Final year

Project
Name of the student
Work Period
Branch & Sec
7th
Capital Letters
Semester /
8th Semester

Student's
Initial

S.No

KLU Reg.No

15

9913006001
9913006002
9913006003
9913006004
9913006005
9913006006
9913006007
9913006008
9913006009
9913006010
9913006011
9913006013
9913006014
9913006015
9913006016

16

9913006017

EEE&A

17

9913006018
9514006401
9814006002
9814006003

EEE&'A'

8th semester

SUJI

EEE&'A'

8th semester

MARGEESH

EEE&A

8th Semester

LAKSHMI NARAYANAN

EEE&A

8th Semester

MANIKANDAN

P.G.

2
3
4
5
6
7
8
9
10
11
12
13
14

18
19
20

EEE&A

8th semester

ALAGUMARI

EEE&A

8th Semester

ANANTHI

EEE&A

8th Semester

ARAVINDKUMAR

EEE&A

8th Semester

J.BALA SUBRAMANIAM

EEE&A

8th semester

BALAJI

EEE&A

8th semester

ELANGKUMARAN

EEE&'A'

8th semester

GAYATHRI

EEE&A

8th semester

KESAVA MOORTHY

EEE&A

8th Semester

MAHARAJAN

EEE&A

8th Semester

MUTHUKUMARAN

EEE&A

8th Semester

PORKODI

EEE&A

8th Semester

RAJESH KUMAR

EEE&A

8th semester

Ranjith Kumar

EEE&A

8th Semester

SAKTHI VEL

EEE&A

8th Semester

SANGESH

8th Semester

SAURABH KUMAR SHARMA

21
22
23
24
25
26

9814006004
9814006005
9814006006
9814006007
9814006008
9814006009

EEE&'A'

8th semester

PRAVEENKUMAR

EEE&A

8th Semester

RAM MATHAN KUMAR

EEE&A

8th Semester

VIKASH

EEE&A

8th Semester

VIMAL SHANKAR

8thsemester

SIVAAPRAKASH

left
EEE&A

Date of Birth

Father's Name
(End with Initial)

Hosteller / Date (DD)

Father's
One or Two
Day
Business/Occupation
digit
Scholar
numerals
only

Chandrasekar.P

Business

Dayscholar

SUBRAMANIAN.K

LINE INSPECTOR

hosteller

Pandiyan.P

army

dayscholar

Jeeva.v

contractor

DayScholar

SETHUMANI.G

Business

Hostel

GNANASEKARAN.R

TNEB(retaired)

GANESAN . K

Month
(MM) One
or Two
digit
numerals
only

Year
(YYYY)
four digit
numerals
only

Gender
(M/F)

Marital
status
Single
(or)
Married

single

15

10

1995

12

1995

single

28

1996

Single

10

1996

Single

11

1994

single

HOSTELLER

23

1996

MALE

SINGLE

Business man

HOSTELLER

19

1996 FEMALE

SINGLE

CHELLMUTHU.P

TEACHER

HOSTELLER

11

1995

MALE

SINGLE

CHINNADURAI.M

Goldsmith

Hosteller

1996

Single

rajagopalan.v

business(cloth merchant) Hosteller

1996

single

RAMAN.C

BUSINESS

Hosteller

13

1996

Single

SUBBIAH.K

SALESMAN

Hosteller

16

1996

single

karupasamy. k

Farmer

Hostel

1996

single

Jeyakumar.G

Business

dayscholar

13

1996

Single

Subramanian.s

Agriculture

DayScholar

16

1996

Single

ASHOK KUMAR SHARMA

Agriculture

hosteller

31

RAJENDRAN.S

NH (Retaired)

HOSTELLER

19

MADASAMY.S

TEACHER

HOSTELLER

14

KRISHNA MOORTHY.P

Farmer

Hosteller

GOVINDAN.P.E

WEAVER

HOSTELLER 3

1995

Single

1996 FEMALE

SINGLE

12

1995

MALE

SINGLE

24

1995

Single

30

1993

SINGLE

PONNAMARAN.P

FARMER

HOSTELLER

13

1994

MALE

SINGLE

RAMESH KUMAR.L

Business

Hosteller

16

1995

Male

Single

Konduraja.V.P

Business

dayscholar

11

1994

Single

NAMBI NARAYANAN.S

Revenue officer(retaired)

