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Student Refund

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86 views1 page

Student Refund

Uploaded by

srinivasan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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THE LNM INSTITUTE OF INFORMATION TECHNOLOGY JAIPUR

(Deemed-to-be University)
Rupa-Ki-Nangal, Post-Sumel, Via-Jamdoli, Jaipur - 302031
Rajasthan, India
Contact No. : +91-141-5191791 / 92 ,1800-180-6566 (Toll Free)
Web: www.lnmiit.ac.in, E-mail: [email protected]

SL.NO :- 1044 Cancellation of Admission/ Seat Allotment and Refund Form

To, Date : 09/09/2024


The Convener, PG Admissions Time : 17:02:03
The LNM Institute of Information Technology
Jaipur - 302031

Sub.: Request for Cancellation of Admission/ Seat Allotment and Refund

Sir,
I would like to cancel my Admission/ Seat Allotment for M. Sc. (Physics) at LNMIIT, Jaipur. I am aware that by doing this I will
not be eligible for further rounds of admission process(if applicable).
I hereby request you to refund the appropiate amount after due deduction as per the Institute refund policy.

Applicant's Details

Application ID : LNPG24QVC2
Applicant's Full Name : SRINIVASAN PB
Contact No. : 8778135308
Email ID : [email protected]
Beneficiary's Name : SRINIVASAN PB
Bank Name : FEDERAL BANK LTD
Bank IFSC Code : FDRL0001933
Account Number : 19330100030345
Reason for Cancellation : a. Seat allotment in some other Institute
Name of the Institute :
Branch allotted :
b. Any other Reason : Unable to cope with syllabus.

Fee Paid

Admission Fee : 36,600.00 (Thirty Six Thousand Six Hundred Rupees Only)

Branch Preference

Program Name : M. Sc.

Department Name : Physics

Status : Alloted

Student's Signature Signature of Guardian

Date : Date :

Name Of Guardian :

Relationship of Guardian :

Note: You do not need to send the refund form at LNMIIT. You also need to fill up the "No Dues Form". Refund from
will be processed within 30 days after receiving a duly filled refund form from the applicant.

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