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INDIAN INSTITUTE OF MANAGEMENT KOZHIKODE

Post Graduate Programme in Management


PGP BATCH !"#$!"%
&OINING INST'UCTIONS
A( IMPO'TANT DATES
1. Reach IIM Kozhikode latest by : E)ening* on &une * !"#
2. Registration : +(,! a(m(* &une ,* !"#
3. Orientation/Perspecties : &une #$,!* !"#
#( Indu-tion O..i-ia/ Programme 0 &u/1 !"* !"#
!. "lasses co##ence : &u/1 !* !"#
If you fail to register within the time prescribed, you will forfeit your admission. Late registration is not allowed
and no correspondence will be entertained in this regard.
B( DOCUMENTS 2OU MUST B'ING AND P'ODUCE AT THE TIME OF 'EGIST'ATION
1. $%o copies each o& yo'r recent passport size and sta#p size photographs. (Put the photographs in a separate
envelope. Write your name and Test Regn. No, both on the reverse of the photographs and on the envelope.
2. Original )d#ission O&&er *etter &ro# IIMK
3. )ttested copy o& #ark sheet o& 1+
th
standard &inal e,a#ination
-. )ttested copy o& #ark sheet o& 12
th
standard &inal e,a#ination
!. Origina/ and an attested -o31 o. mar4 s5eet 6 -erti.i-ate o& .achelor/s 0egree e,a#ination. In case yo'
are yet to receie the &or#al degree1 a proisional degree certi&icate #'st be obtained &ro# the
2niersity/Instit'te and prod'ced to 's. (I& yo'r &inal res'lts are a%aited1 yo' %ill hae to prod'ce the co'rse
co#pletion certi&icate ()nne,'re 13 iss'ed by the 4ead o& 0epart#ent/Instit'te at the ti#e o& Registration3.
5. Origina/ and an attested -o31 o. 7or4 E83erien-e Certi.i-ates (i& applicable3 s'bstantiating the details yo'
hae stated in the application &or# (!ou are solely responsible for ma"ing appropriate arrangements with your
employer. The Institute neither favours a particular course of action nor assumes any responsibility in this
regard.
6. Origina/ and Attested -o31 o. Medi-a/ Fitness Certi.i-ate .rom a -i)i/ surgeon or e9ui)a/ent #use
$nne%ure&' for this purpose P/ease note t5at -erti.i-ates issued :1 3ri)ate 3ra-titioners ;i// not :e
a--e3ted
7. Origina/ and an attested -o31 o. Communit1 Certi.i-ate <in -ase o. SC=ST3 iss'ed by the "o#petent
)'thority. (Please 'se the speci#en enclosed &or the p'rpose3
8. Origina/ and an attested -o31 o. OBC <NC> (in case o& O."9:"3 certi&icate iss'ed by the "o#petent
)'thority. (Please 'se the speci#en enclosed &or the p'rpose3. Certi.i-ate issued on or a.ter &une ,!* !"
must :e 3rodu-ed.
1+. Origina/ and Attested -o31 o. Disa:i/it1 Certi.i-ate (iss'ed by a 0irector/0ep'ty
0irector/Me#ber o& 0istrict Medical .oard3 in the enclosed &or#at
11. "o#pleted 2ndertaking ;or# ($nne%ure&(3
12. )nti9ragging declaration ()nne,'re953
13. ) de#and dra&t &or `2*!!*!!! in &ao'r o& <Indian Institute o. Management Ko?5i4ode@ payable at
"alic't/Kozhikode to%ards balance pay#ent o& 1
st
$er# &ee
1-. ) de#and dra&t &or `A*!!! dra%n in &ao'r o& <Indian Institute o. Management Ko?5i4ode@ payable at
