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DEPARTMENT OF SPACE INDIAN INSTITUTE OF SPACE SCIENCE AND TECHNOLOGY Valiamala P.O.

, Thiruvananthapuram 695547 Form BG-01 Request/Receipt for Books against Book Grant Name: Semester: Contact : Phone No.: S.No. Name of the book, Author(s)/Publisher/Year Price ID No.: Branch E-mail: Recommended by: Signature/Name/Dept Book Recd. Sign.

Total Signature of Student ********************************************************************************** Book Coupon Number: Seal Date: