Joining Instructions Pg p 201113

8/6/2019 Joining Instructions Pg p 201113

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C. IMPORTANT INFORMATION1. HOW TO REACH IIMK?You can reach the IIMK campus from the Railway Station by Taxi/Auto. You can also reach the Institute by

bus. Buses ply from the Palayam bus station at least every ten minutes during the day. You have to board

any bus going via Kunnamangalam and get down at the stop just before Kunnamangalam town which is

about half-hour ride from Palayam. From Jangeesh threatre stop an auto will take you to IIMK and the auto

fare will be Rs 30/-. If you take a taxi from Calicut railway station towards Kunnamangalam the taxi couldenter the IIMK premises at the right at Jangish Theatre bus stop. (See Annexure-5 for the location of IIM

Kozhikode)

2. WHOM TO CONTACT ON ARRIVAL?On reaching the Institute premises, you may contact the Students Affairs Office (Mr. John Gheevarghese,

AAO-0495-2809258,2809262, Mob: 09446510538) for further assistance.

3. EXPENSESPlease see Annexure-4 for the PGP fee pertaining to the academic year 2011-12. The fees given there

exclude boarding charges and personal expenses on travel, clothes, laundry etc.

4. HOSTELStudents are provided accommodation in the hostel and as it is a residential programme, they are expected to

stay in the hostels of the Institute. Each room is provided with a fan, lockable wall almirah, a cot, a pillow, a

mattress, a study table and a chair. You have to arrange your own bed-sheets and other articles of personal

use. For matters related to hostels, you can contact the Students Affairs Office (contact numbers are given

above under item no. C 2)

5. CLIMATEIn June when you arrive here, the monsoon is expected to be at its peak and it may last till September. It is,

therefore, desirable to bring light, easy-to-dry clothes and bed linen. In addition, you may also bring

torchlight, umbrella and rubber/plastic footwear for outdoor use when needed.

6. HEALTHIt is recommended that you get yourself immunized against common diseases. A medical fitness certificate

(see Annexure 2) will have to be produced at the time of Registration.

Note:

You are responsible for the correctness of the information provided to the Institute in our application form, inthe acceptance of the offer of admission, during the process of registration and during your course of study at

the Institute. The consequences of incorrect information may include cancellation of the admission.

***


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INDIAN INSTITUTE OF MANAGEMENT KOZHIKODE

Post Graduate Programme in Management (PGP Batch 2011-13)

ACKNOWLEDGEMENT CUM PRE-REGISTRATION FORM

The Assistant Administrative Officer (Admissions)Indian Institute of Management Kozhikode

IIM Kozhikode Campus (PO)

Kozhikode 673 570, Kerala

Sir,

I have received your letter dated.. with enclosures. I will submit all the documents mentioned below

on the date of registration for the Postgraduate Programme 2011-13 batch.

1. Acknowledgement cum Pre-registration form (duly completed)2. Attested copy of Address proof (Passport, Voters ID, Driving Licence, etc)3. Copy of Admission Offer Letter from IIMK4. Filled-in Student Information Sheet5. Attested copy of mark sheet of 10th standard final examination6. Attested copy of mark sheet of 12th standard final examination7. Original and Attested copy of mark sheet & certificate of Bachelors Degree examination/Provisional Degree

Certificate/Course Completion certificate issued by the competent authority.

8. Original and Attested copy of Caste Certificate (in case of SC/ST) in the approved format issued by theCompetent Authority

9. Original and Attested copy of OBC(Non-creamy) certificate as per the specimen attached10.Original and Attested copy of Disability Certificate (issued by a Director/Deputy Director/Member of District Medical

Board) in the enclosed format11.Original and Attested copy of Experience Certificates (if applicable) substantiating the details I have

stated in the application form12.Medical Fitness Certificate (in original) from a civil surgeon or equivalent in the enclosed format.

(* Strike out whichever is not applicable)

MY TRAVEL PLAN IS AS UNDER:

DATE AND TIME OF ARRIVAL AT KOZHIKODE/CALICUT:

TRAIN/FLIGHT NO. & NAME:

Thanking you,

Yours faithfully

Signature: ________________________________

Name: ___________________________________

Test Regn. No. : ____________________________

Category: Gen / OBC (NC) / SC / ST / Persons with Disability

Date: ____________________________________


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Annexure-3

U N D E R T A K I N G

I ________________________________________________________ (name), a candidate admitted to the two-

year Post Graduate Programme in Management of IIM Kozhikode, hereby agree to abide by the regulations of the

Institute that may be in vogue from time to time regarding the evaluation system, minimum standards of academic

performance, admission to elective courses and the discipline required of the participants for satisfactory completion

of the Post Graduate Programme.

