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Indian Institute of Management Raipur - IIM Raipur

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E. Extra-Curricular Activities/Additional Information, if any<br />

Please mention, within the space provided, inter-collegiate, <strong>Institute</strong> and higher level activities only. These<br />

may include games and sports, cultural, literary and similar other activities:<br />

F. Why do you want to join this Programme<br />

Please state, within the space provided, aspects to strengthen your candidature for this programme:<br />

Declaration<br />

I certify that the particulars given by me in the application form are true to the best <strong>of</strong> my knowledge. I know that<br />

at any time if the information furnished by me is found incorrect my candidature will be cancelled immediately.<br />

I agree to abide by the decision <strong>of</strong> the institute authorities regarding my selection/non selection.<br />

Place:<br />

Date:<br />

______________________________________<br />

Signature <strong>of</strong> the Candidate<br />

Enclosures with the Application Form:<br />

1. Pro<strong>of</strong> <strong>of</strong> Age<br />

3. Photocopies <strong>of</strong> Degrees & Mark Sheets <strong>of</strong> class X, XII and graduation.<br />

4. Photocopy <strong>of</strong> CAT/GMAT Score card, if applicable<br />

5. Work Experience Certificate<br />

4

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