TC Application

1 Name of Student
(Note Roll No. And Admission No.)
2 Date of Birth
3 Class Group And the year of Study
4 Are you in receipt of any fee concession or scholarship
5 ⦁ Have you appeared for the university Examination? If so, the register No and the year (Only the first appearance of the examination)

⦁ Have you passed the examination in first appearance
6 Are you a member of NCC/NSS any other extracurricular activities? If so specify details
7 Recommendation of tutor and remarks about conduct
8 No due Certificate from

I here by declare that the particulars given are correct and that if any particulars are found incorrect, I shall hold myself personally responsible for the same.

Date: Signature of the applicant