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RT-100F Form
Tuition Remission application for Graduate Fellows or students receiving departmental scholarships.
This form needs to be completed and authorized by the unit or grant-holder responsible for the tuition.
*
Appt. Title
Fellow
*
Student Name
*
RUID Number
*
Term
Fall
Spring
Summer
*
Year
*
Campus
New Brunswick
Newark
Camden
RBHS
*
Job Class
Please check off all that should be charged to this string:
Tuition
Student Fee
Technology Fee
School Fee
Student Health Insurance Premium
Other
If Other...
Rutgers Account String(s) to be charged for the following (select all that apply):
GL
Unit (3)
Division (4)
Org (4)
Location (4)
Fund Type (3)
Business Line (4)
Natural Account (5)
Please check off all that should be charged to this string:
Tuition
Student Fee
Technology Fee
School Fee
Student Health Insurance Premium
Other
If Other...
Project
Project (6)
Task (3)
Exp Type (5)
Exp Org (11)
Location (4)
Business Line (4)
Comments/Special Instructions
*
Authorized by
*
Phone Number
*
Date Field
RadDatePicker
RadDatePicker
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Calendar
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Agreement
By checking the box below, I hereby confirm that the information supplied is correct.