"alic't/Kozhikode to%ards re&'ndable sec'rity/ca'tion deposit
1!. ) de#and dra&t &or `A*!!!=$ dra%n in &ao'r o& <IIMK Hoste/ A--ount@ payable at "alic't/Kozhikode
to%ards Mess )dance.
15. Proo& o& )ddress (Passport1 =oter/s I01 0riing *icence1 etc3 (in original and an attested copy3
P/ease :ring and retain ;it5 1ou a -o31 ea-5 o. 1our "!
t5
and "
t5
-/ass mar4 s5eets as %ell as #ark sheets o&
bachelor/s degree e,a#ination1 in case yo' are planning to apply &or ed'cational loan. Su..i-ient attested -o3ies o.
a// t5e -erti.i-ates must :e 3reser)ed .or .uture 3ur3oses( 0'e to the li#ited parking &acility aailable in the
ca#p's1 yo' are re>'ested not to bring yo'r &o'r %heelers to the ca#p's. $he Instit'te solicits yo'r co9operation
this regard.
C( IMPO'TANT INFO'MATION
"( HO7 TO 'EACH IIMKB
?o' can reach the IIMK ca#p's &ro# the Rail%ay @tation by $a,i/)'to. ?o' can also reach the Instit'te by b's.
.'ses ply &ro# the Palaya# b's station at least eery ten #in'tes d'ring the day. ?o' hae to board any b's going
ia K'nna#angala# and get do%n at the stop A'st be&ore K'nna#angala# to%n %hich is abo't hal&9ho'r ride &ro#
Palaya#. ;ro# the b's stop an a'to %ill take yo' to IIMK ca#p's. I& yo' take a ta,i &ro# "alic't rail%ay station
to%ards K'nna#angala# the ta,i co'ld enter the IIMK pre#ises at the right at IIMK Bynad Cate b's stop. #)ee
$nne%ure&* for the location of II+ ,o-hi"ode
( 7HOM TO CONTACT ON A''ICADB
On reaching the Instit'te pre#ises1 yo' #ay contact the @t'dents )&&airs O&&ice (Mr. Dohn Cheearghese1 ))O9
+-8!927+82!71 27+82521 Mob: +8--5!1+!373 &or &'rther assistance.
,( EEPENSES
Please see )nne,'re9- &or the PCP &ee pertaining to the acade#ic year 2+1-91!. $he &ees gien there e,cl'de
boarding charges and personal e,penses on trael1 clothes1 la'ndry etc.
#( HOSTED
@t'dents are proided acco##odation in the hostel and as it is a residential progra##e1 they are e,pected to stay in
the hostels o& the Instit'te. Each roo# is proided %ith a &an1 lockable %all al#irah1 a cot1 a pillo%1 a #attress1 a
st'dy table and a chair. ?o' hae to arrange yo'r o%n bed9sheets and other articles o& personal 'se. ?o' shall
hae yo'r o%n pad locks to lock the hostel roo#s. $%o keys o& the lock shall be handed oer to the @t'dents
)&&airs O&&ice. ;or #atters related to hostels1 yo' can contact the @t'dents/ )&&airs O&&ice (contact n'#bers are
gien aboe 'nder ite# no. " 23
A( CDIMATE
In D'ne %hen yo' arrie here1 the #onsoon is e,pected to be at its peak and it #ay last till @epte#ber. It is1
there&ore1 desirable to bring light1 easy9to9dry clothes and bed linen. In addition1 yo' #ay also bring torchlight1
'#brella and r'bber/plastic &oot%ear &or o'tdoor 'se %hen needed.
%( HEADTH
It is reco##ended that yo' get yo'rsel& i##'nized against co##on diseases. ?o' shall s'b#it accination
certi&icates &or #alaria1 Aa'ndice and chickenpo,. In addition1 a medi-a/ .itness -erti.i-ate (see )nne,'re 23 %ill
hae to be prod'ced at the ti#e o& Registration.

