INDIAN STATISTICAL INSTITUTE

BANGALORE CENTRE

CONTINGENCY GRANT FOR THE B. MATH (Hons.) / M. MATH

To,
The Associate Dean
Indian Statistical Institute
8th Mile, Mysore Road, R.V College Post
Bangalore - 560 059

Respected Sir / Madam,

I, Mr. / Ms. _____________________________________________________________________________

have made an expenditure of Rs._________(Rupees_____________________________________________

only) for purchasing the following books etc. (list of items given on the reverse) during academic year 20_ _

- 20_ _ . The amount may kindly be reimbursed to me from my Contingency Grant / Prize Money of

Rs. ________________. The Cash Memos are enclosed.

Class : ___________________________ ___________________

Roll No. : ___________Date : __________ (Signature of the Student)

_______________________________________________________________________________________

FOR OFFICE USE

Sanctioned Rs._____________(Rupees.___________________________________________________only)

and forwarded to the Accounts Officer, ISI Bangalore for payment.

Date : _____________ (Associate Dean)

ISI Bangalore
_______________________________________________________________________________________

FOR THE USE OF ACCOUNTS/CASH SECTION

Passed for Rs._________________(Rupees________________________________________________only)

Date : _______________ (Accounts Officer)

_______________________________________________________________________________________

Received Rs._____________(Rupees.____________________________________________________only)

Date : _______________ (Signature of the Student)

 LIST OF BOOKS ETC. PURCHASED

PARTICULARS

Sl. Name of the Books / Document Author / Any Other Voucher No. Amount
No. Rs. Ps.

Bank A/c :

IFSC Code:

Total:

Encl : _____voucher(s)

The purchase of the above items is recommended.

Date : ______________ (Signature of the Class Teacher)