GOVERNMENT COLLEGE OF ENGINEERING, BARGUR (An Autonomous Institution, Affiliated to Anna University, Chennai) TRANSFER APPLICATION FOR THE YEAR 2020-2021 INSTRUCTIONS:

1. Write a Covering Letter for the Application. 2. The Parent and Students must take print out of the application and fill in the application form given below. 3. Read the Undertaking form carefully and Sign the same. 4. Attach the Copy of below mentioned documents ● Allotment Order ● +2 Marksheet ● Last Semester Marksheet 5. Scan the complete set i.e. Application Form, documents and send to email [email protected] on or before 16.8.2020. 6. Note: The attendance details will be filled by the college office. 7. Hard copy of the Application along with the certificates must be sent to the following address through Courier/Speed Post or in Person . On the Cover write “Student Transfer Application”

Address: To The Principal, Government college of Engineering,Bargur Bargur , District -635104

8. Last date for Submission of Hard copy of the Application form is 18th Aug 2020.

B/O Principal

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STUDENT DETAILS (The Details of student to be filled up below)

Register No. Name of the Student

Address 1

Address 2

District Pin code

Mobile No Email ID

Month and Year of admission in First Year/Direct Second Year/PG (The Details of student be filled up below)

Through which mode student was originally admitted (TRANSFER / TRANSFER CUM Year Month READMISSION)

Only for Govt and Govt Aided Colleges

TNEA Reg. No

Community

Qualifying Exam Quota Whether First Maths/Semester V graduate Claimed for 2020- Physics/Semester VI 2021 (Y/N) Chemistry Whether Post Matric Scholarship claimed Cut off Out of 200 for 2020-2021 (Y/N)

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Name of the Institution and branch in which student Even Sem(II,IV,VI,VIII)

College Name

Government College of Engineering, Bargur

Autonomous Branch Name Semester

YES

Name of the Institution and branch to which transfer is requested (III,V,VII,IX)

College Name

Autonomous (Y/N) Branch Name Semester

Last Appeared Month Last Appeared Year Last Appeared Semester

Last Appeared Reg.No Reason for transfer

To be Filled by the Principal of Student’s present studying Institution

Forwarded to the principal

Total No. of Periods taken into account for calculation of attendance for the above semester

No. of Periods attended by the student

Percentage of attendance in Even semester(II,IV,VI,VIII)2020-2021

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UNDERTAKING

I hear agree for the Transfer / Re-admission cum Transfer, accepting the condition that the university may prescribe in this regard.

I further agree and state that, 1. I shall appear for the equivalent or additional papers, if any, that may be prescribed by the university. 2. I shall diligent and faithfully follow the instructions and curriculum of the college to which i am transferred that are in force time to time. 3. I agree to pay whatever fees that are prescribed by the concerned university for such Transfer. 4. I shall not prefer any claim or right for exemption for any papers what so ever. 5. I shall not prefer any representation seeking stay of or exempting from the operation of any part or in full of the conditions to be prescribed by the University/College. 6. I am aware that the transfer /Re-admission cum transfer ordered by DOTE is subject to confirmation by Anna University, Chennai.

Signature of the Parent Signature of the Student Name: Name: Contact No.

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