0 ratings0% found this document useful (0 votes) 225 views1 pageCaution Money Form
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content,
claim it here.
Available Formats
Download as PDF or read online on Scribd
INTE
‘Application for refund of the Caution Money
Name of Student...
Enrollment No.
Course.
Reason for withdraw...
¥, LUCKNOW
IFSC Code.
Student’s Account No.
(tis compulsory to attach the Bank Passbook Photocopy with this form)
Signature of Stadent
No Dues. ificate
(Note: Care should be taken tit dues of ail tie laboratoris/inits ec. ofthe department have been included)
S.No. ‘Department [7 Dues’ Authorised Signatory |
Faculty. of Engineering’ Science/’ ‘Agricultute/
‘Architecture? Pharmacy/. Computer’ Application/
1. | Bducation/: Law/ Commerce & Busiriess Management
Health & Medical Sciences/ Humanities & Social
Science/ University Polytechnic
2, | Hostel (Giris/Boys)*-
Integral University Library [a Departmental Library
4 [Spain |B: Genta i
5 brary
&_| Workshop
3. | Sports +
6. | Academie Section
7. | Centre for Career Guidance & Development 7
8. | Transport
9, | TF Helpdesk ©
10. | Alumni Cell
*Sirike of which is not applicable
Prepared by: Checked & Submitted
To V.C. for Approval
Accountant _. Accoimt Officer
‘Approved by
‘Vice Chancellor