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Application Number
6609238
1. Photo
ADMISSION 2014
SHRIMATHI A
4. GENDER 5 . COMMUNITY 6. DATE OF BIRTH
Female
OBC/BC/MBC
1996/06/11
7. STATE
8. MOBILE NUMBER
Tamil Nadu
9787022119
YOUR COMPLETE POSTAL ADDRESS FOR COMMUNICATION 9. S/o, D/o, C/o K.AYYANAR 10. Address 11 ANGUSAMY NAGAR
SRM UNIVERSITY
VANDIYUR
Madurai
15. STD CODE
Tamil Nadu
16.TELEPHONE NUMBER
625020
Page 1 of 2
a) X STANDARD: 81.20
b) XI STANDARD:
APPEARING
SCHOOL BOARD MONTH/YEAR OF PASSING % OF MARKS
MAHATMA Tamil Nadu Board of Higher May/2014 MONTESSORI Secondary Education MATRICULATION 20. DETAILS OF THE QUALIFYING HIGHER EXAMINATION FOR UG/ PG /PG DIPLOMA PROGRAMS SECONDARY SCHOOL PASSED APPEARING XII
QUALIFYING EXAM COLLEGE UNIVERSITY MONTH/YEAR OF PASSING AGGREGATE % OF MARKS
ADMISSION 2014
22. Test City Madurai 24. COURSE/SPECIALIZATION 1). Biomedical Engineering 2). Information Technology 3). Software Engineering
B.Tech.
SRM UNIVERSITY
25. Online Payment: DATE 25-Jan-14 12:35:40 PM, TXN REF NO 6609238/SRMEE14-15/25-01-2014 12:35:39
26.DECLARATION
"I hereby declare that I have carefully read the instructions and understood the particulars supplied to me and that the entr ies made in this application form are true and correct to the best of my knowledge and belief. I understand that the decision of th e University is final with regard to selection for admission. If selected for admission, I promise to abide by the rules and regulations of the University as existing and as would be amended from time to time. The University shall have the right to expel me from the University at any time after admission, provided it is satisfied that I was admitted on false particulars furnishe d by me or my antecedents proving that my continuance in the University is not desirable. Fees paid once will not be claimed back u nder any circumstances. I agree that all disputes are subject to the jurisdiction of the courts at Chennai only".
SIGNATURE OF APPLICANT
I have fully read the information furnished by my son / daughter / ward and affirm that it is true and correct. If any of the information provided to the University is false, my ward and I shall abide by the actions and decisions taken by the University.