APPLICATION FOR REGISTRATION OF ARCHITECTS

UNDER THE ARCHITECTS ACT,1972

The Registrar Enrolment No. Application No.

Council of Achitecture COA-049487 124328
New Delhi

CANDIDATE NAME : Mr. Anuj S Jain

FATHER'S NAME : Shri. Sanjay P Jain

NATIONALITY : Indian

DATE OF BIRTH : 17/01/1997 EMAIL ID : ar.anujjain@gmail.com

MOBILE NUMBER : 09003530992 GENDER : Male

RESIDENTIAL ADDRESS : 307,KOCHAR PROFESSIONAL ADDRESS : 307,KOCHAR

APARTMENT,BEGUMPET, APARTMENT,BEGUMPET,
SECUNDERABAD-500016, SECUNDERABAD-500016,
TELANGANA TELANGANA

Particulars of Qualification
Qualification From Indian Certificate Type Degree

Course Name Bachelor of Architecture University Name SRM University

TN05-School Of Architecture & Interior
Design SRM Institute of Science and Year of Admission/
School of Architecture 2014/2019
Technology ,Kattankullathur - Passing
KANCHEEPURAM DISTRICT

Date of Commencement of
N/A Practicing With : N/A
Profession/ Service :

CORRESPONDENCE ADDRESS PERIOD OF RESIDENCE IN

307,KOCHAR 24 Years 2 Months
: APARTMENT,BEGUMPET, INDIA :
SECUNDERABAD-500016, PERIOD OF RESIDENCE
TELANGANA N/A
OUTSIDE INDIA :

Qualifying Examination (10+2 or Equivalent)

Board Of Intermediate Education,
Name Of Examination 10+2 or Equivalent Name Of Board
Andhra Pradesh
Mathematics Passed Yes Category General

Aggregate Marks 845/1000 Percentage 85%

I hereby undertake that if admitted as a Registered Architect, I shall be bound by the provisions of the Architects Act, 1972 and the
Rules and Regulations framed thereunder or that may hereafter from time to time be made pursuant to the said Act.
I also enclose cash/demand draft of Rs 600/- in favour of "COUNCIL OF ARCHITECTURE", payable at New Delhi, as registration fee
(Non-refundable).

Yours faithfully

Date: 03-May-2021 (Signature of Applicant)

For Office Use

Receipt Date: 13/04/2021 Receipt No: F08395

Registration No.: Date of Registration:

(Registrar)