INDIAN INSTITUTE OF MANAGEMENT KOZHIKODE Post Graduate Programme in Management PGP BATCH 2011-2013 JOINING INSTRUCTIONS

A. IMPORTANT DATES : : : : Evening, on 26th June, 2011/Evening on 12th June, 2011 (for those who have preparatory courses) 9.30 a.m., 27th June, 2011 June 27-29, 2011 June 30, 2011

1. Reach IIM Kozhikode latest by 2. Registration 3. Orientation Programme 4. Classes commence

If you fail to register within the time prescribed, you will forfeit your admission. Late registration is not allowed and no correspondence will be entertained in this regard. In case any of your bachelors degree examinations are
scheduled on any day during June 13-25, 2011, separate permission must be obtained from the Admissions office for late registration.

B.

DOCUMENTS YOU MUST BRING AND PRODUCE AT THE TIME OF REGISTRATION

1. Two copies each of your recent passport size and stamp size photographs. (Put the photographs in a separate envelope. Write your name and Test Regn. No, both on the reverse of the photographs and on the envelope). 2. Original Admission Offer Letter from IIMK 3. Attested copy of mark sheet of 10th standard final examination 4. Attested copy of mark sheet of 12th standard final examination 5. Original and an attested copy of mark sheet & certificate of Bachelors Degree examination. In case you are yet to receive the formal degree, a provisional degree certificate must be obtained from the University/Institute and produced to us. (If your final results are awaited, you will have to produce the course completion certificate (Annexure 1) issued by the Head of Department/Institute at the time of Registration). 6. Original and an attested copy of Work Experience Certificates (if applicable) substantiating the details you have stated in the application form (You are solely responsible for making appropriate arrangements with your employer. The Institute neither favours a particular course of action nor assumes any responsibility in this regard) 7. Original and Attested copy of Medical Fitness Certificate from a civil surgeon or equivalent (use Annexure-2 for this purpose) Please note that certificates issued by private practitioners will not be accepted 8. Original and an attested copy of Community Certificate (in case of SC/ST) issued by the Competent Authority. (Please use the specimen enclosed for the purpose) 9. Original and an attested copy of OBC (NC) (in case of OBC-NC)certificate issued by the Competent Authority. (Please use the specimen enclosed for the purpose). Certificate issued on or after April 30, 2010 must be produced. 10. Original and Attested copy of Disability Certificate (issued by a Director/Deputy Director/Member of District Medical Board) in the enclosed format 11. Completed Undertaking Form (Annexure-3) 12. Anti-ragging declaration (Annexure-6) 13. A demand draft for Rs. 1,30,000 in favour of Indian Institute of Management Kozhikode payable at Calicut/Kozhikode towards balance payment of 1st Term fee 14. A demand draft for Rs. 25,000 drawn in favour of Indian Institute of Management Kozhikode payable at Calicut/Kozhikode towards refundable security/caution deposit 15. A demand draft for Rs 25,000/- drawn in favour of IIMK Hostel Account payable at Calicut/Kozhikode towards Mess Advance. 16. Proof of Address (Passport, Voters ID, Driving Licence, etc) Please bring and retain with you a copy each of your 10th and 12th class mark sheets as well as mark sheets of bachelors degree examination, in case you are planning to apply for educational loan. Sufficient attested copies of all the certificates must be preserved for future purposes. Due to the limited parking facility available in the campus, you are requested not to bring your four wheelers to the campus. The Institute solicits your co-operation this regard.

C.

IMPORTANT INFORMATION

1. 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 could enter 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. EXPENSES Please 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. HOSTEL Students 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. CLIMATE

In 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. HEALTH It 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, in the 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.

***

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. 2. 3. 4. 5. 6. 7.

Acknowledgement cum Pre-registration form (duly completed) Attested copy of Address proof (Passport, Voters ID, Driving Licence, etc) Copy of Admission Offer Letter from IIMK Filled-in Student Information Sheet Attested copy of mark sheet of 10th standard final examination Attested copy of mark sheet of 12th standard final examination 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 the Competent Authority 9. Original and Attested copy of OBC(Non-creamy) certificate as per the specimen attached 10. Original and Attested copy of Disability Certificate (issued by a Director/Deputy Director/Member of District Medical
Board) in the enclosed format

11. Original and Attested copy of Experience Certificates (if applicable) substantiating the details I have stated in the application form 12. 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: ____________________________________

Annexure-3

UNDERTAKING
I ________________________________________________________ (name), a candidate admitted to the twoyear 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: ________________ Date: ____________________ Name: ______________________________________ Test Regn. No. ________________________________

Countersigned by

Parent/Legal guardian Name: Date: Phone No.

