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SRM University Admission Form 2014

This document is an application for admission to SRM University for the academic year 2014-15. It contains details of the applicant such as name, gender, date of birth, address, contact information, educational qualifications including percentages scored in Class 10, 11 and 12, and the choice of B.Tech course and specialization. The applicant has signed to declare that the information provided is true and the parents have also signed supporting the information provided in the application.

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Ismail Msw
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162 views2 pages

SRM University Admission Form 2014

This document is an application for admission to SRM University for the academic year 2014-15. It contains details of the applicant such as name, gender, date of birth, address, contact information, educational qualifications including percentages scored in Class 10, 11 and 12, and the choice of B.Tech course and specialization. The applicant has signed to declare that the information provided is true and the parents have also signed supporting the information provided in the application.

Uploaded by

Ismail Msw
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Engineering & Technology

Application Number

6609238

1. Photo

ADMISSION 2014

3. NAME OF THE APPLICANT

2. SIGNATURE OF THE APPLCANT

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 [Link] 10. Address 11 ANGUSAMY NAGAR

SRM UNIVERSITY

VANDIYUR

11. CITY MADURAI [Link] [Link] [Link]

Madurai
15. STD CODE

Tamil Nadu
[Link] NUMBER

625020

[Link] ADDRESS: ayyanar2005@[Link]

Application Printed Date: Saturday,25 Jan 2014 [Link] Ref ID:

Page 1 of 2

18. PERCENTAGE OF MARKS (%) OBTAINED IN

a) X STANDARD: 81.20

b) XI STANDARD:

19. DETAILS OF THE QUALIFYING EXAMINATION (XII STANDARD) PASSED


SCHOOL EXAM

 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

21. MODE OF ENTRANCE EXAM: Paper Pencil 23. DEGREE APPLIED

22. Test City Madurai 24. COURSE/SPECIALIZATION 1). Biomedical Engineering 2). Information Technology 3). Software Engineering

[Link].

SRM UNIVERSITY

25. Online Payment: DATE 25-Jan-14 [Link] PM, TXN REF NO 6609238/SRMEE14-15/25-01-2014 [Link]

[Link]
"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.

VALID FOR THE ACADEMIC YEAR 2014-15


Application Printed Date: Saturday,25 Jan 2014 [Link] Ref ID: Page 2 of 2

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