B.

TECH
APPLICATION
FORM 2020
APPLICATION NO
: 20011087144

Personal Details
Nationality INDIAN
Have You Studied From India? YES
Name MR SAMARTH SUDHIR SHARMA
Mobile Number +91-6355245862
Email ID SMARTSHARMA220@GMAIL.COM
Alternate Email ID SSUNIDHISHARM231@GMAIL.COM
Date Of Birth 22/10/2002
Gender MALE
Community GENERAL /OC
Blood Group B+
Religion HINDUISM
Medium Of Instruction ENGLISH
Hostel Accommodation YES
Mother Tongue HINDI
Where Do You See The Admission Advertisement FRIENDS/RELATIVES
Are you Differently Abled ? NO

Preference Details
Test State Test City
# Course Preference Specilization Preference Campus Preference
Preference Preference
COMPUTER SCIENCE AND SRMIST, MAIN CAMPUS
1 INFORMATION TECHNOLOGY
ENGINEERING (KATTANKULATHUR, CHENNAI)
COMPUTER SCIENCE AND COMPUTER SCIENCE AND
2 SRMIST, NCR CAMPUS, DELHI
BUSINESS SYSTEMS BUSINESS SYSTEMS
COMPUTER SCIENCE AND
3 BIG DATA ANALYTICS SRMIST, NCR CAMPUS, DELHI
ENGINEERING

Family Details
Father Mother Guardian
Title MR MRS -
Name SUDHIR SHARMA KALPANA SHARMA
Mobile Number +91-9724098781 +91-6355245862
Alternate Mobile Number +91-7016690699 +91-7016690699 -
Email Address SUDHIRSHARMA018@GMAIL.COM
Occupation GOVERNMENT SECTOR HOMEMAKER

Address Details
Address D6 DARSHANAM HOMES NEAR NARAYAN GARDENS , GOTRI Pin Code : 390021
Country Name : INDIA State : GUJARAT District : VADODARA Town/City: VADODARA
Academic Details
Current Education Qualification Status : 12TH COMPLETED
HSC Details (12th) :
Institute Name GREEN VALLEY HIGH SCHOOL
Board CENTRAL BOARD OF SECONDARY EDUCATION (CBSE)
Mode of Study REGULAR/FORMAL
Marking Scheme PERCENTAGE
Percentage / CGPA 91.8
Year Of Passing 2020
Registration No. 11605157
Address Of School/College GREEN VALLEY HIGH SCHOOL AMPAD VADODARA
NAD ID/Digilocker ID

Marks In Qualifying Exam In Andhra Pradesh/Telengana State 12th (I And II)

Please select subjects/group TSAP :
Maximum Marks Obtained Marks Percentage
English - I
English - II
Mathematics Paper-1 (A)
Mathematics Paper-1 (B)
Mathematics Paper-2 (A)
Mathematics Paper-2 (B)
Physics paper 1
Physics paper 2
Physics paper practical
Chemistry Paper I
Chemistry Paper II
Chemistry Practical
Botany paper I
Botany paper II
Botany Practical
Zoology paper I
Zoology paper II
Zoology Practical

PCM/PCB Average Total Maximum Marks Total Obtained Marks Total Percentage

Marks In Qualifying Exam (HSC) In Tamil Nadu/CBSE/Other Boards

Please select subjects/group: PCM
Maximum Marks Obtained Marks Percentage
English 100 84 84.00
Language - II
Language - III
Maths 100 95 95.00
Chemistry 100 95 95.00
Physics 100 91 91.00
Biology
Computer Science 100 94 94.00
Botany
Zoology

PCMB/PCB Average Total Maximum Marks Total Obtained Marks Total Percentage
93.67 500 459 91.80
Have you given JEE Main JEE Main (JAN 2020)
Session Percentile Scored
exam Application No
NO
Have you given SAT Exam Session SAT Registration Number SAT Percentile
NO

Final Choice Filling / Locking

# Course Preference Specialization Preference Campus Preference
1 INFORMATION TECHNOLOGY INFORMATION TECHNOLOGY SRMIST, RAMAPURAM CAMPUS
2 COMPUTER SCIENCE AND BUSINESS STUDIES COMPUTER SCIENCE AND BUSINESS STUDIES SRM UNIVERSITY, SONEPAT, HARYANA
3 COMPUTER SCIENCE AND ENGINEERING BIG DATA ANALYTICS SRMIST, NCR CAMPUS, DELHI
4 COMPUTER SCIENCE AND ENGINEERING CYBER SECURITY SRMIST, NCR CAMPUS, DELHI
5 COMPUTER SCIENCE AND ENGINEERING
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30

Payment Details
Transaction ID 109903739129
Payment Date 15/07/2020
Mode Of Payment Debit Card

Declaration
I certify that the information submitted by me in support of this application is true to the best of my knowledge and belief. I understand that
in the event of any information being found false or incorrect, my admission is liable to be rejected/ cancelled at any stage of the program. I
undertake to abide by the disciplinary rules and regulations of the institute.
SAMARTH SUDHIR SHARMA

SUDHIR SHARMA

15/07/2020