(s) in

undertaking this program (max. 500 words)

2. Extra Curricular Activities and Interests

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3. Academic Achievements

4. Non Academic Achievements

5. Do you have any research experience? If yes, please describe in detail. Also
list publications in domestic and international journals, if any.

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6. Write a short paragraph not exceeding 200 words, on any of the following:

a) China and India are the world’s next major powers – Can India Overtake
China?

b) IP is the foundation of knowledge-based economy

c) Attitude – It changes everything

How did you come to know about the program? (Please tick)
Please specify the name of the
Newspaper/Journals etc.
Newspaper Advertisement

Journals/Magazines/Newspaper
Articles
Online Search

Mailer From GIIP

Friends

Others (Please Specify)

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 SECTION C: MISC. COURSE RELATED INFORMATION

DO YOU WISH TO SEEK EDUCATION LOAN: (write ‘YES’ or ‘NO’ in the text box below)
(If the answer is YES, we will forward your details to the bank for eligibility assessment)

DO YOU REQUIRE ASSISTANCE IN LOCATING A SUITABLE PLACE TO STAY (PG /

HOSTEL / RENTAL) FOR THE PROGRAM DURATION (write ‘YES’ or ‘NO’ in the text box
below)

IMPORTANT NOTE:
The Program is GIIP’s independent professional skill development program, aimed at providing
hands-on and practical training in field of International Patents and Intellectual Property services.
This program is not covered under AICTE. 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
Global Institute of Intellectual Property at New Delhi. Fee once deposited is neither refundable nor
adjustable under any circumstances.

DECLARATION BY THE CANDIDATE APPLYING FOR THE PROGRAM

I hereby declare that I have read and understood the conditions of eligibility for the program. I
fulfil the minimum eligibility criteria and I have provided necessary information in this regard. In
the event of any information being found incorrect or misleading, my candidature shall be liable to
cancellation by the Institute at any time and I shall not be entitled to refund of any fee paid by me
to the Institute.

Name of the candidate Place

Date Signature

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