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6a)Name of the College, Branch and Semester to which the Transfer is RequestedName of the Engineering College Name of Branch Semesterb)Category of College( √ - Tick the relevant Box below)Name of University to which theCollege is Affiliated(Chennai / Coimbatore /Tiruchirappalli / Tirunelveli / Madurai)GOVERNMENTGOVERNMENT AIDEDSELF FINANCINGUNIVERSITY CONSTITUENTCOLLEGEANNA UNIVERSITY OFTECHNOLOGY,………………….……………….7Month and Year of the Even Semester Examinations (II, IV, VI) last appearedMonth Year SemesterUniversity RegisterNumberName of the University8 Reason for requesting TransferUNDERTAKINGI hereby agree for the Transfer / Re-admission cum Transfer, accepting theconditions that the University may prescribe in this regard.I further agree and state that,(i)(ii)(iii)(iv)(v)(vi)I shall appear for the equivalent or additional papers, if any, that may beprescribed by the University.I shall diligently and faithfully follow the instructions and curriculum of theCollege to which I am transferred, that are in force time to time;I agree to pay whatever fees that are prescribed by the concerned Universityfor such Transfer.I shall not prefer any claim or right for exemption for any papers whatsoever;I shall not prefer any representation seeking stay of or exempting from theoperation of any part or in full of the conditions to be prescribed by theUniversity / CollegeI am aware that the transfer / Re-admission cum Transfer ordered by DOTE issubject to confirmation by the respective Anna University.Signature of the ParentSignature of the Student

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