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Membership Form - Educational Institute
Membership Form - Educational Institute
Please complete this form to apply for case/note access to our website.
Email :____________________________________________________________________
(University/institute mail address is required)
Website : _________________________________________________________________
URL : ___________________________________________________________________
We nominate the following representative of the organization named above to act on our
behalf in correspondence with IIMA:
First Name : _____________________________________________________________
Position/Designation: ________________________________________________________
Department : _____________________________________________________________
I agree to act as the IIMA representative for the university/institute named above.
_____________________
Signature of representative
Date: __________________
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