CENTRAL UNIVERSITY OF HARYANA
Contact No. of Student-----------------------
FELLOWSHIP BILL TO BE SUBMITTED BY THE SCHOLAR

Name of the Scholar:_________________________________________________________________
Roll No.________________________ Deptt._________________________________________________
Scheme: CSIR/UGC-AAGS/Post: JRF/SRF/RA/Non NET__:_______________________________________
Date of Registration for M.Phil./Ph.D_____________________________________________________
Date of Submission for M. Phil /Ph .D Thesis:_______________________________________________
Date of Viva-voce for M. Phil/Ph .D Thesis:_________________________________________________
Date of Viva-voce for (Ph .D Degree):____________________________________________________
SBI A/c No.________________________________________________________________________
Name and Full Address of Bank:________________________________________________________
Nature of Grant Month/Period of Fellowship Claimed Rate Rs. Total Amount in Rs.
Per month
Fellowship/Stipend _____________________________ _________ _______________
HRA/Hostel Charges _____________________________ __________ _______________
Total _______________
DECLARATION
I hereby declare:
1. That in case I am awarded the fellowship, I shall abide by the terms and conditions of the award.
2. That I shall undertake to engage my-self whole time for research work on the subject under the direction of the Supervisor during the tenure of fellowship.
3. That I am not in receipt of any scholarship/ financial aid for pursuing this Programme from anywhere.
4. That I am not employed anywhere.
5. That to the best of my knowledge and belief, the particulars given in the form is correct.
6. That I have availed scholarship up to (write Month & Year)________________.
Dated____________________ Signature of Fellow
Certified that the progress of above scholar in Studies/Research is satisfactory and the Research Progress Report is attached.
* He/She was regular in the period of to .

Signature ____________________________________
Name of the Supervisor_________________________

1. Certified that the particular furnished above by the scholar are correct and the scholar is authorized for above mentioned Scholarship.
2. Certified that the attendance record has been verified for the above mentioned period.
3. Certified that the scholar for whom HRA is clamed has not been provided any Hosted/Govt. accommodation.
4. Certified that the Viva-Voce for Ph.D Degree has not conducted of the above mentioned period of fellowship claimed.

(Signature of Head of the Department)
(with rubber seal)

(TO BE FILLED BY FINANCE BRANCH)

Checked and passed for Rs. _______________________________________________________
Rupees_______________________________________________________________________
Cheque No._________________dated_______________

Dealing Assistant Section officer Assistant Registrar OSD(Finance) Registrar

CENTRAL UNIVERSITY OF HARYANA
CONTINGENT BILL
(FOR : JRF/SRF/NON NET)
Name of the student : ________________________________________
Deptt. : ___________________________________ Contact No. _________________
Peried of Claim _______________________________________________________________
Sr.No. Details of expenditure given below Amount

(Rupees ____________________________ Total

It is certified that the detailed mentioned above are verified and correct and is forwarded for necessary payment action.

Signature of Student Supervisor Head of the Department
Cont’d…………..2/-
-2-

Name of the SBI Bank with full address : ___________________________________-
A/c No. _______________________________________

FOR THE USE OF FINANCE BRANCH
Pay to __________________________________________Budget Head,___________________
Passed for Rs._____________________-(Rupees _________________________________
______________________________________________________________________ )

Dealing Asstt. SO OSD(Finance) Registrar

Cheque No. _______________________dt. ________________________________

Cheque signing Officer