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    Review Page of Application Form: Exam Related Details

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    Dhilip Kumar
    The document is a review page for an application form. It summarizes the applicant's exam details, personal details, academic details, contact details, guardian details, and examination details. The applicant is applying for BE/BTECH via offline examination in English. Their name is GURUMOORTHY.B, they are from Tamil Nadu, and intend to take the exam in Coimbatore. Upon final submission, the details cannot be changed.

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    Review Page of Application Form: Exam Related Details

    Uploaded by

    Dhilip Kumar
    16 views3 pages
    The document is a review page for an application form. It summarizes the applicant's exam details, personal details, academic details, contact details, guardian details, and examination details. The applicant is applying for BE/BTECH via offline examination in English. Their name is GURUMOORTHY.B, they are from Tamil Nadu, and intend to take the exam in Coimbatore. Upon final submission, the details cannot be changed.

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    The document is a review page for an application form. It summarizes the applicant's exam details, personal details, academic details, contact details, guardian details, and examination details. The applicant is applying for BE/BTECH via offline examination in English. Their name is GURUMOORTHY.B, they are from Tamil Nadu, and intend to take the exam in Coimbatore. Upon final submission, the details cannot be changed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    16 views3 pages

    Review Page of Application Form: Exam Related Details

    Uploaded by

    Dhilip Kumar
    The document is a review page for an application form. It summarizes the applicant's exam details, personal details, academic details, contact details, guardian details, and examination details. The applicant is applying for BE/BTECH via offline examination in English. Their name is GURUMOORTHY.B, they are from Tamil Nadu, and intend to take the exam in Coimbatore. Upon final submission, the details cannot be changed.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Home

    Review Page of Application Form


    Review the following informations carefully. If you would like to change any information entered, you may do so by pressing 'Back' button or press 'Final Submit' button for final submission.

    Exam Related Details


    Courses Applying for : Mode of Examination : Question Paper Medium : 1stChoice of Exam Centre : 2nd Choice of Exam Centre : 3rd Choice of Exam Centre : 4th Choice of Exam Centre : BE / B TECH ONLY OFFLINE EXAMINATION ENGLISH COIMBATORE MADURAI TIRUPATI KOZHIKODE

    Personal Details
    Candidate's Name as given in Class X GURUMOORTHY.B Certificate : Mother's Name as given in Class X KANCHANA.B Certificate : Father's Name as given in Class X BALA KRISHNAN.P Certificate : State of Eligibility (From where +2 TAMIL NADU

    passed/appearing) : Category : Whether Blind Cnadidate ? : Person With Disability : OBC NO ----SELECT----

    Date of Birth as given in Class X 28/05/1995 Certificate : Gender: MALE

    In case of girl candidate, Are you the NO only child of your parents?: Nationality : Place of Residence : INDIAN URBAN

    Academic Details
    School Board of Class XII / Equivalent : TAMIL NADU BOARD SECONDARY EDUCATION OF HIGHER

    Type of Institution of Class XII / GOVERNMENT Equivalent : Mode of Preperation : SELF STUDY Percentage of Class X Marks : 90 Percentage of Class XII / Equivalent Marks : Year of Passing or Appearing Class XII 2012 / Equivalent :

    Contact Details
    Please Enter Your Email Address : Contact No. with STD Code : [email protected] 9976134123

    Guardian Details #
    Qualification Father's/Guardian's : Mother's : OTHERS OTHERS Occupation SELF EMPLOYMENT SELF EMPLOYMENT Annual Income Upto 100000 Upto 100000

    Details of Examination Passed or Likely to Pass


    Name of the Examination Passed / +2 academic appearing : Board / University : TAMIL NADU BOARD OF SECONDARY EDUCATION HIGHER

    Name & Address of the School / THE GUGAI HIGHER SECONDARY College from where : passed / SCHOOL, GUGAI, SALEM-636 006 appearing : Year of Passing / appearing : Roll Number : 2012 -

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