IILM Academy of Higher Learning,Lucknow
PGDM Batch (2012-2014)
REGISTRATION FORM
Select the Preferred date for
GDPI
:
---Select---
28/01/2012
04/02/2012
Name
:
Father's Name
:
Qualifying Exam Details
:
MAT
CAT
XAT
Any Other
Other Qualifying Exam
:
Registration Number
:
Test Held On
:
Percentile/Composite Score
:
Email ID
:
Telephone/Mobile No.
:
Gender
:
Male
Female
Date of Birth(dd/mm/yyyy)
:
Mailing Address
:
City
:
State
:
Pincode
:
Graduation Status
:
Completed
Appeared
Percentage
:
Note:
This Registration is valid for a period of
10 days or date of GDPI,
whichever is earlier. Registered candidates will be allowed to appear in the GDPI after submission of Application Form alongwith fee of Rs. 500/- to the Institute in the form of Cash/Demand Draft drawn in favour of
“IILM-Academy of Higher Learning, payable at
Lucknow
”. The Application Form and Brochure can be obtained from the Institute or
downloaded
from our Website
(Click to Download)
and sent with the requisite fee.