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Application Form
Application Form
: 37078
1. Personal Details
2. Education Details
(c) Marks Obtained : 74.52 Percentage (Upto 8th Sem) (d) Qualifying Year : 2005 - APR
3. GATE Details
(c) Marks out of 100 : 41.33 (d) All India Rank : 1412
4. Category : OBC
5. Physically Challenged : No
6. Nationality : Indian
7. Mailing Addres
6A, Melkattamman koil back street,Nangayar kulam,Uttiramerur, Kancheepuram District, Tamil Nadu - 603406
8. Permanent Address
6A, Melkattamman koil back street,Nangayar kulam,Uttiramerur, Kancheepuram District, Tamil Nadu - 603406
12. DD Details
(c) Bank Name : SBI, Tiruvanmiyur (d) Amount (in rupees) : 300
I accept that if any of the information mentioned above is found to be false or misleading I will be disqualified from admission.
1) Affix your recent passport size photograph on top corner and sign the application form.
3) Attach a Demand Draft of appropriate amount drawn in favour of The Director, National Institute of Technology,
Tiruchirappalli - Payable at Tiruchirappalli from any nationalized bank.
4) Send the application form through courier/speed post to the following address on/or before 31st May 2010.