CSIR- INSTITUTE OF GENOMICS & INTEGRATIVE BIOLOGY

MALL ROAD, NEAR JUBILEE HALL, DELHI – 7 (India)

(To be filled in before project staff/Student resign their post/complete tenure.)

No Dues Form
Name
IGIB ID No.
(In block Letters)
Designation (JRF/ SRF/
CSIR/ UGC/Project Date of Joining
fellow etc)
Date of Resignation: Last Working
Resignation/Tenure
Tenure Completion: Day
Completion
Name of project
Project code if any
PI

Address for contact

after leaving
Phone number: Email:
Name of the lab-head
working with Signature of
Signature of the Project PI
Candidate

Note: 1) In charges at mathura road campus (Staff club, Hostel, Computer division), Incharges at Mall
road campus (PME, Library, Administration, Accounts). Security Officer (Mathura road/mall road)
2) Please get all other signatures before proceeding to the accounts division.
3) After all signatures, please submit the form to HRD (Room No. 140, Mathura road or Room No.
220, Mall road) for further process
4) Signature from AcSIR Coordinator’s office is required only for PhD students.

S.No Name and Signature of Head

Department Remarks
of Department with Date
1 Staff Club

2 Hostel /Guest House

3 Computer Division

4 AcSIR Coordinator’s Office

5 Head, PME

6 Library

Bill
Bill Section
Administration Section
DDO
7
Cashier

TA/DA
Accounts Advance
8
Others (Finance and Accounts Officer)

9 Security Officer
notebooks, reagents and
10 Signature of the Lab-Head
data submitted

Submission Date:
 IT CLEARANCE FORM

Date : _________

Name: _______________________________ Username:_________________________

IGIB Mail Id: ______________________@igib.res.in / @igib.in

System Name:_______________________ IP Address: (if static) _______________

Contact Info (Alternate Mail-id/Phone):_______________________________________

Project Leader/Guide: Dr./Mr./Ms._________________ Room/Lab No. : ________

Storage Usage in Network Drives:

1. P Drive : Yes / No
2. HPC Storage : Yes / No (if yes, specify the path) ________________________
3. Any other : Yes / No (if yes, specify the path)_________________________

Are you Responsible for any of the following network resources (if yes, give details):
Servers: ___________________________________________________________
Applications: ___________________________________________________________
Data Backup location: ______________________________________________________
Official Data handed over to: Dr./Mr./Ms. _____________________________________

I have taken backup of my data / mail and handed over official data. Kindly delete my
User Id, all network drives data and mail id.

__________________ _________________
Project Leader/Guide User Signature

For Office Use Only

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Action Taken: ____________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

System Administrator I/C IT-Division

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