GOVERNMENT OF TAMILNADU
DEPARTMENT OF COLLEGIATE EDUCATION
TRANSFER OERTIFICATE
863 Geiima TeNT.
Serial No. Admission No.
GOVERNMENT ARTS AND
1. () süggult Quwt SCIENCE COLLEGE,
Name of the College
NAGAPATTINAM - 611 106.
LomOULL}or Quu
Name of the Educational District
2
Name of the Student (in Block Letters) (as entered
in +2 or equivalent certificate) ARARNA..I..
3. SS HÜENS 5TunT uwt
Name of Father or Mother .JHANGIAMANI..
Nationality, Religion and Caste ..[Link]...
5. rb(Community) rauoio gig1 lysofli
Whether he/she belongs to: ..KEgE..TH..cOMMUNLIy..KERTIIoE
Adi Dravidar (Scheduled Caste or
Scheduled Tribe)
Backward Class
Most Backward Class
Sl (F)
11406 Converted to Christianity from
Scheduled Caste
(e)
Denotified Tribes
Ifthe student belongs to any one of the five categories mentioned above write "yes" against the 5th column
6. umleriD(Sex) EEMAAE.
7. LSpis Gs sreTGsflsyib 6T(SSgb (OTG8TOJt
Date of Birth, (as entered in the Admission
Register) in figures and words 27:[Link]
8. 2L6Sleb nDIB# HMLureTS 5Dlssir -MPY, NINE TEEN NINETY NNE]
Personal Marks of ldentification
()
a)
()
b)
9. s6)grflule GotasÜULL 5TOGD LGÚ;Ó :
(uGLi 6T(`ST) GÜLeqo)
Class in which
Date of the Admission and
admitted (the year to be entered in words) [Link]
10. ) oramaut aagrileuc i gNgi aro0fä TWE NTY Two7I MSc, MATHS
a) Class in which the Student was studying
at the time of leaving (in words) [Link]. [Link].
b) The Course offered Main and Ancillary [Link].
C Language offered under Part-!
(*) ulgiQurgf
D Medium of instruction
...£.INGa1SA.
11. s0gTflågi QogNas Gusiri,W SLLGrgGlgmDS
Whether the student has paid all the fees due
to the college
.[Link].
Whether the student was in receipt of any
scholarship (Nature of the Scholarship to be
Specified) or any Educational concessions
13. LomS80TQJT 6)6luraiTg DGISN çao
Whether the student has undergone medical
inspection if any, during the academic year (first
or repeated to be specified)
14. LDTGOTau0 56G•Tfleou elG levlu BrT
Date on which the student actually left the college....3.:.04..hoe.
15. DTGTGauigyisio uGiTLYD
The student's Conduct and Character
16. GuoGpri )NS UTSIsTAJ0 DreTaulr sr0UTE
Ctpa...
Date on which application for Transfer Certificate
was made on behalf of the student by his parent
or guardian
17. DmOD» sTGT DlBglcor sTGiT
Date of Transfer certificate
18. uiqÜLyasreD
Course of Study WO..ARS.
Medium of
Name of the College Academic years Class studied First Language Instruction
GOVERNMENT ARTS AND
SCIENCE COLLEGE,
NAGAPATTINAM-611 106. dodoMsc, MATHS EN hLs4
19. s6)grf (psirlár nsQuumÜUD
Signature of the Principal with date and
College Seal
PRINCIPAL
Sellur, Nagapattinam -611 106
Erasures andunauthenticated or fraudulent alterations in the Certificate will lead to its cancellation
2. 66)Jl (psignò oDlaTne) 0SGumÜUIL Gouai b. ufay sçwnL=L sUg`ISsi eflumarGDAN 6T6`TU5jG
3. ug GondyNNS UTGJGTuGDd YflsGæ 2 DNEQIDITL Declaration by the Parent or Guardian.
change will be demanded
against items 2to 8 are correct and that no
oreuy declare that the particulars recorded
by me in future.
Signature of the Parent / Guardian
