Graduate Thesis Publication Fee Remittance Form
Student Information
Full Name
Student ID
Department
Email
Thesis Details
Thesis Title
Advisor/Supervisor
Defense Date
Publication Details
Journal/Conference Name
Publication Fee Amount
Currency
Reason for Remittance
Bank/Payment Details
Bank Name
Account Number / IBAN
SWIFT/BIC Code
Payee Name
Approvals
Student Signature
Date
Advisor/Supervisor Signature
Date
Dept. Head/Authorized Signature
Date