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    Cform

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    Ramachandran Rajaram
    This document is an examination application form for a grace chance in April 2010 from the Government of Tamil Nadu's Department of Technical Education. It requests information from candidates such as registration number, name, date of birth, institution details, and marks obtained in previous semesters. Candidates must provide details of subjects passed, failed subjects as per the scheme of study, and internal marks secured. They must declare that the information is true and they will only be awarded a diploma upon passing all subjects.

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    Cform

    Uploaded by

    Ramachandran Rajaram
    6 views3 pages
    This document is an examination application form for a grace chance in April 2010 from the Government of Tamil Nadu's Department of Technical Education. It requests information from candidates such as registration number, name, date of birth, institution details, and marks obtained in previous semesters. Candidates must provide details of subjects passed, failed subjects as per the scheme of study, and internal marks secured. They must declare that the information is true and they will only be awarded a diploma upon passing all subjects.

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    This document is an examination application form for a grace chance in April 2010 from the Government of Tamil Nadu's Department of Technical Education. It requests information from candidates such as registration number, name, date of birth, institution details, and marks obtained in previous semesters. Candidates must provide details of subjects passed, failed subjects as per the scheme of study, and internal marks secured. They must declare that the information is true and they will only be awarded a diploma upon passing all subjects.

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    6 views3 pages

    Cform

    Uploaded by

    Ramachandran Rajaram
    This document is an examination application form for a grace chance in April 2010 from the Government of Tamil Nadu's Department of Technical Education. It requests information from candidates such as registration number, name, date of birth, institution details, and marks obtained in previous semesters. Candidates must provide details of subjects passed, failed subjects as per the scheme of study, and internal marks secured. They must declare that the information is true and they will only be awarded a diploma upon passing all subjects.

    Copyright:

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    GOVERNMENT OF TAMIL NADU DEPARTMENT OF TECHNICAL EDUCATION, BOARD OF EXAMINATIONS, CHENNAI 25 EXAMINATION APPLICATION FORM (GRACE CHANCE) APRIL

    L 2010
    Reg No Scheme of Study Full Time Part Time Sandwich Private Name of the Candidate If joined in second year (lateral entry) HSC (A) HSC (V) Institution Code Branch

    Sex Male Female

    Date of Birth

    Details of Last Appearance


    Reg No Month & Year

    Address for Communication

    Affix Passport Size Photo (to be attested by the Head of the Institution)

    Contact Phone / Mobile No(s) DETAILS OF FIRST APPEARANCE


    First Year Reg No II Semester III Semester IV Semester V Semester VI Semester VII Semester VIII Semester

    Month & Year

    Scheme Total No. of Subjects

    DETAILS OF YEAR / SEMESTERS COMPLETELY PASSED


    First Year Reg No II Semester III Semester IV Semester V Semester VI Semester VII Semester VIII Semester

    Month & Year

    MARKS SCORED IN SUBJECTS ALREADY PASSED

    (fill up the details only for passed subjects, enclose attested copy of mark certificates with marks)
    Col No First Year IM EM Total IM III Semester EM Total IM IV Semester EM Total IM V Semester EM Total

    10

    11 Col No VI Semester IM EM Total IM VII Semester EM Total IM VIII Semester EM Total IM EM Total

    DETAILS OF ARREAR SUBJECTS


    As per Scheme of Study Year / Semester Col No Name of the Subject Year / Semester As per J Scheme Equivalence Col No Name of the Subject Internal Marks Secured

    I hereby declare that The information furnished in this application is true, correct and complete. I am appearing for all failed subjects. I will be awarded Dipoma only on application with proof of passing all subjects (with marks). I am fully aware that this is a special scheme announced by the Government for writing the examination to the candidates (who have exhausted their chances) to complete the Diploma in three attempts (January 2009, October 2009 and April 2010) I will not claim any more chances for writing the Examination in future. I am aware that incomplete applications & applications without proper enclosures will be summarily rejected.

    Countersigned

    Signature of the Head of the Institution with Seal

    Signature of the Student with Date

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