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Book Bank Form (SOT)

This document contains an application form for students to avail textbooks from the book bank at the School of Technology Gandhinagar. The form requests information such as the student's name, roll number, discipline, semester, address, family occupation, annual family income, previous exam results, and whether the student belongs to a scheduled caste or tribe. The form also contains undertakings by the student to use the textbooks with care, return them after exams, and abide by the book bank rules. It lists conditions such as textbooks being provided based on family income below Rs. 2 lakhs annually and priority given to lower-income students, as well as requirements to return books on time and replace any lost

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121 views

Book Bank Form (SOT)

This document contains an application form for students to avail textbooks from the book bank at the School of Technology Gandhinagar. The form requests information such as the student's name, roll number, discipline, semester, address, family occupation, annual family income, previous exam results, and whether the student belongs to a scheduled caste or tribe. The form also contains undertakings by the student to use the textbooks with care, return them after exams, and abide by the book bank rules. It lists conditions such as textbooks being provided based on family income below Rs. 2 lakhs annually and priority given to lower-income students, as well as requirements to return books on time and replace any lost

Uploaded by

kaushalshah28598
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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School of Technology Gandhinagar

Pandit Deendayal Petroleum University


SOT Library and Information Centre
Application form for availing Text Books from Book Bank

1. Name of Student :
2. Roll No :

3. Discipline :
4. Semester :

5. Residence Address with :


Telephone No.

6. Occupation of Father/Guardian:

7. Annual Income of Family :


(Copy of the salary certificate PLC A/C Balance Sheet & Income tax Assessment order of
(parents/guardian to be attached)

8. Result of the examination Attempted (with percentage)

[A] 1.SSCE -Total Marks ________Marks Obtained _______ Percentage ______

2. HSCE–Total Marks ________Marks Obtained _______ Percentage ______

[b] Term End / Sessional Exam

SC ST
9. Whether Belongs to SC/ST :
(If ‘Yes’, attach Certificate)

-----------------------------
Signature of Student

10. Remarks and Signature of Librarian:

Date:
Undertakings:

I,___________________________________, Hereby undertake that if I am given text books form


the Book Bank, I Shall use the same with utmost care: That I Shall return the books as soon as the
Semester end exams are over or even earlier if I am asked to do so and that I shall abide by the
Rules of the Book Bank.

Place Signature of Student

Date:

Conditions:

1. The Book will be given to the students of all the categories on the basis of the income of their
parents and the ceiling of the same will be Rupees 2 lacks per annum.
2. Depending upon the availability of the sets of books the priority will be given to the students
whose parent’s income is below the Rs. 2 lacks per annuam.
3. All students who are availing the facility must ensure retuning the entire set of books provided
to them within two days of completion of their final examination in the concerned Semester.

4. If any student availing the facility loses the book / damages the book / disfigures the book, he /
she shall replace the volume(s) with new book (or pay the current cost of the book plus fine, if
any, as may be directed by authority).

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