Iim Lucknow Pgpm Admission Guidlines
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8/11/2019 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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