I............................................................residing..........................................................................................................

..at................................................................................................................................... ...........................................
............. do state on solemn affirmation that:

I have applied for the Need Based Financial Assistance (NBFA) from the Indian Institute of Management
Kozhikode. In this regard I would like to state that, I have gone through the rules and regulations of the Institute
and I declare that I am fit person to get the benefits mentioned in the said Need Based Financial Assistance
(NBFA) at the Institute. I also agree that, Indian Institute of Management Kozhikode or any agency or third
party agency or any person authorized by Indian Institute of Management Kozhikode will have right to
investigate & verify the authenticity of the documents and details submitted by me for the same at any point of
time during and even after the completion of my PGP/PGP-Finance/PGP LSM course. I say that in case, the
documents and details submitted by me found to be incorrect, misleading or not according to my NBFA Form,
the Institute will have right to expel me from Institute during the Programme or revoke the Diploma/Degree
certificate issued by the Institute. Even after successful completion of the Programme and awarded the
dipoma/degree for the same, the Institute will have right to cancel the Diploma/Degree certificate if details
submitted by me found to be incorrect, misleading or not according to my NBFA Form. In that case, I will have
no right to oppose against any action of the Indian Institute of Management Kozhikode. Indian Institute of
Management, Kozhikode will be at liberty to recover the said amount with due interest from me without giving
any further opportunity. I have read the notification for the IIMK NBFA and related literature, I agree to be
abide by the same & found fit for the same. I also declare that the information and documents submitted by me
are true to best of my knowledge and belief and also agree to submit originals of the same whenever sought by
the Institute. This affidavit is filed by me with the Institute in support of getting benefits under IIMK Need
Based Financial Assistance (NBFA). I am aware that mere submission of application of NBFA will not make
me eligible for the financial assistance and I will oblige the decisions of the Financial Aid Committee (FAC).

I understand that making false affidavit is an offence.

Place: ---------------------------
Date: Deponent