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    Application No.: 199065

    Uploaded by

    Kavi Mukilan
    1. This document is an application for admission to a B.E/B.Tech degree course in Tamil Nadu for 2019. It contains personal information about the applicant such as name, address, academic qualifications. 2. The applicant's academic qualifications include completing Class 10, 11 and 12 in Tamil Nadu with marks obtained in Physics, Chemistry, Mathematics and optional subjects in the HSC examination. 3. Original certificates that must be produced at the time of verification include transfer certificate, mark sheets, hall ticket, community certificate, income certificate if needed and special reservation forms if applicable. 4. Both applicant and parent/guardian have signed declarations that the information provided is true and they are aware

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Application No.: 199065

    Uploaded by

    Kavi Mukilan
    118 views3 pages
    1. This document is an application for admission to a B.E/B.Tech degree course in Tamil Nadu for 2019. It contains personal information about the applicant such as name, address, academic qualifications. 2. The applicant's academic qualifications include completing Class 10, 11 and 12 in Tamil Nadu with marks obtained in Physics, Chemistry, Mathematics and optional subjects in the HSC examination. 3. Original certificates that must be produced at the time of verification include transfer certificate, mark sheets, hall ticket, community certificate, income certificate if needed and special reservation forms if applicable. 4. Both applicant and parent/guardian have signed declarations that the information provided is true and they are aware

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    199065 (1).pdf

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    1. This document is an application for admission to a B.E/B.Tech degree course in Tamil Nadu for 2019. It contains personal information about the applicant such as name, address, academic qualifications. 2. The applicant's academic qualifications include completing Class 10, 11 and 12 in Tamil Nadu with marks obtained in Physics, Chemistry, Mathematics and optional subjects in the HSC examination. 3. Original certificates that must be produced at the time of verification include transfer certificate, mark sheets, hall ticket, community certificate, income certificate if needed and special reservation forms if applicable. 4. Both applicant and parent/guardian have signed declarations that the information provided is true and they are aware

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    118 views3 pages

    Application No.: 199065

    Uploaded by

    Kavi Mukilan
    1. This document is an application for admission to a B.E/B.Tech degree course in Tamil Nadu for 2019. It contains personal information about the applicant such as name, address, academic qualifications. 2. The applicant's academic qualifications include completing Class 10, 11 and 12 in Tamil Nadu with marks obtained in Physics, Chemistry, Mathematics and optional subjects in the HSC examination. 3. Original certificates that must be produced at the time of verification include transfer certificate, mark sheets, hall ticket, community certificate, income certificate if needed and special reservation forms if applicable. 4. Both applicant and parent/guardian have signed declarations that the information provided is true and they are aware

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    GOVERNMENT OF TAMIL NADU

    DIRECTORATE OF TECHNICAL EDUCATION


    TAMIL NADU ENGINEERING ADMISSIONS 2019

    Application No. : 199065


    Personal Information
    Name KAVIMUKILAN A Nativity Tamil Nadu
    Parent Name ARUNA V Religion HINDU
    A4 Pabhu apartment 9,parasuampatti
    main
    Permanent Address Community BC
    road,moondrumavadi,k.pudur,Madurai-
    7 MADURAI TAMIL NADU -625007
    Mobile Number 9842224587 Caste Name - Code Nadar-425
    Email kavi2002aruna@gmail.com Aadhar Number 215820541953
    Date of Birth 31-01-2002 Nationality INDIAN
    Gender MALE
    Special Reservation Information
    Eminent Sports Person NO Differently Abled Person NO
    Exservicemen NO
    Scholarship Information
    Annual Income Above Rs. 6,00,000
    Availed First Graduate Tuition Fee
    First Graduate Tuition Fee Concession NO NO
    Concession
    AICTE Tuition Fee Waiver (TFW)
    NO Post Matric Scholarship NO
    Scheme
    School of Study Information
    Studied VIII, IX, X, XI & XII Std. in Tamil Nadu School of Study YES
    Class Year of Passing Name of the School District State
    Mahatma Montessori Matric
    VIII Std. 2015 MADURAI TAMIL NADU
    Hr Sec School
    Mahatma Montessori Matric
    IX Std. 2016 MADURAI TAMIL NADU
    Hr Sec School
    Mahatma Montessori Matric
    X Std. 2017 MADURAI TAMIL NADU
    Hr Sec School
    Mahatma Montessori Matric
    XI Std. 2018 MADURAI TAMIL NADU
    Hr Sec School
    Mahatma Montessori Matric
    XII Std. 2019 MADURAI TAMIL NADU
    Hr Sec School

