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    ritesh gupta
    1. The document is a no dues form from Harcourt Butler Technical University for a student to confirm they do not owe any fees before leaving the university. 2. It lists various departments and sections for the student and head of each to sign, confirming there are no dues, including for the library, hostel, physical education, and accounts. 3. There is also an application form for the student to apply for a refund of their caution money deposit upon leaving the university and details for the accounts office to process the refund.

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    Noduse Format

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    ritesh gupta
    108 views2 pages
    1. The document is a no dues form from Harcourt Butler Technical University for a student to confirm they do not owe any fees before leaving the university. 2. It lists various departments and sections for the student and head of each to sign, confirming there are no dues, including for the library, hostel, physical education, and accounts. 3. There is also an application form for the student to apply for a refund of their caution money deposit upon leaving the university and details for the accounts office to process the refund.

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    Hbtu no dues

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    NODUSE-FORMAT

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    1. The document is a no dues form from Harcourt Butler Technical University for a student to confirm they do not owe any fees before leaving the university. 2. It lists various departments and sections for the student and head of each to sign, confirming there are no dues, including for the library, hostel, physical education, and accounts. 3. There is also an application form for the student to apply for a refund of their caution money deposit upon leaving the university and details for the accounts office to process the refund.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    108 views2 pages

    Noduse Format

    Uploaded by

    ritesh gupta
    1. The document is a no dues form from Harcourt Butler Technical University for a student to confirm they do not owe any fees before leaving the university. 2. It lists various departments and sections for the student and head of each to sign, confirming there are no dues, including for the library, hostel, physical education, and accounts. 3. There is also an application form for the student to apply for a refund of their caution money deposit upon leaving the university and details for the accounts office to process the refund.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    HARCOURT BUTLER TECHNICAL UNIVERSITY

    KANPUR-208002
    NO DUES FORM
    Name of Student __________________________________ Class ________________
    SR No. _____________________

    Certified that during the academic year I was concerned with those teaching
    department/sections whose S.No. is ticked (✓) below. I am aware that if the information
    furnished by me is found incorrect. I shall be liable to any penalty imposed by the Institute.

    Signature of Student

    Sr. Name of Dues Signature of Sr. Name of Dues Signature of


    No. Department in Rs. Head No. Department in Rs. Head
    1. CH 10. FT
    2. CE 11. OT
    3. CS 12. PT
    4. EE 13. PL
    5. ET 14. CY
    6. ME 15. PY
    7. WS 16. IT
    8. LT 17. MCA
    9. BE

    1. CSA : There is no dues/dues amounting Rs._______________ in the name of student.

    Signature of Physical Instructor


    2. (a) HOSTEL: The student was resident of Hostel ________________ and has no dues in
    his/her name.

    Signature of Hostel Warden


    2. (b) Deans Office: The student is hosteller/non-hosteller and has no dues/dues amounting
    Rs. _______ in his/her name.

    Signature of Asst. Dean of Student Welfare


    3. Account Section: Mr./Ms. ________________________ of class ___________________
    has no dues/dues amounting Rs. _____________________ in his/her name.

    Signature of F.O./F.C.
    4. Library: Mr./Ms. ___________________________ of class _______________________
    has no dues/dues amounting Rs. ___________________ in his/her name.

    Signature of Librarian
    HARCOURT BUTLER TECHNICAL UNIVERSITY
    KANPUR-208002
    ACADEMIC SECTION
    APPLICATION FORM FOR REFUND OF CAUTON MONEY
    1. Name of Student : ________________________________
    2. SR. No. : ________________________________
    3. Father’s Name : ________________________________
    4. Year of Admission : ________________________________
    5. Year of Leaving : ________________________________
    6. Class & Branch (Which admissted) : ________________________________
    7. Reason for leaving Institute : ________________________________
    8. Amount of Caution Money deposited : ________________________________

    Date :
    Place: Kanpur (Signature of Student)

    Report of Librarian

    1. There are no Chargeable Dues.


    2. There is Rs. __________________ against the student.

    (Signature of Librarian)

    Release Order
    Accounts Officer

    Please release the amount after adjusting the dues by deductions, if not already paid
    to student concerned at address given below:
    Address of which the amount to be sent: (Details Fill in CAPITAL Letters)
    Account Name of Account Type of IFS Code MICR
    Holder Name Bank/Branch/ No. Account Code
    Address

    Signature of Student : ___________________________


    S.R. Number : ___________________________
    Branch : ___________________________
    Mobile Number : ___________________________

    Verified By : ___________________________

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