PROFORMS FOR REIMBURSEMENT OF STUDENT CONTINGENCY
(TO BE SUBMITTED IN TRIPLICATE)
Roll no: Name:-
Bank A/C number:-
IFSC Code:-
Course:- Course year:- 1st /2nd /3rd (tick right)
Sr Date Bill no & Name of Firm Name of Article Claimed Passed
No. Amount Amount
Books
Stationary
Chemical
Travelling Allowance for Research
Registration fee for workshop/conference etc.
TOTAL
Forwarded and recommended
Sign. Of Guide/HD............................. Sign. Of student .................................
Name and Designation...................... Division/section..................................
..........................................................
For Office use only
The Finance & Accounts Officer FMS no............................Dated:-................
IVRI, Izatnagar Bill Passed Rs. ...........................................
In words ......................................................
...................................................................
D.A. AAO (A&F)
Deemed University
Sir/Ma’am,
Please find herewith the details accounts for Rs. .............................................................................
Reimbursement duly certified(Sanction Attached).