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Alumni Fund Request Application Form

This document is an application form for fund requests from students of the Alumni Association at the College of Engineering-Guindy. It collects personal, academic, and financial information from students, including details about their course, fees, scholarships, and parental income. The form also includes a certification section for students to confirm their academic integrity and is to be signed by both the student and relevant faculty members.

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0% found this document useful (0 votes)
29 views2 pages

Alumni Fund Request Application Form

This document is an application form for fund requests from students of the Alumni Association at the College of Engineering-Guindy. It collects personal, academic, and financial information from students, including details about their course, fees, scholarships, and parental income. The form also includes a certification section for students to confirm their academic integrity and is to be signed by both the student and relevant faculty members.

Uploaded by

rupamaha04
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

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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

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