UNDERTAKING & LETTER OF ACCEPTANCE

1. Student Name:

2. Guardian Name:

3. Present Institute Name:

4. Present Branch Name/Department name:

5. Registration Number:

6. Year of Study:

7. Transferred Institute Name:

8. Transferred Branch Name/Department Name:

I do hereby agree/declare that I have completed all the procedures required for
admission in my present institute such as physical verification and submission of
documents and cleared all my institution fees/library dues etc. payable to the Institute
and have no more dues pending to my name.

_____________________________________ ___________________________________
Guardian Signature Student Signature
Date:

Approved by

____________________________________
HOI/OIC