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Sl No Reg No Name Degree Branch Section

No of OE's
to be
complete
d by May
2014
(0,1,2,3)
Gender
(M/F)
DOB
(DD.MM.
YYYY
format
only)
10th %
B.Tech Mech B NA F
10th
Board of
Study(CBS
E, State,
Matric,
ICSE,
Anglo
Indian)
Name of
the State -
Board (eg,
TN,
Andhra,
Bihar..)
10th YoP 12th %
12th
Board of
Study(CBS
E, State,
Matric,
ICSE,
Anglo
Indian)
Name of
the State -
Board (eg,
TN,
Andhra,
Bihar..)
12th YoP
Diploma
%
Diploma
Board of
Study
Diploma
YoP
UG/CGPA
UG
Degree
UG
Specializa
tion
UG
Degree
University
1st Sem
SGPA
2nd Sem
SGPA
3rd Sem
SGPA
4th Sem
SGPA
5th Sem
SGPA
6th Sem
SGPA
7th Sem
SGPA
8th Sem
SGPA
CGPA
Current -
Standing
Arrears(0,
1,2,3.)
History of
Arrears
(0,1,2,3)
Break in
Studies
(YES/NO)
If yes, No
of years
(0,1,2,3)
Reason
for Break
in Studies
E MAIL ID
Mobile
No (ONLY
10 Digits)
Land Line
No (with
STD Code)
Present
Address
Permanen
t Address
Native
Place
Native
District
Native
State
Father's
Name
Father's
Occupatio
n
Organisati
on
Mother's
Name
Mother's
Occupatio
n
Organisati
on
Category
(General,
BC, MBC,
SC, ST)
Nationalit
y
Admission
to SASTRA-
AI/TN/AIE
EE/TRY/TJ
/NRI
Remarks

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