I further understand fully and agree completely that the Indian Institute of Management Kozhikode will have the

right to ask me to leave the Institute at any stage of the Post Graduate Programme if my performance or conduct as

judged by the Institute is found to be unsatisfactory.

I also understand and agree that the decision of the Institute in these matters would be final and binding on me.

Signature

Place: ________________ Name: ______________________________________

Date: ____________________ Test Regn. No. ________________________________

Countersigned by

Parent/Legal guardian

Name:

Date:

Phone No.


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Annexure-2

MEDICAL FITNESS CERTIFICATE

I hereby certify that I have examined Mr./Ms._____________________________________, a candidate for

admission to the Post Graduate Programme at the Indian Institute of Management Kozhikode, and that as permy diagnosis he/she has no disease, constitutional affliction or bodily infirmity except

__________________________________________________________________. I do not consider this as a

disqualification for admission to Post Graduate Programme at the Indian Institute of Management Kozhikode.

His/Her age, according to his/her own statement, is ________ years and by appearance is about ________

years.

Mark(s) of Identification: __________________________________________________________

__________________________________________________________

___________________________ ___________________________________________

Signature of the candidate Signature of Civil Surgeon/ Medical Officer

Name : _____________________________

Address:_______________________________

Round Seal of Hospital __________________________________________

__________________________________________

Date: ______________________

Place: ______________________


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Annexure-1

COURSE COMPLETION CERTIFICATE

This is to certify that Mr./Ms. _________________________________________________ (Roll No.

________________) has already completed all formalities including examinations and other academic

requirements (such as theory and practical exams, assignments, projects, viva etc.) required for

obtaining the __________________________________ degree. His/Her final result is expected to be

announced by ________________________.

Place: _______________ _____________________________

(Signature of Principal/Registrar/HoD)Date: _______________

Name of the College/Institute: _________________________________

College/Institute round Seal


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Annexure-4

INDIAN INSTITUTE OF MANAGEMENT KOZHIKODEPGP FEES FOR THE ACADEMIC YEAR 2011-12

FIRST YEAR (PGP-I)

The total fee for the academic year 2011-12 is Rs.5, 00,000 which is payableat the beginning of each term as per the following schedule:

Payment Schedule

Term-I : 1,80,000

Term-II : 1,60,000

Term-III : 1,60,000

The candidates are required to remit the following payments at the time of registration:

a) Demand Draft for Rs. 1,30,000 drawn in favour of Indian Institute ofManagement Kozhikodepayable at Calicut/Kozhikode towards balance payment

of 1st

Term fee (after the advance payment of Rs. 50,000/-)

b) Demand Draft for Rs 25,000 /- drawn in favour of Indian Institute ofManagement Kozhikodepayable at Calicut/Kozhikode towards Security/Cautiondeposit, which will be refunded on completion of the course after adjusting dues, ifany.

c) Demand Draft for Rs25,000/-drawn in favour of IIM K Hostel Accountpayableat Calicut/Kozhikode towards mess and students activities deposit.


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Annexure-6

UNDERTAKING-I

I am aware that ragging is banned in IIM Kozhikode and if I am found guilty of

ragging, I will be liable for appropriate punishment which may include expulsion

from the Institute.

Date: ____________ Signature of the Candidate_____________

Name of the candidate ________________

Test Regn. No.: ______________________

Address: ___________________________

__________________________________________

____________________________

UNDERTAKING-II

I am aware that ragging is banned in IIM Kozhikode and if my son/daughter/ward

is found guilty of ragging, he/she will be liable for appropriate punishment which

may include expulsion from the Institute.

