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Final Assistantship Form

This document is an attendance certificate for students receiving assistantships at the National Institute of Technology Silchar. It requires signatures from the student, their supervisor, and department head to certify the student attended classes and completed assignments to receive the monthly stipend amount listed.

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tamraj.kilvish0008
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23 views1 page

Final Assistantship Form

This document is an attendance certificate for students receiving assistantships at the National Institute of Technology Silchar. It requires signatures from the student, their supervisor, and department head to certify the student attended classes and completed assignments to receive the monthly stipend amount listed.

Uploaded by

tamraj.kilvish0008
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR

(An Institute of National Importance)


SILCHAR 788010, ASSAM, INDIA
No. Date:………………………...

ATTENDANCE CERTIFICATE
(To be submitted by all PG and Doctoral Students eligible for Assistantship)

DECLARATION BY THE STUDENT

Certified that I have attended requisite number of classes in the courses registered by me and/or carried out the
assigned Teaching assistantship/research during the month of ________________20 ________, and completed all the
academic responsibilities assigned to me by the Department.
Full name (in block letters): _________________________________________________________ Registration No. ________________________
Date of admission: ________________________________________ GATE / Non-GATE / UGC-NET:_____________________________________
Program (M.Tech./Ph.D.):___________________________________________ Department: ______________________________________________
Amount (Rs):_____________________________ Assistantship Category (MOE/Institute/Others) ___________________________
Last Assistantship Drawn (Month)________________________ Bank Account No. (SBI): ___________________________________________
Mobile No. ____________________________________________ Email id______________________________________________________________
Leave availed (If any)____________________________________________________________ Leave credit Balance ____________________

Date: _______________________ (Full Signature of the Student)

CERTIFICATE TO BE ISSUED BY THE HEAD OF THE DEPARTMENT

Certified that Mr./ Mrs./ Ms. _____________________________________________________________________________________ Registration


No. _______________________________ of PG/Ph.D. program of the Department has attended requisite number of classes
and/or completed the assigned Teaching assignments/research during the month of __________________________ ,
20_______.

His/her physical presence in the Department to carry out the above activities during the said month is certified.

(Signature of Supervisor with Date)


Name of the Supervisor: ________________________________________ (Signature of the Head with Date)
Dept.:

PRE-RECEIPT FORM

Received Rs. ______________________________ as the Institute Assistantship for my PG/Ph.D. Program.

Signature of Student
(Affix Rs 1.00 Revenue Stamp)

For Office Use

Name of Student _________________________________________________________ Registration No ___________________________

Head of A/c ___________ Cheque No & Date _____________________________Amount ________________________________

Dealing Asst. Sr. Accountant Asst. Registrar (A/c) IAO Registrar

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