Note:
?o' are responsible &or the correctness o& the in&or#ation proided to the Instit'te in o'r application &or#1 in the
acceptance o& the o&&er o& ad#ission1 d'ring the process o& registration and d'ring yo'r co'rse o& st'dy at the
Instit'te. $he conse>'ences o& incorrect in&or#ation #ay incl'de cancellation o& the ad#ission.
FFF
INDIAN INSTITUTE OF MANAGEMENT KOZHIKODE
Post Graduate Programme in Management <PGP Bat-5 !"#$"%>
ACKNO7DEDGEMENT CUM P'E$'EGIST'ATION FO'M
$he )d#inistratie O&&icer ()d#issions3
Indian Instit'te o& Manage#ent Kozhikode
IIM Kozhikode "a#p's (PO3
Kozhikode G 563 !6+1 Kerala
@ir1
I hae receied yo'r letter datedHHHHHH.. %ith enclos'res. I enclose the &ollo%ing doc'#entsF in
the sequence in which they are listed:
1. )ckno%ledge#ent c'# Pre9registration &or# (d'ly co#pleted3
2. )ttested copy o& )ddress proo& (Passport1 =oter/s I01 0riing *icence1 etc3
3. "opy o& )d#ission O&&er *etter &ro# IIMK
-. ;illed9in @t'dent In&or#ation @heet
!. )ttested copy o& #ark sheet o& 1+
th
standard &inal e,a#ination
5. )ttested copy o& #ark sheet o& 12
th
standard &inal e,a#ination
6. )ttested copy o& #ark sheet I certi&icate o& .achelor/s 0egree e,a#ination/Proisional 0egree
"erti&icate/"o'rse "o#pletion certi&icate iss'ed by the co#petent a'thority.
7. )ttested copy o& "aste "erti&icate (in case o& @"/@$3 in the approed &or#at iss'ed by the
"o#petent )'thority
8. )ttested copy o& O."(:on9crea#y3 certi&icate as per the speci#en attached
10. Attested copy of Disability Certificate (issued by a Director/Deputy Director/Member of District Medical
Board) in the enclosed format
11. )ttested copy o& E,perience "erti&icates (i& applicable3 s'bstantiating the details I hae stated
in the application &or#
12. Medical ;itness "erti&icate (in origina/3 &ro# a ciil s'rgeon or e>'ialent in the enclosed
&or#at.
(* )tri"e out whichever is not applicable
$hanking yo'1
?o'rs &aith&'lly
@ignat're: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
:a#e: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
$est Regn. :o. : JJJJJJJJJJJJJJJJJJJJJJJJJJJJ
"ategory: Cen / O." (:"3 / @" / @$ / Persons %ith 0isability
0ate: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
Annexure-3
U N D E ' T A K I N G
I JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ (na#e31 a candidate ad#itted to
the t%o9year Post Crad'ate Progra##e in Manage#ent o& IIM Kozhikode1 hereby agree to abide by the
reg'lations o& the Instit'te that #ay be in og'e &ro# ti#e to ti#e regarding the eal'ation syste#1
#ini#'# standards o& acade#ic per&or#ance1 ad#ission to electie co'rses and the discipline re>'ired
o& the participants &or satis&actory co#pletion o& the Post Crad'ate Progra##e.
I &'rther 'nderstand &'lly and agree co#pletely that the Indian Instit'te o& Manage#ent Kozhikode %ill
hae the right to ask #e to leae the Instit'te at any stage o& the Post Crad'ate Progra##e i& #y
per&or#ance or cond'ct as A'dged by the Instit'te is &o'nd to be 'nsatis&actory.
I also 'nderstand and agree that the decision o& the Instit'te in these #atters %o'ld be &inal and binding
on #e.
@ignat're
Place: JJJJJJJJJJJJJJJJ :a#e: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
0ate: JJJJJJJJJJJJJJJJJJJJ $est Regn. :o. JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
"o'ntersigned by
Parent/*egal g'ardian
:a#e:
0ate:
Phone :o.
)nne,'re92
MEDICAD FITNESS CE'TIFICATE
I hereby certi&y that I hae e,a#ined Mr./Ms.JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ1 a
candidate &or ad#ission to the Post Crad'ate Progra##e at the Indian Instit'te o& Manage#ent
Kozhikode1 and that as per #y diagnosis he/she has no disease1 constit'tional a&&liction or bodily
in&ir#ity e,cept JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ.
I do not consider this as a dis>'ali&ication &or ad#ission to Post Crad'ate Progra##e at the Indian
Instit'te o& Manage#ent Kozhikode.
4is/4er age1 according to his/her o%n state#ent1 is JJJJJJJJ years and by appearance is abo't
JJJJJJJJ years.
Mark(s3 o& Identi&ication: JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
JJJJJJJJJJJJJJJJJJJJJJJJJJJ JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
@ignat're o& the candidate @ignat're o& "iil @'rgeon/ Medical O&&icer

