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Dhanalakshmi College Admission Form

This document is an application form for admission to the first year of undergraduate programs at Dhanalakshmi College of Engineering in Chennai for the academic year 200-0. The form requests information such as the applicant's name, address, date of birth, qualifying exam details, course preferences, and a declaration signed by the applicant and parent/guardian. It also lists the required documents to submit along with the application such as mark sheets and certificates.

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arunk7004
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108 views3 pages

Dhanalakshmi College Admission Form

This document is an application form for admission to the first year of undergraduate programs at Dhanalakshmi College of Engineering in Chennai for the academic year 200-0. The form requests information such as the applicant's name, address, date of birth, qualifying exam details, course preferences, and a declaration signed by the applicant and parent/guardian. It also lists the required documents to submit along with the application such as mark sheets and certificates.

Uploaded by

arunk7004
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

DHANALAKSHMI COLLEGE OF ENGINEERING, CHENNAI

(Approved by the All India Council Of Technical Education and affiliated to Anna University)
APPLICATION FORM FOR ADMISSION DURING 200 - 0
FIRST YEAR

[Put tick in the appropriate box, against columns 6, 7, 8(i), 8(iv), and 9(i)]

1. Name of the applicant, in block letters : ………………………………..


(as given in +2 mark sheet)
2 Nos. latest,
colour,
2. i) Residential address : ………………………………..
passport size
………………………………..
photo (one
………………………………..
affixed and one
Pincode : ……………Phone : …………..
annexed)
ii) Address for communication : …………………………………
…………………………………
…………………………………
Pincode : ……………Phone : …………..

3. i) Name of the parent / guardian : …………………………………


ii) Occupation of the parent / guardian : …………………………………
iii) Office / Establishment address : …………………………………
…………………………………
………………………………….
Pincode : ……………Phone : …………..

4. I) Date of birth :
Date Month Year

Date, month and year should be entered only as two digit number.
Example, 5-1-1977 should be entered as
0 5 0 1 7 7

Ii ) Age as on 1st July 2006 : ……….years………..months

5. Nativity :

6. Sex : Male Female

7. Community : OC BC MBC/DNT
Attach a xerox copyof the permanent
Community certificate in cases other than OC SC/ST
8. I) Qualifying examination passed : HSC (Academic) HSC (Vocational)
Equivalent

I i) Examining body : State Board CBSE ISC

III) Name and address of the school of +2 study : English Tamil Others(specify)……

iv) Medium of instruction in +2:

Subject Maximum marks Marks obtained Number of Month and year


attempts of passing
Tamil
English
Mathematics
Physics
Chemistry
Biology/Botany
Zoology
Total

* Enter only the digit (Example: 1/2/3…..) against ‘Number of attempts’ as may be applicable

9. I) Whether appeared for the :


Tamil Nadu Professional Courses Yes No
Entrance Examinations (TNPCEE)

ii) If yes, mention the Registration Number :

iii) Year of appearance :

iv) a) Average in Mathematics, Physics


and Chemistry out of 100 :

b) Marks obtained in TNPCEE : M - _____/50 ; PS - _____/50

c) Total (a + b) out of 200 :

10. Course opted : Electronics and Communication Engineering


(Indicate the serial number in
the order of preference) Electrical and Electronics Engineering

Computer Science and Engineering

Information Technology
DECLARATION

I,…………………………………………………………….(Name in full), Son/Daughter of


……………………………………Hereby solemnly affirm that the information furnished in the
Application are true, correct complete.

I further affirm that in case any information is found to be otherwise I agree to forfeit the seat
and be removed from the rolls in the institution, at whatever stage of study I may be, at that particular
point of time besides subjecting myself to criminal prosecution.

Place :…………………….

Date :…………………….

Parent’s / Guardian signature Signature of the applicant

NOTE: The application should be accompanied by Xerox copies of the following :


1. SSLC mark sheet
2. +2 mark sheet
3. TNPCEE Hall ticket and mark SHEET
4. Transfer certificate / conduct certificate
5. Community certificate
The originals should be produced and surrendered at the time of admission.

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