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Claim Form

1. This document is a claim/bill form for various fellowships including UGC, CSIR, ICMR, and others. 2. It provides information such as the name and period of the fellowship claimed, recipient details like enrollment number and bank account, and the amount claimed including monthly fellowship amount and HRA if applicable. 3. Key signatures required on the form include the recipient, supervisor, PG in-charge, chairman, dean, and assistant finance officer to process the payment.

Uploaded by

Mohd Farhan Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
91 views1 page

Claim Form

1. This document is a claim/bill form for various fellowships including UGC, CSIR, ICMR, and others. 2. It provides information such as the name and period of the fellowship claimed, recipient details like enrollment number and bank account, and the amount claimed including monthly fellowship amount and HRA if applicable. 3. Key signatures required on the form include the recipient, supervisor, PG in-charge, chairman, dean, and assistant finance officer to process the payment.

Uploaded by

Mohd Farhan Khan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Category:- .

CLAIM/BILL FORM
UGC/DRF/M.Tech/UGC Non-NET/UGC JRF/MANF/ICHR/ICR/CSIR/PDF/ICSSR/
DST/DAE/CCRUM/UPCST/ICMR/ICAR/RA/RGF/IGMRH/BSR/Inspire Fellowship/
National Fellowship (History)/UGC-Direct Award
Name of Fellowship.. & Funding Agency...
Period of Claim: Fromto..
Name
En. No Hall.Class/Course
Name of Bank & Branch..A/C No..
(To be filled by applicant for Non-NET Fellowship only)
Date of Registration.
Faculty.Department.
Amount of Scholarship/Fellowship P.M. Rs...
HRA (if applicable)

Rs..

Total Amount Claimed:

Rs..

1.
2.

I declare that I am not getting any Fellowship/Financial assistance from any source.
If any information provided by me in this claim form is subsequently found false/incorrect, I
would refund the entire amount received by me.

Signature of Recipient: ..
Progress Report: .
\Whether regular or not, if not, then reason thereof: ...

I recommend the payment of the Fellowship/Scholarship for the period as noted above.
It is also certified that above student is not getting any Fellowship/financial assistance.

(Signature of Supervisor)
PG Incharge With Seal

(Signature of Chairman)
With Seal

(Signature of the Dean)


With Seal

PASSED FOR PAYMENT:


TO

FOR Rs..

Dated:

Asstt. Finance Officer/Dy. Finance Officer


(Scholarship)

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