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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 :
E-mail :

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

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