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Distinguished Alumni Award
To nominate alums other than self
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Year of Graduation from IIM Indore ( For Alumnus only)
Your answer
Type of Affiliation with the Nominee
*
Your answer
Email ID
*
Your answer
Contact No.
*
Your answer
Current Address
*
Your answer
Details of Nominee
Kindly fill in the details of the nominee for the alumni committee reach out to complete further steps.
Name
*
Your answer
Year of Graduation from IIM Indore
*
Your answer
Current Designation
*
Your answer
Email Id
*
Your answer
Contact No.
*
Your answer
Please Describe the Reasons for the Nomination (Maximum 1000 words)
*
Your answer
I hereby certify that the above statements are true and correct to the best of my knowledge.
*
I Agree
Required
I hereby certify that the Nomination is with consent of the Nominee.
I Agree
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