GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2025
Application for Admission to B.E/B.Tech Degree Course
Application Number: 223422
Personal Information
Name: S.ALEX MADDY Aadhar Number (optional): 616607668218
Date of Birth (DD-MM-YYYY): 27-06-2007 Communication Address: No.135,5th Street, Kamaraj Nagar, Avadi,Chennai-600071
Permanent Address: No.135,5th Street, Kamaraj Nagar, Avadi,Chennai-600071 State: Tamil nadu
District: Tiruvallur Taluk: Avadi
Communication address pincode: 600071 Native District: Tiruvallur
Civic status of Native Place: Municipality Gender: Male
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Christian
Name of the Community: OC Name of the Caste: Others
Community certificate number: -- Name of the Father: D.Samson Dairiasamy
Name of the Mother: S.Rosary Jayarani Parent / spouse / Guardian Mobile Number: 6381333723
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-III of Information Brochure?:
No
Differently Abled Person: No Differently Abled Type: --
UDID (Unique Disability ID Number): -- Differently Abled State Id: --
The Extent of (%) of Disability: -- TFC Center for certificate verification:
University Departments Of Anna University, Chennai - CEG Campus, Sardar Patel Road, Guindy,
Chennai 600 025
Scholarship Information
Parent Occupation: Others Annual Income: 200000
Are you a First Graduate?: No First graduate certificate number: --
Post Matric Scholarship (SC/SCA/ST/Converted Christians): No Income Certificate Number: --
Are you planning to avail education loan?: No
School of Study Information
Category of School: State Govt Civic status of school location (+2): Municipality
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. 2019 nazareth matric hr sec school, kamaraj Tiruvallur Tamil nadu Poonamallee --
nagar, avadi
VII Std. 2020 nazareth matric hr sec school, kamaraj Tiruvallur Tamil nadu Poonamallee --
nagar, avadi
VIII Std. 2021 nazareth matric hr sec school, kamaraj Tiruvallur Tamil nadu Poonamallee --
nagar, avadi
IX Std. 2022 nazareth matric hr sec school, kamaraj Tiruvallur Tamil nadu Poonamallee --
nagar, avadi
X Std. 2023 nazareth matric hr sec school, kamaraj Tiruvallur Tamil nadu Poonamallee --
nagar, avadi
XI Std. 2024 nazareth matric hr sec school, kamaraj Tiruvallur Tamil nadu Poonamallee --
nagar, avadi
XII Std. 2025 nazareth matric hr sec school, kamaraj Tiruvallur Tamil nadu Poonamallee --
nagar, avadi
Academic Information
Qualifying Examination: TN-HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: 2414734701 HSC Roll number: 1734874
Qualified Year: 2025 HSC Group: HSC Academic
Group Code: Physics/ Chemistry/ Maths/ Computer Science Medium of Instruction: Tamil
HSC maximum (total) marks: -- HSC obtained marks: --
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2025
Application for Admission to B.E/B.Tech Degree Course
Application Number: 223422
Have you applied for NEET ?: No Have you applied for JEE ?: No
Have you applied for Indian Maritime University Common Entrance Test (IMU Educational Management Information System(EMIS) Number: 2013154489
CET)?:
No
Nativity certificate number (if applicable): --
GOVERNMENT OF TAMIL NADU
DIRECTORATE OF TECHNICAL EDUCATION
TAMIL NADU ENGINEERING ADMISSIONS - 2025
Application for Admission to B.E/B.Tech Degree Course
Application Number: 223422
Affix recent Passport
size Photo
DECLARATION BY THE APPLICANT
I, S.ALEX MADDY (Son / Daughter) of D.SAMSON DAIRIASAMY 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, D.SAMSON DAIRIASAMY (Parent / Guardian) of S.ALEX MADDY 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 ADMISSIONS - 2025
Application for Admission to B.E/B.Tech Degree Course
Application Number: 223422
The following Certificates copy have to be uploaded to our system.
1. Transfer certificate
2. 10th Mark Sheet
3. 12th Mark Sheet
4. Income Certificate of the Parent
5. Special Reservation Form for Sports and relevant certificates
6. Special Reservation Form for Ex-Serviceman and relevant certificates
7. Differently Abled Form and relevant certificates
