Name of the College
Name of the Program
(Im English) =
(in Hind)
DEGREEE DATA
*Photo 2”x2”
(to be pasted)
Roll No.
‘Student Name
Father's Name
Mother's Name
Passing
Year
Division
Signature
in English
Tn Hindi
Tn English
In Hindi
In English
Note :-* Recent photograph size (2"X2") in colour showing frontal view of full face is required. Black and White, photograph with coloured or dark
glasses, Dark Background , Polaroid prints or computer prints will not be accepted. The colour photographs should have a white background and
should show the full face of the applicant frontally. In addition to the pasted photograph, same photograph having details of the students at its back is
to be provided.