GOVERNMENT OF TAMIL NADU

DIRECTORATE OF TECHNICAL EDUCATION

TAMIL NADU ENGINEERING ADMISSION - 2023
Application for Admission to B.E/B.Tech Degree Course
Application Number: 318195

Personal Information
Name: SHYAM T Name of the Parent/Guardian: THANGARAJ A
Communication Address: Permanent Address:
S/O:THANGARAJ, 220-MIDDLE STREET,MELMANDAI SEVAL-628901 S/O:THANGARAJ, 220-MIDDLE STREET,MELMANDAI SEVAL-628901
State: Tamil nadu District: Thoothukudi
Taluk: Vilathikulam Communication address pincode: 628901
Native District: Thoothukudi Civic status of Native Place: Corporation
Date of Birth (DD-MM-YYYY): 14-09-2005 Gender: Male
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Hindu
Name of the Community: SC Name of the Caste:
Devendrakula Velalar [Devendrakulathan, Kadaiyan(excluding in the coastal areas of
Tirunelveli, Thoothukudi, Ramanathapuram, pudukottai, Thanjavur, Tiruvarur and Nagapattinam
districts), kalladi, Kudumban, Pallan, pannadi, Vathiriyan]
Aadhar Number (optional): 607794119847

Special Reservation Information

Whether you are a candidate under quota for Eminent Sports person as per Ex-Servicemen (Only Army/Navy/ Air force services are Eligible): No
annexure-II, item No.22 of information brochure?:
No
Differently Abled Person: No Differently Abled Type: --
TFC Center for certificate verification:
University VOC College of Engineering, Briyant Nagar, 7th street west, Thoothukudi 628008

Scholarship Information
Parent Occupation: Agriculture Annual Income: 60000
Are you a First Graduate?: No Post Matric Scholarship (SC/SCA/ST/Converted Christians): Yes

School of Study Information

Category of School: Private Civic status of school location (+2): Town Panchayat
Have you studied VIII to XII in Tamil Nadu?: Yes Have you studied from VI to VIII in private school under RTE and IX to XII
in Government School?:
No
Have you studied VI to XII in Government school?: No

Class Year of Passing Name of the school District State Block Category of
Govt.School

VI Std. 2017 Sharon Matric Hr.sec.school, Vilathikulam Thoothukudi Tamil nadu Vilathikulam --

VII Std. 2018 Sharon Matric Hr.sec.school, Vilathikulam Thoothukudi Tamil nadu Vilathikulam --

VIII Std. 2019 Sharon Matric Hr.sec.school, Vilathikulam Thoothukudi Tamil nadu Vilathikulam --

IX Std. 2020 Sharon Matric Hr.sec.school, Vilathikulam Thoothukudi Tamil nadu Vilathikulam --

X Std. 2021 Sharon Matric Hr.sec.school, Vilathikulam Thoothukudi Tamil nadu Vilathikulam --

XI Std. 2022 Sharon Matric Hr.sec.school, Vilathikulam Thoothukudi Tamil nadu Vilathikulam --

XII Std. 2023 Sharon Matric Hr.sec.school, Vilathikulam Thoothukudi Tamil nadu Vilathikulam --

Academic Information
Qualifying Examination: HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: 2212065396 HSC Roll number: 7065464
Qualified Year: 2023 HSC Group: HSC Academic
Group Code: Physics/ Chemistry/ Maths/ Computer Science Medium of Instruction: English
HSC maximum (total) marks: 600 HSC obtained marks: 536
SSLC maximum (total) marks: 500 SSLC obtained marks: 440
Have you applied for NEET ?: No Have you applied for JEE ?: No
Educational Management Information System(EMIS) Number: 2007172632 Community certificate number: TN-5202101262548
Nativity certificate number (if applicable): --
 GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2023
Application for Admission to B.E/B.Tech Degree Course
Application Number: 318195

Subjects Permanent Register Number/Roll Month Year Maximum Mark Obtained Mark
Number

Physics -- March 2023 100 85

Chemistry -- March 2023 100 94

Mathematics -- March 2023 100 85

Optional -- March 2023 100 95

 GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2023
Application for Admission to B.E/B.Tech Degree Course
Application Number: 318195

DECLARATION BY THE APPLICANT

I, SHYAM T (Son / Daughter) of THANGARAJ A hereby solemnly declare that the information furnished and the statements given in the
application and the enclosures are true, correct and complete. I further declare that should it be found otherwise, I will be liable to forfeit my
seat and / or removal from the rolls of the Institution at whatever stage of study I may be, besides making me liable for criminal prosecution.
I am fully aware that as per the directions of the Hon'ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act 1997, Ragging
is an offence, as is banned in the Institutions and anyone indulging in ragging is liable to be punished such as expulsion from the Institutions
and / or rigorous imprisonment up to 3 years, and / or fine up to Rs.25,000/-

Place:

Date: ( Signature of the Applicant )

DECLARATION BY THE PARENT/ GUARDIAN

I, THANGARAJ A (Parent / Guardian) of SHYAM T hereby solemnly declare that I am fully aware of the declaration made by the applicant,
and I declare and bind myself on the same terms contained in the above declaration. The statements and the information given are true, correct
and complete. If it is found otherwise, the applicant is liable to forfeit the seat and / or removal from the rolls of the Institution at whatever
may be the stage of study, besides making me liable for criminal prosecution I am fully aware that as per the directions of the Hon'ble Supreme
Court of India and Tamil Nadu Prohibition of Ragging Act 1997,Ragging is an offence, as is banned in the Institutions and anyone indulging
in ragging is liable to be punished such as expulsion from the Institution and / or rigorous imprisonment up to 3 years, and / or fine up to RS.
25,000/-

Place:

Date: ( Signature of Parent / Guardian )

Note: Guardian can execute the above declaration, only if both the parents are not alive.
 GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSION - 2023
Application for Admission to B.E/B.Tech Degree Course
Application Number: 318195

The following Certificates copy have to be uploaded to our system.

1. Transfer certificate
2. 10th Mark Sheet
3. 12th Mark Sheet
4. Permanent Community Certificate Card for SC (Permanent card / Electronic form / Digitally Signed E-Certificate)
5. Income Certificate of the Parent
6. Special Reservation Form for Sports and relevant certificates
7. Special Reservation Form for Ex-Serviceman and relevant certificates
8. Special Reservation Form for Blindness & Low Vision and relevant certificates