ma ANNAMALAI we UNIVERSITY APPLICATION FOR ADMISSION TO THE CONVOCATION * (Por the students of Distance Education) IN ABSENTIA DEGREE FOR WHICH APPLICATION IS MADE Fes. GRADUATE DIPLOMA IN BUANTITY SURVEYING % VALUATION. Name of the candidate as enrolled in the University records (CAPITAL LETTERS) In English KEERTH] BALAN 3 In Tamil EIGA ssssch sr Father's name SURESH KUMBR S ‘Address a which the Degree Diploma snoule be sent [CAPITAL LETTERS WITH PINCODE} 12, THERAD! STREET, VADAKRRAL, PERIYAKDLAM, (PoxTKD THEN) ~ 625 Gol TAMIL NADU Sex: MALE | FEMALE Programme Detail Tame oF the Branch with Optional Glass] Wont & Year of Examination Subjects, iam Baan Reg7 No) awarded Passing AvannTy D First ECEMBER SURVEYING AND is |aa7DrT0z1P oot ates aa VALUATION ipctingd anne ‘Whether previous application was ever made for admission to this degree and if so in which year or years? = Payment Particulars: () 0.0. DETAILS: Name fine Bank: [SINTE BANK of INDIA oo No. ao hea| = Branch Code 00892 ‘AMOUNT | D.D. Date OT ot 2018 (i) CASH CHALLAN [pence a ear mara] a a | | z Paid at Cash Counter AMOUNT: | 7 Isat Cash Counter /18:| —>—r35 count} | | | Date Lae | at the overleaf of the Demand Draft cate Station: Fexiqakularn (ga te Date: OF/o4 [18 ‘Signature of the Applicant INSTRUCTIONS TO CANDIDATES ‘Applicaton for admission | to. the convocston must_be sent. to The Registra, Annamalai University Anamalainager "608 002 ALONG Witt THe COPIES OF THE PROVISIONAL CORTISICATE ‘he fee for ating te Degree Diploma absentia are lous 1. ALL DEGREE AND DIPLOMA COURSES Rs. 1,000/- 2. ADDITIONAL FEES In the case of candidates who have qualifed for the Degreo/Diploma at the Examinations more than 1 year but within # years from the ate of his convocation: Rs. - 260/- In the case of Candidates wno have qualified for the Degree!Diploma at the Examinations move than 4 years from the sate of this convocation Rs. 400/- ‘The fee may be paid at the Annamalai University Cash Counter in Annamalainager or the amount may ba sent by Demand Draft Grawn in favour of THE REGISTRAR, ANNAMALAI UNIVERSITY, ANNAMALAINAGAR payable st Chidambaram of Asnamalainagar. No Application wil be acoapted unless the prescribed fee has been paid. The fee once paid wil under no Circumstances be refunded or carried over to a subsequent Convecation, N.B. Enquities from Candidates as to the receipt of theie applications in the office of the Registrar will not receive attention. Each application, if accompanied by a. self addressed post-card, will be acknowledged by the retumn ‘of the post-card with University stamp duly impressed thereon.orth ont ‘Key: NEHBEQ ] ln Sean EA EREANE of nla sige " or ol4 2 lore Sem cope ne tone DEMAND DRAFT Snes DW YY srefta za Tel No. 04546-252302 3 3 i aiTSIFRR, THE REGISTRAR, ANNAMALAI UNIVE RSITY ANNAMALAI NAGAR ++ ‘ON DEMAND PAY ‘eu RUPERS One Thousand Two Hundred and Fifty Only Z oe eee TEs, 10 90468507081 Kay: NEHEEG s+ Nar 22070 AMOUNT BELOW 1251(14 setter ee fs CeBhsavonmen atc ent STATE BANK OF INDIA C.BHONANESWARAN — extnte, Tees Satta WT / DRAWEE BRANCHCHIDAMBARAM . teaxpapeikfnae BP FF. (CODE No: 00623 coc BAN AIR oar tity “SO 2044" OOGoDz00013 GoOLKBaw 1G= 6 )| SP 002 PROOF OF DELIVERY SPEED POST item Ne. Name ofthe person taking delivery ofthe tart efor interational EUS Speed Post only) [28] Signature [alvane [EE] Wieintin Ra. PB] Date of Gainey [SOF of cas wv Fear; Month, Day | Hour Minutes Sender B] Name and addrass of Sender * S.- Krosta Yalan, ; 2, Thetodi strech, Nedekared, Fetiyakstlany Them picode| > | 0 Ae Sl pete] 6] 2 | 5] 6] of) “IMPORTANT : THIS CARD SHOULD BE RETURNED N SPEED POST BAG, TO THE SENDER'S ADDRESS