Staple a recent color
passport size photo
to be at the top left
corner. Which will be
printed on yourOFFICE
Degree Certificate.
OF THE CONTROLLER OF EXAMINATIONS
(Furnish the following details to be printed in your degree
certificates)
Register
No.
Affix a recent
Color passport
School
Size
(3.5CM X 4CM)
photograph here
Program
me and
Branch
Name of the
Candidate
(in
CAPITAL
LETTERS)
Do Not Sign /
Write on the
Photo
Father’s / Guardian
Name
Date of
Birth
DD MM
YYYY
Sex
Male / Female
Address for Communication
State
Countr
y
Mobile
Pin Code
Phone
Mail ID
Candidate’s Signature
Date :
Note :
Division Leader / Programme Manager (s)
Signature
Date:
Submit the filled in form to the School Manager(s) concerned on or before 31-Mar-
2013. Otherwise send the duly filled in form to the Office of the Controller of Examinations,
VIT University, Vellore – 14 TN, India. at the earliest. This form can also be downloaded from
http://www.vit.ac.in/coe/coe_downloads.asp