CERTIFICATE No.

– VII

Name of the Applicant : ............................................................................ Identification No.

FIRST GRADUATE CERTIFICATE

It is certified that there is no Graduate in the family of Selvan / Selvi………………………………………………

Son / Daughter of Thiru / Tmt.…………………………………………………………………………presently residing at

……………………………………………………………………………………………………………………………………

and who has applied for professional courses during the year 2019, is eligible for Tuition Fee exemption as per the
G.O. (St) No. 85 Higher Education (J2) Department, dated 16-04-2010.

Relationship
Sl. (Father / Mother / Educational Whether a
Name Brother / Sister / Age
No. Qualification Degree holder
Grand Father /
Grand Mother)
(6)

Applicant

Father

Mother

Father’s Father

Father’s Mother

Mother’s Father

Mother’s Mother

Brother / Sister

Brother / Sister

Brother / Sister

Brother / Sister

Head Quarters Deputy Tahsildar

Taluk :

District :