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Currently only native UWP app to managed UWP component activation is supported. This means if you want to manage c# component from C++/WinRT, you need to create a C++ UWP app(e.g. C++/WinRT UWP app) and set the min target version of the C# project to 15063 or earlier. In that case, you can call the c# component from C++/WinRT UWP app.
But for native desktop (non-packaged) app(C++) activating c# runtime component, currently it is not supported.