:a#e : JJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
)ddress:JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
Ro'nd @eal o& 4ospital JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
0ate: JJJJJJJJJJJJJJJJJJJJJJ
Place: JJJJJJJJJJJJJJJJJJJJJJ
)nne,'re91
COURSE COMPLETION CERTIFICATE
This is to certify that Mr./Ms.
(!oll "o. ) has already completed/#ill complete latest by $%
th
&une $01'( all
formalities includin) e*aminations and other academic re+uirements (such as theory and
practical e*ams( assi)nments( pro,ects( -i-a etc.) re+uired for obtainin) the
de)ree. .is/.er final result is e*pected to be
announced by .
/lace0
(1i)nature of /rincipal/!e)istrar/.oD)
Date0
"ame of the Colle)e/2nstitute0
Colle)e/2nstitute round 1eal
Annexure-4
INDIAN INSTITUTE OF MANAGEMENT KOZHIKODE
PGP FEES FOR THE ACADEMIC YEAR 2014-15
FIRST YEAR (PGP-I)
The total fee for the academic year $01'31% is `6(%0(000 #hich is
payable at the be)innin) of each term as per the follo#in) schedule0
Pay!"# S$%!&'(!
Term32 0 $(%0(000
Term322 0 $(00(000
Term3222 0 $(00(000
The candidates are re+uired to remit the follo#in) payments at the time of
re)istration0
a) Demand Draft for `2,00,000 drawn in favour of Indian Institute of
Management Kozhikode payable at Calicut/Kozhikode toward balance
payment of !
t
"erm fee #after the advance payment of `$%&%%%/-)
b Demand Draft for `25,000/- drawn in favour of 'Indian Institute of
Management Kozhikode payable at Calicut/Kozhikode toward
(ecurity/Caution depoit& which will be refunded on completion of the
coure after ad)utin* due& if any+
c Demand Draft for `25,000/- drawn in favour of ,IIMK Hostel Account
payable at Calicut/Kozhikode toward -e advance+
Anne*ure34
UNDERTAKING-I
2 am a#are that ra))in) is banned in 22M 5o6hi7ode and if 2 am found )uilty
of ra))in)( 2 #ill be liable for appropriate punishment #hich may include
e*pulsion from the 2nstitute.
Date0 1i)nature of the Candidate
"ame of the candidate
Test !e)n. "o.0

