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    Application No.: 171721

    Uploaded by

    Srinivasarao Duddupudi
    1. The document is an application for Tamil Nadu Engineering Admissions 2019 submitted by Sailesh Duddupudi for admission to a B.E/B.Tech degree course. 2. Key details include the applicant's personal information, academic qualifications including marks obtained in Class 12 exams, family details, and a declaration signed by both the applicant and parent. 3. Original documents that need to be produced for verification include mark sheets, community certificate, income certificate if needed, and certificates for any special reservations that may apply.

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    © All Rights Reserved
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    Application No.: 171721

    Uploaded by

    Srinivasarao Duddupudi
    29 views3 pages
    1. The document is an application for Tamil Nadu Engineering Admissions 2019 submitted by Sailesh Duddupudi for admission to a B.E/B.Tech degree course. 2. Key details include the applicant's personal information, academic qualifications including marks obtained in Class 12 exams, family details, and a declaration signed by both the applicant and parent. 3. Original documents that need to be produced for verification include mark sheets, community certificate, income certificate if needed, and certificates for any special reservations that may apply.

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    171721 (1)

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    1. The document is an application for Tamil Nadu Engineering Admissions 2019 submitted by Sailesh Duddupudi for admission to a B.E/B.Tech degree course. 2. Key details include the applicant's personal information, academic qualifications including marks obtained in Class 12 exams, family details, and a declaration signed by both the applicant and parent. 3. Original documents that need to be produced for verification include mark sheets, community certificate, income certificate if needed, and certificates for any special reservations that may apply.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    29 views3 pages

    Application No.: 171721

    Uploaded by

    Srinivasarao Duddupudi
    1. The document is an application for Tamil Nadu Engineering Admissions 2019 submitted by Sailesh Duddupudi for admission to a B.E/B.Tech degree course. 2. Key details include the applicant's personal information, academic qualifications including marks obtained in Class 12 exams, family details, and a declaration signed by both the applicant and parent. 3. Original documents that need to be produced for verification include mark sheets, community certificate, income certificate if needed, and certificates for any special reservations that may apply.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    GOVERNMENT OF TAMIL NADU

    DIRECTORATE OF TECHNICAL EDUCATION


    TAMIL NADU ENGINEERING ADMISSIONS 2019

    Application No. : 171721


    Personal Information
    Name SAILESH DUDDUPUDI Nativity OTHERS
    Parent Name SRINIVASARAO DUDDUPUDI Religion HINDU
    Flat no F1, Door no new 12,7th MAIN
    Permanent Address ROAD,KASTURIBANAGAR,ADYAR,CHENNAI Community OC
    CHENNAI TAMIL NADU -600020
    Mobile Number 9940189526 Caste Name - Code Others-539
    Email vanisrini11@gmail.com Aadhar Number 554159764569
    Date of Birth 14-05-2002 Nationality OTHERS
    Gender MALE
    Special Reservation Information
    Eminent Sports Person NO Differently Abled Person NO
    Exservicemen NO
    Scholarship Information
    Annual Income Above Rs. 6,00,000
    Availed First Graduate Tuition Fee
    First Graduate Tuition Fee Concession NO NO
    Concession
    AICTE Tuition Fee Waiver (TFW)
    NO Post Matric Scholarship NO
    Scheme
    School of Study Information
    Studied VIII, IX, X, XI & XII Std. in Tamil Nadu School of Study YES
    Class Year of Passing Name of the School District State
    Sri sankara senior secondary
    VIII Std. 2015 CHENNAI TAMIL NADU
    school
    Sri sankara senior secondary
    IX Std. 2016 CHENNAI TAMIL NADU
    school
    Sri sankara senior secondary
    X Std. 2017 CHENNAI TAMIL NADU
    school
    XI Std. 2018 Chettinad Vidyashram CHENNAI TAMIL NADU
    XII Std. 2019 Chettinad Vidyashram CHENNAI TAMIL NADU

    Academic Information
    Qualifying Examination SSCE/CBSE
    Name of the Board of Examination All-India Board-Central Board of Secondary Education
    HSC/Equivalent Register Number & Year : C4606298 - 2019
    HSC Group & Group Code : HSC Academic - 102
    Marks Obtained in HSC (Academic/Equivalent) Examination
    Subject Register Number Month Year Maximum Mark Obtained Mark
    Physics 4606298 Mar 2019 100 95
    Chemistry 4606298 Mar 2019 100 95
    Mathematics 4606298 Mar 2019 100 98
    Optional 4606298 Mar 2019 100 96

    Civic Information
    Mother Tongue TELUGU Civic Native Corporation
    Medium Of Instruction ENGLISH Civic School Corporation
    Parent Occupation Professional Native District CHENNAI
    TAMIL NADU ENGINEERING ADMISSIONS 2019
    Application for Admission to B.E/B.Tech Degree Course
    Application No. : 171721

    The Following Original Certificates have to be produced at TFC, at the time of Certificate Verification.
    Venue, Date and Time will be intimated through SMS to the registered mobile and Email id.

    1. Transfer Certificate

    2. 10th Mark Sheet

    3. 11th Mark Sheet

    4. 12th Mark Sheet

    5. HSC Hall Ticket

    6. Permanent Community Certificate Card (Permanent card / electronic form / digitally signed e-Certificate)

    7. Income Certificate of the Parent if applicable

    8. Nativity Certificate if applicable

    9. Special Reservation Form For Sports and relevant certificates if applicable

    10. Special Reservation Form For Ex-serviceman and relevant certificates if applicable

    11. Special Reservation Form For Differently Abled and relevant certificates if applicable

    Printout of the application, Signed declaration and photocopies of all the above mentioned certificates need to be submitted at TFC, at
    the time of Certificate Verification.
    TAMIL NADU ENGINEERING ADMISSIONS 2019
    Application for Admission to B.E/B.Tech Degree Course
    Application No. : 171721
    Recent
    Passport
    size
    Photo

    DECLARATION BY THE APPLICANT


    I,SAILESH DUDDUPUDI ( Son / Daughter) of SRINIVASARAO DUDDUPUDI 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 Tamilnadu 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 upto 3 years,and / or fine upto Rs. 25,000/-

    Place :
    (Signature of Applicant)
    Date :

    DECLARATION BY THE PARENT / GUARDIAN


    I,SRINIVASARAO DUDDUPUDI (Parent / Guardian) of SAILESH DUDDUPUDI 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
    Institition 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 TamilnaduProhibition 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 upto 3 years,and / or fine upto RS.
    25,000/-

    Place :
    (Signature of Parent / Guardian)
    Date :

    Note: Guardian can execute the above declaration,only if both the parents are not alive.

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