IIT Guwahati Misc Receipt Deposit Form IIT Guwahati Misc Receipt Deposit Form IIT Guwahati Misc

t Deposit Form IIT Guwahati Misc Receipt Deposit Form IIT Guwahati Misc Receipt Deposit Form
Finance & Accounts, IIT Guwahati Finance & Accounts, IIT Guwahati Finance & Accounts, IIT Guwahati Finance & Accounts, IIT Guwahati
Students copy Copy for Acad/Lib/SA Copy for F & A SB A/c No. 8652101008668
1st 2nd 3rd 4th Date

SB A/c No 8652101008668 Date SB A/c No 8652101008668 Date SB A/c No 8652101008668 Date SB A/c Pay in Slip Paid to the Credit of IIT Guwahati

_______________________
Issue of Transcripts Lib fine Others Issue of Transcripts Lib fine Others Issue of Transcripts Lib fine Others 1000x Rupees
__________________ only

500x

As issue of transcript/Lib fine/others

100x

50x By Cash

Amount deposited Rs. Amount deposited Rs. Amount deposited Rs. 20x

Rupees________________________________________________ Rupees_______________________________________________
Rupees____________________________________________
___________________________________________________ ___________________________________________________
_____________________________________________ only
only only
10x Deposited By

Name Name Name

Coins

Roll No. Roll No. Roll No. Total

Bank Sign and

Signature of the Student/Guardian Seal Signature of the Student/Guardian Bank Sign and Seal Signature of the Student/Guardian Bank Sign and Seal Signature of the Student/Guardian Bank Cashier