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2038323

Application Form for Admission to Amrita B.Tech


Amrita School of Engineering-Amrita Vishwa Vidyapeetham
(Data filled by the candidate on 11/04/2023 9:36 AM)

PERSONAL INFORMATION ADDRESS FOR CORRESPONDENCE


Candidate Name : S. Tharun Kumar Address Line 1 : no 40/64 dilliappan st palanipet
Gender : Male arakkonam
Date of Birth : 2005-12-09 Address Line 2 : no 40/64 dilliappan st palanipet
Social Status : OBC(BC&MBC) arakkonam
Email Address : parimala1978in@gmail.com Pincode : 631002
Mobile Number : +91 8072650789 State : Tamil Nadu & Puducherry (UT)
Alternate Email : tharun2005@gmail.com District : Vellore
Nationality : Indian City : Arakonam
Parent’s / Guardian’s Name : D. Suresh babu
Parent’s / Guardian’s Mobile No : +91 8072650789
How did you know about Amrita ? : Relatives

AEEE Details JEE Mains Score Details


Entrance Examination Mode : Computer Based Test JEE Application No : TN1006573
Exam City Choice 1 : CHENNAI JEE Mains Score : 75
Exam City Choice 2 : VELLORE
Exam City Choice 3 : PONDICHERY

DECLARATION

I S. Tharun Kumar son/daughter of D. Suresh babu do hereby declare that the facts given by me in the application are true. I shall produce the original
certificates at the time of admission or on demand

Place:

Date:

Signature of the Candidate

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