GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2023
Application for Admission to B.E/B.Tech Degree Course
Application Number: 380552
Personal Information
Name: ARTHI S Name of the Parent/Guardian: subramaniyan
Communication Address: 9/75 SOUTH STREET, THERIKUDIERUPPU Permanent Address: 9/75 SOUTH STREET, THERIKUDIERUPPU
State: Tamil nadu District: Thoothukudi
Taluk: Tiruchendur Communication address pincode: 628205
Native District: Thoothukudi Civic status of Native Place: Village Panchayat
Date of Birth (DD-MM-YYYY): 24-06-2006 Gender: Female
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Hindu
Name of the Community: BC Name of the Caste: Nadar, Shanar and Gramani
Aadhar Number (optional): 695888282194
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 College Of Engg., Tirunelveli – 627007
Scholarship Information
Parent Occupation: Others Annual Income: 72000
Are you a First Graduate?: Yes Post Matric Scholarship (SC/SCA/ST/Converted Christians): No
School of Study Information
Category of School: State Govt Civic status of school location (+2): Village Panchayat
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?: Yes
Class Year of Passing Name of the school District State Block Category of
Govt.School
VI Std. 2017 perunthalaivar kamarajar government Thoothukudi Tamil nadu Thiruchenthur GOVERNMENT
higher secondary school, therikudiyiruppu
VII Std. 2018 perunthalaivar kamarajar government Thoothukudi Tamil nadu Thiruchenthur GOVERNMENT
higher secondary school, therikudiyiruppu
VIII Std. 2019 perunthalaivar kamarajar government Thoothukudi Tamil nadu Thiruchenthur GOVERNMENT
higher secondary school, therikudiyiruppu
IX Std. 2020 perunthalaivar kamarajar government Thoothukudi Tamil nadu Thiruchenthur GOVERNMENT
higher secondary school, therikudiyiruppu
X Std. 2021 perunthalaivar kamarajar government Thoothukudi Tamil nadu Thiruchenthur GOVERNMENT
higher secondary school, therikudiyiruppu
XI Std. 2022 perunthalaivar kamarajar government Thoothukudi Tamil nadu Thiruchenthur GOVERNMENT
higher secondary school, therikudiyiruppu
XII Std. 2023 perunthalaivar kamarajar government Thoothukudi Tamil nadu Thiruchenthur GOVERNMENT
higher secondary school, therikudiyiruppu
Academic Information
Qualifying Examination: HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: 2212083774 HSC Roll number: 7084272
Qualified Year: 2023 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: 500 SSLC obtained marks: --
Have you applied for NEET ?: No Have you applied for JEE ?: No
Educational Management Information System(EMIS) Number: 33280510812 Community certificate number: TN-5202304119647
Nativity certificate number (if applicable): --
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2023
Application for Admission to B.E/B.Tech Degree Course
Application Number: 380552
Affix recent Passport
size Photo
DECLARATION BY THE APPLICANT
I, ARTHI S (Son / Daughter) of SUBRAMANIYAN 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, SUBRAMANIYAN (Parent / Guardian) of ARTHI 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 ADMISSION - 2023
Application for Admission to B.E/B.Tech Degree Course
Application Number: 380552
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 BC (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
