Application form

To,

P.R.O.

Sub : Booking of Third floor hall/terrace,Gulmohar.

         Please book the Third floor hall/terrace(Evening only),Gulmohar for full day/half day for official/Non official function

(please specify) on from (8.00 a.m to 4.00 p.m) / (4.oo p.m to 11.00

p.m) for breakfast / lunch / high tea / dinner.

No. of Persons



Signature of applicant Approved by :
Name :
Deptt / Section Designation :
Salary Code Tel No. :
Date:

NOTE

Kindly accept an amount of Rs. (Rupees ) towards Third floor

hall/Terrace (evening only), Gulmohar charges by Cash/cheque/debit a/c No./Deptt fund .Please

credit the amount for Receipt / Cafeteria and bank under a/c code No. R MIS 030 in IIT Main a/c.

Cheque Details :

P.R.O.

To,

Incharge, Cash Section / Dy.Registrar (F & A)

CC : Manager Cafeteria , Gulmohar.