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Application 319322

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

Application 319322

Uploaded by

a.h.bershy2007
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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: 319322

Personal Information
Name: A.H.BERSHY Aadhar Number (optional): 2488 4081 3490
Date of Birth (DD-MM-YYYY): 02-11-2007 Communication Address: Ganga Vilagam Chithral post
Permanent Address: Ganga Vilagam Chithral post State: Tamil nadu
District: Kanyakumari Taluk: Vilavankodu
Communication address pincode: 629151 Native District: Kanyakumari
Civic status of Native Place: Village Panchayat Gender: Female
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Christian
Name of the Community: BC Name of the Caste: Nadar, Shanar and Gramani
Community certificate number: 98E86B966A687D86 Name of the Father: T. ASHOK KUMAR
Name of the Mother: M.HELAN Parent / spouse / Guardian Mobile Number: 9442438286

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:
S.T.Hindu College, Desi Vinayagar Nagar, Kottar, Nagercoil - 629 002

Scholarship Information
Parent Occupation: Central Govt Employee Annual Income: 700000
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: Central Govt Civic status of school location (+2): Corporation
Have you studied VIII to XII in Tamil Nadu?: No 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 Kendriya Vidyalaya Nagercoil Others Tamil nadu Others --

VII Std. 2020 Kendriya Vidyalaya Nagercoil Others Tamil nadu Others --

VIII Std. 2021 Kendriya Vidyalaya Nagercoil Others Tamil nadu Others --

IX Std. 2022 Kendriya Vidyalaya Nagercoil Others Tamil nadu Others --

X Std. 2023 Kendriya Vidyalaya Nagercoil Others Tamil nadu Others --

XI Std. 2024 Kendriya Vidyalaya M E G Center Others Karnataka Others --

XII Std. 2025 Kendriya Vidyalaya M E G Center Others Karnataka Others --

Academic Information
Qualifying Examination: CBSE Name of the Board of Examination: Central Board of Secondary Education
Permanent register number: -- HSC Roll number: 18606525
Qualified Year: 2025 HSC Group: --
Group Code: Physics/ Chemistry/ Maths/ Optional Subject (0001) Medium of Instruction: English
HSC maximum (total) marks: 365 HSC obtained marks: 365
Have you applied for NEET ?: Yes Have you applied for JEE ?: No
Have you applied for Indian Maritime University Common Entrance Test (IMU Educational Management Information System(EMIS) Number: --
CET)?:
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: 319322

If there is no EMIS ID, Specify reason: Other State Nativity certificate number (if applicable): --

Subjects Permanent Register Number/Roll Month Year Maximum Mark Obtained Mark
Number

Physics 042 February 2025 100 70

Chemistry 043 February 2025 100 68

Mathematics 041 March 2025 100 67

Optional 044 March 2025 100 83


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: 319322

DECLARATION BY THE APPLICANT


I, A.H.BERSHY (Son / Daughter) of T. ASHOK KUMAR 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, T. ASHOK KUMAR (Parent / Guardian) of A.H.BERSHY 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: 319322

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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