| Primary Details | |||
| Name | Mobile | ||
| Select Course | Select session | ||
| Application Fees | |||
| Other Details | |||
| Whatsappp Number | |||
| Date of Birth | Gender | ||
| category | Nationality | ||
| Address | Pincode | ||
| City | District | ||
| State | Country | ||
| Hostel Requirement | Student Type | ||
| Parents and Guardian Details | |||
| Father's Name | Father's Contact Number | ||
| Mother's Name | Mother's Contact Number | ||
| Guardian's Name | Guardian's Contact Number | ||
| Result Details of class 10 | |||
| Name of Examination | Year of passing | ||
| Stream | Percentage/CGPA | ||
| University/Board | |||
| Result Details of class 12 | |||
| Name of Examination | Year of passing | ||
| Stream | Percentage/CGPA | ||
| University/Board | |||
| Result Details of Graduation | |||
| Name of Examination | Year of passing | ||
| Stream | Percentage/CGPA | ||
| University/Board | |||
| Result Details of Post Graduation | |||
| Name of Examination | Year of passing | ||
| Stream | Percentage/CGPA | ||
| University/Board | |||
| Result Details of M.PHIL/PHD | |||
| Name of Examination | Year of passing | ||
| Stream | Percentage/CGPA | ||
| University/Board | |||
| Result Details of Others | |||
| Name of Examination | Year of passing | ||
| Stream | Percentage/CGPA | ||
| University/Board | |||
| Work Experience If any (The most recent one) | |||
| Name of Organization | |||
| Name of Designation | Job Profile | ||
| From Date | To Date | ||
| Extra Curricular activities Details | |||
| Details | |||
| Other Information | |||
| Have you appeared for any Entrance Examination? | |||
| Examination Name | Course Name | ||
| Are you being counselled by any EIILM team Member? | |||
| Counsellor Name | Counsellor contact | ||
| Important Documnets | |||
| Passport Photo | Signature | ||
| Final year/Sem marksheet | |||
| How did you get to know about EIILM-Kolkata? | |||
| Recommended person Information | |||
| Recommended person 1 | Recommended person 2 | ||