Beruflich Dokumente
Kultur Dokumente
College, Durgapur
This to notify to all the Pass out Student of the year 2015 that the
Caution Money will be paid through ELECTRONIC TRANSFER mode
only. All the pass out student are directed to fill up the below mentioned
form very carefully and submit the same to the Accounts Department along
with No Dues Certificate.
Students are advised to attach a Cancelled Cheque and Fee Card with
this form for verification of IFS CODE.
DETAILS of BENEFICIARY
1. Name ( As appearing in the Savings Account):2. Bank Name
:-
3. Branch
:-
:-
:-
DECLARATION BY STUDENT
____________________
(Guardians Signature)
Degree: -B.Tech
Department: -
Sl. No.
Department
01.
CSE/IT/ECE/EE/ME/AEIE/CE
02.
Physics
03.
Chemistry
04.
Mathematics
05.
Central Library/BCREC
06.
Exam. Cell
07.
Language Lab
08.
09.
NCC
10.
Accounts: -
i)
Hostel
&
Mess
ii)
Miscellaneous
(Fee Card etc.)
Remarks
Countersignature
of Hostel
Warden/Matron
Registrar
Degree: -M.Tech
Department: -
Sl.
No.
Department
01.
CSE/IT/ECE/EE/ME
02.
Central Library/BCREC
03.
Exam. Cell
04.
Language Lab
05.
06.
NCC
07.
Accounts: -
i)
Hostel
&
Mess
ii)
Miscellaneous
(Fee Card etc.)
Remarks
Signature of
H.O.D / T.I.C
Countersignature
of Hostel
Warden/Matron
Registrar
Sl.
No.
Department
01.
M.C.A.
02.
Central Library/BCREC
03.
Exam. Cell
04.
Language Lab
05.
06.
NCC
07.
Accounts: -
i)
Hostel
&
Mess
ii)
Miscellaneous
(Fee Card etc.)
Remarks
Signature of
H.O.D / T.I.C
Countersignature
of Hostel
Warden/Matron
Registrar
Date: -
Sl. No.
Department
01.
F.M.S
02.
Library/FMS
03.
Computer Lab/FMS
04.
Central Library/BCREC
05.
Exam. Cell
06.
Language Lab
07.
08.
NCC
09.
Accounts: -
i)
Hostel
&
Mess
ii)
Miscellaneous
(Fee Card
etc.)
Remarks
Signature of H.O.D
/ T.I.C
Countersigna
ture of Hostel
Warden/Matr
on
HOD/FMS
Date: -
Name of the Student: College Roll No: Department: - BCA/BBA (H)/BBM (H)/M.Sc
Academic Year: -
Sl.
No.
Department
01.
02.
Departmental Library
03.
Central Library/BCREC
04.
Exam. Cell
05.
Language Lab
06.
07.
NCC
08.
Accounts: -
i)
Hostel
&
Mess
ii)
Miscellaneous
(Fee Card etc.)
Remarks
Signature of
H.O.D / T.I.C
Countersignature
of Hostel
Warden/Matron