Pandit Deendayal Petroleum University School of Technology No Dues Form

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PANDIT DEENDAYAL PETROLEUM UNIVERSITY

SCHOOL OF TECHNOLOGY
NO DUES FORM
This is to certify that there are no dues pending against Mr. Harsh Chaliyawala, Ph.D.
programme, School of Technology, PDPU.
Head of the Department _________________________________

Thesis Supervisor _________________________________

PG coordinator _________________________________

Library _________________________________

Sports committee _________________________________

I.T _________________________________

T. &. P cell
__ ___________________
Canteen __________________________________

ORSP __________________________________

Administration __________________________________

Account Section __________________________________

I hereby agree with my above “No Dues Clearance” and request you to refund the remaining caution
money and library deposit amount.
You are requested to Credit the amount to: Name of the Bank: State Bank of India
Bank Account Holder Name: Chaliyawala Harsh Anilbhai
Bank A/c. No. 32637873419, IFSC Code: SBIN0018802, City: Surat, Branch: Adajan Hazira.
Postal Address: 134, Maher nagar Society Adajan Char-rasta, Adajan Surat- 395009.

Mobile no: +91-9426512199 ___________________


Signature of Student

For Office Use only

___________________ ________________________
Mr. Uttamsinh, Dean, School of Technology,
School of Technology, PDPU PDPU

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