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Application Form for Admission to Amrita B.Tech

Amrita School of Engineering-Amrita Vishwa Vidyapeetham
(Data filled by the candidate on 10/04/2023 8:26 PM)

PERSONAL INFORMATION ADDRESS FOR CORRESPONDENCE

Candidate Name : N.Aadithya Address Line 1 : 393 p3
Gender : Male Address Line 2 : Kamarajapuram, Vellakovil
Date of Birth : 2005-12-13 Pincode : 638111
Social Status : OBC(BC&MBC) State : Tamil Nadu & Puducherry (UT)
Email Address : aadithyanallasamy@gmail.com District : Tiruppur
Mobile Number : +91 6361690367 City : Vellakovil
Alternate Email : hariharanmag@gmail.com
Aadhar Number : 588XXXXXX599
Nationality : Indian
Parent’s / Guardian’s Name : N.Prema
Parent’s / Guardian’s Mobile No : +91 6361690367
How did you know about Amrita ? : Relatives

AEEE Details
Entrance Examination Mode : Computer Based Test
Exam City Choice 1 : TIRUPPUR
Exam City Choice 2 : KARUR
Exam City Choice 3 : ERODE

DECLARATION

I N.Aadithya son/daughter of N.Prema do hereby declare that the facts given by me in the application are true. I shall produce the original certificates
at the time of admission or on demand

Place:

Date:

Signature of the Candidate

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