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Self-declaration for PGDBA Application

This is to certify that I, …………………………………………………………………………………., am studying in the


final year of the qualifying degree. I will appear in the Final Examination and complete other
academic requirements by July 31, 2022. I will submit my degree/provisional certificate/final mark
sheet issued by the Institute/University by December 31, 2022; failing which I understand that my
admission to the applied PGDBA Programme may stand cancelled. Till then, if selected, my
admission to the Programme will be provisional.

I further understand that if I am unable to qualify the minimum eligibility criterion for admission to
the applied Programme, my admission will stand cancelled and IIT Kharagpur, ISI and IIM Calcutta
shall have no liability for the same.

Date: Signature of Candidate

Name of the Candidate

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