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Endorsement Application Form

This document is an application form for endorsement from the Indian Institute of Technology Kanpur, requiring details such as the candidate's name, roll number, conference information, and paper title. It includes a checklist of required enclosures and provides payment instructions for a fee of Rs. 200. Recommendations from the thesis supervisor and head of department are also needed for submission.

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Kamal Sahu
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196 views1 page

Endorsement Application Form

This document is an application form for endorsement from the Indian Institute of Technology Kanpur, requiring details such as the candidate's name, roll number, conference information, and paper title. It includes a checklist of required enclosures and provides payment instructions for a fee of Rs. 200. Recommendations from the thesis supervisor and head of department are also needed for submission.

Uploaded by

Kamal Sahu
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

INDIAN INSTITUTE OF TECHNOLOGY KANPUR

ACADEMIC SECTION

APPLICATION FORM FOR ENDORSEMENT

1. Name of the Candidate___________________________________________________________

2. Roll Number/FARE ID________________Programme_______________Dept._____________

3. Name of the Conference/Any Other________________________________________________

4. Venue_______________________________________________________________________

5. Title of the Paper: ______________________________________________________________

_____________________________________________________________________________

6. Conference Dates____________________ to___________________

7. Contact Number_________________________

Enclosure:
1- Acceptance/Invitation Letter
2- Passport Copy
3- Fees (Rs. 200/-)

Signature of Student
Date:
_______________________________________________________________________________________

Recommendation of Thesis Name Signature


Supervisor:

Recommendation of Head of Name Signature


the Department:

You can deposit the payment in the account details below:


Beneficiary Name: Registrar, IIT Kanpur
Bank Name: STATE BANK OF INDIA
Name of the Branch: IIT KANPUR
Bank A/c No: 35973361835
IFSC Code: SBIN0001161
Bank Swift code: SBININBB499
Furthermore, if you pay or deposit the money via net banking or cash deposit, you must send or email a
scanned copy of the transaction receipt to certificate@[Link]

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