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Application 473397

The document is an application for admission to the B.E/B.Tech degree course for the year 2025 by KATHIRAVAN A, including personal, academic, and special reservation information. It outlines the applicant's details such as name, date of birth, communication address, educational background, and declaration statements by both the applicant and parent/guardian. Additionally, it lists required certificates to be uploaded for the admission process.
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0% found this document useful (0 votes)
31 views4 pages

Application 473397

The document is an application for admission to the B.E/B.Tech degree course for the year 2025 by KATHIRAVAN A, including personal, academic, and special reservation information. It outlines the applicant's details such as name, date of birth, communication address, educational background, and declaration statements by both the applicant and parent/guardian. Additionally, it lists required certificates to be uploaded for the admission process.
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 - 2025
Application for Admission to B.E/B.Tech Degree Course
Application Number: 473397

Personal Information
Name: KATHIRAVAN A Aadhar Number (optional): 495567269574
Date of Birth (DD-MM-YYYY): 07-10-2007 Communication Address:
00, PILLAIYAR KOVIL STREET, VAILAMUR(KIL), VILLUPURAM DIST. 605651
Permanent Address: State: Tamil nadu
00, PILLAIYAR KOVIL STREET, VAILAMUR(KIL), VILLUPURAM DIST. 605651
District: Viluppuram Taluk: Gingee
Communication address pincode: 605651 Native District: Viluppuram
Civic status of Native Place: Village Panchayat Gender: Male
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Christian
Name of the Community: BC Name of the Caste:
Converts to Christianity from Scheduled Castes irrespective of the generation of conversion for
the purpose of reservation of seats in Educational Institutions and for seats in Public Services.
Community certificate number: TN-5201908305445 Name of the Father: AROKIYA DOSS
Name of the Mother: VIJAYAKUMARI Parent / spouse / Guardian Mobile Number: 9597947145

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-III of Information Brochure?:
No
Differently Abled Person: No Differently Abled Type: --
UDID (Unique Disability ID Number): -- Differently Abled State Id: --
The Extent of (%) of Disability: -- TFC Center for certificate verification:
University College Of Engineering, Villupuram, Kakuppam, Villupuram - 605103

Scholarship Information
Parent Occupation: Others Annual Income: 72000
Are you a First Graduate?: No First graduate certificate number: --
Post Matric Scholarship (SC/SCA/ST/Converted Christians): No Income Certificate Number: --
Are you planning to avail education loan?: No

School of Study Information


Category of School: Govt. Aided Civic status of school location (+2): Village Panchayat
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. 2019 Panchayat Union Middle School Aruva- Viluppuram Tamil nadu Vaanur --
pakkam

VII Std. 2020 Panchayat Union Middle School Aruva- Viluppuram Tamil nadu Vaanur --
pakkam

VIII Std. 2021 Panchayat Union Middle School Aruva- Viluppuram Tamil nadu Vaanur --
pakkam

IX Std. 2022 Government Higher Secondary School Viluppuram Tamil nadu Mailam --
Periyathachur

X Std. 2023 Government Higher Secondary School Viluppuram Tamil nadu Mailam --
Periyathachur

XI Std. 2024 Sacred Heart Higher Secondary School Viluppuram Tamil nadu Vallam --
Anilady

XII Std. 2025 Sacred Heart Higher Secondary School Viluppuram Tamil nadu Vallam --
Anilady

Academic Information
Qualifying Examination: TN-HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: 2414541346 HSC Roll number: 1541449
Qualified Year: 2025 HSC Group: HSC Academic
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2025
Application for Admission to B.E/B.Tech Degree Course
Application Number: 473397

Group Code: Physics/ Chemistry/ Maths/ Biology Medium of Instruction: Tamil


HSC maximum (total) marks: 600 HSC obtained marks: 471
Have you applied for NEET ?: No Have you applied for JEE ?: No
Have you applied for Indian Maritime University Common Entrance Test (IMU Educational Management Information System(EMIS) Number: 1019522987
CET)?:
No
Nativity certificate number (if applicable): TN-3201908303872

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

Physics 2414541346 March 2025 100 76

Chemistry 2414541346 March 2025 100 85

Mathematics 2414541346 March 2025 100 81

Optional 2414541346 March 2025 100 83


GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2025
Application for Admission to B.E/B.Tech Degree Course
Application Number: 473397

DECLARATION BY THE APPLICANT


I, KATHIRAVAN A (Son / Daughter) of AROKIYA DOSS 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, AROKIYA DOSS (Parent / Guardian) of KATHIRAVAN A 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 - 2025
Application for Admission to B.E/B.Tech Degree Course
Application Number: 473397

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

1. Transfer certificate
2. 10th Mark Sheet
3. 12th Mark Sheet
4. Permanent Community Certificate Card for BC (Permanent card / Electronic form / Digitally Signed E-Certificate)
5. Income Certificate of the Parent
6. Special Reservation Form for Sports and relevant certificates
7. Special Reservation Form for Ex-Serviceman and relevant certificates
8. Differently Abled Form and relevant certificates

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