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INDIAN INSTITUTE OF TECHNOLOGY ROORKEE - 247667

DEPARTMENT OF ELECTRONICS AND COMMUNICATION ENGINEERING


SCHOLARSHIP PROFORMA
(To be filled in by M. Tech 2nd Semester students)
Name of the Student

__________________________________________________________________

Enrolment No.

_______________________ Branch: __________________________________

Class and Year

__________________________________________________________________

Bank Account No.

_________________________________________ (SBI/ PNB, IITR BRANCH)

Month & Year

__________________________________________________________________

S.
No.
1
2

Course No. & Title

Remarks

Work Load
(8-10 Hrs./ Week)
ECN-700 SEMINAR

Amount (Max. 3200/-)

Teachers Signature

SATISFACTORY / UNSATISFACTORY

Date: _____________

Signature of the Student

FOR OFFICE USE ONLY


No. of Days absent: __________________ Days
Leave Approved For: _________________Days
Amount to be paid: _________________
O. C. M. Tech (ECE)

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