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JORHAT INSTITUTE OF SCIENCE AND TECHNOLOGY

JORHAT, ASSAM 785010


T.A.BILL – TEQIP- III

JIST/TEQIP/Mr

Bank Name: UBI


Branch: Hijuguri
Account number: 0628010281027
IFSE code: UTBI0SDG19
PAN Number: CFPPD6320C
Father Name: Samiran Dhar
Phone Number: 7002836633

Date From To Mode Kms. Rate Amount


30/06/19 Jorhat Digboi Traveller & 217 250+150 400
Bus
01/07/19 Digboi Town OIL Refinery Rickshaw 2 40*30 1200
TO
31/07/19
1/08/19 Digboi Jorhat Bus & 217 150+250 400
Traveller

Certified that I have performed the above journeys only for official purposes. It is my sole
responsibility and liability to deposit the Income Tax (if applicable) as per Income Tax Rules.

Signature of student

Nodal Officer Finance Co-coordinator TEQIP – III

Forwarded to principal for approval

Approval order no. JIST/TEQIP

Principal

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