    Academic Information
    Qualifying Examination HSC
    Name of the Board of Examination Tamilnadu-Tamilnadu Board of Higher Secondary Education
    HSC/Equivalent Register Number & Year : 4174203 - 2019
    HSC Group & Group Code : HSC Academic - 1503
    Marks Obtained in HSC (Academic/Equivalent) Examination
    Subject Register Number Month Year Maximum Mark Obtained Mark
    Physics 4174203 Mar 2019 100 76
    Chemistry 4174203 Mar 2019 100 85
    Mathematics 4174203 Mar 2019 100 77
    Optional 4174203 Mar 2019 100 75

    Civic Information
    Mother Tongue TAMIL Civic Native Village Panchayat
    Medium Of Instruction ENGLISH Civic School Corporation
    Parent Occupation State Govt. Native District THENI
    TAMIL NADU ENGINEERING ADMISSIONS 2019
    Application for Admission to B.E/B.Tech Degree Course
    Application No. : 199065

    The Following Original Certificates have to be produced at TFC, at the time of Certificate Verification.
    Venue, Date and Time will be intimated through SMS to the registered mobile and Email id.

    1. Transfer Certificate

    2. 10th Mark Sheet

    3. 11th Mark Sheet

    4. 12th Mark Sheet

    5. HSC Hall Ticket

    6. Permanent Community Certificate Card (Permanent card / electronic form / digitally signed e-Certificate)

    7. Income Certificate of the Parent if applicable

    8. Nativity Certificate if applicable

    9. Special Reservation Form For Sports and relevant certificates if applicable

    10. Special Reservation Form For Ex-serviceman and relevant certificates if applicable

    11. Special Reservation Form For Differently Abled and relevant certificates if applicable

    Printout of the application, Signed declaration and photocopies of all the above mentioned certificates need to be submitted at TFC, at
    the time of Certificate Verification.
    TAMIL NADU ENGINEERING ADMISSIONS 2019
    Application for Admission to B.E/B.Tech Degree Course
    Application No. : 199065
    Recent
    Passport
    size
    Photo

    DECLARATION BY THE APPLICANT


    I,KAVIMUKILAN A ( Son / Daughter) of ARUNA Vhereby solemnly declare that the information furnished and the statements given in the
    application and the enclosures are true, correct and complete.I further declare that should it be found otherwise, I will be liable to forfeit my seat and /
    or removal from the rolls of the Institution at whatever stage of study I may be,besides making me liable for criminal prosecution.I am fully aware that
    as per the directions of the Hon'ble Supreme Court of India and Tamilnadu Prohibition of Ragging Act 1997, Ragging is an offence,as is banned in
    the Institutions and anyone indulging in ragging is liable to be punished such as expulsion from the Institutions and / or rigorous imprisonment upto 3
    years,and / or fine upto Rs. 25,000/-

    Place :
    (Signature of Applicant)
    Date :

    DECLARATION BY THE PARENT / GUARDIAN


    I,ARUNA V (Parent / Guardian) of KAVIMUKILAN Ahereby solemnly declare that I am fully aware of the declaration made by the
    applicant,and I declare and bind myself on the same terms contained in the above declaration. The statements and the information given are
    true,correct and complete.If it is found otherwise,the applicant is liable to forfeit the seat and / or removal from the rolls of the Institition at whatever
    may be the stage of study,besides making me liable for criminal prosecution I am fully aware that as per the directions of the Hon'ble Supreme Court
    of India and Tamilnadu Prohibition of Ragging Act 1997,Ragging is an offence,as is banned in the Institutions and anyone indulging in ragging is liable
    to be punished such as expulsion from the Institution and / or rigorous imprisonment upto 3 years,and / or fine upto RS. 25,000/-

    Place :
    (Signature of Parent / Guardian)
    Date :

    Note: Guardian can execute the above declaration,only if both the parents are not alive.

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