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    No Dues Form: (To Be Filled by The Student)

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    Rohit
    This document is a no dues form for a student leaving SIR CHHOTU RAM INSTITUTE OF ENGINEERING & TECHNOLOGY. It collects the student's details like roll number, mobile number, email ID and bank account information. It then lists potential outstanding items like hostel, library, sports/cultural fees that need to be cleared. Department heads then sign off on any outstanding amounts before the form is counter signed by an administrative officer, allowing the student to leave without any dues.

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    No Dues Form: (To Be Filled by The Student)

    Uploaded by

    Rohit
    17 views1 page
    This document is a no dues form for a student leaving SIR CHHOTU RAM INSTITUTE OF ENGINEERING & TECHNOLOGY. It collects the student's details like roll number, mobile number, email ID and bank account information. It then lists potential outstanding items like hostel, library, sports/cultural fees that need to be cleared. Department heads then sign off on any outstanding amounts before the form is counter signed by an administrative officer, allowing the student to leave without any dues.

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    No Dues Form

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    This document is a no dues form for a student leaving SIR CHHOTU RAM INSTITUTE OF ENGINEERING & TECHNOLOGY. It collects the student's details like roll number, mobile number, email ID and bank account information. It then lists potential outstanding items like hostel, library, sports/cultural fees that need to be cleared. Department heads then sign off on any outstanding amounts before the form is counter signed by an administrative officer, allowing the student to leave without any dues.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    17 views1 page

    No Dues Form: (To Be Filled by The Student)

    Uploaded by

    Rohit
    This document is a no dues form for a student leaving SIR CHHOTU RAM INSTITUTE OF ENGINEERING & TECHNOLOGY. It collects the student's details like roll number, mobile number, email ID and bank account information. It then lists potential outstanding items like hostel, library, sports/cultural fees that need to be cleared. Department heads then sign off on any outstanding amounts before the form is counter signed by an administrative officer, allowing the student to leave without any dues.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
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    of 1

    SIR CHHOTU RAM INSTITUTE OF ENGINEERING & TECHNOLOGY

    Ch. Charan Singh University Campus, Meerut-250 005


    Tel. : 0121-2770083, 2774974

    NO DUES FORM
    (To be filled by the student)

    STUDENT’S DETAILS:

    Roll No.: ………………..……………………………


    Mobile No.: ………………………………………………
    Email ID.: ……….…………………………………………………………

    BANK DETAILS:

    Account No.: …………………………..………………….. Bank Name : …………………………………..


    IFSC: …………………….…..…………… Bank Branch Address: …………………………………………..…….

    (Signature of Applicant)

    (To be filled by the concerned department)

    It is certified that there is nothing outstanding against Mr. / Ms. ………………………….………………………..


    S/O D/O Sh. ………………………………………………. except the following items (if applicable).

    Outstanding items Signature


    (If Any)

    1. Hostel (Concerned) ……………………………………… ……………………………………….


    2. Library ……………………………………… ……………………………………….
    3. Branch Coordinator ……………………………………… ……………………………………….
    4. Sports / Cultural ……………………………………… ……………………………………….
    5. Account Section ……………………………………… ……………………………………….

    *Identity Card shall be returned to the Branch Coordinator by the student.

    COUNTER SIGNED (ADMINISTRATIVE OFFICER / DIRECTOR)

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