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BETO op% won ernoingysiD Government of Tamil Nadu eovgpiilés ssdohys gion Department of Collegiate Education TRANSFER CERTIFICATE oflens evar 621/2021-22 Serial No: : 1. (oo asogyrfiuosr Quast Name of the College oven geben Gut Name of the District 2. imemnir Cutt (galliessA srupibsssAe) Name of the Pupil (in BLOCK LETTERS) (as entered in +2 or eqivalent certificate) 3. ghee ones gmumnfiesr Quast Name of the Father or Mother 4. Gpsfus Bom, sours, am8 eb Bento Nationality, Re aw n Community and Caste 5. imeem Sex 6. Gmbs Gx Caseig, cwoti8ex) (oremmit Csirssmals U8GerLigsy 2_stsmag) Date of Birth as entered in the Admission Register in figures and words) 7. 21086 ombs emus GBen — \ @ Personal Marks of Identification @) 8. asgrutdd Coridmiu! Osx8 wing Grindoorinst omesiat (ox p80 swacioastd> crepes) Date of admission and Class in which admitted , (the year to be entered in words) 9. (ov Loromnir acogrfon 6ILG shixeid ansop8eo Lace) aby oxeiny (eruosb—s6) (a) Class in which the pupil was studying at the time of leaving (in words) (av CxO ZDixks LUNA LoiepsD gmmMt> (b) The Course offered Main and Aneillary D vob +Bro Cpmpoweis Conf (C)Language offered under Part-l () Lao Cuong (@) Medium of Instruction 10. asvayriiies Gearise Goresingus altel Gystons prone Lone Gwe oily? Whether the student has paid all the fees due to the College i Gairdsonas exis 137/2019-2022 Admission No: Serr omiom oye swanso% eaves, AB - 621 211 Bow Ayweasche. SorBorstoogest 01 VISHVESHWARAN A Doin Casoousit piu Mir sul snc pompts urtdsaoy INDIAN - HINDU REFER TO COMMUNITY CERTIFICATE ae 21-02-2002 Twenty One -February-Two Thousand Twe A MOLE ON THE UPPER NOSE. A SCAR ON THE RIGHT SIDE ANKLE 14-05-2019 1 BSc Chemistry TI B.Se Chemistry gli oy (Tamil Medium) -=ytufiao op\(English Medium) ey 11. tora UpcyseR Ogres borg! mcdond sere BION Cusmasyn? (Uno Reusgsangh eCnIOm) Whether the student was in receipt of any Scholarship ay (Nature of the Scholarship to be specified) or any Educational Concessions 12, toremeit wsbaiumasiged WE ABIN AULoWeas Gacioran? (Upp Berar wIedm—1 \HKde» Bios @HI5G auopend) Whether the student has undergone medical ine inspection if any, during the Academic Year (first or repeat to be specified) 13, wramam margins oDLG ooowhis rat = nese Bt 20-06-2022 Date on which the student actually left the College 14. wremerfet Gepimmypid Lay ‘The Student's Conduct and Character 15. GupGprt ods) UTguETOVsOt Loreen Leaps snepI Carl Deed ‘ret Date on which application for Transfer Certificate was made on behalf of the student by his parent or guardiar 16. wipe enerB eye groit Date of the Transfer Cer 17. uginye anovb Course of Studs cate, Begiypuyd | SATISFACTORY scgriule Guu [acral soiGast| unde aecy oysed Goons Name of the College | Academic Year | Classes Studied | First Language nr eon Medium See Sen ee 2019-2022 | B.Se-Chemistry eeneot odes, i646 fund lupe - 621 211 (Three Years) a oe 18. acter eppciaiton madunoud eNN Greit wprb soda «ps Soopuyai) \: } Lan Signature of the Principal with Date and with College Seal: . [ey egeoanr . PGF Bicraxn Se sins ()Breresnoe oxPpnAoue wh> pinsaiD ome Comvoune oRBranT} @uals~ ORI BOL Cousens stekBmo sis Onins ox) sOCUpTED. Erasures and unauthenticated or fraudulent alteration in the certificate will lead 0 its Cancellation. Q)scomnh wpxivaxne cooitome, waQunluxd Comigd UyPo) oui Bonne stuncronss sewEbe ames Gurpurera. ‘Should be signed in ink by the Head ofthe Instiution who will be held responsible for the correctness of the entries. 2) Cupar oni! Unga Wed 2gibQ0ng. Declaration by the Parent or Guardian, GwGor 2 upped ¥ olomguigyeion HomsoensAncns who, QairicniGelien oPagrieosit surarano arson, eypaniorpsshoo eyewfyBioo wong errand Gast.aione.GLoit stognd pratt gypsies. Thereby declare that the particulars recorded aj will be demanded by me n future st items 2 to 8 are correct and that no change CUpHGput ordore LMyisHTEVOoMeH enum nnd Signature of the Parent/Guardian

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