Appendix-A

IIM Udaipur: Terms of MBA in DEM 2024-25 Admission Offer

You are advised to carefully go through this Appendix and do the needful to meet with the admission
requirements of the Institute.

Document required for Registration:

a) Mark sheets and passing certificates of all examinations passed, such as, Secondary and Higher
Secondary School Leaving examinations, Bachelor Degree examinations, and others (if any). Please
ensure that there is no discrepancy between your documents and the information given by you during
various stages of the admission process.
b) Undertaking for Provisional Registration (Annexure 1)
c) Medical Fitness Certificate issued by a competent Medical Authority of rank not less than a Civil
Surgeon that you are medically fit for pursuing studies at the Institute and that you do not suffer from
any chronic or contagious disease. (Use Annexure 2 for this purpose)
d) Declaration by you and your parent/guardian. (Use Annexure 3 for this purpose)
e) Fee Payment Receipt for Term-I (AY 2024-25)
f) Certificate(s) pertaining to work experience from the organization(s) that you’ve been employed with,
and which you have indicated in your application.
g) Relieving letter from the last employer
h) Photo Identity Proof (Aadhar Card, PAN Card, Voter Card, Driving License, Passport – any one of
these).
i) GMAT/GRE/CAT Score Card.

You will need to furnish the original documents for verification, when you arrive on campus.

Please note that non-fulfillment of any of the above conditions would automatically result in cancellation
of the provisional admission and the decision of the Institute in such cases would be final and binding.
 Annexure 1

Undertaking for Provisional Registration

I understand that I have been permitted to register provisionally to the Master of Business

Administration in Digital Enterprise Management (MBA in DEM) commencing April 9, 2024

on the basis of the soft copy of certificate/s submitted by me to the Institute. My admission is

subject to verification of the details mentioned in MBA in DEM-2024 application form and the

original certificates which will be submitted by me at the time of on campus registration. In the

event of any discrepancy with regard to the details and/or certificates I shall automatically cease

to be a student of the Program with effect from that date and my admission will be

automatically cancelled.

Signature of the Student

Place: Udaipur Name:

Date GMAT/GRE/CAT No.

 Annexure 2
(To be submitted at the time of registration)

Medical Fitness Certificate

Medical Fitness Certificate to be obtained from a competent medical authority not less than a Civil Surgeon
rank or equivalent. Please note that there is no facility in the Institute to get the Medical Check-up done.

Besides this, please note that participants must take i) Typhoid, ii) Hepatitis A, iii) Hepatitis B, and iv) Chicken
Pox vaccine either before arriving or immediately after arriving at the institute. Doctor’s certificate needs to be
produced to that affect.

Certificate
I hereby certify that I have examined Mr./Ms. , a
candidate for admission to the MBA in Digital Enterprise Management (MBA in DEM) at the Indian Institute of
Management, Udaipur for 2024-25 Batch.

I cannot discover that he/she has any disease, constitutional affliction or bodily infirmity except
. I consider/do not consider (strike out whichever is not
applicable) this a disqualification for admission and studies at the Indian Institute of Management, Udaipur.

His/Her age, according to his/her own statement, is years and by appearance about
years.

Mr./Ms. has been vaccinated against the following on the dates

mentioned.

Sr. No. Vaccine Yes No If Yes, on Remarks

a) Typhoid

b) Hepatitis A

c) Hepatitis B

d) Chicken Pox

e) Covid-19

Mark(s) of Identification:_______________________________________________________________

(Signature of the Candidate) (Signature of Civil Surgeon/ Assistant Civil

Surgeon/ Medical Officer)

Registration No.

Seal of Hospital: Date:

Place:
Hospital Address:
 Annexure 3
(To be submitted at the time of registration)

Declaration by Participant

I, a participant of the Master of Business Administration in Digital Enterprise Management(MBA in DEM)

program, agree to abide by the regulations the Institute has and may frame from time to time, regarding the
evaluation system, minimum standards of academic performance, admission to elective courses, and discipline
required of participants for satisfactory completion of the Program.

I further understand fully and agree that Indian Institute of Management, Udaipur, will have the right to ask me
to leave the Institute during the course of any academic year if my performance or conduct as judged by the
Institute is found to be unsatisfactory, or if it is found that I have withheld information about my past
which affects my eligibility or capability to complete the course satisfactorily.

I am fully aware that ragging in any form is considered a serious offence and is strictly banned as per the
guidelines and directions given by the honorable Supreme Court of India.

I understand and agree that the decision of the Institute’s Director in these matters would be final and binding
on me.

I also authorize IIM Udaipur to report my adverse behaviour on the campus/poor academic
performance to my parents/guardians, when deemed necessary.

Signature

Place: Name:

Date:

Declaration by Parent/Guardian of the Participant

I, Mr./Mrs. parent/guardian of Mr./Ms. ,

(Name of the participant)
MBA in DEM participant of 2024-25 batch at IIM Udaipur, am in the full cognizance of the guidelines and
directions given by honorable Supreme Court of India that ragging in any form is considered a serious offence
and is strictly banned in the institute.

I am fully aware that my ward is liable to be expelled from the program, if he/she is found indulging in /
encouraging others to ragging in any form.

I authorize IIM Udaipur to inform me/my/our son’s/daughter’s adverse behaviour/poor academic

performance.

Place: Signature

Date: Name:
(Parent/Guardian of the participant)