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Nominee information:
Department: _________________________________________________________
CGPA: ______________________________________________________________
Nominator:
Name:______________________________________________________________
Designation:__________________________________________________________
Department:__________________________________________________________
The soft copy of the filled form along with the above documents should be sent to:
development@odaa.iisc.ernet.in (mandatory)
The hard copies of the filled form and documents can be sent to the Office of Development and
Alumni Affairs (ODAA), Bungalow no. 11, Gulmohar Marg (optional).