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Application 407708

This document is an application for admission to the B.E/B.Tech degree course for the year 2025 from the Government of Tamil Nadu. It contains personal, academic, and reservation information of the applicant, VIJI V, including details about her schooling, qualifying examination, and declarations by both the applicant and her parent. The document also lists required certificates to be uploaded for the admission process.

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siva.chandran12
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0% found this document useful (0 votes)
18 views4 pages

Application 407708

This document is an application for admission to the B.E/B.Tech degree course for the year 2025 from the Government of Tamil Nadu. It contains personal, academic, and reservation information of the applicant, VIJI V, including details about her schooling, qualifying examination, and declarations by both the applicant and her parent. The document also lists required certificates to be uploaded for the admission process.

Uploaded by

siva.chandran12
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: 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

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