You are on page 1of 2

Annexure - I

Anna
a Univers
sity :: Che
ennai – 600
6 025

Dis
stance Ed
ducation Program
mme Exam
minations
s – FEB. / MAR. - 2023
2

Ex
xaminatio
on Centre Option Form
F

Sl. Selec
ct any ONE
E
Pla
ace of Exa
amination Centre
C
No. Tick ( ) your choice

1 CHENNA
AI

2 COIMBAT
TORE

3 TRICHY

4 MADURA
AI

5 NAGERC
COIL

6 VILLUPU
URAM

Name : _______
________
________
_______
Registter Number : ______
________
_________
_______
Roll Nu
umber : _______
________
________
_______

Study Centre / Learning


g Centre : _______
________
________
_______
Name, Place annd State
Signatture : _______
________
________
______
Place : _______
______
Date : _______
______

You might also like