Materials Science Programme

Declaration form for release of Institute Assistantship

(Postgraduate Students)
Name ___________________________ Roll no ___________________
Programme M. Tech. / Ph. D. Semester I / II / III / IV
Registration: Course(S) ______ _______ Thesis _______ Total _________
Number Credits
Credits
Credits
I hereby declare that I have been doing the task assigned besides course and/or thesis
work regularly. I have been on Leave for _________ days during ________ My Institute
Assistantship for the month of ______________________ May kindly be released.
Please provide the following information:
1. Details of any published paper within this period: .

2. Details of any conference attended/paper presented: .

Please attach your abstract and registration slip
3. Any other noteworthy academic achievement: ..

Dated_____________

__________________
(Signature)

Comments on performance
_______________________
(Task Supervisor)
Institute Assistantship may be released
______
(Head)

________________
(Thesis Supervisor)