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From,

Name: Akash Srivastava


Roll No: PGPF/01/004
To Whom So Ever Concerned

I am fully aware of the consequences of my action to stay back in the hostels of IIM
Kozhikode, and in case of any medical emergencies arising from my stay in IIMK hostels, I
am fully responsible for any consequences.

Akash Srivastava
PGPF/01/004

Kamal Bhushan Srivastava


Mobile No.:9470351663
Relationship with Students: Father

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