Govt. of N.C.T.

of Delhi

DELHI TECHNOLOGICAL UNIVERSITY

(Formerly Delhi College of Engineering)
Shahbad Daulatpur,Main Bawana Road, Delhi-42

(Academic Section)
DUES CLEARANCE CERTIFICATE
Name:-..
Father`s Name :- ..
Course attended:-.
Year of Admission. :-
College Roll. No... (Hostler/Day Scholar).......................
Present Address: - ...........................................
Contact Number
Local Gardian Address :- .

DUES CLEARENCES Certified from:

1. Head of Deptt:
2. Book Bank Main Library..
3. Hostel Room Rent:
4. Mess Dues:- ..
5. Thesis/Project Supervisor: -
6. General Administration:- ..................................................
7. University Central Store: - .
8. Account Section: -
9. Academic Section (Id. Card Surrendered):-
Note: - Hostel dues clearance must be got counter signed by the hostel warden. Library and
book bank dues clearance must be got signed by the librarian/Assistant Librarian.