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Application 298672

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0% found this document useful (0 votes)
63 views4 pages

Application 298672

Uploaded by

ucektfc72
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GOVERNMENT OF TAMIL NADU

DIRECTORATE OF TECHNICAL EDUCATION


TAMIL NADU ENGINEERING ADMISSIONS - 2024
Application for Admission to B.E/B.Tech Degree Course
Application Number: 298672

Personal Information
Name: P.DINESH Name of the Parent/Guardian: J.PERUMAL
Communication Address: Permanent Address:
NO,2 R.M.V Sreenivasan street ambal nagar ,tolgate kanchipuram -631501 NO,2 R.M.V Sreenivasan street ambal nagar ,tolgate kanchipuram -631501
State: Tamil nadu District: Kancheepuram
Taluk: Kancheepuram Communication address pincode: 631501
Native District: Krishnagiri Civic status of Native Place: Village Panchayat
Date of Birth (DD-MM-YYYY): 06-07-2007 Gender: Male
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Hindu
Name of the Community: OC Name of the Caste: Others
Aadhar Number (optional): 865209792810

Special Reservation Information


Whether you are a candidate under quota for Eminent Sports person as per Ex-Servicemen (Only Army/Navy/ Air force services are Eligible): No
annexure-II, item No.22 of information brochure?:
No
Differently Abled Person: No Differently Abled Type: --
TFC Center for certificate verification:
University College Of Engineering, Kancheepuram, Ponnerikarai Campus, Karaipettai Village
& Post, Kancheepuram 631552

Scholarship Information
Parent Occupation: Others Annual Income: 84000
Are you a First Graduate?: Yes Post Matric Scholarship (SC/SCA/ST/Converted Christians): No
Are you planning to avail education loan?: Y

School of Study Information


Category of School: Private Civic status of school location (+2): Municipality
Have you studied VIII to XII in Tamil Nadu?: Yes Have you studied from VI to VIII in private school under RTE and IX to XII
in Government School?:
No
Have you studied VI to XII in Government school?: No

Class Year of Passing Name of the school District State Block Category of
Govt.School

VI Std. 2018 Mahatma Gandhi Matric School, Kaliya- Kancheepuram Tamil nadu Walajabad --
nur

VII Std. 2019 Mahatma Gandhi Matric School, Kaliya- Kancheepuram Tamil nadu Walajabad --
nur

VIII Std. 2020 Mahatma Gandhi Matric School, Kaliya- Kancheepuram Tamil nadu Walajabad --
nur

IX Std. 2021 Mahatma Gandhi Matric School, Kaliya- Kancheepuram Tamil nadu Walajabad --
nur

X Std. 2022 Mahatma Gandhi Matric School, Kaliya- Kancheepuram Tamil nadu Walajabad --
nur

XI Std. 2023 M.l.m. Mamallan Mhss, Kanchipuram Kancheepuram Tamil nadu Kancheepuram --
631502

XII Std. 2024 M.l.m. Mamallan Mhss, Kanchipuram Kancheepuram Tamil nadu Kancheepuram --
631502

Academic Information
Qualifying Examination: TN-HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: -- HSC Roll number: 6653358
Qualified Year: 2024 HSC Group: HSC Academic
Group Code: Physics/ Chemistry/ Maths/ Biology Medium of Instruction: Tamil
HSC maximum (total) marks: 600 HSC obtained marks: 525
SSLC maximum (total) marks: 500 SSLC obtained marks: 408
Have you applied for NEET ?: Yes Have you applied for JEE ?: No
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2024
Application for Admission to B.E/B.Tech Degree Course
Application Number: 298672

Have you applied for Indian Maritime University Common Entrance Test (IMU Educational Management Information System(EMIS) Number:
CET)?: 3303010520500270
No
Community certificate number: TN52020013012816 Nativity certificate number (if applicable): --

Subjects Permanent Register Number/Roll Month Year Maximum Mark Obtained Mark
Number

Physics -- March 2024 100 86

Chemistry -- March 2024 100 82

Mathematics -- March 2024 100 95

Optional -- March 2024 100 81


GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2024
Application for Admission to B.E/B.Tech Degree Course
Application Number: 298672

Affix recent Passport


size Photo

DECLARATION BY THE APPLICANT


I, P.DINESH (Son / Daughter) of J.PERUMAL hereby 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 Tamil Nadu 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 up to 3 years, and / or fine up to Rs.25,000/-

Place:

Date: ( Signature of the Applicant )

DECLARATION BY THE PARENT/ GUARDIAN


I, J.PERUMAL (Parent / Guardian) of P.DINESH hereby 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 Institution 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 Tamil Nadu 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 up to 3 years, and / or fine up to RS.
25,000/-

Place:

Date: ( Signature of Parent / Guardian )

Note: Guardian can execute the above declaration, only if both the parents are not alive.
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2024
Application for Admission to B.E/B.Tech Degree Course
Application Number: 298672

The following Certificates copy have to be uploaded to our system.

1. Transfer certificate
2. 10th Mark Sheet
3. 12th Mark Sheet
4. Income Certificate of the Parent
5. Special Reservation Form for Sports and relevant certificates
6. Special Reservation Form for Ex-Serviceman and relevant certificates
7. Special Reservation Form for Blindness & Low Vision and relevant certificates

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