NATIONAL INSTITUTE OF

TECHNOLOGY
KURUKSHETRA-1136119
(Receipt Form)
Received..
******************* Scholarship
From the . . . * *****
. ** *** *****

************ ******
....through the Director,
National Institute of Technology, Kurukshetra
(as per details given below) a sum of
Rs.
.. (Rupees.. ***********
...only)
Sanction No.... * ************* ****
.....dated..
For the period from.. . .to

Actual Amount paid Rs. .....

Bank charges, if any
Total Rs..
Dated.

(Revenue Stamp Rs. 1/)

Signature of the student
******************************** ************************************************************************* ***** *******

Full Name of the student.......

******************** * * * * *****

(In Block Letters)

Student's Father Name ******

Roll No. . ..Programme/ Branch... .....

Category... . *******
Mobile No. ***** . . E-mail ID: ....
******* *****************************

Bank Account No. . . IFSC Code:......

It is certified that the above noted amount has been paid to the student and he/she is not in the

receipt of any other scholarship through this office.

Asst. Registrar (Accounts)

***
* *
* **

1. Name & Roll No. of the students

*************

2. Hostel Dues..

MMCA
(With Stamp & Hostel No.)