Online Application Form

Online application form for admission to the International Diploma in Mental Health, Human Rights & Law, 2022 – 2023.

The last date to submit the application form is 31st August 2022

Please note: Due to COVID-19, we have decided to cancel all residential sessions this year. The course will be conducted ONLINE.

Title: *

First Name: *

Enter First Name

Middle Initial:

Enter Middle Initial

Last Name: *

Enter Last Name

Gender: *

Enter gender

Nationality: *

Enter Nationality

Date of Birth: *

Contact information:

Email: *

Enter Email*

Residence Phone: *

Enter Residence Phone*

Office Phone: *

Enter Office Phone*

Mobile: *

Mobile*

Residence Address: *

Enter Residence Address

Office Address:

Enter Office Address

Permanent Address:

Enter Permanent Address

Enter the permanent address only if it is different from the Residence Address mentioned above

Disability / Special Needs

Do you have any special needs? Yes
No

If yes, mention details:

Enter Details

How did you know about this Diploma ?

Social media/our website
Past student of the Diploma
Faculty member
Newsletter/Emailer
Other(Please specify)

Education & Work Experience

Education: *

Enter Education

Mention University, Degree, Grade & Year for your Graduate and Post Graduate Education

Work Experience: *

Enter Work Experience

Please list all positions held in chronological order, starting with your current one. If all positions are in the same organization, please list the promotional sequence.

Please mention Name of Organization, Title or Position and From & To Dates (Month/ Year) for each position

Language Proficiency: Speaking *

Basic Working Fluent

Language Proficiency: Writing *

Basic Working Fluent

Language Proficiency: Reading *

Basic Working Fluent

Please grade your English language fluency by clicking appropriate optionn

Statement of Purpose

Statement of Purpose: *

Enter Statement of Purpose

The Admissions Committee members will read your statement with great care. Your statement should be written by you alone and represent your original work. The statement should be typed, double-spaced, and no more than 250 words. In your statement please discuss:

Your background: how your experiences (education, work, etc.) have prepared you for this program
Your motivations for applying for this program: your professional goals, interests
Your decision to apply to this program: why you think there is a good fit between your objectives and our program

Course Fee

Tuition fee for international students is USD 4360 (Inclusive of all applicable taxes).

A limited number of students of Indian origin and residing in India will be offered a reduced tuition fee of INR 60,000 (Inclusive of all applicable taxes).

We strongly encourage participants from low- and middle-income countries to apply for this course. Please let us know in your Statement of Purpose if you’d want us to consider a fee reduction for your application.

For applicants accepted into the program, a full tuition fee payment is due no later than 30th September 2022.

Students accepted for the program will be notified with necessary instructions regarding fee payment at the time of their confirmed participation in the program.

Paid By: *

Self
Sponsoring Organization

Please mention who will make the payment of the program fee. If sponsoring organisation, please fill in details of sponsoring organisation below.

Reference Details - 1

Name: *

Enter Name

Position: *

Enter Position

Email: *

Enter Email

Contact No: *

Enter Contact No

Reference Details - 2

Name: *

Enter Name

Position: *

Enter Position

Email: *

Enter Email

Contact No: *

Enter Contact No

I confirm that the information given in this form is correct and complete.
I accept that the ILS has the right to cancel my application if information given by me is false or fortified. I have read all instructions mentioned in the prospectus including this and I agree to abide by those instructions.