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TAMIL NADU FISHERIES UNIVERSITY

NAGAPATTINAM 611 001


APPLICATION FOR B.F.Sc DEGREE COURSE 2014
Name(As in +2 Certificate) 1 .
2.
3. Date Of Birth
Gender
4. Nationality
Community
9. Caste
5. Nativity
STANDARD
Year of
Study
Name & Address of School
Place of Study
(Village/Town/District)
State
XII
SRV BOYS HR SEC SCHOOL 2014
RASIPURAM
TAMILNADU
XI
SRV BOYS HR SEC SCHOOL 2013
RASIPURAM
TAMILNADU
X
GOVT HR SEC SCHOOL 2012
MELMALAYANUR
TAMILNADU
IX
GOVT HR SEC SCHOOL 2011
MELMALAYANUR
TAMILNADU
VIII
GOVT HR SEC SCHOL 2010
MELMALAYANUR
TAMILNADU
School of Study
Parent's/Guardians Name
Annual Income
Occupation
6.
7.
DD Particulars
DD Number
DD Date
476948
DD Amount Bank Branch
Are you the First Graduate in
your family ?
13. Mother Tongue
8.
10.
11.
12. Special Category
04-06-2014 600.00
INDIAN BANK
POLUR
Male
15-06-1997
Indian
AJITHKUMAR M
TamilNadu
District Code No. District
MUNUSAMY P
AGRICULTURE
MBC/DNC
28-Meenavar (including converts to
Christianity)
42000
Yes
NA
TAMIL
HSC
Villupuram 31
14. Qualifying Examinations
15.
Academic / Vocational
Academic
1
DECLARATION
.
I certify that the particulars furnished above are correct and true to the best of my knowledge and belief.
I understand that withholding any information or giving false information in this application will make me ineligible
foradmission to B.F.Sc. degree course in the Tamil Nadu Fisheries University and subject to dismissal.
.
.
I further certify that I will not claim any addition, deletion, amendment or correction to the particulars furnished herein in any
manner whatsoever.
I agree that if I am admitted by the Tamil Nadu Fisheries University, I will adhere to and be bound by the Tamil Nadu Fisheries
University's Act, Statutes, Regulations and Rules concerning University as prescribed / revised from time to time.
.
I do hereby undertake to abide by the orders of the authorities of the University to pay the tuition fees and other fees as
prescribed / revised from time to time.
.
I will not claim any extra facilities like scholarship, stipend, etc. which are not normally in existence. .
. I am aware that there is "NO JOB GUARANTEE".
Signature of the Parent / Guardian
The following documents/certificates are to be produced at the time of counselling
CHECK LIST (to be filled by the Candidates) TICK
1 . Attestation in the passport
size photograph
*Attested copy of HSC/CBSC/Equivalent
Examination Mark Sheet
2 .
3 . *Attested copy of Transfer Certificate
4 . *Attested copy of Permanent Community
Certificate (if applicable)
*Attested copy of Relevant certificate for
Special Category (if applicable)
5 .
6. Attested copy of First Graduate
Certificate and declaration
7. *Signature of candidate and parent /
guardian in the application
8. *Xerox copy of the receipt / DD
for having paid the application cost
Address for correspondence 19.
TICK
Subject Total marks obtained out of 200
Language 180
English 162
Physics 195
Chemistry 198
Biology 189
Botany 0
Zoology 0
Maths/Others 193
Total 1117
16. Name of the Board of Examination
17. Medium of Instruction Year of Passing Register Number
EMail-ID
Qualifying Examination Marks
Phone / Mobile No 18.
STATE BOARD
Tamil
2014
351746
9842737325
pappitha1986@gmail.com
3/55 PARVATHARAJAKULA ST
MELMALAYANUR VILLAGE AND POST
GINGEE TALUK
VILLUPURAM DIST - 606204.
Date :
Signature of the Candidate
Station :
*Originals also need to be brought at the time of Counselling
I concur with the particulars furnished above and abide by the conditions laid down by the University.
.
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