GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2025 (Supplementary)
Application for Admission to B.E/B.Tech Degree Course
Application Number: 610484
Personal Information
Name: S. SATHIYA Aadhar Number (optional): 221515926670
Date of Birth (DD-MM-YYYY): 03-10-2007 Communication Address:
D/OSAKTHIVEL,2B,THATTAVURANI WEST STREET,KARAMBAKKU-
DI(TK),KARAMBAKKUDI(PO),
PUDUKKOTTAI(DT),622302
Permanent Address: State: Tamil nadu
D/OSAKTHIVEL,2B,THATTAVURANI WEST STREET,KARAMBAKKU-
DI(TK),KARAMBAKKUDI(PO),
PUDUKKOTTAI(DT),622302
District: Pudukkottai Taluk: Karambakudi
Communication address pincode: 622302 Native District: Pudukkottai
Civic status of Native Place: Town Panchayat Gender: Female
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Hindu
Name of the Community: MBC & DNC Name of the Caste: Ambalakarar
Community certificate number: TN-5201907242852 Name of the Father: SAKTHIVEL
Name of the Mother: MALAR Parent / spouse / Guardian Mobile Number: 7867811581
Special Reservation Information
UDID (Unique Disability ID Number): -- Differently Abled State Id: --
The Extent of (%) of Disability: -- TFC Center for certificate verification:
Government Polytechnic College,Kandarvakottai – 613 301.
Scholarship Information
Parent Occupation: Agriculture 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: State Govt Civic status of school location (+2): Town 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. 2019 Govt.girls.hr.sec.school,karambakkudi Pudukkottai Tamil nadu Karambakkudi GOVERNMENT
VII Std. 2020 Govt.girls.hr.sec.school,karambakkudi Pudukkottai Tamil nadu Karambakkudi GOVERNMENT
VIII Std. 2021 Govt.girls.hr.sec.school,karambakkudi Pudukkottai Tamil nadu Karambakkudi GOVERNMENT
IX Std. 2022 Govt.girls.hr.sec.school,karambakkudi Pudukkottai Tamil nadu Karambakkudi GOVERNMENT
X Std. 2023 Govt.girls.hr.sec.school,karambakkudi Pudukkottai Tamil nadu Karambakkudi GOVERNMENT
XI Std. 2024 Govt.girls.hr.sec.school,karambakkudi Pudukkottai Tamil nadu Karambakkudi GOVERNMENT
XII Std. 2025 Govt.girls.hr.sec.school,karambakkudi Pudukkottai Tamil nadu Karambakkudi GOVERNMENT
Academic Information
Qualifying Examination: TN-HSC (TAMIL NADU) Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: 2414401238 HSC Roll number: 1401345
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: 1013876767
CET)?:
No
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2025 (Supplementary)
Application for Admission to B.E/B.Tech Degree Course
Application Number: 610484
Nativity certificate number (if applicable): TN-3201907242636
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2025 (Supplementary)
Application for Admission to B.E/B.Tech Degree Course
Application Number: 610484
DECLARATION BY THE APPLICANT
I, S. SATHIYA (Son / Daughter) of SAKTHIVEL 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, SAKTHIVEL (Parent / Guardian) of S. SATHIYA 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 ADMISSION - 2025 (Supplementary)
Application for Admission to B.E/B.Tech Degree Course
Application Number: 610484
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
