Digital Marketing Application Form Step 1 of 6 16% Name* First Last Email* Phone*Emergency Contact Name*Emergency Contact Number* Address* Street Address Address Line 2 Mumbai Maharashtra ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country I am currently*WorkingStudyingBothWhat field are you currently pursuing*B. / M. In Management StudiesB. / M. In CommerceB. / M. In EngineeringB. / M. In Mass MediaB. / M. In Science (BSC)B. / M. In ArtsAre you flexible with batch days incase we shift the batch to Tuesday-Thursday-Saturday?*YesNoDo you have a personal bank account?*This will be required during E-Commerce module for online payment integration.YesNoDo you have a Pan Card?*This will be required during E-Commerce module for online payment integration.YesNoDo you have an Aadhar Card?*This will be required during E-Commerce module for online payment integration.YesNo Have you understood the payment process? Easy Monthly Instalments (EMI) 3 x ₹16,000 = ₹48,000 Pay ₹16,000 by 14th January, 2020 Pay ₹16,000 on 14th February, 2020 (PDC) Pay ₹16,000 on 14th March, 2020 (PDC) One Shot Payment ₹45,000 (At the time of admission) Payments can be made in cash, cheque or online using your credit card, debit card, net banking or UPI. We DO NOT offer a swipe machine facility at our learning centre. All cheques and PDC's must be drawn in the name of "Infotech Academy". For EMI payments post dated cheques are mandatory. If you wish to pay your EMI's in cash or online then you must submit your PDC's for the remaining two instalments at the time of admission. You can then pay your EMI in cash or online on given instalment date and we will return your cheque of the respective instalment date. Online payments will attract an additional 1.5% online transaction fee. Refund Policy No refunds can be made for cancellations. However, the registered learner can transfer his seat (to another person whom he/she may nominate) BEFORE the start of the first day of the program. Infotech Academy reserves the right to cancel the program on account of unavoidable circumstances. In such a case, it shall refund the full fees in 7 working days. It is not liable to pay anything over and above the program registration fees. Payment Terms Acceptance* I have read and understood the payment structure and the terms of payment. How do you prefer paying?*Easy Monthly Instalments (3 x ₹16,000)[14th of Each Month, PDC Mandatory]One Time (₹48,000 ₹45,000)Select a payment mode*You won't be asked to make the payment to complete the application. Online payment (Credit Card / Debit Card / Net Banking / UPI)Cash At CenterCheque In Favour Of [Infotech Academy] Admission Terms Acceptance* I hereby declare that I have read and understood the terms of admission stated on https://infotechacademy.in/application-process-digital-marketing/ and agree to them. I am also aware that these terms are subject to change from time to time. We will now verify your application with a One Time Password (OTP). This OTP will be treated as your digital signature. If you do not receive an OTP even after retrying then connect with us by either opening the chat box on the left or by calling us on 8097581245Mobile Verification / Digital SignaturePlease enter your mobile number for verification purposes in the field assigned for mobile numbers.NameThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Need assistance filling the form ? Chat With Us
