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: 455229

Personal Information
Name: PREETHI S J Aadhar Number (optional): 233416449972
Date of Birth (DD-MM-YYYY): 16-12-2007 Communication Address:
NO 39/1 NEHRU STREET THIRUVALLUVAR NAGAR PERUNGUDI
Permanent Address: State: Tamil nadu
NO 39/1 NEHRU STREET THIRUVALLUVAR NAGAR PERUNGUDI
District: Kancheepuram Taluk: Kancheepuram
Communication address pincode: 600096 Native District: Sivaganga
Civic status of Native Place: Village Panchayat Gender: Female
Mother Tongue: Tamil Nationality: Indian
Nativity: Tamil nadu Religion: Hindu
Name of the Community: SC Name of the Caste: PuthiraiVannan
Community certificate number: A86969696A687C86 Name of the Father: SAKTHIVEL S
Name of the Mother: JAYAPRIYA S Parent / spouse / Guardian Mobile Number: 9884196622

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?:
Yes
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: 144000
Are you a First Graduate?: Yes First graduate certificate number: TN-51202505244332
Post Matric Scholarship (SC/SCA/ST/Converted Christians): Yes Income Certificate Number: TN-42025051914944
Are you planning to avail education loan?: No

School of Study Information

Category of School: State Govt Civic status of school location (+2): Corporation
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 shri a ganesan mat hr sec school, velach- Chennai Tamil nadu Adyar --
ery.

VII Std. 2020 shri a ganesan mat hr sec school, velach- Chennai Tamil nadu Adyar --
ery.

VIII Std. 2021 shri a ganesan mat hr sec school, velach- Chennai Tamil nadu Adyar --
ery.

IX Std. 2022 shri a ganesan mat hr sec school, velach- Chennai Tamil nadu Adyar --
ery.

X Std. 2023 shri a ganesan mat hr sec school, velach- Chennai Tamil nadu Adyar --
ery.

XI Std. 2024 Chss Velachery Chennai Tamil nadu Mylapore --

XII Std. 2025 Chss Velachery Chennai Tamil nadu Mylapore --

Academic Information
Qualifying Examination: TN-HSC Name of the Board of Examination: Tamil nadu Board of Higher Secondary Education
Permanent register number: 2414761952 HSC Roll number: 1762183
Qualified Year: 2025 HSC Group: HSC Academic
Group Code: Physics/ Chemistry/ Maths/ Computer Science Medium of Instruction: English
HSC maximum (total) marks: 600 HSC obtained marks: 393
 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: 455229

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: 2013044415
CET)?:
No
Nativity certificate number (if applicable): --

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

Physics 2414761952 March 2025 100 63

Chemistry 2414761952 March 2025 100 62

Mathematics 2414761952 March 2025 100 50

Optional 2414761952 March 2025 100 66

 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: 455229

DECLARATION BY THE APPLICANT

I, PREETHI S J (Son / Daughter) of SAKTHIVEL S 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, SAKTHIVEL S (Parent / Guardian) of PREETHI S J 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: 455229

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. Differently Abled Form and relevant certificates