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  #2  
30th May 2018, 07:46 AM
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Re: IIM Indore Medical Certificate

Hii sir, I Wants to get the Application form for the Medical Certificate of the IIM Indore Will you Please Provide It ?
  #3  
30th May 2018, 07:58 AM
Super Moderator
 
Join Date: Aug 2012
Re: IIM Indore Medical Certificate

The Indian Institute of Management Indore is an autonomous public business school located in Indore, Madhya Pradesh in India. Instituted in 1996, IIM Indore is the sixth addition to the Indian Institute of Management family of management schools

The Application form for the Medical Certificate Has the Following Fields

Mr./Ms. __________________________________ has been vaccinated for the following.
a) Typhoid Yes

b) Hepatitis A Yes

c) Hepatitis B Yes

d) Chicken Pox Yes
Mark(s) of Identification: __________________________________________________ __________
______________________ ____________________________________
(Signature of the Candidate) (Signature of Civil Surgeon/ Assistant Civil
Surgeon/ Medical Officer)
Registration No._______________________
Seal of Hospital: Date: ___________________
Place: ___________________
Hospital Address: __________________________________________________ ____________


Application form for the Medical Certificate of the IIM Indore



Contact Details :
Indian Institute of Management Indore
Address: Prabandh Shikhar, Rau-Pithampur Road, Indore, Madhya Pradesh 453556
Phone: 0731 243 9666


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