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INDIAN INSTITUTE OF MANAGEMENT LUCKNOW

Post 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.
$. %nduction Modu&e : June 1' - 1(, 2014 ()ues. *)hurs.
4. )erm-% +e,istration : June 20 - 21, 2014 (.ri.-Sat.
/. C&asses 0e,in : June 2$, 2014 (Mon.
B. THINGS YOU MUST BRING WITH YOU FOR REGISTRATION
1 demand dra2t o2 +s. 1,'#,0003- to4ards the 0a&ance 2ee o2 )erm-% dra4n in 2a5our o2
6%ndian %nstitute o2 Mana,ement 7uc8no49 paya0&e at 7uc8no4 at the time o2
+e,istration (4ith name and C1) +e,istration :o. 4ritten on the 0ac8 o2 the demand
dra2t
.our recent (simi&ar passport si;e photo,raphs (4ith :ame and C1) +e,istration :o.
4ritten on the 0ac8 o2 the photo,raphs
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 o2 1dmission <22er 7etter 2rom %%M 7uc8no4.
2. .i&&ed-in Student %n2ormation .orm.
$. Print-out o2 C1)-201$ Score Card
4. Original and Sl! A""#"d $%&' %! !%ll%(ing d%$)*n"#:
a. 10
th
Mar8s sheet - Certi2icate
0. 12
th
Mar8s sheet - Certi2icate
c. Mar8s sheet - Certi2icate o2 =ache&or9s >e,ree (1&& Semesters3?ears and .ina&
!"amination Comp&etion Certi2icate 2rom @ead o2 the >epartment 3%nstitute (if
final Bachelor's Degree results are awaited).
d. Caste Certi2icate Ain case o2 SC3S)3:C-<=C (in the prescri0ed 2ormatB.
e. Certi2icate 2or persons 4ith disa0i&ities Ain case o2 PW> (in the prescri0ed
2ormatB
2. !"perience Certi2icate3+e&ie5in, 7etter 4ith the name o2 the or,anisation,
desi,nation, nature o2 duties and responsi0i&ities, tota& duration o2 emp&oyment
and pay s&ips o2 2irst and &ast month (i2 4or8in,.
,. .itness Certi2icate 2rom Chie2 Medica& <22icer3Chie2 Medica& Superintendent o2
a Co5ernment @ospita& (on attached 2ormat.
h. %n5esti,ation 7a0. report 2or @0s1,, @CD and @%D o2 a Co5ernment @ospita&.
i. Erine e"amination report 2or 1&0umin, Su,ar and Microscopic o2 a Co5t.
@ospita&.
F. G-ray Chest P1 Die4 report 2rom a Co5t. @ospita&.
/. :otary a22ida5it on stamp paper o2 +s. 103- 2or 1nti-ra,,in, underta8in, 2or se&2 and parent
separate&y (:ote: 1nne"ure 1 - 2 2or detai&s p&ease 5isit the 4e0pa,e
http:33444.it0hu.ac.in3admissions3ima,es3u,Hadmi3updatedra,,in,noti2ication.pd2
C. IMPORTANT INFORMATION
1. HOW TO REACH IIML+ ?ou can reach the %%M7 campus direct&y 2rom the +ai&4ay
Station31irport 0y )a"i or 1uto. %nstitute transport ser5ices are a5ai&a0&e at re,u&ar
inter5a&s 2rom the %nstituteIs City <22ice, to the campus. )he City <22ice is &ocated at C-./
S$"%r-J/ Aligan0/ L)$1n%( 2nar Sanga* C3a)ra3a/ G%'al M%d Aligan0. 4P3%n
N%#. 5.66-678.9:7/ 678;897<.
2. WHOM TO CONTACT ON ARRI=AL: 12ter reachin, the %nstitute premises, you shou&d
contact Students9 122airs <22ice &ocated opp. =adminton @a&& 2or @oste& a&&otment.
3. HOSTEL+ Sin,&e seated @oste& 2aci&ities 4i&& 0e pro5ided to you in the campus. !ach
room is pro5ided 4ith internet connection, a 2an, 4a&& a&mirah, a cot, a pi&&o4, a mattress,
a study ta0&e and a chair. ?ou are reJuired to 0rin, your o4n &inen and other artic&es o2
persona& use. ?ou can 0rin, your persona& Computer37aptop to 2aci&itate the studies.
4. CLIMATE+ =ein, &ocated in the heart o2 the Can,etic p&ain, 7uc8no4 is su0Fect to
5aryin, c&imate 2rom 5ery hot to co&d 4ith moderate rain2a&&. 1ccordin,&y, 4e recommend
a 2u&& comp&ement o2 c&othes and accessories inc&udin, 4inter c&othin,, rain4ear and a
mosJuito-net.
5. MESS+ )he %nstitute pro5ides in2rastructura& support and 2aci&ities to the students 2or
runnin, their o4n mess on a cooperati5e 0asis. )he students 0ear the actua& cost o2
mea&s.
6. BANK+ State =an8 o2 %ndia 4ith 1)M 2aci&ity, Centra& =an8 o2 %ndia, e"tension 0ranch o2
@>.C =an8 and 1G%S =an8 4ith 1)M 2aci&ity is operatin, in the %nstitute premises. ?ou
may &i8e to use these 2aci&ities 2or your 2inancia& transactions.
7. EDUCATIONAL LOAN+ !ducationa& &oans are a5ai&a0&e 2rom 0an8s such as the State
=an8 o2 %ndia, Centra& =an8 o2 %ndia, 1"is =an8, @>.C =an8, PunFa0 :ationa& =an8 etc.
1rran,ements 2or procurement and repayment o2 &oans 4i&& 0e 0ased on the e"c&usi5e
a,reement 0et4een the 0an8 and the student. )he %nstitute does not 0ear any 2inancia&
or other o0&i,ation connected 4ith the &oan.
NOTE+ At the time of registration you will be given a copy of the PGP Brochure and PGP
Manual which contains details about academic rules regulations and procedures that
you will have to follow at the !nstitute during the Post Graduate Programme.

