TAMIL NADU ENGINEERING ADMISSIONS - 2024 Application for Admission to B.E/B.Tech Degree Course Application Number: 448117
Personal Information Name: MOHANA PRIYA S Name of the Parent/Guardian: SIVA SUBRAMANIYAM S Communication Address: 8/82,PONNUR,NADUGANI GUDALUR ,THE NILGIRIS Permanent Address: 8/82,PONNUR,NADUGANI GUDALUR ,THE NILGIRIS State: Tamil nadu District: The Nilgiris Taluk: Gudalur Communication address pincode: 643211 Native District: The Nilgiris Civic status of Native Place: Municipality Date of Birth (DD-MM-YYYY): 21-09-2006 Gender: Female Mother Tongue: Tamil Nationality: Indian Nativity: Tamil nadu Religion: Hindu Name of the Community: SC Name of the Caste: Devendrakula Velalar [Devendrakulathan, Kadaiyan(excluding in the coastal areas of Tirunelveli, Thoothukudi, Ramanathapuram, pudukottai, Thanjavur, Tiruvarur and Nagapattinam districts), kalladi, Kudumban, Pallan, pannadi, Vathiriyan] Aadhar Number (optional): 229297675394
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: Government Arts College, Udhagamandalam -643 002
Scholarship Information Parent Occupation: Others Annual Income: 78000 Are you a First Graduate?: No Post Matric Scholarship (SC/SCA/ST/Converted Christians): Yes Are you planning to avail education loan?: N
School of Study Information
Category of School: State Govt Civic status of school location (+2): Municipality 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. 2018 Holy Cross Convent Matric Devala The Nilgiris Tamil nadu Gudalur --
VII Std. 2019 Holy Cross Convent Matric Devala The Nilgiris Tamil nadu Gudalur --
VIII Std. 2020 Holy Cross Convent Matric Devala The Nilgiris Tamil nadu Gudalur --
IX Std. 2021 Holy Cross Convent Matric Devala The Nilgiris Tamil nadu Gudalur --
X Std. 2022 Holy Cross Convent Matric Devala The Nilgiris Tamil nadu Gudalur --
XI Std. 2023 St Thomas Eng Hs Gudalur The Nilgiris Tamil nadu Gudalur --
XII Std. 2024 St Thomas Eng Hs Gudalur The Nilgiris Tamil nadu Gudalur --
Academic Information Qualifying Examination: TN-HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education Permanent register number: -- HSC Roll number: 6199257 Qualified Year: 2024 HSC Group: HSC Academic Group Code: Physics/ Chemistry/ Maths/ Biology Medium of Instruction: Tamil HSC maximum (total) marks: -- HSC obtained marks: -- SSLC maximum (total) marks: -- SSLC 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: CET)?: 3311040130900084 No TN-52021071414013 -- GOVERNMENT OF TAMIL NADU DIRECTORATE OF TECHNICAL EDUCATION TAMIL NADU ENGINEERING ADMISSIONS - 2024 Application for Admission to B.E/B.Tech Degree Course Application Number: 448117
Community certificate number: Nativity certificate number (if applicable):
GOVERNMENT OF TAMIL NADU DIRECTORATE OF TECHNICAL EDUCATION TAMIL NADU ENGINEERING ADMISSIONS - 2024 Application for Admission to B.E/B.Tech Degree Course Application Number: 448117
DECLARATION BY THE APPLICANT
I, MOHANA PRIYA S (Son / Daughter) of SIVA SUBRAMANIYAM S 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, SIVA SUBRAMANIYAM S (Parent / Guardian) of MOHANA PRIYA S 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 - 2024 Application for Admission to B.E/B.Tech Degree Course Application Number: 448117
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 SC (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
