PHOTO
APPLICATION FOR FUND REQUEST
Alumni Association
College of Engineering- Guindy (AACEG)
Alumni Centre, CEG, Anna University, Chennai - 600 025.
Name of the Student : ______________________________________
Roll No: ………………………………..... Course ………………. Branch …………………………………………. Semester ……………
Address : ………………………………………………………………………………………
………………………………………………………………………………………
………………………………………………………………………………………
Contact Number : …………………………………………………
Community : ……………… (S.C / S.T / S.C.A / S.C.C / B.C / M.B.C / B.C.M / D.N.C / O.C)
Whether Hosteller / Day Scholar : ………………………
Whether Tuition Fee Concession Availed : Yes / No - If Yes, Availed Amount Rs …………………………
Total Fees Required With Details : Semester Fee …………………….. Hostel Fees ………………..
Whether Any Other Scholarship Received, With Details: ……………………………………………………………………………...
Parents Occupation: Father Occupation: …………………………………………. Annual Income: …………………………….
Mother Occupation: ………………………………………… Annual Income: …………………………….
Contact Number: ……………………………………………..
ACADEMIC PERFORMANCE
I Year Students : +2 Total Marks : ………………………………… Cut-Off : ……………………………
II / III / IV Year Students : CGPA (Up-to Last Semesters) ……………. [Link] Arrears ……………………
Extra-Curricular Activities : ……………………………………………………………………………………………………………..
CERTIFICATE
I was not debarred / Suspended from the institution / Hostel on any previous occasion.
I was not involved in any misconduct including malpractice in Test / Examinations.
Date : Signature of the Student.
Marks Verified and found Correct Recommended / Not Recommended
Name & Signature of the Class Advisor Signature of HOD
Version 1.1
APPLICATION FOR FUND REQUEST
Alumni Association
College of Engineering- Guindy (AACEG)
Alumni Centre, CEG, Anna University, Chennai - 600 025.
Version 1.1