Application form for B.

Tech
Programs 2024
Application No:
24SNUC/EN10529

Program Details
Choose The Category Of Admission GENERAL
Applicant Details
Name as per 12th MADHAVANMOHNISH@
Title MR. MOHNISH M Email Address
mark sheet GMAIL.COM
Alternate Mobile
Mobile Number +91-8610388261 +91-9789896545 Date Of Birth 28/07/2006
Number
Are You Differently
NO Community BC Gender MALE
Abled?
Religion HINDUISM Mother Tongue TAMIL Blood Group O+
Will You Be The
First Person To
Nationality INDIAN NO Aadhar Card 879289492157
Graduate In Your
Family?
How Did You Get To Know About Shiv Nadar
OPEN HOUSE
University Chennai (SNU Chennai)?
Passport Details
Passport Number Place Of Issue Date Of Issue
Date Of Expiry

Parent Details
Father's Annual
Father Title MR. Father Name N MADHAVAN 1 LAKHS - 3 LAKHS
Income
Father's Mobile Father's Email NMCONSTRUCTION78@
+91-9003049257 Father's Occupation BUSINESS
Number Address GMAIL.COM
Father's Designation NM CONSTRUCTION
Mother's Annual
Mother's Title * MRS. Mother's Name * S THULASI
Income
Mother's Mobile Mother's Email THULASIMADAVAN@GM
+91-9789896545 Mother's Occupation HOMEMAKER
Number Address AIL.COM
Family Annual Income
Mother's Designation LESS THAN 1 LAKH
*
Local Guardian Detail NO Guardian Title Guardian Name
Guardian Mobile
Guardian Occupation Guardian Designation
Number
Guardian Email
Address

Address Details
Address For Correspondence
Country INDIA
State TAMIL NADU
District CHENNAI
City CHENNAI
Pincode 600099
PLOT NO 37A, SRI VENKATASAI NAGAR 13TH EXTN,40 FEET ROAD AYYAN THIRUVALLUR
Area And Street
SALAI PUTHAGARAM CHENNAI-99
Are You Are A Resident Student Of Tamil
NO
Nadu?
Select State
Academic Details
Total
Marking Obtained Year of X hall ticket No./
Institute name Board Aggregat
Scheme Percentage Passing Registration No.
e Mark
NARAYANA CENTRAL BOARD
X
ETECHNO OF SECONDARY 500 300 60 2022 20195439
Details
SCHOOL EDUCATION (CBSE)
Mathematics & Science Marks
Maximum Percentag Month & Year of
Obtained Marks
Marks e passing
Mathematics 100 52 52 03/2022
Science 100 45 45 03/2022
12th Details
12th Result Status AWAITED
Total Total
Obtained Year of XII hall ticket No./
Institute name Board Aggregat Obtained
Percentage Passing Registration No.
e Mark Marks
NARAYANA CENTRAL BOARD
12th
ETECHNO OF SECONDARY 2024
Details
SCHOOLS EDUCATION (CBSE)

Marks In The Qualifying Exam

Month and Year
Max Marks Obtained Marks Percentage No of Attempts
of passing
Mathematics
Physics
Chemistry
English

B.TECH AI AND Branch Preference B.TECH CSE (CYBER Branch Preference

Branch Preference 1 B.TECH CSE (IOT)
DATA SCIENCE 2 SECURITY) 3

Additional Particulars
Extra-Curricular Details
Played At
Name Of Sport Special Achievement
Which Level
THE RANKINGS ARE GOOD AND SHIV NADAR UNIVERSITY OFFERS AN
UNDERGRADUATE CURRICULUM THAT IS UNIQUE AND UNPRECEDENTED IN INDIA.
Why Do You Wish To Join Shiv Nadar University
THE CURRICULUM IS DESIGNED TO ALLOW STUDENTS TO MAJOR IN A PARTICULAR
Chennai? *
SUBJECT WHILE ALSO STUDYING AND EXPERIMENTING WITH A RANGE OF OTHER
MINOR AND ELECTIVE SUBJECTS.
Declaration
Terms And Conditions
I have read and fully understood the above terms and agree to comply I HAVE READ AND FULLY UNDERSTOOD THE ABOVE
by it. TERMS AND AGREE TO COMPLY BY IT
Applicant Name MOHNISH M Parent Name N MADHAVAN Date 17/01/2024
Upload Your Documents

Recent Photograph

Signature

10th Marksheet YES

12th Mark sheet NO
Community Certificate YES
Other Documents NO
A Copy Of Your Passport NO
The Proof Of Proficiency In Sports In Last 2 Years NO
NRI Status Certificate From Indian Embassy Abroad NO
Sponsorship Letter From Parent NO
PIO/ OCI/Foreign National And Passport Card Copy NO
Upload Your Extra-Curricular Details Documents NO
Upload Your Aadhar Card YES