B.E / B.

Tech 2021 Application Form

Application No: 213277

Personal Details
Choose the
Category of GENERAL
Admission
Personal Details
Name (as in 10th
Title MR. SURIYA SANKAR R G Email Address [email protected]
marksheet)
Alternate Mobile
Mobile Number +91-7904182278 +91-9443333972 Date of Birth 27/05/2004
Number
Are you Differently
NO Community BC Gender MALE
Abled?
Religion HINDUISM Mother Tongue KANNADA Blood Group O+
Will you be the first
Nationality INDIAN person to graduate NO Aadhar Number 385768426419
in your family?
Passport Details
Passport Number Place Of Issue Date Of Issue
Date Of Expiry

Parent's Details
Father's Details
Father Landline
Father Title MR. Father Name RAJA GANESH N 04272904972
Number
Father Mobile Father Email
+91-9443333972 [email protected] Father Occupation OTHER (WEAVER)
Number Address
Father Annual
Father Designation LESS THAN 1 LAKH
Income
Mother's Details
Mother Landline
Mother Title MRS. Mother Name SOUNDESWARI R 04272904972
Number
Mother Mobile Mother Email
+91-9443333973 [email protected] Mother Occupation HOMEMAKER
Number Address
Mother Annual Family Annual
Mother Designation 1 LAKHS - 3 LAKHS
Income Income
Local Guardian
NO
Detail
Local Guardian Details
Guardian Landline
Guardian Title Guardian Name
Number
Guardian Email Guardian Mobile Guardian
Address Number Occupation
Guardian
Designation

Address Details
Address for Correspondence
Country INDIA State TAMIL NADU District SALEM
Full Contact 31/18 NORTH MUNIAPPAN
City SALEM Address (for further KOVIL STREET NO1 Pincode 636006
communications) KARUNGAPATTI SALEM

Academic Details
Acadamic Details
Class 10 Details

School Name Board Registration Number Year of Passing Aggregate Percentage

TAMIL NADU BOARD OF SECONDARY
10th LITTLE FLOWER MATRICULATION SCHOOL 6361992 2019 93.6
EDUCATION

Class 10 Subject Score

Subject Maximum Marks (Actual) Obtained Marks (Actual) Percentage

1. MATHEMATICS 100 94 94
2. SCIENCE 100 89 89

TAMIL NADU BOARD OF

12th School /Institute SRV BOYS HIGHER Is 12 class marks
Name of the Board HIGHER SECONDARY NO
Name SECONDARY SCHOOL available?
EDUCATION
Roll No. Year of Passing 2021 School Code No.
Centre Code No. Admit Card Number
NOTE: ONLY MARKS FROM THE "EXTRACT OF MARKS" ARE TO BE ENTERED. IF A CANDIDATE ENTERS GRADE, IT WILL NOT BE CONSIDERED.

Marks in Qualifying Exam

Maximum Marks Marks Obtained No. of Attempts Month and Year of passing
Mathematics Paper I (A)
Mathematics Paper I (B)
Mathematics Paper II (A)
Mathematics Paper II (B)
Physics Paper I
Physics Paper II
Physics Practical
Chemistry Paper I
Chemistry Paper II
Chemistry Practical

Total Marks in
Cutoff Marks
MPC
Marks in the qualifying Exam

Max Marks Obtained Marks Percentage No of Attempts Month and Year of passing
Mathematics
Physics
Chemistry

Cutoff Marks
ELECTRONICS AND
Branch Preference COMPUTER SCIENCE AND Branch Preference Branch Preference
INFORMATION TECHNOLOGY COMMUNICATION
1 ENGINEERING 2 3
ENGINEERING
Branch Preference ELECTRICAL AND ELECTRONICS Branch Preference Branch Preference
MECHANICAL ENGINEERING
4 ENGINEERING 5 6
Additional Particulars
LIST THE OUTSTANDING SPORTS / CULTURAL ACHIEVEMENTS, SCHOLARSHIP RECEIVED, PRIZES/HONOURS WON ETC FOR THE LAST 3 ACADEMIC YEARS ONLY.
ENTER NA IF NOT APPLICABLE.

