INDIAN INSTITUTE OF TECHNOLOGY KHARAPUR Date: To, ‘The Dean (SRIC) Indian Institute of Technology Kharagpur Kharagpur West Bengal India-721302 Dear Sir/Madam, 1, Mr/Ms, (name in block _ letters) SIW/DIo. am willing to accept the offer for the post of son (mention the date of joining) vide offer letter io. dated » U hereby solemnly affirm and declare as under: (@) that 1 am not employed in or associated with any organisation as on date; (b) that my last ‘employment/assignment was, with (name of institute/organization/firm) that ended on _ (copy of Relieving letter); (©) that I am at present, not in receipt of any emoluments/scholarship/fellowship/salary from any source. (@) that the information/particulars furnished above by me are true and correct to the best, of my knowledge and belief and nothing has been kept concealed therein and that I understand that the award/fellowship offered will be considered on the basis of correctness of the particulars furnished here-in above. ‘Thanking you, (Signature) Name: Mobile: Email