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: 466637
Personal Information
 Name: EZHIL E                                                                    Aadhar Number (optional): --
 Date of Birth (DD-MM-YYYY): 12-03-2008                                           Communication Address:
                                                                                  S/O, ELAMARAN, 1/6, WEST STREET, MUNNIYUR, POOSALANGUDI, ANDANKARAI,
                                                                                  TIRUVARUR - 610203
 Permanent Address:                                                               State: Tamil nadu
 S/O, ELAMARAN, 1/6, WEST STREET, MUNNIYUR, POOSALANGUDI, ANDANKARAI,
 TIRUVARUR - 610203
 District: Tiruvarur                                                              Taluk: Thiruthuraipoondi
 Communication address pincode: 610203                                            Native District: Tiruvarur
 Civic status of Native Place: Municipality                                       Gender: Male
 Mother Tongue: Tamil                                                             Nationality: Indian
 Nativity: Tamil nadu                                                             Religion: Hindu
 Name of the Community: SC                                                        Name of the Caste:
                                                                                  Devendrakula Velalar [Devendrakulathan, Kadaiyan(excluding in the coastal areas of
                                                                                  Tirunelveli, Thoothukudi, Ramanathapuram, pudukottai, Thanjavur, Tiruvarur and Nagapattinam
                                                                                  districts), kalladi, Kudumban, Pallan, pannadi, Vathiriyan]
 Community certificate number: TN-52025051618892                                  Name of the Father: ELAMARAN V
 Name of the Mother: SARASWATHI E                                                 Parent / spouse / Guardian Mobile Number: 7810054754
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 College Of Engineering, Srirangam, Thiruchirappalli - 620012.
Scholarship Information
 Parent Occupation: Agriculture                                                   Annual Income: 72000
 Are you a First Graduate?: Yes                                                   First graduate certificate number: --
 Post Matric Scholarship (SC/SCA/ST/Converted Christians): Yes                    Income Certificate Number: TN-42025051618750
 Are you planning to avail education loan?: Yes
School of Study Information
 Category of School: State Govt                                                   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              Ahs, John Prito Pallankovil     Tiruvarur               Tamil nadu             Thiruthuraipoondi                 --
        VII Std.              2020              Ahs, John Prito Pallankovil     Tiruvarur               Tamil nadu             Thiruthuraipoondi                 --
       VIII Std.              2021              Ahs, John Prito Pallankovil     Tiruvarur               Tamil nadu             Thiruthuraipoondi                 --
        IX Std.               2022              Ahs, John Prito Pallankovil     Tiruvarur               Tamil nadu             Thiruthuraipoondi                 --
        X Std.                2023              Ahs, John Prito Pallankovil     Tiruvarur               Tamil nadu             Thiruthuraipoondi                 --
        XI Std.               2024                  Ghss, Alathampadi           Tiruvarur               Tamil nadu             Thiruthuraipoondi                 --
        XII Std.              2025                  Ghss, Alathampadi           Tiruvarur               Tamil nadu             Thiruthuraipoondi                 --
Academic Information
 Qualifying Examination: TN-HSC                                                   Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
 Permanent register number: 2414500689                                            HSC Roll number: 1500808
 Qualified Year: 2025                                                             HSC Group: HSC Academic
 Group Code: Physics/ Chemistry/ Maths/ Computer Science                          Medium of Instruction: Tamil
                                                         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: 466637
 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: 1015527067
 CET)?:
 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: 466637
                                              DECLARATION BY THE APPLICANT
I, EZHIL E (Son / Daughter) of ELAMARAN V 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, ELAMARAN V (Parent / Guardian) of EZHIL E 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: 466637
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 SC (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