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Self Declaration Form
Self Declaration Form
Respected Sir,
I Mr./Ms. Anuj Khanna, Son / Daughter of Mr. Vinay Kumar Khanna, student bearing
enrolment number 19020841169 studying MBA at Symbiosis Institute of Business
Management, Bengaluru, do hereby declare that the particulars furnished in this application
and in the enclosed documents are true to the best of my knowledge and belief. I hereby
acknowledge that nothing has been concealed therein. I am well aware of the fact that if the
information given by me is proved false / not to be true at any point of time, I will have to
face consequences as deemed fit by the Corporate Relations and Placements Team including
forfeiting any benefit(s) availed of by me or accrued to me.
Place: Vadodara
Signature of Applicant