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Form No. IRD/REC-9 Ird Unit Application For IRD Accommodation (IP/Nalanda - For Married Staff)
Form No. IRD/REC-9 Ird Unit Application For IRD Accommodation (IP/Nalanda - For Married Staff)
IRD/REC-9
IRD UNIT
Application for IRD Accommodation (IP/Nalanda For Married Staff)
Circular Reference
Male / Female
Date of Birth
______________________
Fathers/Mothers Name
______________________________________________
Spouse Name
______________________________________________
(Attach a copy of the Marriage Certificate)
______________________________________________
______________________________________________
Project No.
Designation
Student Status
: PT / FT / Not registered
_____________________________
_____________________________
: ______________________
1) ______________________
2) ______________________
3) ______________________
Signature of Applicant: ______________________
Date: ______________________
Mobile No. ________________________
Recommendations of PI/CI:
______________________________________________
______________________________________________
Signature of PI/CI: ______________________
Name & Emp. Code of PI/CI: _______________________
Date: ______________________
A.R. (IRD)
Revised: 12/2014