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: 407708
Personal Information
 Name: VIJI V                                                                     Aadhar Number (optional): 200949255088
 Date of Birth (DD-MM-YYYY): 01-01-2007                                           Communication Address: D No 57/2, vowal thoppur,Kullamudayanur , mettur
 Permanent Address: D No 57/2, vowal thoppur,Kullamudayanur , mettur              State: Tamil nadu
 District: Salem                                                                  Taluk: Mettur
 Communication address pincode: 636453                                            Native District: Salem
 Civic status of Native Place: Village Panchayat                                  Gender: Female
 Mother Tongue: Tamil                                                             Nationality: Indian
 Nativity: Tamil nadu                                                             Religion: Hindu
 Name of the Community: BC                                                        Name of the Caste:
                                                                                  Kongu Vellalars( including Vellala Gounder, Nattu Gounder, Narambukkatti Gounder, Tirumudi
                                                                                  Vellalar, Thondu Vellalar, Pala Gounder, Poosari Gounder, Anuppa Vellala Gounder, Padaithalai
                                                                                  Gounder, Chendalai Gounder, Pavalankatti Vellala Gounder,Palavellala Gounder, Sanku Vellala
                                                                                  Gounder and Rathinagiri Gounder).
 Community certificate number: 12517454                                           Name of the Father: Viswanathan
 Name of the Mother: Revathi                                                      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:
                                                                                  Thiagarajar Polytechnic College, Salem-636005
Scholarship Information
 Parent Occupation: Agriculture                                                   Annual Income: 90000
 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?: 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?: Yes
         Class           Year of Passing           Name of the school           District                    State                     Block                   Category of
                                                                                                                                                              Govt.School
        VI Std.               2018                 Ghss Kullamudaiyanur          Salem                   Tamil nadu                  Mecheri               GOVERNMENT
       VII Std.               2019                 Ghss Kullamudaiyanur          Salem                   Tamil nadu                  Mecheri               GOVERNMENT
       VIII Std.              2020                 Ghss Kullamudaiyanur          Salem                   Tamil nadu                  Mecheri               GOVERNMENT
        IX Std.               2021                 Ghss Kullamudaiyanur          Salem                   Tamil nadu                  Mecheri               GOVERNMENT
        X Std.                2022                 Ghss Kullamudaiyanur          Salem                   Tamil nadu                  Mecheri               GOVERNMENT
        XI Std.               2023                 Ghss Kullamudaiyanur          Salem                   Tamil nadu                  Mecheri               GOVERNMENT
       XII Std.               2024                 Ghss Kullamudaiyanur          Salem                   Tamil nadu                  Mecheri               GOVERNMENT
Academic Information
 Qualifying Examination: TN-HSC                                                   Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
 Permanent register number: 2313295672                                            HSC Roll number: 6295843
 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: 426
 Have you applied for NEET ?: Yes                                                 Have you applied for JEE ?: No
                                                             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: 407708
 Have you applied for Indian Maritime University Common Entrance Test (IMU      Educational Management Information System(EMIS) Number: 1004761529
 CET)?:
 No
 Nativity certificate number (if applicable): --
              Subjects               Permanent Register Number/Roll    Month         Year             Maximum Mark                 Obtained Mark
                                                Number
              Physics                           6295843                March         2024                  100                          61
             Chemistry                          6295843                March         2024                  100                          75
            Mathematics                         6295843                March         2024                  100                          62
              Optional                          6295843                March         2024                  100                          75
                                                     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: 407708
                                              DECLARATION BY THE APPLICANT
I, VIJI V (Son / Daughter) of VISWANATHAN 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, VISWANATHAN (Parent / Guardian) of VIJI V 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: 407708
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