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Indian Institute of Technology Kanpur

Pledge Form

Name :  
Address :  
City :  
State :  
Pincode :  
Country :  
Organization :  
Designation :  
Email :  
Mobie No. :  
Pan No. :  
DOB :
Roll No. :  
Degree :  
Department :  
Passing Year :  
I would like to support IIT Kanpur with a gift of   
Amount   ₹     $  .

Please Utilize this gift for :  
  Student Scholarship
  Faculty Chair
  Infrastructure Fund
  Student Research Award
  Young faculty fellowship
  Hall of Residence XIV
  Student Sports Facility
  Faculty Recruitment Fund
  Convention Center
  Batch Fund
  others