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Clearence Form

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36 views2 pages

Clearence Form

Uploaded by

silentlove19784
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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UNIVERSITY OF ENGINEERING AND TECHNOLOGY, TAXILA

DUES AND SCHOLORSHIP SECTION

CLEARANCE CERTIFICATE FORM OF UNDER GRADUATE

To

The Registrar,
Picture Here
University of Engineering and Technology,
Taxila

Honorable Sir,

I ___________________________________ S/O, D/O ____________________________________


Registration No. ______________________ Category _______ a student of COMPUTER
SCIENCE Department as Resident/Non-Resident. It is, therefore, requested to allow me for
clearance from the University on account of ____________________
Dated: _________________
(Signature of the Student)
C.N.I.C No. ___________________

You are requested to kindly check their record. Authorized officers/officials are requested to sign the
relevant column with stamp and date if nothing is due against the above-mentioned student/graduate.

COMPUTER SCIENCE DEPARTMENT.


Lab. Sup. (Internet of Things) _____________ Lab. Sup. (Networking)
_________________
Lab. Sup. (Cloud): _______________________
Store In-charge: _______________________ Dr. Farrukh (H/W Item): ___________________
Store Keeper ____________________________

Signature of the Chairman


Stamp & date___________
DIRECTOR STUDENT AFFAIRS.
Certified that no disciplinary action/court case is pending against him. He has returned his university
identity card. Fine if any imposed on him/her deposited under challan No.______________
Dated: ___________.

Dealing Assistant______________
Director Student Affairs
Stamp & date ________
Alumni Office(Admin Building)
Certified that student has deposited the Membership Fee of Alumni Association Rs: _____________ Vide Challan
No. ____________________ Dated: _____________________

Deputy Director (Alumni)


Stamp & Date __________

Directorate of Sports ___________________________ Network Administrator _____________________________

Hostels (Only for resident students)

R.T (I-Hall) ___________________ Mess (I-Hall) ___________________


R.T (Ali-Hall) ___________________ Mess (Ali-Hall) ___________________
R.T (Q-Hall) ___________________ Mess (Q-Hall) ___________________
R.T (AB-Hall) ___________________ Mess (AB-Hall) ___________________
R.T (Ayesha-Hall) ___________________ Mess (Ayesha-Hall) ___________________
R.T (Umer-Hall) ___________________ Mess (Umer-Hall) ___________________
R.T (Usman-Hall) ___________________ Mess (Usman-Hall) ___________________

Hostel Assistant _____________

Examination Branch

Certified that the graduate has completed his/her degree requirement vide comprehensive result
Notification No. ___________________ Dated: ___________________

Dealing Assistant _________________


Controller of Examination
Stamp & date ___________

ADMISSION OFFICE (Not applicable in case of graduate)


On account of / withdrawal of admission / migration/etc _________________

CONVENER. .
Admission Committee
Stamp & date _______

LIBRARY
It is certified that nothing is due against him/her.
Book bank __________________ Reference Section ___________________ Circulation Section _______________
Library Card No. _______________

ASSISTANT LIBRARIAN LIBRARIAN


Stamp & date ______________ Stamp & date _____________

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