PLEASE FILL ALL THE BELOW DETAILS IN CAPITAL LETTERS ONLY

Name

Father's/Husband's Name Only 'Individuals'

to affix recent
Qualification photograph

Postal Address
Courses Applied for

City State Pin

Phone (Off) Phone (Res)
E-mail Date of Birth
D D M M Y Y
Educational & Other Details
S.No. Qualification Year of Passing University

 What are your career goals ?

 Are you a practising doctor at present and what type of practise do you currently have ?

 Why would you like to join ILAMED ( describe in 100 words ) ?

I hereby declare that the particulars provided in the application form are correct to the best of my knowledge and belief. I have gone through the
prospectus before filling the application. I shall be disciplined and adhere to all the rules and regulations of the Institute of Laser & Aesthetic
Medicine (ILAMED). I have gone through the instructions and Terms and conditions given overleaf before filling in the application form.
Date
SIGNATURE
D D M M Y Y
Instructions
 • Please fill the application form completely and furnish all details required there in.
• Please enclose attested copies of relevant certificates along with two stamp size photographs.
The completed admission form must reach us before the last date for admissions.
Ilamed is not responsible for any postal delays.
• All disputes with regard to this course are subject to the jurisdiction of Delhi.
Terms and Conditions
• Certificate of course completion would be awarded only after payment of full fee and successfully passing
the final Exam.
• The course Fee is inclusive of all taxes.
• ILAMED reserves the right to disqualify a candidate for providing false information, submitting improper
documents or for misconduct in a particular course.
• ILAMED reserves the right to revise / change the curriculum, the course structure or course delivery
methodology without prior notice.
• Fees once paid will not be refunded . Fee transfer to other person is not entertained under any circumstances.
• The payment will be refunded completely if the applicant is not selected for the program by the Company. .
• The application form will be processed only after the payment is realized/received by ILAMED
• Switching to other ILAMED courses is allowed subject to approval by Academic council within the course
duration. No refunds or no fee adjustments would be made in this regard.
• There shall be a minimum batch size to a program. In the event of the batch size being below the minimum
number, program shall be moved to next batch.
• In the event candidate is not able to attend the program, ILAMED shall not be held responsible. ILAMED shall
try to accommodate such candidates in the program for subsequent batch but shall not be liable to do so.
Terms and Conditions - Placements
1. Placement assistance is a facility provided by ILAMED and placements are NOT guaranteed to any student.
2. It is compulsory for all the students registered with placement division to fill up the prescribed registration form
and submit their resume to Placement division of ILAMED.
3. Students may have to modify the resume depending on the job requirements made by the company.
4. If there are any changes in contact details, registered students are advised to update their contact details
immediately with placement division.
5. Placement assistance will be provided for one year only.
a. Placement assistance is given to the student for Six months only from the date of registration with Placement
Division of ILAMED. On completion of the Six months from the date of registration, irrespective of whether the
students get a job or not, his / her name will be removed from the database.
b. However, if the student wishes to continue to get the placement assistance for another Six Months
he/she has to pay a nominal re-registration fee prevailing at that point of time.
6. It is compulsory for all the shortlisted students to attend the interview with the organization failing which
placement assistance will be withdrawn and will not receive communication about the future opportunities /
openings.
7. While going for interview students are advised to carry hardcopy of their resume, passport size photograph,
Photo identity proof, certificates and any other specific document asked by the employer.
8. There is a possibility that the all the registered students may not get the opportunities in or from their
hometowns only and hence are required to travel for attending interviews. Travailing charges for
attending interviews are to be borne by the students only.
9. Student is bound to accept the job offer of a company, once selected, and join the same organization. In
case, students decide not to join the company, they should inform the company in writing with reasons.
They are also required to submit a copy of that letter to the Placement division. The placement division will
stop further assistance to such students in the future.
10. Once selected, the students name will be removed from the registered list and will not be communicated
about the future openings.
11. If any student gets placed through our efforts, the student is bound to send a copy of the Offer letter to
ILAMED for our official records.
12. ILAMED is not responsible to provide placement assistance again to a candidate who gets an
offer and doesn’t join the organization or leaves the organization after joining.
13. A registered student is advised to inform us, if he gets a job and joins any organization through his own efforts.
14. Placement rules are reviewed periodically and are changed accordingly; the changes will be
intimated to the registered students by emails only and they have to abide by them.
15. All disputes with regard to this are subject to the jurisdiction of Delhi.
I have read, understood, agree and abide by the placement terms and conditions of ILAMED.

Name of the candidate :

Date : Signature