STUDENT WELFARE OFFICE (Mobile No-8008570079)

Details:

Name of the Student : PASUPULETI RUPESH

Year / Class / Branch / Section : IV/B.TECH/MECHANICAL/C
Register Number : 14691A03D2
Father Name : PASUPULETI GOVINDARAJULU
Date of Birth : 24-06-1997
Contact Number : 9494933141
E-mail Address : pasupulaterupesh9@gmail.com
Existing Students (Please give √ mark in the required column(s)) Ex-students

1. Study / Bonafide Certificate 1. Course completion certificate

(Please write the PURPOSE below)
2. Course estimation form for Edu. Loan
(Specify If Convener Payment/Reimbursement
/Management Quota)
3. Duplicate ID Card
(Enclosures: 100/- Receipt paid at
Account Section and Passport size Photo)
4. Study/Bonafide for Income Tax
(Enclosure: Original Fee Receipt.
(If certificate needed on Mother’s name,
pls write Mother’s name in place of Father’s name,)
(Enclosures: No Dues Xerox copy)
2. Transfer Certificate
(Enclosures: PC & No Dues Xerox copy.
*Stamp size photo (Hard copy) during issues.
3.Original marks memos of X and Inter
(Enclosures: Original No Dues form)
4. Recommendation Letter for Higher Education
(Enclosure: Copy of the Letter with signature
from either the HOD or Professor(s)

5. Others 5. Others

Sir,
I request you to issue the above certificate for the purpose of income tax purpose , for the academic year

2016-17 and 2017-18

Thanking you sir,

Date: 27/03/18 Yours faithfully,

 Please send the filled in request form with scanned copies of enclosures to studenthelpdesk@mits.ac.in
 Original No Dues copy should be submitted at the SWO office for original marks memos during issues.
 Timing of issue of certificates will be informed through e-mail

No Due form overleaf

 NO DUES CERTIFICATE
Name of the Student :

Admission No. :

Class,Semester & Branch :

Signature of the person

S.No Department /Section Remarks
authorized With Seal

1 College Office(Account
Section)

2 Examination Section

3 College Library

Department:
Name of the Laboratory
1.
2.
3.
4.
4 5.

Head of Dept.

5. Alumni Secretary

Signature of the Student :

Date :