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    Admission Withdrawal Form

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    mshoaibali985

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    © All Rights Reserved
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    Admission Withdrawal Form

    Uploaded by

    mshoaibali985
    33 views2 pages

    Original Title

    Admission Withdrawal Form (1)

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    33 views2 pages

    Admission Withdrawal Form

    Uploaded by

    mshoaibali985

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Date: ---------------------------------

    The Principal
    Sri Venkateswara College
    (University of Delhi)
    Benito Juarez Road
    Dhaula Kuan
    New Delhi-110 021

    Subject: Request for Withdrawal of Admission / Refund of Caution/Security Deposit (20 - 20 ).

    Respected Madam,

    I was admitted in your College in -------------------------------------------------------------------------------------------------------------------------


    1st/ 2nd / 3rd Year Course (College Roll Number-----------------------------------------------) by paying the requisite fee (vide Andhra
    Bank/Online Fee Payment Receipt No.------------------------------------dated----------------------------------for Rs.-------------------------).
    A copy of the Fee Payment Receipt is enclosed.

    I request that I may kindly be permitted to withdraw my admission from your College and the fee/Caution/Security Deposit
    paid by me may be refunded to me as per University of Delhi rules.

    Yours faithfully,

    Thanking you,

    Signature of the student :: ----------------------------------------------------------------------


    Name of the Student (in block letters) :: ----------------------------------------------------------------------

    Important Notes:-

    1. Please tick whichever is applicable.


    2. Withdrawal of Admission / Refund of Caution/Security Deposit form is required to be filled in Duplicate.
    3. Attach “No Dues Certificate”.
    4. Fee refund will be only through Bank transfer. Please provide the following mandatory details for further
    necessary action:-

    a) Name of the Account holder :: ----------------------------------------------------------------------


    b) Account Number :: ----------------------------------------------------------------------
    c) Bank Name & Branch :: ----------------------------------------------------------------------
    d) I.F.S.C CODE :: ----------------------------------------------------------------------
    e) M.I.C.R Code :: ----------------------------------------------------------------------

    ---------------------------------------------------------------------------------------------------------------------------------------------------------------------

    Counterfoil : Acknowledgement Slip to the student


    (To be filled in by the College Administration)

    Name of the Student (in block letters) :: ----------------------------------------------------------------------


    Course of Study :: ----------------------------------------------------------------------
    College Roll Number :: ----------------------------------------------------------------------

    Received the Application for Withdrawal of Admission/Refund of Caution/Security Deposit on


    :: ----------------------------------------
    Signature of the Dealing Assistant (Administration) :: ----------------------------------------
    (With office Stamp)

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