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4/20/2017 VeltechDr.RR&Dr.

SRUniversity,Chennai,India

PRINTAPPLICATION

M.TECH.ONLINEAPPLICATION

ApplicationNo. PGMT170195
YADAVANILKUMAR
ApplicantName
BINODKUMAR
DateofBirth 01/06/1990
Gender Male
Father/Guardian
BINODKUMAR
Name
ChoiceofProgramme InternalCombustionEngines
ChoiceofStream INDUSTRY
QualifyingDegree B.E.
Specialization AutomobileEngineering
RegistrationNumber 1100208411
UniversityName HINDUSTANUNIVERSITY
YearofPassing 2015
Percentage/CGPA 7.84
MobileNo. 8153923661
EmailID yadav_anil12311@yahoo.com
Religion HINDUISM
Community GENERAL
MotherTongue Hindi
CHITRAKUTDUPLEX,HOUSE
PermanentAddress NO1766,B/HAKASHWANI
MAKARPURAROAD
State Gujarat

DECLARATION:

IsolemenlyandsincerelyaffirmthatIamanindiannationalandthatallparticularsfurnishedinthisapplicationformaretrueandcorrectto
the best of my knowledge and that I have not concealed any information. I am aware that if any information herein is found incorrect,
fradulentoruntrue,eitherbeforeoraftertheadmissiontotheprogram,myapplicationwillbecancelledorIhavetoforgomyseatandthe
fee.Ifurtherundetaketosubmittherequiredcertificatesandfeeaspertherulesatthetimeofadmission.

DATE:2017/04/20

http://veltechuniv.edu.in//pg/admission/mtech/MTECH2017.php 1/1

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