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Scribe Affidavit

This document is an affidavit for a candidate's scribe for an interview at the Indian Institute of Management Kozhikode. It contains details of both the candidate and proposed scribe such as their names, educational qualifications, and identification documents. The scribe affirms that the information provided is true and correct. The candidate also declares that any misrepresentation by the scribe could result in cancellation of their candidature.

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Alok Ranjan
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1K views1 page

Scribe Affidavit

This document is an affidavit for a candidate's scribe for an interview at the Indian Institute of Management Kozhikode. It contains details of both the candidate and proposed scribe such as their names, educational qualifications, and identification documents. The scribe affirms that the information provided is true and correct. The candidate also declares that any misrepresentation by the scribe could result in cancellation of their candidature.

Uploaded by

Alok Ranjan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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India Indian Institute of Management Kozhikode

PGP Admissions 2019- 21 Batch


Scribe Educational Qualifications Affidavit
Candidate Details Scribe Details
Name: Name:
CAT 2018 Registration No. Date of Birth:

I, _____________________________________________________________________ ,son / daughter of


_________________________________________________, (Date of Birth____________ (dd/mm/yyyy),
do hereby solemnly affirm and state as follows:

1. I have voluntarily agreed to serve as a scribe for ________________________________ (name of the


Candidate) bearing the CAT 2018 Registration No. ____________________, for the IIMK interview
process to be held on ………………………………….
2. My highest educational qualifications are as below:
Degree / Diploma
Discipline
Year of Completion
Name of the University / Board

3. I am enclosing a copy of my valid photo identification card (valid College ID, Employer ID, Driving
License, Passport, PAN Card, Voter ID, Aadhar Card) as proof of identity; and I will also produce the
original Photo identification card at the test venue for verification.
4. I hereby affix my photo and signature in this affidavit as proof of my signature and Identity.

The particulars furnished by me above are true & correct to the belief
of my knowledge and I have not concealed or mispresented any facts.

Date: (signature of the Scribe)

Declaration by the Candidate


I, ____________________________________________ understand that any misrepresentation or
omission of facts in the above affidavit by __________________________________ (name of the Scribe)
may justify cancellation of my candidature at IIM Kozhikode.

Date: (signature of the Candidate)


Candidate’s Photo

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