Extra-Curricular Played at which

NA Name of sport
Details level
Special
Achievement

Why do you wish to join SSN College of Engineering

I HEARD A LOT ABOUT THIS COLLEGE HOW BEGING THERE ACADEMICAL FACILITIES AND INFRASTRUCTURES ALSO COLLEGE HELPS THEIR STUDENTS TO DO SOME EXTRACURICURAL
ACCTIVITIES AND DOING EXTRA CREDITS COURESE SO THATS WHY I CHOOSE THIS COLLEGE FOR MY FUTURE STUDIES

Exam Slot Booking & Upload Files

SSN Online Entrance Exam
SSN ONLINE ENTRANCE EXAM IS A 2 HOUR DURATION REMOTE PROCTORED EXAM.
• ALL QUESTIONS WILL BE MCQ TYPE ONLY WITH NEGATIVE MARKING FOR INCORRECT RESPONSES.
• EXAM WILL COVER APTITUDE (QUANTITATIVE, VERBAL AND LOGICAL) ALONG WITH SUBJECTS (PHYSICS, CHEMISTRY AND MATHEMATICS) OF 12TH STANDARD DIFFICULTY (MODERATED ACROSS
ALL BOARDS).
• APTITUDE SECTION WILL CONSISTS OF 25 QUESTIONS TO BE ANSWERED IN 40 MINUTES WITH 4 MARKS FOR EACH CORRECT ANSWER AND -1 FOR INCORRECT RESPONSES.
• CORE SUBJECTS SECTION WILL CONSIST OF 40 QUESTIONS TO BE ANSWERED IN 75 MINUTES WITH 4 MARKS FOR EACH CORRECT ANSWER AND -1 FOR INCORRECT RESPONSES.
• FURTHER DETAILS INCLUDING EXAM LOGIN CREDENTIALS, MOCK TESTS, SYSTEM REQUIREMENTS, INSTRUCTIONS TO CANDIDATES WILL BE SENT TO YOUR REGISTERED EMAIL ADDRESS CLOSER
TO THE DATE AND SLOT CHOSEN.

Pick a date for

7TH JULY, 2021 Choose a Slot 10:00 AM - 12:00 PM
SSN Online Exam
Upload Files
Recent Photograph : Signature : 10th Marksheet : YES

Community Extra Curricular or

12th Marksheet : NO YES NO
Certificate : Other Documents :

Proof of Proficiency NRI status certificate

A Copy of your
NO in Sports for last 3 NO from Indian embassy NO
passport :
years : abroad :

PIO/ OCI/Foreign
Sponsorship letter Upload Aadhaar Card
NO National and NO YES
from parent : :
Passport Card Copy :

Terms And
I AGREE
Conditions
Declaration
I CONFIRM THAT I HAVE READ THROUGH THE ELIGIBILITY RULES FOR THE PROGRAMS I AM APPLYING AND THE COLLEGE.
I FULLY UNDERSTAND THAT FILLING THE APPLICATION FORM DOES NOT GUARANTEE ME ADMISSION TO THE PROGRAMS AT SSN
I HAVE READ AND UNDERSTOOD THE PROCESS OF ADMISSION TO SSN COLLEGE OF ENGINEERING (PLEASE CHECK WWW.SSN.EDU.IN BEFORE YOU APPLY.)
THE ONLINE APPLICATION IS COMPLETE ONLY WHEN THE APPLICATION FORM HAS BEEN SUBMITTED AND THE ONLINE PAYMENT IS RECEIVED BY THE ADMISSIONS OFFICE. SSN COLLEGE OF
ENGINEERING WILL NOT BE RESPONSIBLE FOR ANY DELAY ON ANY ACCOUNT.
IF AT ANY STAGE, IT IS FOUND THAT I DO NOT SATISFY THE ELIGIBILITY CRITERIA OR THAT THE INFORMATION FURNISHED BY ME IS INCORRECT, MY APPLICATION FOR THE ADMISSION TO THE
PROGRAMME, EVEN IF SELECTED AND FEES PAID, WILL STAND CANCELLED AND FEES PAID WILL BE FORFEITED.
MY ORIGINAL DOCUMENTS SUPPORTING MY APPLICATION WILL BE VERIFIED BY SSN COLLEGE OF ENGINEERING AND IF ANY DISCREPANCY IS FOUND AT THE TIME OF JOINING OR THEREAFTER IT
MAY LEAD TO DENIAL/CANCELLATION OF ADMISSION.
I HAVE READ THE ABOVE TERMS & CONDITIONS AND AGREE TO ACCEPT THEM

Applicant Name SURIYA SANKAR R G Parent Name RAJA GANESH N Date 21/06/2021