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Indian

Institute of Technology Guwahati

SchoolBusManagementCommittee
CONSENTFORM
I,authorizeinstitutetodeductRs.200/

(Rs.TwoHundredonly)permonthfrommysalaryw.e.f.salary
of...............................,200....,andtransferthisamounttotheaccountofSBMC.
Thisarrangementwillcontinuetillfurthercommunicationfrommyside.
Thisamountisbeingpaidtoavailschoolbusserviceforfollowing
child/children/person,
Name(s)oftheChild/Children/Person:
School:
Class:

NameoftheFaculty/Staff:
Department/Center/Section:
Signature:
Date:

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