GOVERNMENT COLLEGE OF TECHNOLOGY, COIMBATORE - 641 013
(An Autonomous Institution - Anna University, Chennai)
PHOTO
OFFICE OF THE CONTROLLER OF EXAMINATIONS
STUDENTS BIO - DATA
B.E.: Full Time : Part Time : B.Tech.: Full Time : Part Time :
M.E.: Full Time : Part Time : Ph.D. : Full Time : Part Time :
1. Name
(i) in English
(ii) in Tamil
2. Register No.
3. Date of Birth 4. Community 5.Gender
(OC / BC / BC-M / MBC / SC / ST)
6. Branch
7. Father & Mother / Guardian Name
8. Occupation & Designation
with Address
9. Address of the Candidate
Hostel Address Residential Address Permanent Address
Pincode : Pincode : Pincode :
Phone : Phone : Phone :
Mobile : Aadhaar Number :
E– mail : NAD ID :
10. Academic Qualifications
Programme Period of Name of Institution University / Percentage Month & Year of Whether the
Study Board of Marks Passing Institution is in
rural or township
11. Year and the College through which the
Candidate Registered as a matriculate of
(Details of Migration Certificate )
the Anna University (Migration Certificate)
12. If Qualified from any other University or
State, furnish the Number and Date of
(Details of Eligibility Certificate )
communication granting recognition
Date : - - Signature of the Candidate
Signature of the Faculty Advisor / Supervisor Signature of the Head of the Department
INSTRUCTIONS :
1. Enclose Attested Photo copies of X and XII Standard Mark sheets for UG Programmes (Full Time) and
Diploma Certificate for Lateral Entry / UG (Part Time) Programmes.
2. Transferred candidates should enclose the attested copy of X, XII Standard and their previous semesters
mark / grade statements.
3. Enclose Attested Photo Copies of X, XII Standard Mark sheets and Under Graduate Degree Certificate for
PG Programmes & X, XII Standard Mark sheets, UG & PG Degree certificates for Ph.D. course work
Examinations.
4. Enclose the photocopy of Aadhaar Card.