INDIAN INSTITUTE OF MANAGEMENT LUCKNOW
Post 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 douments .
a. 10
t
/ar0s seet
1. 10
t
#ertificate
c. 12
t
/ar0s seet
d. 12
t
#ertificate
e. 2acelor3s De!ree 4earl$/%ll )emesters /ar0s seet(s) 5os. 666666
f. 2acelor3s De!ree #ertificate
!. Final 78amination #ompletion #ertificate (if final Bachelor's Degree results are
awaited.)
. #aste #ertificate 9in case of )#/)-/5#-&2# :
i. #ertificate for persons ;it disa1ilities 9in case of ,<D:
=. 78perience #ertificate
0. ,a$ slip of first mont
l. ,a$ slip of last mont
m. Relie>in! 'etter
n. Fitness #ertificate
o. ?1s%!, ?#@, A ?*@
p. Brine e8am. for %l1umin )u!ar, //7
C. D-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

Note0 A++ douments s!ou+d /e in arranged 1orm in t4o se2arate /ig si5ed +ot!ed en6e+o2es res2eti6e+3 1or origina+ 7
2!otoo2ies 4it! 3our name and CAT (egistration No*
HELP-LINE
Department Contact Person Phone No. E-mail ID
Admission Ms. Sangeeta Kumar 0522-6696681 admission@iiml.ac.in
Mr. Sriram Pandey 0522-6696682 admission@iiml.ac.in
PGP Mr. Sunil K Srivastava 0522-669652 !g!o""ice@iiml.ac.in
Mr. #avindra $our 0522-669655 !g!academic@iiml.ac.in
Mr. #a%es& #amte'e 0522-669658 !g!course@iiml.ac.in
Mr. #am (eva% 0522-66965) ram@iiml.ac.in
Mr. *&armendra Sing& 0522-669659 d&armendra@iiml.ac.in
Hostel Mr. Prem Pra'as& 0522-6696+9 !rem@iiml.ac.in
Mr. Milan Sengu!ta 0522-66966 studenta""@iiml.ac.in
Guest House Mr. #a%iv Pandey 0522-669628+ ra%iv!@iiml.ac.in
FOR AN! FACILI"IE# $ACCO%N" OPENING&ED%CA"IONAL LOAN'
#N Name o( an) Contact Person Contact
No.
1. State ,an' o" -ndia@. ,ranc& Manager 0522-669612+
--M/ 0am!us1 Mr. Mano% Kumar 2erma09+50)5+051
/uc'no3 4 226 01)
2. 0entral ,an' o" -ndia @. ,ranc& Manager 0522-6696122
56tension 0ounter Mrs. 7n%ana 8andon 0895819+65
--M/ 0am!us1 /uc'no3 4226 01)
). 9*:0 ,an'@. ,ranc& Manager 0522-6696125
56tension 0ounter Mr. ;t'ars& *i6it 098)98)2616
--M/ 0am!us1 /uc'no3 4 226 01)
+. 7<-S ,an'@. ,ranc& 9ead 0522-
+152000
Si'andera=ag& 0rossing
25-, 7s&o' Marg1 /uc'no3 4 226 001
56tension 0ounter1 7<-S ,an' Mr. $aurav 7gar3al 09+155+9298
--M/ 0am!us1 /uc'no3 4 226 01)
5. 7lla&a=ad ,an' >?onal @""iceA@ Sr. Manager 0522-228282
(e3 ,ldg.1 1
st
:loor1 9aBratgan% 09+5)295+)+
/uc'no3 4 226 001
6. Pun%a= (ational ,an' @ ,ranc& Manager 0522-
296019
0&attameel1 09+15+0)8
Sita!ur #oad1 /uc'no3
CCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCCC
. on cam!us @ out o" cam!us
INDIAN INSTITUTE OF MANAGEMENT LUCKNOW
Post Graduate Programme in Management
BATCH 2014-2016
STUDENT INFORMATION FORM
CAT Registration Number
1. NAME IN FULL (In English) _________________________________________________________
in block letters (As !er "igh #$hool Certi%i$ate)&
Name in %ull (In "in'i) ______________________________________ ______________________________
NAME IN #"(RT (%or Name Tag) ______________________________________ ). #E*

