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Application Form

This document is an application form for students seeking to change their institution after the first or second year of study. It includes sections for personal information, academic details, results, backlog subjects, and reasons for the transfer request, along with a no objection certificate from the current and aspiring institutes. The application emphasizes that the transfer is not guaranteed and is subject to the authority's decision based on merit.

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Chaithra M S
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0% found this document useful (0 votes)
16 views2 pages

Application Form

This document is an application form for students seeking to change their institution after the first or second year of study. It includes sections for personal information, academic details, results, backlog subjects, and reasons for the transfer request, along with a no objection certificate from the current and aspiring institutes. The application emphasizes that the transfer is not guaranteed and is subject to the authority's decision based on merit.

Uploaded by

Chaithra M S
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ANNEXURE-A

APPLICATION FOR CHANGE OF INSTITUTION AFTER FIRST OR SECOND YEAR


1 Name of the Student (in full) :

2 Academic year of Admission in the Present :


Institute

3 Whether Admission in under Supernumerary :


Quota (Y/N)

4 Address for correspondence with Pin Code and :


Telephone Nos. (if any)

5 Name of parent / present Institute :

6 Course of Study Details : Year/Semester:


Branch:
Choice Code:
7 Details of the Result of last Exam (First year/Second year)
Branch/ Year/ Year of Summer/ No. of Percentage University
Faculty Semester Passing Winter Attempt

8 Details of backlog Subjects (if any) :

9 Name and INSTITUTE CODE of aspiring institute :


where admission by transfer is sought
10 Branch and Year/Semester and University in : Year:
which admission by transfer is sought Branch:
Choice Code:
University:
11 Reasons for asking the transfer of :
institute/change of branch and university
I undersigned state that the information stated above is true to my knowledge and belief. I am fully
aware that Transfer/Change of Institute/Branch is not a right and it is up to the authority to decide my
case on the basis of merit.

Date: ___/____/2019 Signature of Student


Name and INSTITUTE CODE of the parent/present Institute:
_______________________________________

No: ______________ Date: ____/____/2019

NO OBJECTION CERTIFICATE
Certified that information furnished by applicant ______________________________________ is
verified form the record. His / Her admission was not under supernumerary quota / TFWS Category.
This institute has no objection for his / her transfer from this college / institute.

Seal of College/Institute Signature of Principal

Name and INSTITUTE CODE of parent / present Institute:


_________________________________________

No. __________________ Date: ___/____/2019

NO OBJECTION CERTIFICATE
This Institute has no objection and agrees to admit the above candidate Shri / Kum.
_____________________________ to the branch ________________ to Year / Semester _________
during the current academic year __________________. After admitting all the internal students and
ex-students and exhausting the claim of change of branch of internal candidates, the vacancies in year
and course __________ are _________ (Nos.) I have ascertained the eligibility of the candidate for
the above mentioned admission.

Seal of College/Institute Signature of Principal

Note: Institute’s NOC can be issued on the letter head of the College / Institute separately if desired
so by Director / Principal.

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