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Indian Institute of Technology,Kharagpur

Registration for attending 61st Annual


Convocation
Rollno
Name
Address

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City
State
Country
Pin
E-mail
Contact No
Department/Centre/School
Branch
Degree
Year of Passing the Final Examination

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10GG20038
YASH LADHA
C/O GANESH KUMAR LADHA, M.G ROAD,
ISLAMPUR BAZAR,
ISLAMPUR
WEST BENGAL
INDIA
733202
yashladha179@gmail.com
9832871741
GEOLOGY & GEOPHYSICS
APPLIED GEOLOGY (M.Sc. 5Y)
5 YRS M.SC
2014-2015

Degree Receiving Option


I shall receive my degree in person in the Convocation.

Fee
Rs.2000/-

I have enclosed receipt for Rs.2000/- paid at SBI Kharagpur on____________________

NOTE: After taking the printout and paying the fees at bank please verify your payment from F&A section. Once
payment verification is done, please submit the hardcopies to Academic Section.
---------------------------------------------------------------------Signature of the Applicant
To
Assistant Registrar(UG), IIT Kharagpur

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