+. ,ATE (F -IRT" .. CATE/(R0
,a1 Month 0ear
2. FAT"ER3# NAME _________________________________ M(T"ER3# NAME _____________________________
4. ANNUAL 5ARENTAL INC(ME (Father6Mother6#el% 7 #!ouse)__________________________________________
8. 5"0#ICAL ATTRI-UTE
Normal Lo9 :ision;-lin'ness "earing Im!airment Lo$omotor ,isabilit1;Cerebral 5als1
<. A,,RE## F(R C(RRE#5(N,ENCE (9ith 5in Co'e)
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_____________________________________ E=mail ________________________________________________
C(NTACT TELE5"(NE N(. (9ith #T, $o'e)_______________________________ Mobile _______________________
>. C(NTACT 5ER#(N IN EMER/ENC0
NAME ________________________________________________________________________________________
A,,RE## ________________________________________________________ ____________________________
__________________________________________________________________________________ ___________
TELE5"(NE (9ith #T, Co'e) _____________________ Mobile? ________________ _______________________
1@. CITIAEN#"I5 ____________________________ 11. MARITAL #TATU# ____________________________________
1). E,UCATI(NAL -ACB/R(UN,
(Cuali%ie' ; A!!eare' in Final EDam)
1+. E(RB E*5ERIENCE
Organization Designation rom To Tota! Mont"s
Tota! Mont"s o# $%&erien'e
DECLARATION
1. The aboFe in%ormation %urnishe' b1 me is $orre$t to the best o% m1 Gno9le'ge an' belie%. I un'erstan' that in $ase an1 o% the in%ormation
giFen b1 me is %oun' in$orre$t6 m1 registration is liable to be $an$elle'.
). I hereb1 agree to abi'e b1 the rules an' regulations !ertaining to a$a'emi$ eFaluation6 general $o'e o% $on'u$t6 an' all other rules an'
regulations as state' in the 5/5 Manual.
+. I %urther agree to abi'e b1 an1 other rules an' regulations that ma1 $ome in %or$e 'uring the !erio' o% m1 stu'1 at the In'ian Institute o%
Management Lu$Gno9.
,ate? ____________________________________
#ignature o% #tu'ent
#$ien$e Arts Commer$e Engg. (ther (#!e$i%1)
Male Female
PWD (GEN/ SC / ST / NC-OBC)
OBC)
NC-OBC
ST SC GEN
A%%iD the same
!hotogra!h
that 1ou !aste'
in the 5ersonal
,ata Form at
the time
o% /,5I
MEDICAL FITNESS CERTIFICATE
Certified that Shri/Smt ..
S/o/D/o/W/o Shri appeared before
the undersigned for his/her medical examination for his/her admission to Post Graduate
Programme at IIM uc!no". I ha#e examined his/her toda$ and found to be clinicall$
free from an$ chronic diseases. %e/She is ph$sicall$ and mentall$ fit to &oin the
Programme. %is/%er signatures are attested belo"'
Identification mar!s (i) ..
(ii) .
Past Medical %istor$
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Signature of the Candidate Chief Medical +fficer/
Chief Medical Superintendent
Place **********************
Dated' ********************** (Seal)
Verification of Documents and enclosed:
,. %bs-g. %C/ and %I/
0. 1rine exam for -lb.. Sugar. M/2
3. 45ra$ chest P- #ie"
-ttested photo
of candidate

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