Iim Lucknow Pgpm Admission Guidlines

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    INDIAN INSTITUTE OF MANAGEMENT LUCKNOWPost Graduate Programme in Management

    Batch 2014-2016

    JOINING INSTRUCTIONS

    A. IMPORTANT DATES

    1. Preparatory Course in Mathematics : June 04-14, 2014 (Wed.-Sat.2. !"ams-Preparatory Courses : June 1#, 2014 (Mon.$. %nduction Modu&e : June 1' - 1, 2014 ()ues. *)hurs.4. )erm-% +eistration : June 20 21, 2014 (ri.-Sat./. C&asses ein : June 2$, 2014 (Mon.

    B. THINGS YOU MUST BRING WITH YOU FOR REGISTRATION demand drat o +s. 1,'#,0003- toards the a&ance ee o )erm-% dran in a5our o

    6%ndian %nstitute o Manaement 7uc8no9 paya&e at 7uc8no at the time o+eistration (ith name and C) +eistration o. ritten on the ac8 o the demanddrat

    our recent (simi&ar passport si;e photoraphs (ith ame and C) +eistration o.

    ritten on the ac8 o the photoraphs

    Arrange the Original & Photocopies of documents in the sequence in two big clothed

    envelopes separately and write Name & CAT Registration No on the !nvelopes

    1. Copy odmission eree (&& Semesters3?ears and ina&

    !"amination Comp&etion Certiicate rom @ead o the >epartment 3%nstitute ( iffinal Bachelor's Degree results are awaited).

    d. Caste Certiicate Ain case o SC3S)3C- (in the prescried

    ormatB. !"perience Certiicate3+e&ie5in 7etter ith the name o the oranisation,

    desination, nature o duties and responsii&ities, tota& duration o emp&oymentand pay s&ips o irst and &ast month (i or8in.

    . itness Certiicate rom Chie Medica&

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    C. IMPORTANT INFORMATION

    1. HOW TO REACH IIML+ ?ou can reach the %%M7 campus direct&y rom the +ai&ayStation3irport y )a"i or uto. %nstitute transport ser5ices are a5ai&a&e at reu&arinter5a&s rom the %nstituteIs City C =an8 and G%S =an8 ith )M aci&ity is operatin in the %nstitute premises. ?oumay &i8e to use these aci&ities or your inancia& transactions.

    7. EDUCATIONAL LOAN+!ducationa& &oans are a5ai&a&e rom an8s such as the State

    =an8 o %ndia, Centra& =an8 o %ndia, "is =an8, @>C =an8, PunFa ationa& =an8 etc.rranements or procurement and repayment o &oans i&& e ased on the e"c&usi5eareement eteen the an8 and the student. )he %nstitute does not ear any inancia&or other o&iation connected ith the &oan.

    NOTE+At the time of registration you will be given a copy of the PGP Brochure and PGPManual which contains details about academic rules regulations and procedures thatyou will have to follow at the !nstitute during the Post Graduate Programme.

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    INDIAN INSTITUTE OF MANAGEMENT LUCKNOWPost Graduate Programme in Management

    Bat! "#$%&"#$'

    Pre&(egistration Form

    Name )))))))))))))))))))))))))))) CAT (egn* No*))))))))))))))))))))

    P+ease ti, -. t!e douments su/mitted

    Douments Su/mitted (as per joining instructions)0

    1. Demand draft of Rs. 1,76,000/-

    2. Four recent (similar) passport size poto!raps

    ". #op$ of %dmission &ffer 'etter

    . Filled-in tudent *nformation Form

    +. rint out of #%-201" core #ard

    6. Origina+ and Se+1 Attested o23 o1 1o++o4ing doumentsa. 10tars seet. 10t#ertificatec. 12tars seetd. 12t#ertificatee. acelor3s De!ree 4earl$/%ll emesters ars seet(s) 5os.

    f. acelor3s De!ree #ertificate!. Final 8amination #ompletion #ertificate (if final Bachelor's Degree results are

    awaited.)

    . #aste #ertificate 9in case of #//5#- :i. #ertificate for persons ;it disailities 9in case of in! 'ettern. Fitness #ertificateo. ?s%!, ?#@, A ?*@

    p. Brine e8am. for %lumin u!ar, /C. -ra$ #est % >ie; report

    7. %nti-ra!!in! notar$ affida>it self and parent

    Admission is subject to the verification of the documents submitted as per the conditions laid down in

    CAT 2013 /Ministry of !"# $ovt% of &ndia 'uidelines

    lace

    )))))))))))))))))))Dated i!nature of tudent

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    HELP-LINE

    Department Contact Person Phone No. E-mail ID

    Admission Ms. Sangeeta Kumar 0522-6696681 [email protected]. Sriram Pandey 0522-6696682 [email protected]

    PGP Mr. Sunil K Srivastava 0522-669652 !g!o""[email protected]. #avindra $our 0522-669655 [email protected]

    Mr. #a%es& #amte'e 0522-669658 [email protected] Mr. #am (eva% 0522-66965) [email protected]

    Mr. *&armendra Sing& 0522-669659 d&[email protected]

    Hostel Mr. Prem Pra'as& 0522-6696+9 [email protected]. Milan Sengu!ta 0522-66966 studenta""@iiml.ac.in

    Guest House Mr. #a%iv Pandey 0522-669628+ ra%[email protected]

    FOR AN! FACILI"IE# $ACCO%N" OPENING&ED%CA"IONAL LOAN'

    #N Name o( an) Contact Person ContactNo.

