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APPLICATION FOR STEP, TERM V 2017 [pic 2]Student Name: Name*: Ms./Mr.………………………………………………………………………………………………….(in BLOCK LETTERS) (First Name) (Middle Name) (Last Name) Registration Number:E-mail Address:Date of birth: CGPA at the end of Term II: (Your CGPA at the end of Term II should be at least 5.50) Passport Number: Valid till:If you do not have a passport, what steps you are taking to get one and when do you expect to get it?________________________________________________________________
______________________________________________________________________________If you are doing your summer internship abroad, mention the firm and internship location: ______________________________________________________________________Before coming to IIMC, if you have worked abroad, mention your employer, location of work abroad, and the duration of work: ________________________________________ ______________________________________________________________________________Before coming to IIMC, if you have studied abroad, mention the institution, its location, and the duration of your study: _________________________________________