University of Madras

Application to the Post Graduate / Post Graduate (Five Year Integrated Course) /M.Phil. / P.G.Diploma/ Diploma/
Certificate programmes offered in the University Departments under Choice Based Credit System (CBCS) for the
Academic year 2018-2019.

Application No.: 1807057 Name : KAVITHA M

Admission for : M.Sc. Programme

Department / branch Computer Science (Self-Supportive)
:

Name (Tamil) : ககககக கக Religion : Hindu Category: BC

Gender Female Parents annual income : 60000
Date of birth : 01/01/1998 Blood Group: A-
Native state : Tamil Nadu
Father's Name: r murugesan Mother's Name: m umarani
Address for Communication : Permanent address :
24/27 3rd street 24/27 3rd street
karumariyamman nagar karumariyamman nagar
korukkupet chenani korukkupet chenani
600021 600021
Mobile : 9710280542 Aadhaar: 926433572679 E-Mail : kavithanarmatha111998@gmail.com

A person of :

Number of years of study (school and college) : 10+2+3 = 15 Years Payment details:
Qualifying examinaton passed : Online payment Ref.No. : DU90690723
Qualification :UG Transaction Date : 05/06/2018
Subject :BSC COMPUTER SCIENCE
Reg. no. :221510418
Semaster :Pre-Final Semester - Month & year of pass :APRIL 2018
Average Percentage of Core Subjects Marks:84
Average Percentage of Allied \ elective Subjects Marks:78.14
Average Percentage of (Core + [Allied \ elective]) Subjects Marks:81.32
experience:0 Years

Attach copy of the following certificates/documents :

Note:
Marks obtained in language, non-major electives,
Practicals, Project, Internship and soft skills should not
be considered while computing the above percentage of
marks for the qualifying degree

DECLARATION BY THE APPLICANT

I hereby declare that the particulars furnished above are correct. I agree that the authorities may invalidate my application, at any time, if
any of the information furnished is found to be false. I am aware that my eligibility for admission to a programme will be decided by the concerned
admitting authority and I will abide by the CBCS Rules and Regulations of the University.

Date: 05/06/2018
Signature