Salary page No.
Received from the Registrar, Indian Institute of Technology, Powai, Bombay- 76 the sum of Rs.
( Rupees ) being my for the month of
I hereby authorise Shri./Smt to receive the sum of Rs.
(Rupees ) being my for the month of 20
Certified that Shri./Smt.
is alive to day date 20