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
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/ -.
Signature of Student
For office use only (Do not write below this line)
System generated library dues list attached.
Librarian (Name & Sign)
Lab Domain Accou