Bipin Tripathi Kumaon Institute of Technology
(Formerly- Kumaon Engineering College)
Dwarahat-263653, Distt.-Almora (Uttarakhand)
(An autonomous Institute of Uttarakhand Government)
05966-244250 (o), 244114 (F), website : kecua.ac.in,
Fee Refund Application
1. Name of Candidate
:
2. Father’s Name
:
3. JEE Main/UKSEE Roll No.
:
4. Date of Admission (Reporting) :
5. Course (B.Tech./M.Tech./MCA :
6. Allotted Branch
:
7. Full Address
:
(Postal with PIN Code)
8. Phone No. Candidate
:
9. Phone No.Parents
:
10. Bank A/c No. of Candidate
:
11. Name of Bank
:
12. Bank Branch
:
13. IFS Code
:
Note: Attach following documents with this Application:
i.
Copy of Allotment letter
ii.
Copy of Admission letter
iii.
Copy of Bank Passbook
iv.
Copy of Fee Receipt
Signature of Candidate