Great Lakes Institute of Management, Chennai

Post Graduate Program in Management : 2014-15 Batch

Committee/Club Membership Form

Student Name

(in block letters)

Registration No

Mobile No

Email id

FT15________

Sex :

Male

Female

Please mention your order of preference (any three only, viz. Preference-1, Preference-2
and Preference-3 as applicable) from the list of below given committees/Clubs:
S. No
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21

Name of Committee/Club

Preference Order

Admission Committee
Alumni Committee
Branding & Public Relations Committee
Centre for Innovation & Entrepreneurship Committee
Consulting Committee
Events Committee
Finance Committee
Green Committee
International Relationship Committee
Social Service Committee
Web Committee
Yale Research Committee
SPIC MACAY Committee
Competition Committee
Supply Chain Operations Committee
Latitude Committee
Economics Club
Editorial Team Gravity
Film Appreciation Club
Marketing Club
Working Assistantship at Kotler-Srinivasan Center in Marketing

I, hereby declare that I am willing to become a member of any one of the above selected
committee/club (in the given preference order) and if selected, shall serve the
committee/club in accordance with the guidelines of Great Lakes Institute of Management.

(Signature of the Candidate)

Date: