SER

sOPA
8MOLKATA WOALI
IISERPU
PUNE naRUVAAUAM IAUPATI

OFFER LETTER

FIVE-YEAR BS-MS (DUAL DEGREE) PROGRAMME 2024

Application number: 24IATO69474

Category claimed by the candidate: EWS

Category based on document verification: EWS

Name of the Candidate: HEMANTH VS

Address: 1/288, BIG STREET, KADAMBATHUR, THIRUVALLUR,, Thiuvallur, Tamil Nadu -631203,
India

Dear HEMANTH VS
for admission into IISERs,
With reference to your application number 24IATO69474
we are pleased to inform you that you have been selected for admission to the first-year
of the five-year BS-MS (Dual Degree) programme in the academic year 2024-25 at IISER
Tirupati.

07 Aug 2024, 5 PM
|Offer acceptance window begins
|Offer acceptance window ends 9th Aug 2024, 5 PM

Please note that the offer is provisional and subject to the following conditions.
1. You are expected to pay amandatory seat-acceptance fee (SAF) of 35,000/-(Rupees
thirty-five thousand oniy)(825,000/.-+Z10,000/-(Non-refundable administrative fee)
for GEN/OBC/OBC-NCL/PwD/EWS/KM and Kashmiri Pandit/Kashmiri Hindu
Families (non-migrants) candidates or 17,500/- (Rupees seventeen thousand five
hundred only) (12,500/- +5,000/- (Non-refundable administrative fee)) for SCIST
candidates. The offer will be cancelled if you fail to pay the SAF before the expiry
of the offer date and time (as shown above). This SAF will be adjusted against the
admission fee to be paid at the time ofjoining ISER Tirupati.
2. There is no cancellation fee, except bank charges (if any), if withdrawal is made
within the stipulated date. However, a non-refundable administrative fee of
Z10,000/- (Rupees ten thousand only) for GEN/OBC/OBC-NCL/EWSIPwD/KM
and Kashmiri Pandit/Kashmiri Hindu Families (non-migrants) candidates or 5,000/
(Rupees five thousand only) for SC/ST candidates is admissible, if withdrawal is not
exercised by the candidates who do not join. Please see the Fee and Refund
Policy" as mentioned in htps://www.iiseradmission. in/saf-refund.html
 3 This ofler of admission would stand cancelled in the event of your non-fulfilment ol
any of the elig1bility requirements as mentioned in htps //www.iiseradmission in
fthis is arevised ofler letter afler payment of SAF in previous rounds, ignore item I
Tour SAF willbe adjusted against the fees to be paid at the IISER now allotted to

Best Wishes,

Jont Admissions Committe 2024

Late 07 Aug 2024, 5PM
 SER SER

ISER PUNE t

and Research
Indian Institute of Science Education
BS/BS-MS ADMISSION FORM 2024

Application No. QAIAT D69 424

Full Name HEMANTH. S
Date of Birth
D5-01 2007
Gender
HEMANTH VS
MALE 16.02.2024
Contact Number 43q4560312
Category ENS
Email |D Vsarvna Sree qmald. cem Ve SRINIVASAN
Father's Name
Mother's Name M-R- ARuUNA Vsasunassee aymal co
Parent's/Guardian's
Parent's/Guardian's 48445b03)2 E-mail |D
Contact No.
Kashmiri Migrant Yes | | No |1
Person with Disability Yes | |No |1
(non-migrants) Yes | | No |1
Kashmiri Pandit/ Kashmiri Hindu Families
Address for
/IH2 A, PyUND STREET, kabMBATH DR, THIRUVALLUP,
Correspondence 631 2o3
TAMIENADU
Class XII Details

Name of Board CBSE

Passing Year 2024 Percentage
Details
Seat Allocation Fee (SAF) Payment
SAF Transaction ID l13404340566
SAF Amount * 35, 00 0 - /
Payment Date qh Aluqul 2024 Parent/Guardian
Undertaking from the Candidate and
S/o, Dfo, Ward/o VC SRINIVASAN hereby
I, HEMANTH V S
declare that

true and based on verifiable records.

1. The particulars stated above are
documents immediately upon demand by IISER(S).
2. I undertake to present the original degree acquired
event of suppression or distortion of any facts, I understand that mny admission/
3. In the necessarily entitle
even if l get admitted to IISERs, it does not
is liable for cancellation. I understand that
me for a fellowship.
Admission Committee regarding my admission to
4 Ialso understand that the decision of the IISER Joint
discipline of the Institute.
ISER is final and I shall abide by the rules, norms and
5 Iunderstand that the decision of the
Chairperson, Joint Admissions Committee 2024 will be final in case
of any dispute.
Applicant's Signature: v5-Hemars Parent's/Guardiag's
Signature CY
Name: HEMANTH -V S Name: V-C-SRINI VASAN
Date: 24- 08- 2024
Date: 24- D8-24
Place: kADAMBATHUR Place: ADAMBATHUR
 INDIAN INSTITUTE OF SCIENCE EDUCATION AND RESEARCH

OSERS8 IISER KOUKAIA ISER PUNE tMIRUVANANTHAPURAN

IISER
UFAT

Admission to BS Degree/ BS-MS Dual Degree Program 2024

Medical Exanination Report
(To be issued by aRegistered Medical Practitionern)
Application Number: -TAÍO69 L7
2 Category (GE, OBC-NCL, SC, ST, EWS, KM):
3
ENS
PwD(Yes/ No):

4. Name of the Candidate:

HEMANTH V
Date of Birth:
05-0 Q007
6 Gender:
MALE
Identification Mark ABM
8. Major liness, if any: Ni)
Medical Certificate
(To be filled by the Medical Officer Conducting the Test)
Height:
Weight:
3 Past History Mental Diseases:

Epileptic fits:
4. Chest
Inspiration: 38
Expiration:

Blood Group:
6
learing
Vision
(wth of without Right Eye
glasses) Le Eye
Color Blindness il
Respiratory System BaE
9
Nervous System: ntat(N
Heart Sounds

Murmur: No mem

Abdomen: Liver:

Spleen: Net palhalle

Hermia: Nil
Hydrocele:
Any other defects:

Certified that VS.HEMANTH.

Son / Peughter of.....V:C:SRINAIVA SAN.
(fulfills the prescribed standard of physical fitness and is FIT for admission to 5Year BS-MSor
4 Year BS Degree Program 2024.
(b) Does not fulfill the prescribed standard of physical fitness and is unfit/temporarily unfit for
admission due to following defects
Sipnatute of the Medcal offcer Sigratre f the Carddate

Munimun (hui(yn Misg M)

Full Name

Medcal Keyistration Numler q4 2J4

Ur. C.bo2 00AAN, MEBS M5

GENER&LSUROEIY
SSL PROFESSOR
COLLEOLAND OSPITAL
GVT, MECpItAL
THifeUVLLUP
Olcial Sa6 io 97239

Date 20/o/s on4

Declslon Making dose

3
Offered IlSER
BS- MS IISER Tirupati
Preference Number
2
Action Taken
Accept and Freeze

Fee Details

Seat Acceptance Fees

35000
Payment Transaction Number
113409390566

Order Id
521620240808100749382
Payment Status
SuccesS

PRINT CLOSE

Version 15.01.01
Your transaction has been
completed. successfully

Reference No:
DUNO773618

Amount :

INR 27300

Transaction Charge:
INR O.00

Total Payable:
INR 27,300.00

Date of Payment :

2024-08-23 13:08:08.0

Remarks:
 INDIAN INSTITUTE OF SCIENCE EDUCATION AND RESEARCH TIRUPATI IISER
TIRUPATI
An Autonomoua Inattuton of Natonal Ingportance under Ministry of Education. Got of India)

Personal Data Form

(Annexure l- Polnt 3.6)
1. Name as on 12lh mark sheet HEMA THVS
2 Above Name in Hindi

3 Category
ENS
4 Date of Birth (dd/mmlyyyy): 05 /oL 2007
5 Nationality JNDIAN
6 Blood Group:
7. Personal Email lID:
8 Student contact number: 6369774 796
9. Father's Name: Vc. S&uVASAN
10. Father's Office address:

11. Father's Contact number: 479132 4434

12. Father's Email lD:

13. Mother's Name: MR ARUNA

14. Mother's Office address:

15. Mother's Contact number a894560312

16. Mother's Email ID:

17. Address for Communication: H.No; /42-A street PoND Village: KADAMBATHUR
TieuVALLUR State: TaML NADU
i. District: Pin:631 203
18. Permanent Address: HNO: 2/220-A street BA8U NMokvilage: KASAVA NALLADHUC
TIRUVALLUR
i. District: State: TAMJ- NADU Pin: 631203
19. Emergency contact person's name: MKARUNA
20. Candidate's contact details :6364 774746
vS Heagnlt
Signature of the candidate

to notify any change in personal details immediately to the

 INDIAN INSiTUTE OF SIINCL CDUCATION AND RESEARCH TIRUPATI
IISER
TIHUPA
AnAtesa Ittn d Navna neoace under Mnatry of Eoucation GovM ol inda)

ISSUE OF ID
(Annoxuro l|- Point3.6)

(Please fil the details in capital letters)

1. Name of the
Student HEHANTA V.S
2 Name in Hindi

(As mentoned on 12th Certificate)

3 Date of
Birth(DDIMMIYY):
4. Blood Group with Rh D+e

5. Emergency contact Name: M.R ARUNA

(ln Hindi)
6. Emergency contact number: aRau Glo 312
7. Residential Address h42-A. PouND SrRAET
(Correspondence) KADABATHU K, AUMALLUR

8. Permanent address 2220 -A, BABN NAGaAs, KASAYANALLAIH Oc,

KADAM BAHUK, TIRUVALL UR.

Signature
(In black ink above the line)

Administration Purpose
9. ld/Reg. No.
10.Dat
of Joining/Validity
Reference Number 7300434

ANTIRAGGING AFFIDAVIT BY THE STUDENT

I I, Hemanth VS wo do MrMrs /Ms V.C.Srinivasan , having been admitted to Indian Institute
of Science Education &Research, have received a copy of the UGC requlations on Curbing
the menace of Ragging in Higher Educational lnstitutions, 2009, (hereinafter called the
"Regulations") carefully read and fully understood the provisions contained in the said
Regulations.
2. 1have, in particular, perused clause 3of the Regulations and am aware as to what constitutes
ragging.

3. Ihave also, in particular, perused clause 7and clause 9.1 of the Regulation and am fully aware
of the penal and administrative action that is liable to be taken against me in case I am found
guilty of or abetting ragging, actively or passively, or being part of a conspiracy to promote
ragging.

4. Ihereby solemnly aver and undertake that:

Iwill not indulge in any behavior or act that may be constituted as ragging under clause 3of
the Regulations.
Iwill not participate in or abet or propagate through any act of commission or omission that
may be constituted as ragging under clause 3 of the Regulations.
5. I hereby affirm that, if found quilty of ragging, I am liable for punishment according to clause
9.1of the Regulations, without prejudice to any other criminal action that may be taken
against me under any penal law or any law for the time being in force.
6. I hereby declare that I have not hbeen expelled or debarred from admission in any institution in
the country on account of being found guilty of, abetting or being part of aconspiracy to
promote, ragging; and further affirn that, in case the declaration is found to be untrue, Iam
aware that my admission is liable to be cancelled.
DECLARED ON dálnal 2024
Signature of Deponent v.5-tena
Hemanth VS

VERIFICATION

Verified that the contents of this affidavit are true to the best of my knowledge and no part of
the affidavit is false and nothing has been concealed or misstated therein.

Verified at 6:10 Ph 0n osloal224

Signature of Deponent
Reference Number 7308434

UNDERTAKING BY PARENT/GUARDIAN

1. 1 MrMIs/Ms. V.C.Srinivasan father/ mother/

quardian of Hemanth VS having been admitted
&Research, have received a copy of the UGC
to Indian Institute of Science EducationRagging
regulations on Curbing the menace of in Higher Educational Institutions, 2009,
understood the provisions
fully
(hereinafter called the "Requlations") carefully read and
contained in the said Requlations
constitutes
perused clause 3 of the Requlations and am aware as to what
2. I have, in particular,
ragging.
in particular, perused clause 7 and clause 9.1 of the Regulations and am fully case
3. I have also, that is liable to be taken against my ward
in
aware of the penal and administrative action passively, or being part of a conspiracy
he/she is found guilty or abetting ragging, actively or
to promote ragging.

4. l hereby solemnly aver and undertake that: that may be constituted as ragging under
My ward will not indulge in any behavior or act
clause 3 of the Regulations.
propagate through any act of commission or
My ward will not participate in or abet or clause 3 of the Regulations.
omission that may be constituted as ragging under
is liable for punishment according to
5. I hereby affirm that, if found quilty of ragging, myto wardother criminal action that may be taken
clause 9.l of the Regulations, without prejudice any
being in force.
against my ward under any penal law or any law for the time
debarred from admission in any
6. I hereby declare that my ward has not been expelled or abetting or being part of a
institution in the country on account of being found guilty of, the declaration is found to be
conspiracy to promote, ragging; and further affirm that, in casecancelled.
untrue, I am aware that my admission ward is liable to be

DECLARED ON 08/04/r024

Signature of Deponent Address

TAMIL NADU
V.C.Srinivasan

VERIFICATION

Verified that the contents of this affidavit are true to the best of my knowledge and no part of
the affidavit is false and nothing has been concealed or misstated therein.

Verified at oPM On

Slgnature of Deponent
 INDIAN INSTITUTE OF SCIENCE EDUCATION AND RESEARCH TIRUPATI IISER
(An Autonomous Insttuton of National limportance under Ministry of Educalion, Govt of India) TiRUPATI

(Annexuro IV-Point 3.8)

UNDERTAKING
1. HEMANTH VS Application Number 24TATO6A4nh have read and
2
understood the rules and regulations of the program and agree to abide by the rules.
promise that
academic and iethical
willconduct
values myself in amanner befiting to an institute up keeping its hgh
3 promise that Iwill not engage in plagiarism or malpractice in examinations.

4
Tpromise that I will abide by all the rules of the library, computing ethics, hostel and mess.

O.promise that I will not engage in sexual harassment or ragging and will follow all the rules
and regulations as promulgated by the Institute/UGC.
6
understand that violation of any of these will make me liable to disciplinary action by the
institute.

VsHemanth

Signature of Student Signature of Parent

Date: 06\al2024 Date: 06]Da J0 24

 INDIAN INSTITUTE OF SCIENCECDUCATION AND RESCARCH TIRUPATI IISER
TIRUPATI
i Ams t f Natonal inoace unde Mnaty of Eoacaton, Got d inda)

Undertaking Statomont bythe Studont

M Me HAN TH VS Roll Numtber: 241AT 069474h_son/daughter of Mr. I

Mrs VSsiÀSAN hereby state that I have read and understood the program guidelines
for the BS MS 2024 batch
Ihereby
1 Agree to abide by the rules and regulations of the Institule in all matters.
Agree that the Institute reserves the right to revoke my admission, and/or discontinue me from
the rolls, ti prove to be not abiding by these guidelines.
Understand and agree to the policy that the Institute reserves the right to communicate my
academic progress to my parents/guardian.
4. Agree that the Institute reserves the right to inform any significant matters of academic / non
dcademic nature to my parents/quardian, for the sake of transparency and in the interest of my
academic progress.
Student's Name: HEMANTH.VS

Student's Roll number: 24LAT 069 47

Student's signature Date: s-Hemm

Osloa)2024
Verified and endorsed by Parent /Guardian Parent's Name: V. C. SRIN]VASAN
Parent's signature
7036456

fa. å.
1972468 Rogn.No. M122/55309/0039
s

CENTRAL BOARD OF SECONDARY EDUCATION

MARKS STATEMENT CUM CERTIFICATE
mafir faurr qlan, 2022
SECONDARY SCH00L EXAMINATION, 2022

This is to certify that HEMANTH VS

Roll No. 20200393

Mothet's Name ARUNAMR

Father's / Guardian's Name SRINIVASAN VC

Date of Birh 05/01/2007 STH JANUARY TWO THOUSAND SEVEN

Tuurag 55309-SHREE NIKETAN PATASALA TIRUPATCHUR TIRUVALLUR TN
School
t aufns qTetfaRi f R Ehns achieved Scholastic Achievements as under:
HiS MARKS OETANED

SUB.
SUBJECT GRADE
CODE |THEORY
IA/
T. PR. TOTAL TOTAL (IN
WORDS)

184 ENGLISH LNG & LIT. 070 020 090 NINETY A2

006 TAMIL 072 020 092 NINETY TWO B2

041 MATHEMATICS STANDARD 078 020 098 NINETY EIGHT A1
086 SCIENCE 073 020 093 NINETY THREE At
087 sOCIAL SCIENCE 073 020 093 NINETY THREE A1

ADDITIONAL SUBJECT
402 INFORMATION TECHNOLOGY 047 050 097 NINETY SEVEN A1

VSueuot TiA Result PASs

iis# Daled : 22-07-2022 Controller of Examinnioni

arga ka bng isshdtle schoo s pinrtomatsbed by fha Bst

 SNo MC2022- 0539368

CENTRAL BOARD OF SECONDARY EDUCATION

MIGRATION CERTIFICATE
Thin s to ceriy hal HEMANTH VS
Ro No 20200393

Son ughter of Smt ARUNA MR

and Shr SRINIVASAN VC

Student of (55309) - SHREE NIKETAN PATASALA TIRUPATCHUR TIRUVALLUR TN

an instlution alfiliated with the Board has been registered in the

SECONDARY SCHOOL EXAMINATION 2022
of the Board

This Board has no obiection in his/her ioinir Education or taking exarsination of

any University or Board establishod htyGogisod instute of Higher
Delhi CHENNAI

Datod 22/07/2022 Assistant Secretary

VS-Heon
0451070
00001

Tfa, d.
M224/55309/0051
0451878 Rognio

CENTRAL BOARD OF SECONDARY EDUCATION

MARKS STATEMENT CUM CERTIFICATE
zifau ufzfuaz vfat, 2024
SENIOR SCHOOL CERTIFICATE EXAMINATION, 2024

This s o cerify that HEMANTH VS

20637908

ane ARUNA MR

Guardian's Nane SRINIVASAN VC

55309 SHREE NIKETAN PATASALA TIRUPATCHUR TIRUVALLUR TN

casgvemestse

SUEIECT

301 ENGLISH CORE 072 020 092 NINETY TWO A1

041 MATHEMATICS 075 020 095 NINETY FIVE A1

042 PHYSICS 063 030 093 NINETY THREE AT

043 CHEMISTRY 065 030 095 NINETY FIVE A1
044 BIOLOGY 068 030 098 NINETY EIGHT A1

500 WORK EXPERIENCE A1

502 HEALTH &PHYSICAL EDUCATION A1
503 GENERAL STUDIES A1

ievTr Rhsult PASs

tatel 13-05-2024
 61/09 33020
yH Cr, 01427897
S No MC2024

CENTRAL BOARD OF SECONDARY EDUCATION

MIGRATION CERTIFICATE
HEMANTH VS
Thia la lo ceriy that

oR NG 20637908

Son /Daughierof St ARUNA MR

SRINIVASAN V C

Sucent ot (55309)- SHREE NIKETAN PATASALA TIRUPATCHUR TIRUVALLUR TN

an nstitution affiated with the Board has been registered in the
SENIOR SCHOOL CERTIFICATE EXAMINATION - 2024 of the Board

Tls tioard has no objection in his/her joining any recognisod Institule of Higher Educalion or taking oxamination of
any Uaiversily or Board established by law.

Deini CHENNAI

Undor Secrotary
Dalod 31/03/2024
 CANO 26/2024| d
Dale:o, 08 2024
EORM-GEN-EWS
Government of ...M.NMRI......
(Name &Address of the authority issuing the certificate)
INCOME &ASSET CERTIFICATE TO BE PRODUCED BY ECONOMICALLY
WEAKER SECTIONS
Centificate No TN - 8h2D 012b19b Dale: olo81 2y
VALID FOR THE YEAR 209 - 2025

1. This is to certify that Shri Smt/Kumari HEMAnlTA-V. Slondawghterwife of permanent resident

of KAsaraNALTH Viage/Strect BaBU_NEàR ,Post Ofice KASANANALATHUR
District TRUYALLUR in the State/ UnionTerrilory TaML NADD Pincode 3203
whose photograph in altested bclowbelongs to Economically Wcaker Sections, since the gross
annual income of hisher "family"t is below Rs. 8lakh (Rupees Eight Lakh only) for the financial
2023-202:
ycarHis her tmily does not own or possess any of the following assets***:
Sacres of agricultural land and above;
Residential flat of 1000 sq. ft. and above:
Residential plot of 100sq. yards and above in notificd municipalities;
IV. Residential plot of 200 sq. yards and above in arcas other than the notificd municipalitics.
2. Shri/SanL/Kumari E MANTH.Y.S belongs to the_ caste which is not
recognized as a Schedule Caste, Schedule Tribe and Other Backward Classes (Central List).

The income and the assets of the families

as mentioned would be required to be
certified by an officer not below the rank
of Tehsi in the States/UTs.

Vi9ls b A2024

2o)olb2y
Vsteuat
 SHREE NIKETAN PATASALA- CBSE
Affiliated to CBSE, New Delhi
Affliation No. 1930417, School Code 55309
Vedanginallur Vilage, Thirupachur Post, Thiruvallur Dist. -631 203.
Tel:044-27668631/41/51 Emal:cbse_ info@shroenkelanschools org Websile :www.shreenikelanscho0s.or)

TRANSFER CERTIFICATE
Book No. SI. No. 322 EMIS No. 2o15 403622 Admisslon No. 4766
1. Name of Pupil

: SRINIVA SAN VC
2. Fathers/Guardian's Name

3.
Nationality ÎNDIAN
REFER cOMMUNITy CERTIFICATE
4.
Mnener the candidate belongs to
Caste or Schedule Tribe
x
5. Date of first admission In the : Qalo6lao2 2-
Schooll with clase
6. Date of birth : oslol3007
rth (in Christian Era)
Class In which the pupil last studied :X|
Schoo/Board Annual examination :BSE
last taken with result
9. Whether failed. If so once/twice in the same class :NIL
GNeUSH, PHYSIes, e HEMISTRy
10. Subjects Studied : BioLOy, MAHEMAis
Yes, +HIbHER EDUCAtION
11, Whether qualified for promotion to
the higher class If so, to which class
12. Month up to which the (pupil has paid) school dues pald : MARCH
13. Any fee concession availed of :NTL
if so, the nature of such concession
14. Total No. of working days

15. Total No. of working days present

16. Whether NCC Cadet/Boy Scout/Girl Guide NIL
(Details may be given)

17. Games played or extra-curricular activities NIL

In which the pupil usually took part
18. General conduct
19. Date of Pupil's last attendance at school : 19losl204
20. Date of applicatlon for certificate

21. Date of issue of certificate

22. Reasons for leaving the school :COMPLETED

23. Any other remarks

SHREE PRIN(JPAL
NikT°N PATASALA
Signature of Class Teacher
(State full and Designation) TIPATCHUR631(P)203
THIRUVALLUR-
 Ungue denthcatson Athority of indha

Ovwaa, 2 20 A, batu nagw,

2150 7551 6488

VID:9116 0597 0023 8015

2150 7551 6488

V s.Henoh
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