9/8/2014

Applicant Details

Note : Your application has been successfully submitted, please take the print out.

Application Form

Download Challan

Stream Applied
Stream Name:

SX

Personal Details
Application Sequence Number:

15076864

Name of Applicant:

SRIVATHSON.E

X Standard Board Registeration No.:

4122391

Date Of Birth:

22/08/1997

Category:

OBC(NCL)

Person with disability:

No

Nationality:

Indian

Gender:

Male

Present Address
Address Line 1:

No.36,sarathi nagar

Address Line 2:

nelson road

Address Line 3:

srirangam

Address Line 4:

tiruchirapalli-620006

Address Line 5:

backside of andavar college

District:

tiruchirapalli

State:

TAMIL NADU

Pincode:

620006

Mobile No:

9095164411

Email ID:

srivathson.eswaran@gmail.com

Mailing Address State Code:

27

X Standard Exam Results

Exam Board:
Aggregate % of Marks in all Science subjects
and Mathematics:

01 CBSE
90

Other Details
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9/8/2014

Applicant Details
How did you come to know about the KVPY

Your School

Program? :
In the academic year 2014-15, I have joined:

20/08/2014

School/College Details
Name:

montfort school

Address :

balaji nagar kattur

City:

tiruchirapalli

State:

Tamil Nadu

Pincode:

620019

Exam Preferences
Preferred Exam Language:

English

Preferred Exam Mode:

Offline/OMR based

City for writing the Aptitude Test:

Madurai

Offline Payment Details

Bank Name :

State bank of india

Branch :

Srirangam

Transaction date :

06/09/2014

Transaction ID/Journal Number :

2596910

Uploaded Documents
To view 10th Board Marksheet Click here.
To view your uploaded KVPY Challan Click here.
To view Caste Certificate Click here.

Declaration
I declare that the information provided above are true to the best of my knowledge and belief. I understand that if it is found that I do not meet the eligibility norms at
any point of time I may face disqualification from the KVPY program.

Candidate Signature
Version 8.00.01

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