Date: __________ Signature of the Parent ____________________

Name of the Parent _______________________

Address: ________________________________

_______________________________________________

Phone No. _______________________________


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Indian Institute of Management KozhikodePOST GRADUATE PROGRAMM E BATCH 2011-2013

Student Information Sheet

(Please note that no column should be left unfilled)

1. Test Registration No.2. Name in Full (in block letters)3. Date of birth Day Month Year

4. Category GEN SC ST OBC(NC) PWD5. Blood Group6. Marital Status Married Single

7. Address for correspondence

8. Permanent Address(Address proof to be subm itted )

9. Contact telephone No. with STD code

10.Graduation Discipline

Arts Comm. Engg. ScienceOthers

(pl. specify)

Subject:

11.Fathers name

Address

Phone No.

12. Occupation & Designation13. Organisation/Department

14.Mothers Name

Address

Phone No.

15. Occupation & Designation16. Organisation/Department17. Annual Parental Income Rs


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18. Contact Person during emergency(Father/Mother/Legal guardian)

Name :

Address:

Telephone:

D E C L A R A T I O N

I hereby declare that all the information furnished above is true and correct to the best of my knowledgeand belief. I understand that in the event of any of the information being found incorrect, my provisionalregistration to the Post Graduate Programme shall be liable to be cancelled.

I hereby agree to abide by the rules and regulations pertaining to academic evaluation, general code ofconduct and all other rules and regulations that may come in force during the period of my study andstay at the Institute.

Date :Signature :


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Specimen

Suggested format of Certificate to be produced by Non-Creamy Other Backward Classescandidates applying for Admission to Indian Institute of Management Kozhikode

(Issued on or after April 30, 2010)

This is to certify that

son/daughter of ..... .. of village.......................................

District/Division................................................................................................

in the State................................................................

belongs to the. ..................................................................community which is

recognized as a backward class under the Government of India, Ministry of

Welfare Resolution No. 12011/68/93-BCC(C),dated 10th Sept. 1993 published in

the Gazette of India Extraordinary Part I Section I dated 13th Sept. 1993. Mr/Ms

.. and/or his family ordinarily reside(s) in the

.........................District/Division of the .................. State.

This is also to certify that he/she does not belong to the persons/sections (Creamy Layer)mentioned in column 3 of the Schedule to the Government of India, Department of

Personnel & Training O.M. No. 36012/22/93-Estt.(SCT), dated 8.9.93.

DatedDistrict Magistrate

Deputy Commissioner etc.

Seal

NB

(a) The term 'ordinarily' used here will have the same meaning as in Section 20 of theRepresentation of the Peoples Act, 1950.

(b) Where the certificates are issued by Gazetted Officers of the Union Government orState Governments, they should be in the same form but countersigned by theDistrict Magistrate or Deputy Commissioner (Certificates issued by Gazetted Officersand attested by District Magistrate/Deputy Commissioner are not sufficient).


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Specimen

(Form of Certificate to be produced by a candidate belonging toScheduled Caste or Scheduled Tribe in support of his/her claim)

Community Certificate

This is to certify that Shri/Smt*/Kumari* _______________________________________________________

son/daughter* of ___________________________________________________________ __of village*/town*

_________________________________ in District/Division* _________________________________________

of the State/Union Territory* ____________________________________________________ belongs to the

________________________Caste/Tribe* which is recognized as Scheduled Caste*/Scheduled Tribe* under**

The Constitution (Scheduled Castes) Order, 1950 The Constitution (Scheduled Tribes) Order, 1950 The Constitution (Scheduled Tribes) (Union Territories) Order, 1951.

[as amended by the Scheduled Castes and Scheduled Tribes Lists (Modification) Order, 1956, the Bombay Reorganisation Act1960, the Punjab Reorganisation Act, 1966, the State of Himachal Pradesh Act, 1970, the North Eastern Areas(Reorganisation) Act 1971 and the Scheduled Castes and Scheduled Tribes orders (Amendment) Act, 1976]

The Constitution (Jammu and Kashmir) Scheduled Castes order, 1956 The Constitution (Andaman Nicobar Islands) Scheduled Tribes Order, 1959 The Constitution (Dadra and Nagar Haveli) Scheduled Castes Order, 1962 The Constitution (Dadra and Nagar Haveli) Scheduled Tribes Order, 1962 The Constitution (Pondichery) Scheduled Castes Order, 1964 The Constitution (Scheduled Tribes) (Uttar Pradesh) Order, 1967 The Constitution (Goa, Daman & Diu) Scheduled Castes Order, 1968 The Constitution (Goa, Daman & Diu) Scheduled Tribes Order, 1968 The Constitution (Nagaland) Scheduled Tribes Order, 1970 The Constitution (Sikkim) Scheduled Castes Order, 1978 The Constitution (Sikkim) Scheduled Tribes Order, 1978Shri*/Smt.*/Kumari* ____________________________________________ and/or his/her* family ordinarily reside(s) in

village/town*_______________________________________ of ____________________________ District/Division of the

State/Union Territory of ____________________________________________.

