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    Guru Prasath

    Uploaded by

    Selvakumar S
    This document contains an application for admission to a B.E/B.Tech degree course in Tamil Nadu for the year 2023. It includes personal details of the applicant named Guru Prasath such as name, date of birth, address, academic details from Class 6 to 12, marks obtained in Class 10 and 12 board exams. It also provides information about parent's occupation, annual income, community certificate and whether applicant has applied for other exams like NEET, JEE. The applicant and parent have signed declarations stating that the information provided is true and they are aware of anti-ragging laws. Required documents like mark sheets, certificates and reservation forms need to be uploaded along with this application.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Guru Prasath

    Uploaded by

    Selvakumar S
    21 views4 pages
    This document contains an application for admission to a B.E/B.Tech degree course in Tamil Nadu for the year 2023. It includes personal details of the applicant named Guru Prasath such as name, date of birth, address, academic details from Class 6 to 12, marks obtained in Class 10 and 12 board exams. It also provides information about parent's occupation, annual income, community certificate and whether applicant has applied for other exams like NEET, JEE. The applicant and parent have signed declarations stating that the information provided is true and they are aware of anti-ragging laws. Required documents like mark sheets, certificates and reservation forms need to be uploaded along with this application.

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    guru prasath

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    This document contains an application for admission to a B.E/B.Tech degree course in Tamil Nadu for the year 2023. It includes personal details of the applicant named Guru Prasath such as name, date of birth, address, academic details from Class 6 to 12, marks obtained in Class 10 and 12 board exams. It also provides information about parent's occupation, annual income, community certificate and whether applicant has applied for other exams like NEET, JEE. The applicant and parent have signed declarations stating that the information provided is true and they are aware of anti-ragging laws. Required documents like mark sheets, certificates and reservation forms need to be uploaded along with this application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    21 views4 pages

    Guru Prasath

    Uploaded by

    Selvakumar S
    This document contains an application for admission to a B.E/B.Tech degree course in Tamil Nadu for the year 2023. It includes personal details of the applicant named Guru Prasath such as name, date of birth, address, academic details from Class 6 to 12, marks obtained in Class 10 and 12 board exams. It also provides information about parent's occupation, annual income, community certificate and whether applicant has applied for other exams like NEET, JEE. The applicant and parent have signed declarations stating that the information provided is true and they are aware of anti-ragging laws. Required documents like mark sheets, certificates and reservation forms need to be uploaded along with this application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    GOVERNMENT OF TAMIL NADU

    DIRECTORATE OF TECHNICAL EDUCATION


    TAMIL NADU ENGINEERING ADMISSION - 2023
    Application for Admission to B.E/B.Tech Degree Course
    Application Number: 328420

    Personal Information
    Name: GURU PRASATH Name of the Parent/Guardian: krishna moorthy
    Communication Address: 16/9E majeeth road, 2nd corss street , sivagangai Permanent Address: 16/9E majeeth road, 2nd corss street , sivagangai
    State: Tamil nadu District: Sivaganga
    Taluk: Sivagangai Communication address pincode: 630561
    Native District: Sivaganga Civic status of Native Place: Municipality
    Date of Birth (DD-MM-YYYY): 09-11-2005 Gender: Male
    Mother Tongue: Tamil Nationality: Indian
    Nativity: Tamil nadu Religion: Hindu
    Name of the Community: BC Name of the Caste: Agamudayar including Thozhu or Thuluva Vellala
    Aadhar Number (optional): 210182053605

    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-II, item No.22 of information brochure?:
    No
    Differently Abled Person: No Differently Abled Type: --
    TFC Center for certificate verification:
    Alagappa Government Polytechnic College,Karaikudi – 630 004.

    Scholarship Information
    Parent Occupation: Agriculture Annual Income: 60000
    Are you a First Graduate?: Yes Post Matric Scholarship (SC/SCA/ST/Converted Christians): No

    School of Study Information


    Category of School: Private 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?: No

    Class Year of Passing Name of the school District State Block Category of
    Govt.School

    VI Std. 2017 Bodhi International School Sivaganga Tamil nadu Kalayarkoil --

    VII Std. 2018 Bodhi International School Sivaganga Tamil nadu Kalayarkoil --

    VIII Std. 2019 Bodhi International School Sivaganga Tamil nadu Kalayarkoil --

    IX Std. 2020 Bodhi International School Sivaganga Tamil nadu Kalayarkoil --

    X Std. 2021 Bodhi International School Sivaganga Tamil nadu Kalayarkoil --

    XI Std. 2022 Bodhi International School Sivaganga Tamil nadu Kalayarkoil --

    XII Std. 2023 Bodhi International School Sivaganga Tamil nadu Kalayarkoil --

    Academic Information
    Qualifying Examination: CBSE Name of the Board of Examination: Central Board of Secondary Education
    Permanent register number: -- HSC Roll number: 20669213
    Qualified Year: 2023 HSC Group: --
    Group Code: Physics/ Chemistry/ Maths/ Optional Subject (0001) Medium of Instruction: Tamil
    HSC maximum (total) marks: 500 HSC obtained marks: 283
    SSLC maximum (total) marks: 500 SSLC obtained marks: 313
    Have you applied for NEET ?: Yes Have you applied for JEE ?: Yes
    Educational Management Information System(EMIS) Number: -- Community certificate number: ECCC67896A687C86
    Nativity certificate number (if applicable): --
    GOVERNMENT OF TAMIL NADU
    DIRECTORATE OF TECHNICAL EDUCATION
    TAMIL NADU ENGINEERING ADMISSION - 2023
    Application for Admission to B.E/B.Tech Degree Course
    Application Number: 328420

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

    Physics 20669213 March 2023 100 53

    Chemistry 20669213 March 2023 100 60

    Mathematics 20669213 March 2023 100 54

    Optional 20669213 March 2023 100 58


    GOVERNMENT OF TAMIL NADU
    DIRECTORATE OF TECHNICAL EDUCATION
    TAMIL NADU ENGINEERING ADMISSION - 2023
    Application for Admission to B.E/B.Tech Degree Course
    Application Number: 328420

    DECLARATION BY THE APPLICANT


    I, GURU PRASATH (Son / Daughter) of KRISHNA MOORTHY 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, KRISHNA MOORTHY (Parent / Guardian) of GURU PRASATH 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 - 2023
    Application for Admission to B.E/B.Tech Degree Course
    Application Number: 328420

    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. Special Reservation Form for Blindness & Low Vision and relevant certificates

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