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Dr. Gaur Hari Singhania
Institute of Management & Research

Kamla Nagar Kanpur-208 005
U.P. - India
Tel: +91-91-512-2984748
Website : www.ghsimr.ac.in
E-mail : confluence2019@ghsimr.ac.in

Distinguished Alumnus Award 2019
Nomination Form

(To be filled by a person who is nominating himself/herself)

Involvement in institute related activities like Guest lecture, participation in SIP, Campus recruitment, project involvement, mentor mentee program, Alumnus Talk , Panel discussion, participation in alumni meet etc.:
Please provide thoughtful and detailed support for your candidature:
What significant achievements has the nominee made in his/her chosen profession?
Any other point you want to highlight to be considered for the GHS-IMR Distinguished Alumnus Award?

Supporting Documents:

In order to support your nomination if you want to attach certain documents, you can send these documents on confluence2019@ghsimr.ac.in

Please attach the nominee’s curriculum vitae or resume. Additionally, we welcome letters of recommendations, magazine or newspaper clippings, and relevant articles.

  • 1. Curriculum Vitae or Resume (Attachment)
  • 2. Additional Supporting Documents (Attachment )
  • 3. Additional Supporting Documents ( Attachment)
* In case of any query feel free to contact us through mail. Mail us at confluence2019@ghsimr.ac.in.