INDUSTRIAL RESEARCH & CONSULTANCY

CENTRE OFFICE OF THE DEAN (R & D)

 INDIAN INSTITUTE TECHNOLOGY, MUMBAI - 400 076

                                                                                                                                               Date :

CLEARANCE AND NO DUES CERTIFICATE

 This is to certify that there are following dues against the under mentioned project staff :

Shri. Ms. ______________________________________________________________________________________

______________________________________________________________________________________________

1. P.I. & Dept.:

Date :

______________________________________________________________________________________________

2. Central Library:

Date :

______________________________________________________________________________________________

3. Computer Centre:

Date:

______________________________________________________________________________________________

4. IIT Hospital :

Date :

______________________________________________________________________________________________

5. Security Officer:

Date :

______________________________________________________________________________________________

6. Estate Office:

Date :

______________________________________________________________________________________________

Total Dues to be recovered :        Rs. ___________________________

ASSTT. REGISTRAR

 (DEANS' OFFICE)