NATIONAL INSTITUTE OF TECHNOLOGY SILCHAR
(An Institute of National Importance)
SILCHAR 788010, ASSAM, INDIA
No. Date:………………………...
ATTENDANCE CERTIFICATE
(To be submitted by all PG and Doctoral Students eligible for Assistantship)
DECLARATION BY THE STUDENT
Certified that I have attended requisite number of classes in the courses registered by me and/or carried out the
assigned Teaching assistantship/research during the month of ________________20 ________, and completed all the
academic responsibilities assigned to me by the Department.
Full name (in block letters): _________________________________________________________ Registration No. ________________________
Date of admission: ________________________________________ GATE / Non-GATE / UGC-NET:_____________________________________
Program (M.Tech./Ph.D.):___________________________________________ Department: ______________________________________________
Amount (Rs):_____________________________ Assistantship Category (MOE/Institute/Others) ___________________________
Last Assistantship Drawn (Month)________________________ Bank Account No. (SBI): ___________________________________________
Mobile No. ____________________________________________ Email id______________________________________________________________
Leave availed (If any)____________________________________________________________ Leave credit Balance ____________________
Date: _______________________ (Full Signature of the Student)
CERTIFICATE TO BE ISSUED BY THE HEAD OF THE DEPARTMENT
Certified that Mr./ Mrs./ Ms. _____________________________________________________________________________________ Registration
No. _______________________________ of PG/Ph.D. program of the Department has attended requisite number of classes
and/or completed the assigned Teaching assignments/research during the month of __________________________ ,
20_______.
His/her physical presence in the Department to carry out the above activities during the said month is certified.
(Signature of Supervisor with Date)
Name of the Supervisor: ________________________________________ (Signature of the Head with Date)
Dept.:
PRE-RECEIPT FORM
Received Rs. ______________________________ as the Institute Assistantship for my PG/Ph.D. Program.
Signature of Student
(Affix Rs 1.00 Revenue Stamp)
For Office Use
Name of Student _________________________________________________________ Registration No ___________________________
Head of A/c ___________ Cheque No & Date _____________________________Amount ________________________________
Dealing Asst. Sr. Accountant Asst. Registrar (A/c) IAO Registrar
