Indian Institute of Management Kozhikode

Post Graduate Programme 2012-2014

OFFER ACCEPTANCE FORM

(To be completed and sent back to the Institute along with deposit and course completion certificate, if any)

Date: ____________________________
To
The Chair: Admissions
Indian Institute of Management Kozhikode
IIM Kozhikode Campus P. O.
Calicut 673 570, Kerala
Sir,
I have received your online letter dated _______________ offering me admission to the Post
Graduate Programme of IIM Kozhikode commencing this year. I have fully read and
understood the contents of the offer letter and I hereby confirm acceptance of the same.
I enclose herewith Demand Draft No. ______________________ dated _________________
for ` 50,000/-(Rupees Fifty Thousand only) drawn in favour of Indian Institute of Management
Kozhikode payable at Calicut/Kozhikode as advance towards the 1st Term fee.

I also enclose the Course Completion Certificate issued by the competent authority,
as my graduation result is still awaited.

I graduated in _______________________________ (month & year) and the degree

certificate and mark sheets shall be produced as and when needed.
(* strike out whichever is not applicable)
Yours truly,
Signature: ________________________________________________
Name: ____________________________________________________
Test Regn. No. : _____________________________________________
Category

General/OBC (NC) / SC / ST/ PWD

Mailing Address: _____________________________________________

___________________________________________________________
___________________________________________________________
Contact Phone Number with STD Code: ___________________________
Mobile Number: ______________________________________________
Email address: _______________________________________________