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Application 347322

The document is an application for admission to the B.E/B.Tech degree course for the year 2025 from the Government of Tamil Nadu, detailing personal, academic, and reservation information of the applicant, Navisha N. It includes declarations from both the applicant and her parent, affirming the truthfulness of the provided information and awareness of regulations against ragging. Additionally, it lists required certificates to be uploaded for the application process.

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

Application 347322

The document is an application for admission to the B.E/B.Tech degree course for the year 2025 from the Government of Tamil Nadu, detailing personal, academic, and reservation information of the applicant, Navisha N. It includes declarations from both the applicant and her parent, affirming the truthfulness of the provided information and awareness of regulations against ragging. Additionally, it lists required certificates to be uploaded for the application process.

Uploaded by

suharaagav
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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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: 347322

Personal Information
Name: NAVISHA N Aadhar Number (optional): --
Date of Birth (DD-MM-YYYY): 30-09-2007 Communication Address:
004 ALAGICHIPATTI VTC URANGANPATTI POST MELUR MADURAI
Permanent Address: State: Tamil nadu
004 ALAGICHIPATTI VTC URANGANPATTI POST MELUR MADURAI
District: Madurai Taluk: Melur
Communication address pincode: 625109 Native District: Madurai
Civic status of Native Place: Municipality Gender: Female
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Hindu
Name of the Community: MBC & DNC Name of the Caste: Valaiyar (including Chettinad Valayars)
Community certificate number: TN5202307288093 Name of the Father: NATARAJAN K
Name of the Mother: MEHARJEYAM N Parent / spouse / Guardian Mobile Number: --

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:
Government Polytechnic College,Melur -625 109.

Scholarship Information
Parent Occupation: Others Annual Income: 72000
Are you a First Graduate?: Yes 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: State Govt 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?:
Yes
Have you studied VI to XII in Government school?: Yes

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

VI Std. 2019 Govt Hr Sec School, Uranganpatti Madurai Tamil nadu Melur GOVERNMENT

VII Std. 2020 Govt Hr Sec School, Uranganpatti Madurai Tamil nadu Melur GOVERNMENT

VIII Std. 2021 Govt Hr Sec School, Uranganpatti Madurai Tamil nadu Melur GOVERNMENT

IX Std. 2022 Govt Hr Sec School, Uranganpatti Madurai Tamil nadu Melur GOVERNMENT

X Std. 2023 Govt Hr Sec School, Uranganpatti Madurai Tamil nadu Melur GOVERNMENT

XI Std. 2024 Govt Girls Hr Sec School, Melur Madurai Tamil nadu Melur GOVERNMENT

XII Std. 2025 Govt Girls Hr Sec School, Melur Madurai Tamil nadu Melur GOVERNMENT

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: 1148012
Qualified Year: 2025 HSC Group: HSC Academic
Group Code: Physics/ Chemistry/ Maths/ Biology Medium of Instruction: Tamil
HSC maximum (total) marks: -- HSC obtained marks: --
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: 1014088145
CET)?:
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: 347322

No
Nativity certificate number (if applicable): --
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: 347322

DECLARATION BY THE APPLICANT


I, NAVISHA N (Son / Daughter) of NATARAJAN K 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, NATARAJAN K (Parent / Guardian) of NAVISHA N 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: 347322

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 MBC & DNC (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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