    1. State ,an' o" ndia@ ,ranc& Manager 0522-669612+M/ am!us Mr. Mano% Kumar erma09+50)5+051/uc'no3 4 226 01)

    2. entral ,an' o" ndia @ ,ranc& Manager 0522-6696122tension ounter Mrs. 7n%ana andon 0895819+65M/ am!us /uc'no3 4226 01)

    ). *: ,an'@ ,ranc& Manager 0522-6696125tension ounter Mr. ;t'ars& *iit 098)98)2616

    M/ am!us /uc'no3 4 226 01)

    +. 7

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    INDIAN INSTITUTE OF MANAGEMENT LUCKNOW

    Post Graduate Programme in Management

    BATCH 2014-2016

    STUDENT INFORMATION FORM

    CAT Registration Number

    1. NAME IN FULL (In English)_________________________________________________________

    in block letters (As !er "igh #$hool Certi%i$ate)&

    Name in %ull (In "in'i) ______________________________________ ______________________________

    NAME IN #"RT (%or Name Tag) ______________________________________ . #E*

    +. ,ATE F -IRT" . CATE/R0

    ,a Month 0ear

    2. FAT"ER3# NAME_________________________________ MT"ER3# NAME___________________________

    4. ANNUAL 5ARENTAL INCME(Father6Mother6#el% 7 #!ouse)_________________________________________

    8. 5"0#ICAL ATTRI-UTE

    Normal Lo9 :ision;-lin'ness "earing Im!airment Lo$omotor ,isabilit;Cerebral 5als

    . CNTACT 5ER#N IN EMER/ENC0

    NAME ______________________________________________________________________________________

    A,,RE##________________________________________________________ __________________________

    __________________________________________________________________________________ _________

    TELE5"NE (9ith #T, Co'e)_____________________ Mobile? ________________ _____________________

    [email protected]#"I5 ____________________________ 11. MARITAL #TATU# __________________________________

    1. E,UCATINAL -ACB/RUN,

    (uali%ie' ; A!!eare' in Final EDam)1+. RB E*5ERIENCE

    Organization Designation rom To Tota! Mont

    Tota! Mont"s o# $%&erien'e

    DECLARATION

    1. The aboe in%ormation %urnishe' b me is $orre$t to the best o% m Gno9le'ge an' belie%. I un'erstan' that in $ase an o% the in%orma

    gien b me is %oun' in$orre$t6 m registration is liable to be $an$elle'.

    . I hereb agree to abi'e b the rules an' regulations !ertaining to a$a'emi$ ealuation6 general $o'e o% $on'u$t6 an' all other rules regulations as state' in the 5/5 Manual.

    +. I %urther agree to abi'e b an other rules an' regulations that ma $ome in %or$e 'uring the !erio' o% m stu' at the In'ian Institut

    Management Lu$Gno9

    #$ien$e Arts Commer$e Engg. ther (#!e$i%)

    Male Female

    PWD (GEN/ SC / ST / NC-OBCOBC)

    NC-OBSTSCGEN

    A%%iD the same

    !hotogra!h

    that ou !aste'

    in the 5ersonal

    ,ata Form atthe time

    o% /,5I

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    MEDICAL FITNESS CERTIFICATE

    Certified that Shri/Smt ..

    S/o/D/o/W/o Shri appeared before

    the undersigned for his/her medical examination for his/her admission to Post Graduate

    Programme at IIM uc!no". I ha#e examined his/her toda$ and found to be clinicall$

    free from an$ chronic diseases. %e/She is ph$sicall$ and mentall$ fit to &oin theProgramme. %is/%er signatures are attested belo"'

    Identification mar!s (i) ..

    (ii) .

    Past Medical %istor$**********************************************************

    **********************************************************

    **********************************************************

    **********************************************************

    Signature of the Candidate Chief Medical +fficer/Chief Medical Superintendent

    Place **********************Dated' ********************** (Seal)

    Verification of Documents and enclosed:

    ,. %bs-g %C and %I0. 1rine exam for -lb. Sugar M/23. 45ra$ chest P- #ie"

    -ttested photoof candidate

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