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I hereby certify that i am fulfilling the eligibility

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Unformatted text preview: ercentage of marks and reservation category (if applicable) as per Govt. of India norms. I undertake to produce the following documents at the time of personal interview, if called for: • Original and attested copies of all academic certificates / marksheets / certificates from school authorities evidencing proof of all claims made in this application. • Original and attested copy of reservation certificate in case of SC, ST and PWD/DA candidates • A duly signed copy of this application Place: ______________________ Date: ______________________ _________________________ Signature of the applicant PLEASE READ THIS FORM ONCE AGAIN AND MAKE SURE THAT YOU HAVE COMPLETED ALL THE DETAILS RELEVANT FOR YOU AND HAVE COMPLIED WITH ALL REQUIREMENTS. INCOMPLETE APPLICATION ARE LIABLE TO BE REJECTED Send in your completed application form so as to reach this office latest by April 4, 2014 along with DD/BC and photocopy of the following: Proof of Date of Birth, 10th Marksheet, 12th Marsheet (or provisional certificate) ,NC-OBC / SC / ST Certificate (if applicable), PWD/DA Certificate (if applicable) To, The Admissions Office Indian Institute of Management Indore, Prabandh Shikhar, Rau-Pithampur Road, Indore – 453556 Note:- No other document(s) is/are to be attached with the application form except the above mentioned certificates. Five year Integrated Programme in Management at IIM Indore - Application 4...
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