Address0

UNDERTAKING-II
2 am a#are that ra))in) is banned in 22M 5o6hi7ode and if my
son/dau)hter/#ard is found )uilty of ra))in)( he/she #ill be liable for
appropriate punishment #hich may include e*pulsion from the 2nstitute.
Date0 1i)nature of the /arent
"ame of the /arent
Address0
JJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJJ
/hone "o.

I"&)a" I"*#)#'#! +, Ma"a-!!"# K+.%)/+&!


POST GRADUATE PROGRAMME 0ATCH 2014-2011
S#'&!"# I",+2a#)+" S%!!#
#.leae note that no column hould be left unfilled)
1. Test !e)istration "o.
$. "ame in 8ull (in bloc7 letters)
9. Date of birth
Day Month :ear
%. Cate)ory
;<" 1C 1T =BC("C) />D
?. Blood ;roup
@. Marital 1tatus
Married 1in)le
10. Address for correspondence
11.
/ermanent Address
(A&&2!** 32++, #+ 4! *'4)##!&)
1$. Contact telephone "o. #ith 1TD code
19.
;raduation Discipline
Arts Comm. <n)). 1cience
=thers
(pl. specify)
1ub,ect0
14.
8atherAs name
Address
/hone "o.
1?. =ccupation B Desi)nation
1@. =r)anisation/Department
1C.
MotherAs "ame
Address
/hone "o.
$0. =ccupation B Desi)nation
$1. =r)anisation/Department
$$. Annual /arental 2ncome `
$9.
Contact /erson durin) emer)ency
(8ather/Mother/De)al )uardian)
"ame 0
Address0
Telephone0
D E C L A R A T I O N
2 hereby declare that all the information furnished abo-e is true and correct to the best of my 7no#led)e
and belief. 2 understand that in the e-ent of any of the information bein) found incorrect( my pro-isional
re)istration to the /ost ;raduate /ro)ramme shall be liable to be cancelled.
2 hereby a)ree to abide by the rules and re)ulations pertainin) to academic e-aluation( )eneral code of
conduct and all other rules and re)ulations that may come in force durin) the period of my study and stay
at the 2nstitute.
Date 0
1i)nature 0
1pecimen
1u))ested format of Certificate to be produced by "on3Creamy =ther Bac7#ard
Classes candidates applyin) for Admission to 2ndian 2nstitute of Mana)ement
5o6hi7ode
(I**'!& +" +2 a,#!2 5'"! 607 2016)
This is to certify that
EEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE
son/dau)hter of ............................EEEEEEEEEEEEEE.. of
-illa)e.......................................
District/Di-ision................................................................................................
in the 1tate................................................................
belon)s to the. ..................................................................community #hich is
reco)ni6ed as a bac7#ard class under the ;o-ernment of 2ndia( Ministry of
>elfare !esolution "o. 1$011/4@/C93BCC(C)( dated 10th 1ept. 1CC9 published in
the ;a6ette of 2ndia <*traordinary /art 2 1ection 2 dated 19th 1ept. 1CC9. Mr/Ms
EEE.EEEEEEEEEE. and/or his family ordinarily reside(s) in the
.........................District/Di-ision of the E.................. 1tate.
This is also to certify that he/she does not belon) to the persons/sections
(Creamy Dayer) mentioned in column 9 of the 1chedule to the ;o-ernment of
2ndia( Department of /ersonnel B Trainin) =.M. "o. 9401$/$$/C93<stt.(1CT)(
dated @.C.C9.
Dated
District Ma)istrate
Deputy Commissioner etc.
1eal
"B
(a) The term FordinarilyF used here #ill ha-e the same meanin) as in 1ection $0
of the !epresentation of the /eoples Act( 1C%0.
(b) >here the certificates are issued by ;a6etted =fficers of the Gnion
;o-ernment or 1tate ;o-ernments( they should be in the same form but
counteri*ned by the District Ma)istrate or Deputy Commissioner
(Certificates issued by ;a6etted =fficers and attested by District
Ma)istrate/Deputy Commissioner are not sufficient).
S3!$)!"
(8orm of Certificate to be produced by a candidate belon)in) to
1cheduled Caste or 1cheduled Tribe in support of his/her claim)
C+'")#y C!2#),)$a#!
This is to certify that 1hri/1mtH/5umariH
son/dau)hterH of of -illa)eH/to#nH
in District/Di-isionH

of the 1tate/Gnion TerritoryH belon)s to the


Caste/TribeH #hich is reco)ni6ed as 1cheduled CasteH/1cheduled TribeH underHH
The Constitution (1cheduled Castes) =rder( 1C%0
The Constitution (1cheduled Tribes) =rder( 1C%0
The Constitution (1cheduled Tribes) (Gnion Territories) =rder( 1C%1.
Ias amended by the 1cheduled Castes and 1cheduled Tribes Dists (Modification) =rder( 1C%4( the Bombay
!eor)anisation Act 1C40( the /un,ab !eor)anisation Act( 1C44( the 1tate of .imachal /radesh Act( 1C?0( the
"orth <astern Areas (!eor)anisation) Act 1C?1 and the 1cheduled Castes and 1cheduled Tribes orders
(Amendment) Act( 1C?4J
The Constitution (&ammu and 5ashmir) 1cheduled Castes order( 1C%4
The Constitution (Andaman "icobar 2slands) 1cheduled Tribes =rder( 1C%C
The Constitution (Dadra and "a)ar .a-eli) 1cheduled Castes =rder( 1C4$
The Constitution (Dadra and "a)ar .a-eli) 1cheduled Tribes =rder( 1C4$
The Constitution (/ondichery) 1cheduled
Castes =rder( 1C4'
The Constitution (1cheduled Tribes) (Gttar /radesh) =rder( 1C4?
The Constitution (;oa( Daman B Diu) 1cheduled Castes =rder( 1C4@
The Constitution (;oa( Daman B Diu) 1cheduled Tribes =rder( 1C4@
The Constitution ("a)aland) 1cheduled Tribes =rder( 1C?0
The Constitution (1i77im) 1cheduled Castes =rder( 1C?@
The Constitution (1i77im) 1cheduled Tribes =rder( 1C?@
1hriH/1mt.H/5umariH and/or his/herH family ordinarily
reside(s) in -illa)e/to#nH of
District/Di-ision of the 1tate/Gnion Territory of .
1i)nature
/lace 0 8ull "ame


