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ACADEMIC OFFICE
NATIONAL INSTITUTE OF TECHNOLOGY
TIRUCHIRAPPALLI - 620 015, TAMIL NADU, INDIA Requisition for Compensation Assessment Name of the Student : Roll No. : Programme : B. Tech. / B. Arch. / B. Sc. B. Ed. / M. Tech. / M. Arch. / M.S.c. / MCA / MBA / MA Department : Specialization (for PG) : Batch : Semester : Section : Session : July / January ____________
Courses to be Registered
Sl. Course Course Title Course Faculty
No. Code Faculty Signature 1.
2.
3.
4.
5.
6.
Date: Signature of the Student
Kindly attach the following documents:
i. A medical certificate, clearly stating the student's unfitness or need for rest on the day of the assessment, must be acquired exclusively from the medical officer of NIT-T hospital. ii. Official letter from either the Sports (SAS) officer or the Associate Dean (Students Welfare) for engagement in off-campus institute-level sports activities. iii. Requisite documentation endorsed by the Chairman (Class Committee) and the Head of the Department for the participation in technical events like IEEE, ASCE, or ASME conferences, or similar activities.
For Office use
Chairperson (Class Committee) Head of the Department