Application for refund of Institute/Hall Caution money(To be submitted to the Accounts Section)

ToThe Deputy Registrar (F&A)IIT, Kharagpur.

Sir,

I deposited Rs. 6000 as Caution money on 21-07-2010 for admission to 5 YRS M.SC Course. Please refund myInstitute/Hall Caution money and Mess deposit, if any. I append below the following particulars :

1. Full Name :YASH LADHA

2. Roll No. :10GG20038

3. Programme Course of study:5 YRS M.SC

4. Year of admission :2010

5. Department/Centre/School :GEOLOGY & GEOPHYSICS

6. Hall of Residence :NHR

7. Permanent Address : C/O Ganesh Kumar LadhaM.G Road, Islampur Bazar

IslampurWest BengalIndia733202

8. Bank Name :STATE BANK OF INDIA9. Bank IFSC Code :SBIN000020210. A/C No. of the student :31286868378(Caution Money 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)

INDIAN INSTITUTE OF TECHNOLOGY KHARAGPUR