GOVERNMENT OF TAMIL NADU

DIRECTORATE OF TECHNICAL EDUCATION

TAMIL NADU ENGINEERING ADMISSION - 2020
Application Number: 357863

Personal Information
Name: Vijay Nambiraj T M Name of the Parent/Guardian: T Muthuramalingam
Communication Address: 9, Bharathi Nagar, Police Quarters Permanent Address: 9, Bharathi Nagar, Police Quarters
Palayamkottai, Tirunelveli - 627002 Palayamkottai, Tirunelveli - 627002
TamilNadu TamilNadu
State: Tamil nadu District: Tirunelveli
Communication address pincode: 627002 Native District: Tirunelveli
Civic status of Native: Corporation Date of Birth (DD-MM-YYYY): 24-05-2001
Gender: Male Mother Tongue: Tamil
Nationality: Indian Nativity: Tamil nadu
Religion: Hindu Name of the Community: MBC&DNC
Name of the Caste: Appanad Kondayam Kottai Maravar Aadhar Number (optional): 740992207410

Special Reservation Information

Whether you have Sports Certificates of District / Divisional / State/ National/ Eminent Sports Person: No
International?:
No
Ex-Servicemen (Only Army/Navy/ Air force services are Eligible): No Differently Abled Person: No
Differently Abled Type: -- TFC Center for certificate verification:
Government College of Engineering, Tirunelveli District-627007

Scholarship Information
Parent Occupation: State Govt Employee Annual Income: 2.5 Lakh to 6 Lakh
First Graduate Tuition Fee Concession: No Availed First Graduate Tuition Fee Concession: No
AICTE Tuition Fee Waiver(TFW) Scheme: No Post Matric Scholarship (SC/SCA/ST/Converted Christians): No

School of Study Information

Studied VIII, IX, X, XI, XII in Tamilnadu: Yes Civic status of school: Corporation

Class Year of Passing Name of the school District State

VIII Std. 2015 AUPET CHINMAYA VID MAT HR Tirunelveli Tamil nadu
SEC SCHOOL

IX Std. 2016 AUPET CHINMAYA VID MAT HR Tirunelveli Tamil nadu

SEC SCHOOL

X Std. 2017 AUPET CHINMAYA VID MAT HR Tirunelveli Tamil nadu

SEC SCHOOL

XI Std. 2018 AUPET CHINMAYA VID MAT HR Tirunelveli Tamil nadu

SEC SCHOOL

XII Std. 2019 AUPET CHINMAYA VID MAT HR Tirunelveli Tamil nadu
SEC SCHOOL

Academic Information
Qualifying Examination: HSC Name of the Board of Examination:
Tamil nadu Board of Higher Secondary Education
HSC/Equivalent register number: 4041654 Qualified Year: 2019
HSC Group: HSC Academic Group Code: Physics/ Chemistry/ Maths/ Biology
Medium of Instruction: English

Subjects (General) Register Number Month Year Maximum Mark Obtained Mark

Physics 4041654 March 2019 100 84

Chemistry 4041654 March 2019 100 94

Mathematics 4041654 March 2019 100 90

Optional 4041654 March 2019 100 80

 GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2020
Application Number: 357863

Affix recent Pass-

port size Photo

DECLARATION BY THE APPLICANT

I, VIJAY NAMBIRAJ T M (Son / Daughter) of T MUTHURAMALINGAM 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 MUTHURAMALINGAM (Parent / Guardian) of VIJAY NAMBIRAJ T M 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 - 2020
Application Number: 357863

The following Certificates copy have to be uploaded to our system when it is asked. Date and Time of the certificate
upload will be communicated later.

1. Transfer certificate
2. 10th Mark Sheet
3. 12th Mark Sheet
4. HSC Hall Ticket
5. Permanent Community Certificate Card for MBC&DNC (Permanent card / Electronic form / Digitally Signed E-Certificate)
6. Income Certificate of the Parent
7. Special Reservation Form for Sports and relevant certificates
8. Special Reservation Form for Ex-Serviceman and relevant certificates
9. Special Reservation Form for Blindness & Low Vision and relevant certificates