Signature _____________________________________________________

Place : ________________ Full Name ____________________________________________________

Date : _________________ Designation: District Magistrate/Addl. District Magistrate/City Magistrate/ ParganaMagistrate/Tehsildar/Dist. Harijan-cum-Social Welfare Officer

(Round Seal) (Office Seal)

* Please delete the words which are not applicable** Please quote or tick specific Presidential Order


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Specimen

Disability Certificate

(to be issued by a Director/Dy. Director/Member of District Medical Board)

This is to certify that Mr. ____________________________________________________ whose particulars are given

below has been thoroughly examined by me and found that he/she is a person with disability of Low

Vision/Blindness/Hearing Impairment/Locomotor Disability/Cerebral Palsy/_______________________. His disability is

_____ percent and he/she comes under the category of Moderate/Severe/Profound (Total) disability.

1. Name : _____________________________________________________

2. Age/Date of Birth : _____________________________________________________

3. Sex : _____________________________________________________

4. Identification marks : _____________________________________________________

_____________________________________________________

5. Fathers name : _____________________________________________________

6. Nature of the disability : _____________________________________________________

_____________________________________________________

7. Percentage of disability : _____________________________________________________

8. Signature of the applicant : _____________________________________________________

Signature of the Doctor: __________________________________

Round Seal Name of the Doctor: _____________________________________

Designation: ___________________________________________

Address (or seal) _________________________________________

_______________________________________________________

Place: _______________________

Date: ________________________

(The minimum degree of disability in order for a person to be eligible would be 40%)


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SpecimenAffidavit sworn before the Notary

I, Sri.________________________________ son of ________________________born on_____________________ (date) , residing at___________________________________________do hereby solemnly affirm the following:

1. I belong to the Other Backward Class (OBC) of the society as defined in column 3 of theSchedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93-Estt.(SCT), dated 8.9.93. and the contents of the Certificate dated __________ issued thereof by____________submitted by me is true and correct.

2. I have read and understood the meaning, purport and scope of the definition of persons/sections excluded from reservation which constitute the Creamy Layer of the society as declaredand notified by the Government of India, National Commission for Backward Classes (NCBC).

3. I declare that I am not a person of the Creamy Layer of the society excluded from reservationfor Other Backward Classes (OBC), defined and categorized by the Government of India, on itsofficial website of the National Commission for Backward Classes (NCBC) http://ncbc.nic.in

4. I undertake to prove and clarify and or answer to any query in connection with any part of thisaffidavit, declaration and undertaking made herein by me, to the satisfaction of the IIMK Admission authority or any other regulatory authority at any point of time before and afteradmission.

5. I declare and undertake to abide by the decision of the IIMK Admission authority cancelling myadmission in the Institute at any point of time before and after admission in the event it is foundthat I am a person belonging to the Creamy Layer of the society of OBC who are excluded fromreservation for admission as OBC.

6. I declare that there is no suppression of facts in this affidavit by me and no part of this Affidavitis false and/or contains incorrect statements.

7. I swear and affirm that all particulars, declaration and undertaking given in the foregoingparagraphs are true and correct to the best of my knowledge, information and belief, and I havenot resorted to suppressing truth or suggestio falsi.

The statements made in the foregoing paragraphs 1 to 6 of the affidavit are true and correct.

Deponent

Identified by me

Advocate


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IIM KOZHIKODE (ROUTE MAP)

To Malappuram Airport

Areekode

Mukkam

Wayanad RoadNIT

To Kochi

Kunnamangalam

I IMK

IIMK M ain Gate

Markaz Nagar

Karanthur

To Mavoor

MedicalCollege

BabyHospital

Bypass Road (NH)

Mavoor RoadMofussilBus Stand

KSRTC Palayam Bus StandBus Stand

Calicut Railway StationOver Bridge

Wayanad

Annexure - 5

Documents

Joining Instructions Pg p 201113