Scribd
Upload
46 views

Accepting Form

This document is an application and letter of acceptance for non-IIM institutions to use CAT 2019 scores. It requests information such as the name and address of the institution, contact details of an authorized official, details of programs for which CAT scores will be used, accreditation and approval numbers, payment details, and signatures accepting the terms of using CAT scores. Supporting documents like proof of accreditation, payment receipts, and affiliation must be enclosed with the completed form which should then be sent to the CAT Centre at IIM Kozhikode.

Uploaded by

Viraj
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
46 views

Accepting Form

This document is an application and letter of acceptance for non-IIM institutions to use CAT 2019 scores. It requests information such as the name and address of the institution, contact details of an authorized official, details of programs for which CAT scores will be used, accreditation and approval numbers, payment details, and signatures accepting the terms of using CAT scores. Supporting documents like proof of accreditation, payment receipts, and affiliation must be enclosed with the completed form which should then be sent to the CAT Centre at IIM Kozhikode.

Uploaded by

Viraj
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 2

Application & Letter of Acceptance of Non-IIM Institutions for using CAT 2019 Scores

(1) Name of the Institute: …………………………………………………………………………………………………………………………………………

Address: ……..………………………………………………………………………………………………………………………….……………………………

…………………………………………………………………………………………………………………………………………………….………………………

Pin Code: …………………………….

Ph. No.: ………………………………………………….. Fax No.: …………………………………………………..

Email Id: (i) .……………………………………………… (ii) .………………………………………………………..

Website: …………………………………………………

(2) Name of the authorised official for correspondence: ……………………………………………………

Designation: ……………………………………………………

Mobile No.: ………………………………………… Fax No.: ………………………………………………………….

Email ID.: ………………………………………………………….

(3) (a) Name of the Programme for which CAT 2019 score is to be used: …………………………………………………..

(b) Duration of the Programme: ………………………………………………………………………………………………………………..

(4) Please check whether registered to obtain CAT 2018 score or not (List of Institutes authorised to receive the CAT

2018 scores has been uploaded on the website): YES / NO

(5) MHRD Approval No. (Attach copy): ………………………………………………………………………………………………………

(6) AICTE Approval No. (Attach copy): ………………………………………………………………………………………….……………

(7) Whether the Institute is a Central/State University: ………………………………………………………………….………

(8) Whether the Institute is a Deemed University (Attach proof): …………………………………………………….…..…

(9) Whether the Institute is an Affiliated College: Yes / No

(a) If yes, Name of the Affiliating University: ……………………………………………………………………………………..

(b) Recognition Order No. (Attach copy): ……………………………………………………………………………….………….

(10) Whether the Institute is registered outside India (Attach Legal Registration proof): ………….………….…..…
(11) Details of Annual/Membership Fee: INR 2,25,000 Annual Fee (+ INR 75,000 Membership Fee for new members
who did not register for CAT 2018) plus 18 % GST. (Please attach a copy of the payment receipt)
(a) Amount Transferred: ……………………………………………………………………

(b) Date of Transaction: ………………………………………….………………………….

(c) Bank Name: ………………………………………….………………………….

(d) Branch: ………………………………………….………………………….

(e) UTR/Bank Ref. No.: …………………………………………………………………….

(12) I/We hereby accept the terms and conditions of the MoU for using the CAT 2019 score and I/We am/are the

authorised personnel to sign the documents on behalf of the Institute.

Enclosures:
a. Signed MoU
b. Programme brochure
c. Documentary evidence of Accreditation/Registration (refer to points 5 – 10)
d. University Affiliation proof copy (as mentioned in the form)
e. Payment Receipt copy
(1) Signature: …………………………………….

(Office Seal) (2) Name: ………………………………………….

(3) Designation: ………………………………..

Date: ………………………..

Place: ……………………….

-------------------------------------------------------------------------------------------------------------------------------------------------------

Please send to:

“CAT Centre, C/o. Admissions Office, Indian Institute of Management Kozhikode, IIMK Campus P.O., Kozhikode

673570” after duly filling in and stamping this form along with all the supporting documents mentioned above.

You might also like