Rebate Form H16

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REBATE FORM FOR H16 Mess

Date: : ____/_____/_________
Dear Sir,
I wish to apply for Mess Rebate from ___/___/__________to ___/___/__________
for a total number of________ days. Kindly allow the same. Since the Rebate period
exceed 5 days.

Full Name:____________________________
Roll No: ____________________ Wing No: ___________ Room No: ____________

Signature: _________________________

Receipt Of Rebate , H16 Mess, Students Copy

You are allowed to take rebate from ___/___/_________to ___/___/_________ for total no. of
day ____ .

Date:____/_____/__________ Signature : ______________________

REBATE FORM FOR H16 Mess

Date: : ____/_____/_________
Dear Sir,
I wish to apply for Mess Rebate from ___/___/________to ___/___/_________ for
a total number of________ days. Kindly allow the same. Since the Rebate period exceed
5 days.
Full Name:____________________________
Roll No: ____________________ Wing No: ___________ Room No: ____________

Signature: _________________________

Receipt Of Rebate , H16 Mess, Students Copy

You are allowed to take rebate from ___/___/_________to ___/___/__________ for total no. of
day ____ .

Date:____/_____/__________ Signature : ______________________

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