Y Y Y Y 

LUXURY

CONNECT

1. Programmes Applied for: Please choose at least 1 option from the list given below

and enter priority 1/2 pertaining to the chosen option(s) in the parentheses provided.

(i) Luxury Business Management Program [LBM] Delhi ( )

(ii) Luxury Customer Experience Management Pogram [LCEM] Delhi ( )

2. Registration No. [To be filled in by the office] …………………………………………………………………

3. Name:……………………………………………|…………………………………………………|…………………………………………………

(First Name) (Middle Name) (Last Name)

4. Date of Birth : D D M M

5. Gender : Male Female

6. a) Current Employer : .......................................................... Designation : ............................................

b) Previous Employer : ..........................................................   Designation : ............................................

c) Previous Employer : ..........................................................  Designation : ............................................

7. a) E Mail Id : .......................................................... Alternate E Mail Id : .....................................................

8. (a) Present Address:………………………………………………………………………………………………………………………………

……………………………………………… City:…………………………State:……………………..PIN:…………………………

Telephone No.:…………………………………MobileNo. (Applicant’s)

…………………………………………………………

(b) PermanentAddress:…………………………………………………………………………………………………………………………

…………………………………………………City:…………………………State:……………………..PIN:…………………………

Tel.No(withSTDcode,ifappl.):................………………………MobileNo.(Applicant’s)………………………

 

9.

10. ….........………………………………………………………………………………………………………………….....

11.

PaymentDetails:DDNo……………………………………….Dated……………………….AmountRs…………………………………

BankName…………………………………………………………………Branch………………………………………

12. I certify that the particulars furnished are true and complete in all aspects, and no information has been with-held. I understand that falsifying documents or information on this application may result in penalties up to andincluding immediate/permanent dismissal from the Program. I understand that misrepresentation, falsifcationof documents, and/or the withholding of requested information in regard to this application are serious offencesthat may result in prosecution.

13.

……………………………………

SignatureoftheApplicant Date:……………………………

 

LUXURY

CONNECT

RegistrationFee

ResourceMaterial

Fe

TuitionFee

(exclusive of 

1. Luxury Business ManagementProgram [LBM]

Rs. 10,000/- FREE Rs. 1,00,000/-

2. Luxury Customer ExperienceManagement Pogram [LCEM] Rs. 5,000/- FREE Rs. 50,000/-

(1) In case, the Mode of payment is DD/ Cheque/ PO, then it should be in favor of LUXURY CONNECT LLP

payable at New Delhi.

Bank Transfers can also be made in the name of LUXURY CONNECT LLP, Kotak Mahindra Bank Ac. No: 4711157046

(2) At the time of admission, students are required to pay Registration Fee. No cancellation will be entertainedpost registration.

(3) ServiceTax as per prevalent rate of 10.3% to be levied and will be payable along with Fee.

(4) Any other Statutory tax as applicable, imposed by the Govt. of India or any statutory body, will be charged extra.

(5)

(6)

(7)

2 passport size Photographs should be sent to us along with the filled Application Form.

Filled Application f orms can be sent to us by email at academ ics@luxuryconnec t.in or by post at Luxury Connect

LLP, 402, Avalon Apts., MG Road, New Delhi 30, India.

Registration Fee is adjustable with Tuition Fee.