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 No. 1. Project No. 2. Name of the PI & PF No.: 3. 4 5. 6. 7 8. 9. Name of Student Bank Account No. Sanction No. Period of work Mode Of Payment Remuneration Payable Signature of the PI Description

R.NO:

RSTD/2009 From : CASH : Rs:

Date: To : CHEQ:

For DORD office Use only Passed for Payment Rs:........................................................................... In words:.................................................................................................

Dealing Asst.

Supdt.

Dy. Registrar

DORD

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