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NO DUES PROFORMA - SHUATS

Sam Higginbottom University of Agriculture, Technology and Sciences Allahabad-211007 NO dues PROFORMA ID. No.. Name .. Father's Name .. Day Scholar/ Hosteller.. Programme .. Semester .. SI. No. Institute/College/ etc. dues / No dues Signature 1 HoD (For PG Students Only) 2 Dean (For UG Students Only) 3 Central Library 4 Departmental Library 5 Men's / Women's Hostel* 6 Mess* 7 Cooperative Store * Day scholars need not to take clearance from Hostel and Mess To, Dean / Head of the Department SHIATS. Certified that I have obtained "No dues " from above mentioned Institute/College/School Department/ Office/ Store etc. Date: .. Signature of student: .. For Office Use Only Admit Card Issued Not Issued Signature of verifying clerk Date: .. Office Assistant Dean / HoD Office

Sam Higginbottom University of Agriculture, Technology and Sciences Allahabad-211007 NO DUES PROFORMA ID. No ...

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