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Form No: 402

Indian Institute of Technology Kanpur


Office of Dean: Research & Development

Request for Release of Stipend/Student Fellowship

As per the following details kindly Release Stipend/Student Fellowship


in respect of the Student for completion of the project work:

Sl Item Description
No.
1. Project No.
2. Name of the PI & PF No.:
3. Name of Student R.NO:

4 Bank Account No.


5. Sanction No. RSTD/2009 Date:
6. Period of work From : To :
7 Mode Of Payment CASH : CHEQ:
8. Remuneration Payable Rs:
9. Signature of the PI

For DORD office Use only

Passed for Payment Rs:...........................................................................


In words:.................................................................................................

Dealing
Asst. Supdt. Dy. Registrar DORD

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