Application For release of last month's assistantship.(Applicable to only those are awarded assistantship by the Institute)

1. Name of Student :YASH LADHA

2. Programme Completed :5 YRS M.SC

3. Roll No :10GG20038

4. Hall of Residence :NHR

5. Department/Centre/School:GEOLOGY & GEOPHYSICS

6. Date of final viva-voce exam. :15-04-2015

7. Last instalment of assistantship to be paid now pertaining to be period From To

8. Bank Name:STATE BANK OF INDIA

9. Bank IFSC Code:SBIN0000202

10. Bank A/c No:31286868378(Dues will be credited to the concerned student's A/C only.)

I am leaving the institute campus immediately and request that the admissible amount be remitted to my above mentionedA/C, as I cleared the all dues of the institute.

Date : ---------------------------------------------------- (Full Signature of the student)

Deputy Registrar (F&A)

INDIAN INSTITUTE OF TECHNOLOGY KHARAGPUR