Free security deposit return letter 11
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SZABIST SECURITY DEPOSIT REFUND / TRANSFER FORM
(For Regular SZABIST Student)

Name:_________________________________Registration#__________________P rogram __________________
Kindly refund my Security Deposit after adjustment of my dues.
Leaving SZABIST w/o completing degree
Transfer to
program within same campus.

Reason for Leaving: __________________________________________________________________
Kindly transfer my security deposit to new program.
Please issue cheque in favor* of _________________________________________.
* Cheque will be issued in the name of student or parents only. Cheque must be picked up within Six month s of issue date,
after this cheque will be forfeited. Any cheque that will be remade would incur a processing fee of Rs. 500/ -.

__________
Date

_____________________
Signature of Student

For office use only (Do not write below this line)
Library
System generated library dues list attached.
________________________

Librarian (Name & Sign)
Lab Domain Accou