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Directorate of Research University of Kota
MBS Marg, KOTA (Rajasthan)-324005 Phone No.: 0744-2471037
Format-XVI
No Dues Certificate
(To be submitted along with Ph.D. Thesis) 1. Name and Address of the Research Scholar :
Mobile Number& E-mail ID
2. Date of Joining at Research Center / Department : 3. Ph.D. Registration Number and Date :
4. Name of the Subject :
5. Name of the Faculty : Faculty of ……….
(Arts / Commerce & Management / Education / Law / Science / Social Science)
6. Name & Designation of the Research Supervisor(s) : Mobile Number& E-mail ID
7. Name of the Research Centre / Department : 8. Name of the Institute / College / University :
S.
No. Name of the Office / Department
(Whichever Applicable)
Dues,
if any Reason in Brief for the pending Dues
Receipt & Date of Clearance of Dues
Name of Authorized Signatory
Signature with date &
Seal 1. Accounts & Finance
Section 2. Examination
Section
3. Scholarship / Fellowship Section
4. Games & Sports Section
5. University Central Library
6. Institute / College / Department Library 7. Institute / College /
University Hostel 8. Institute / College /
Departmental Store 9. Any Other
Advances / Dues
Ref. No. /Certificate No. and Date:
Signature & Seal of the Research Co-supervisor, if any
Signature & Seal of the Research Supervisor
Countersigned by the Principal / Director / Head
Date:
Place:
Signature& Seal of the Principal / Director / Head
