Admn No.

1183/DnE/2:1
Serial No. 8143

LAXMINARAYANA POLYTECHNIC COLLEGE

BAGALAHALLI, DHARMAPURI -636 807.
of Tamil Nadu)
RFTCTON (Approved by the AlCTE, New Delhi &Govt.

TRANSFER AND CONDUCT CERTIFICATE

1. Name of the Student (in block letters) KAVIYAN . D

2. Name of the Father or Mother of Pupil DINAKARAN

Nationality and Religion NDIAN 2 HINDU

3.

REFER COMMUNITY CERTIFICATE

4. Community:
ISSUED BY REVENUEAUTHORITIES

5. Sex MALEE

Date of Birth as entered in the Admission 28.03.2003

5.
Register (in figure and words) . . TNENTY ELGLHT : MARCH TlO THOIL3AND TREe

7. Personal marks of ldentification (a)

(6)

8. Date of admission and class in which admitted

in the Polytechnic College of study
(the year to be entered in words) O3.D7 20/8 FIRST yEAP

DIPLOMA IN MECHANICAL ENaINEERINS

Date on which the Student actually

9
left the Polytechnic College O2.07. 202

10. Whether the student has paid al the fee due

to the Institution YES PAID

11. Has he/she completed the Course

Satisfactory and passed the examination REFER MARKSHEET
12. Conduct and Character
G18c
13. Date on which the application for T.C. was made 11 61.2o

14. Date of T.C. issued . 11 0 7 . 20 2

Signature of the Head of the Institution

PRINCIPAL
LAXMINARAYANA POLYTECHNIC COLLEGE
fo11l21 BAGALAHALLIHP.O),
DHARMAPURI-636 807.