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 per my 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: ______________________

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: _______________ Date: _______________

_____________________________ (Signature of Principal/Registrar/HoD)

Name of the College/Institute: _________________________________

College/Institute round Seal

Annexure-4

INDIAN INSTITUTE OF MANAGEMENT KOZHIKODE

PGP 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 payable at the beginning of each term as per the following schedule: Payment Schedule Term-I Term-II Term-III : 1,80,000 : 1,60,000 : 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 of Management Kozhikode payable 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 of Management Kozhikode payable at Calicut/Kozhikode towards Security/Caution deposit, which will be refunded on completion of the course after adjusting dues, if any. c) Demand Draft for Rs 25,000/- drawn in favour of IIMK Hostel Account payable at Calicut/Kozhikode towards mess and students activities deposit.

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. _______________________________

Indian Institute of Management Kozhikode

POST GRADUATE PROGRAMME BATCH 2011-2013

Student Information Sheet

(Please note that no column should be left unfilled)

1. 2. 3. 4. 5. 6.

Test Registration No. Name in Full (in block letters) Date of birth Category Blood Group Marital Status
Married Single GEN Day SC ST Month OBC(NC) Year PWD

7.

Address for correspondence

8. 9.

Permanent Address (Address proof to be submitted) Contact telephone No. with STD code
Arts Comm. Engg. Science Others (pl. specify)

10.

Graduation Discipline Fathers name

Subject:

11.

Address Phone No.

12. Occupation & Designation 13. Organisation/Department Mothers Name 14. Address Phone No. 15. Occupation & Designation 16. Organisation/Department 17. Annual Parental Income Rs

Name : Contact Person during emergency 18. (Father/Mother/Legal guardian) Address: Telephone:
DECLARATION I hereby declare that all the information furnished above is true and correct to the best of my knowledge and belief. I understand that in the event of any of the information being found incorrect, my provisional registration 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 of conduct and all other rules and regulations that may come in force during the period of my study and stay at the Institute. Date : Signature :

Suggested format of Certificate to be produced by Non-Creamy Other Backward Classes candidates 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.

Specimen

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.

Dated District Magistrate Deputy Commissioner etc. Seal NB (a) The term 'ordinarily' used here will have the same meaning as in Section 20 of the Representation of the Peoples Act, 1950. (b) Where the certificates are issued by Gazetted Officers of the Union Government or State Governments, they should be in the same form but countersigned by the District Magistrate or Deputy Commissioner (Certificates issued by Gazetted Officers and attested by District Magistrate/Deputy Commissioner are not sufficient).

Specimen
(Form of Certificate to be produced by a candidate belonging to Scheduled 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 Act 1960, 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, 1978

Shri*/Smt.*/Kumari* ____________________________________________ and/or his/her* family ordinarily reside(s) in village/town*_______________________________________ of ____________________________ District/Division of the State/Union Territory of ____________________________________________. Signature _____________________________________________________ Place : ________________ Date : _________________ Full Name ____________________________________________________ Designation: District Magistrate/Addl. District Magistrate/City Magistrate/ Pargana
Magistrate/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

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. 2. 3. 4. Name Age/Date of Birth Sex Identification marks : _____________________________________________________ : _____________________________________________________ : _____________________________________________________ : _____________________________________________________ _____________________________________________________ 5. 6. Fathers name Nature of the disability : _____________________________________________________ : _____________________________________________________ _____________________________________________________ 7. 8. Percentage of disability 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%)

Specimen Affidavit 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 the Schedule to the Government of India, Department of Personnel & Training O.M. No. 36012/22/93Estt.(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 declared and 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 reservation for Other Backward Classes (OBC), defined and categorized by the Government of India, on its official 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 this affidavit, 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 after admission. 5. I declare and undertake to abide by the decision of the IIMK Admission authority cancelling my admission in the Institute at any point of time before and after admission in the event it is found that I am a person belonging to the Creamy Layer of the society of OBC who are excluded from reservation for admission as OBC. 6. I declare that there is no suppression of facts in this affidavit by me and no part of this Affidavit is false and/or contains incorrect statements. 7. I swear and affirm that all particulars, declaration and undertaking given in the foregoing paragraphs are true and correct to the best of my knowledge, information and belief, and I have not 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

Annexure - 5

IIM KOZHIKODE (ROUTE MAP)

To Malappuram

Airport

Areekode

Mukkam

Wayanad Road

NIT To Kochi

Kunnamangalam

IIMK
IIMK Main Gate
Markaz Nagar

Karanthur To Mavoor Medical College Baby Hospital Bypass Road (NH) Mavoor Road

Wayanad Road

Mofussil Bus Stand Palayam Bus Stand

KSRTC Bus Stand

Calicut Railway Station Over Bridge