Date 0 Desi)nation0 District Ma)istrate/Addl. District Ma)istrate/City Ma)istrate/ /ar)ana
Ma)istrate/Tehsildar/Dist. .ari,an3cum31ocial >elfare =fficer
(!ound 1eal) (=ffice 1eal)
H /lease delete the #ords #hich are not applicable
HH /lease +uote or tic7 specific /residential =rder
S3!$)!"
D)*a4)()#y C!2#),)$a#!
(to be issued by a Director/Dy. Director/Member of District Medical Board)
This is to certify that Mr. #hose particulars
are )i-en belo# has been thorou)hly e*amined by me and found that he/she is a person #ith disability of Do#
Kision/Blindness/.earin) 2mpairment/Docomotor Disability/Cerebral /alsy/. .is
disability is percent and he/she comes under the cate)ory of Moderate/1e-ere//rofound (Total)
disability.
1. "ame 0
$. A)e/Date of Birth 0
9. 1e* 0
'. 2dentification mar7s 0

%. 8atherAs name 0
4. "ature of the disability 0

?. /ercenta)e of disability 0
@. 1i)nature of the applicant 0
1i)nature of the Doctor0
!ound 1eal "ame of the Doctor0
Desi)nation0
Address (or seal)

/lace0
Date0
(The minimum de)ree of disability in order for a person to be eli)ible #ould be '0L)
1pecimen
Affida-it s#orn before the "otary
2( 1ri. son of
born on (date) ( residin) at
do hereby solemnly affirm the
follo#in)0
1. 2 belon) to the =ther Bac7#ard Class (=BC) of the society as defined in column 9 of
the 1chedule to the ;o-ernment of 2ndia( Department of /ersonnel B Trainin) =.M. "o.
9401$/$$/C93<stt.(1CT)( dated @.C.C9. and the contents of the Certificate dated
issued thereof by submitted by me is true and correct.
$. 2 ha-e read and understood the meanin)( purport and scope of the definition of
persons /sections e*cluded from reser-ation #hich constitute the Creamy Dayer of the
society as declared and notified by the ;o-ernment of 2ndia( "ational Commission for
Bac7#ard Classes ("CBC).
9. 2 declare that 2 am not a person of the Creamy Dayer of the society e*cluded from
reser-ation for =ther Bac7#ard Classes (=BC)( defined and cate)ori6ed by the
;o-ernment of 2ndia( on its official #ebsite of the "ational Commission for Bac7#ard
Classes ("CBC) http///ncbc+nic+in
'. 2 underta7e to pro-e and clarify and or ans#er to any +uery in connection #ith any
part of this affida-it( declaration and underta7in) made herein by me( to the satisfaction
of the 22M5 Admission authority or any other re)ulatory authority at any point of time
before and after admission.
%. 2 declare and underta7e to abide by the decision of the 22M5 Admission authority
cancellin) my admission in the 2nstitute at any point of time before and after admission in
the e-ent it is found that 2 am a person belon)in) to the Creamy Dayer of the society of
=BC #ho are e*cluded from reser-ation for admission as =BC.
4. 2 declare that there is no suppression of facts in this affida-it by me and no part of this
Affida-it is false and/or contains incorrect statements.
?. 2 s#ear and affirm that all particulars( declaration and underta7in) )i-en in the
fore)oin) para)raphs are true and correct to the best of my 7no#led)e( information and
belief( and 2 ha-e not resorted to suppressin) truth or su))estio falsi.
The statements made in the fore)oin) para)raphs 1 to 4 of the affida-it are true and
correct.
Deponent
2dentified by me
Ad-ocate
IIM KOZHIKODE (ROUTE MAP)
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M'//a
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K'""aa"-a(a

IIMK

IIMK Ma)" Ga#!
Ma2/a. Na-a2
Ka2a"#%'2
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M!&)$a(
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