Silicon University

Admission Application Form

SESSION 2024-2025

UAN# 23BTECH24_SILICON000003578 Appl. Date:10-06-2024 08:27 AM

1. Candidate Name: MANOJNYA HARICHANDAN
2. Father Name: SRIKANTA KUMAR HARICHANDAN
3. Mother Name: MANORAMA HARICHANDAN
4. Date of Birth: 22-02-2005 5. Gender: Male
Physically
6. Category: GEN 7. Not Applicable
Handicapped:
8. AADHAAR: 558283336340 9. Domicile: Odisha
10. Whatsapp No 7847915870 11. Nationality Indian
12. EWS Status No 13. Exam name JEE/MAIN
14. Rank 210917 15. Application NO 240310007275
16. Score 85.82

17.Address for Correspondence: 18.Permanent Address

IVR 82 IVR 82
UNIT 6,GANGA UNIT 6,GANGA
NAGAR,BHUBANESWAR NAGAR,BHUBANESWAR
KHORDHA KHORDHA
ODISHA ODISHA
751001 751001

19. Mobile 7847915870 .20 Email manojnyaimp@gmail.com

21. Payment Details Paid Rs 0.00 on Ref#
22.Qualification
Examination Board/University Year Roll No. Max Mark obt. Mark Percentage
Indian Certificate of Secondary
10th 07-2022 1223089/002 600 562 93.67
Education (ICSE)(ISCE)
12th CHSE Odisha(CHSE) 05-2024 303MA208 600 449 74.83
23.Subjects/Stream:BSC
Subject Obtained Marks Max Marks Percentage%
English 70 100 70.00
M.B ALT ENGLISH (MAL) 68 100 68.00
Physics 90 100 90.00
Chemistry 91 100 91.00
Information Technology 83 100 83.00
Mathematics 47 100 47.00
24.College/Course Chosen
Prefernce# College Degree Subject
1 Silicon University B.Tech Computer Science and Engineering
2 Silicon University B.Tech Electronics and Communication Engineering.
3 Silicon University B.Tech Electrical and Electronic Engineering.

Declaration
I declare that i have never been convicted for any criminal act and that there is no case pending against me in the court of
law.I also declare that i have never been caught using Unfair Means or any Disciplinary action has been taken against me.if
i was charged for using Unfair Means,the punitive duration is over and charges have been cleared.I have read carefully and
have understood all rules as mentioned in the University Rules and Admission Brochure.Furthermore i also declare that if
my application is found to contain incorrect/false information regarding my Name,Birth
Date,Gender,Relligion,Domicile,Weightage,Caste,Horizontal Reservation,Marks obtained or any other field,my application
is liable to get cancelled,and I will have no objection in getting disqualified for admission to the concerned course/college.

Full Signature of the Aplicant

Options checked during Application

Document Checklist
Note: Mark the number of documents (Photocopy/Xerox) attached by the candidate during form submission to the college.

Xth Marksheet XIIth Certificate

Recent Pssport Size Photograph Scanned Signature
Last Exam Passed Marksheet Other Certificate/Document

Download Date :10-06-2024 08:27 AM