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  • No Dues Certificvsfate Form

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    Swarnim Raj
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    This document is a no dues certificate from the Indian Institute of Technology Delhi. It requires signatures from various departments and sections of the institute to certify that the student has no outstanding dues or obligations. These include the academic department, library, student activity bodies, hostel, security, and accounts. It also documents the refund of security deposits and provides an option for students to donate part of the refund to a student welfare fund.

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    This document is a no dues certificate from the Indian Institute of Technology Delhi. It requires signatures from various departments and sections of the institute to certify that the student has no outstanding dues or obligations. These include the academic department, library, student activity bodies, hostel, security, and accounts. It also documents the refund of security deposits and provides an option for students to donate part of the refund to a student welfare fund.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    18 views2 pages

    No Dues Certificvsfate Form

    Uploaded by

    Swarnim Raj
    This document is a no dues certificate from the Indian Institute of Technology Delhi. It requires signatures from various departments and sections of the institute to certify that the student has no outstanding dues or obligations. These include the academic department, library, student activity bodies, hostel, security, and accounts. It also documents the refund of security deposits and provides an option for students to donate part of the refund to a student welfare fund.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 2

    INDIAN INSTITUTE OF TECHNOLOGY DELHI

    NO
    DUES

    ACADEMIC & EXAMINATION SECTION

    No Dues Certificate

    Entry No.

    Name

    (English)

    Name

    (Hindi)

    E-mail
    Personal

    Tele No.

    Parents

    Thesis viva date


    (PG only)

    Certified that there is nothing outstanding against the student:


    1.

    Head, Department/Centre/School

    Dept/Centre/ School name :

    2.

    Librarian

    3.

    President, R.C.A.

    4.

    President, B.S.W.

    5.

    President, Sports

    6.

    NCC/ NSS/ NSO


    (Circle one that you have done/ NA for PG)
    O/o AAIP (Room No.-AD212)

    7.

    Received one hard copy and one


    CD of the thesis (only for Ph. D.)

    8.

    Hostel / Nalanda warden

    9.

    Security Officer

    10.

    Accounts Section

    11.

    Hostel name:__________________

    Academic Section
    (strike out one option)

    (i) Identity Card


    (ii) Medical Record Book
    (iii) Exit Information Form

    Returned / Not returned


    Returned / Not returned
    Filled / Not filled

    Certified that I have nothing outstanding against me from any other units of IIT Delhi.
    Signature of the Student & Date
    Remarks by Superintendent (PGS&R / UGS)
    Signature & Date

    P.T.O
    Page 1 of 2

    Institution and Library Security Deposits Refund.


    The Board for Students Welfare is a body of the Institute which provides financial help
    to needy students. We request you to contribute generously for helping your fellow
    students in completing their education.
    (Please tick mark one option and strike out the other two).

    (i)

    I would like to contribute the entire Security deposit of Rs. 4,000/- (Rs.
    2,000/- each Institution and Library Deposits) less dues, if any, to BSW.

    (ii)

    I would like to contribute Rs. out of my Security Deposit to


    BSW.

    (iii)

    I do not want to contribute any amount to BSW. The entire refundable


    security deposit amount be mailed to me at the following address.

    Address for refund and further correspondence.

    Signature of the Student: _______________________________________


    Name: ______________________________________________________
    Date: _______________________________

    Page 2 of 2

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