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GOVERNMENT COLLEGE OF TECHNOLOGY,COIMBATORE - 641 013


(An Autonomous Institution - Anna University, Chennai)
OFFICE OF THE CONTROLLER OF EXAMINATIONS
APPLICATION FORM FOR T R A N S C R I P T
Month :
B.E. : Full Time

Part Time

M.E. : Full Time

Part Time

Year :
B.TECH:

1. Details of Payment
Amount Paid
In Figure

Date

In Words

2. Name:
(in Block letters with initials at the end)

3. Register No.

4. Branch:

5. Current Semester

6. Completed the Course:

Yes

No

8. Year of Completion

7. Year of Admission

9. Particulars of Transcript Needed : (Original Mark Sheets and Certificates must be produced)
Number of Regular Semester Mark sheet

Number of Arrear Examinations Mark sheet :


TOTAL NUMBER OF MARKSHEETS :
S.No

Semester

Month & Year of Exam

10. Total Sets of Transcript Needed :

ONE SET CONSISTS OF

No. of Copies

FIVE (5) COPIES

1. SEMESTER MARKS SHEETS

FEES PARTICULARS FOR ONE SET

2. CONSOLIDATED MARKS SHEETS

1. MARK SHEET (PER SHEET)

3. DEGREE CERTIFICATE

4. PROVISIONAL CERTIFICATE

5. RANK CERTIFICATE

Date :

Rs. 100

2. CONSOLIDATED MARKSHEET Rs. 200


3. DEGREE CERTIFICATE

Rs. 100

4. PROVISIONAL CERTIFICATE

Rs. 100

5. RANK CERTIFICATE

Rs. 100

Note : Original Mark Sheets and Certificates should be enclosed

Signature of the Candidate

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