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SRM University Admission Form 2014

This document is an application for admission to the B.Arch program at SRM University for the 2014-2015 academic year submitted by Ajith Pandian. It includes his personal details like name, gender, date of birth, address, contact information, educational qualifications including percentages scored in Class 10, 11 and 12, details of the qualifying examination passed, mode of entrance exam, course and specialization applied for, online payment details and declarations signed by the applicant and parent.

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Ismail Msw
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131 views2 pages

SRM University Admission Form 2014

This document is an application for admission to the B.Arch program at SRM University for the 2014-2015 academic year submitted by Ajith Pandian. It includes his personal details like name, gender, date of birth, address, contact information, educational qualifications including percentages scored in Class 10, 11 and 12, details of the qualifying examination passed, mode of entrance exam, course and specialization applied for, online payment details and declarations signed by the applicant and parent.

Uploaded by

Ismail Msw
Copyright
© © All Rights Reserved
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

6672144

1. Photo

ADMISSION 2014

3. NAME OF THE APPLICANT

2. SIGNATURE OF THE APPLCANT

METHA AJITH PANDIAN


4. GENDER 5 . COMMUNITY 6. DATE OF BIRTH

Male

OBC/BC/MBC

1997/02/21

7. STATE

8. MOBILE NUMBER

Tamil Nadu

8489449225

YOUR COMPLETE POSTAL ADDRESS FOR COMMUNICATION 9. S/o, D/o, C/o P.SURESH BABU 10. Address 9/1 P.T.RAJAN ROAD

SRM UNIVERSITY

SEKHEDI STREET NARIMEDU


11. CITY MADURAI 12.DISTRICT 13.STATE 14.PINCODE

Madurai
15. STD CODE

Tamil Nadu
16.TELEPHONE NUMBER

625002

17.EMAIL ADDRESS: [email protected]

Application Printed Date: Thursday,27 3ar 2014 12:03:37 Ref ID:

Page 1 of 2

18. PERCENTAGE OF MARKS (%) OBTAINED IN

a) X STANDARD: 89.40

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 March/2014 MONTESSORI Secondary Education HR.SEC.SCHOOL 20. DETAILS OF THE QUALIFYING EXAMINATION FOR UG/ PG /PG DIPLOMA PROGRAMS XII
PASSED APPEARING
UNIVERSITY MONTH/YEAR OF PASSING AGGREGATE % OF MARKS

ADMISSION 2014

QUALIFYING EXAM COLLEGE

21. MODE OF ENTRANCE EXAM: 23. DEGREE APPLIED

22. Test City 24. COURSE/SPECIALIZATION 1). Architecture 2). 3).

B.Arch.

SRM UNIVERSITY

25. Online Payment: DATE 27-Mar-14 12:00:59 PM, TXN REF NO 6672144/SRMEE14-15/27-03-2014 12:00:06

26.DECLARATION
"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: Thursday,27 3ar 2014 12:03:37 Ref ID: Page 2 of 2

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