THIAGARAJAR POYTECHNIC COLLEGE, SALEM – 636 005.

DEPARTMENT OF PRODUCTION ENGINEERING

BIO - DATA Affix your
Reg.No.: Recent
Stamp/Passport
Name of the Student : Size
Photograph
Father’s Name :
Address for Communication :

Father’s Occupation :
PINCODE: Mobile

Email id:

Date of Birth : Blood Group :

Community : OC/BC/BCM/MBC/DNC/SC/SCA/ST Caste :

Religion : Nationality :

Qualification: SSLC / ITI / HSC Academic / HSC Vocational Admn. Category: A / B / C / D / E

Marks Obtained in SSLC: Quota: Free / MQ

Marks Obtained in HSC: Marks Obtained in ITI:

Family Card Number:

Aadhaar No: Farmer / Welfare Card No:

Bank Acc No: IFSC:

IEI / ISTE Student Member : NCC / NSS / YRC:

SEMESTER MARKS:-
FIRST YEAR
COURSE 1 2 3 4 5 6 TOTAL %
CODE
I - Sem %

COURSE 1 2 3 4 5 6 7 8 9 10 11 %
CODE

II-Sem
%
SECOND YEAR
COURSE 1 2 3 4 5 6 TOTAL %
CODE
III-Sem %
Total Marks %
COURSE %
CODE
IV-Sem %
Total Marks %
 THIRD YEAR
COURSE 1 2 3 4 5 6 TOTAL %
CODE
V-Sem %
Total Marks %
COURSE 1 2 3 4 5 6 TOTAL %
CODE
VI-Sem %
Total Marks %

ARREAR(S) DETAILS (IF ANY) :

FIRST YEAR
COURSE 1 2 3 4 5 6 TOTAL %
CODE
I - Sem %
Autonomous
Exam Marks
Month & Year
of Passing

COURSE 1 2 3 4 5 6 7 8 9 10 11 %
CODE
II-Sem
Autonomous
Exam Marks %
Month & Year
of Passing

SECOND YEAR
III-SEM 1 2 3 4 5 6 TOTAL %
COURSE
CODE %
Autonomous Exam
Marks
Month & Year
of Passing
IV-SEM
COURSE
CODE %
Autonomous Exam
Marks
Month & Year
of Passing
Total Marks %

THIRD YEAR
V-SEM 1 2 3 4 5 6 TOTAL %
COURSE
CODE %
Autonomous Exam
Marks
Month & Year
of Passing
VI-SEM
COURSE
CODE %
Autonomous Exam
Marks
Month & Year
of Passing
Total Marks %

Signature of Student Counsellor