Indian Institute of Technology Guwahati

Guwahati - 781 039

Form No.02
Section In-Charge
Students Affairs

Phones: (0361) 2582161/70

Fax:(0361) 2690762
Email: saoff@iitg.ernet.in

Ref: SA/Bon/Certificate/
Date:-
BONAFIDE CERTIFICATE

This is to certify that Mr./Ms. .....(Roll No:),

S/o/ D/o Mr. . is a Bonafide student of Indian
Institute of Technology Guwahati. He/she has been enrolled for the .
years .. Programme in the Department of ..
Currently he/she is in the ..semester. He/she is currently residing in the
... Hostel, Room No.-.. IIT Guwahati Campus, Guwahati.
His/her date of birth is . as per record available.
This certificate is issued to enable him/her to apply for opening Bank Account /
SIM connection / Education Loan / .at his/her own request
and he/she shall be solely responsible towards any default whatsoever regarding
the same.

Current Address:

Permanent Address:

Room NoHostel ..
Indian Institute of Technology
Guwahati- 781039 (Assam), India
Phone No...............................................
Email:
Students Signature:

..
..
Pin
Phone No:

Section In-charge (SA)