Uploaded by Jay

Acceptance Form

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Date:
Affix your
recent
passport
photograph
ACCEPTANCE OF PGP/PGP-ABM/PGP-SM ADMISSION OFFER
Sir,
I
(name)* hereby accept the offer of admission to the
Post Graduate Programme in Management
Post Graduate Programme in Agri‐Business Management
Post Graduate Programme in Sustainable Management of
IIM Lucknow (Please tick the appropriate box – only one).
I have paid the offer acceptance fee of Rs.1,00,000 by NEFT/Bank transfer and have attached the receipt.
The payment details are as given below:
UTR/Bank Ref. No.
Date of transaction
Bank Name
CAT Reg.No.
Category (Please tick √)
GEN EWS NC‐OBC
Address
City
Phone
Branch
_PIN
SC
ST PwD
Gender (Please tick √)
Male
Female
Mobile
Email
Signature
UNDERTAKING 1
I shall not keep any two/four wheelers with me in the IIML campus.
Signature of the Candidate
UNDERTAKING 2
I am aware that ragging is banned in Indian Institute of Management Lucknow and if I am found guilty of ragging, I will
be liable for appropriate punishment which may include expulsion from the Institute.
Signature of the Candidate
UNDERTAKING 3
I am aware that ragging is banned in Indian Institute of Management Lucknow 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.
Signature of the parent/guardian
* Write your name in CAPITAL letters as in your High School Certificate
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