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INDIAN INSTITUTE OF TECHNOLOGY KHARAPUR
Date:
To,
‘The Dean (SRIC)
Indian Institute of Technology Kharagpur
Kharagpur
West Bengal
India-721302
Dear Sir/Madam,
1, Mr/Ms, (name in block _ letters)
SIW/DIo. am willing to accept the offer for the post of
son (mention the date of joining) vide offer letter
io. dated » U hereby solemnly
affirm and declare as under:
(@) that 1 am not employed in or associated with any organisation as on date;
(b) that my last ‘employment/assignment was, with
(name of
institute/organization/firm) that ended on _ (copy of Relieving letter);
(©) that I am at present, not in receipt of any emoluments/scholarship/fellowship/salary
from any source.
(@) that the information/particulars furnished above by me are true and correct to the best,
of my knowledge and belief and nothing has been kept concealed therein and that I
understand that the award/fellowship offered will be considered on the basis of
correctness of the particulars furnished here-in above.
‘Thanking you,
(Signature)
Name:
Mobile:
Email