Hosteller

24

1992

Single

S.KARUPPIAH

MANAGER

Dayscholar

26

1996

single

10th Std
Examination
Reg. No

SSLC ( State
Board/
Matriculatio
n/CBSE/etc.,
)

705613 matriculation

Name & address of the school in which

the student has studied S.S.L.C

10th Std month

of Starting like
June/July/August

Sri jeyandra matriculation school surandai

June

1180499 state Board

GOVT GIRLS HSS Karungalakudi,madurai-625101

june

1141138 stateboard

P.A.C.M Hr sec school,rajapalayam

june

1141422 State Board

N.A.Annappa Raja Memorial Higher Secondary School,Rajapalayam

June

1219196 state board

Johnpaul higher secondary school,dindigul

June

1155282 State Board

S.K.P Hr Sec School,kombai

June

1066016 State Board

Government girls Hr. sec School,Kovilpatti

June

1130903 state Board

Devangar Hr Sec Shool,Aruppukkotai

June

1083618 State Board

T.D.T.A.Hr.Sec School,Christianagaram,udangudi-628203

June

718439 Matriculation

K.C.A.D chidambaram gnanagiri matri higher secondary school &sattur,v

June

724660 Matriculation

Mahatma&Madurai

JUNE

1072054 state Board

Government Higher Secondary School,sivagananapuram,tuticorin

june

1062968 state board

Govt HIGH SCHOOL SEVALKULAM

June

1191636 stateboard

Mangayarkarasi Higher secondary scchool,Madurai

june

U.S.P Maticulation Higher secondary school & Kodikurichi,Tenkasi

June

704970 Matriculation
P/11/52031/644351

CBSE

SARASWATI VIDYA MANDIR RAJRAPPA PROJECT(JHARKHAND)

June

1040181 State Board

Government High School,KATTALAI KUDIYIRUPPU

June

1027765 STATEBOARD

S.P.K.H.S.SCHOOL

JUNE

Sri Kanna M Higher Secondary School,Chinthamani

June

SOURASHTRA HIGHER SECONDARY SCHOOL & PARAMAKUDI

JUNE

705448 state Board

98701 STATE BOARD

STATE BOARD

GOVT HR SEC SCHOOL MURAIYUR

JUNE

CM Higher Secondary,tuticorin-2

June

N.A.Annaparaja Memorial Higher Secondary School,Rajapalayam

june

42374 state Board

Government Higher Secondary School,Valliyoor

June

1137828 state board

G S Hindu higher secondary school, srivilliputtur

June

1073373 State Board

150069 stateboard

10th Marks details (as per your mark statement)

10th Std year of
10th Std month
10th Std year of
passing like
of Passing like
Starting
2005/2006/2007
April/May/June
2005/2006/2007
etc.. (As per
(As per your
etc..
your mark
mark sheet)
sheet)

Total Marks
scored

Maximum mark
(Out of)

% of Marks

2010

March

2011

394

500

78.80

2010

march

2011

482

500

96.40

2010

March

2011

441

500

88.20

2010

March

2011

394

500

78.80

2010

March

2011

418

500

83.60

2010

march

2011

461

500

92.20

2010

April

2011

472

500

94.40

2010

April

2011

436

500

87.20

2010

march

2011

456

500

91.20

2010

March

2011

457

500

91.40

2010

March

2011

462

500

92.40

2010

march

2011

361

500

72.20

2010

March

2011

418

500

83.60

2010

March

2011

428

500

85.60

2010

March

2011

375

500

75.00

2010 April

2011 8.4cgpa

10.00 8.4cgpa

2010

April

2011

446

500

89.20

2010

APRIL

2011

357

500

71.40

2010

March

2011

326

500

65.20

2008

MARCH

2010

330

500

66.00

2008

MARCH

2009

259

500

51.80

2010

March

2011

395

500 #NAME?

2009

march

2010

318

500

63.60

2007

march

2008

269

500

53.80
#DIV/0!

2010

March

2011

378

500

75.60

12th std
Examination Reg.
no.

Name & address of the school in which the student

has studied HSC

126584% Hilton matric hr sec school ,old coutrallam

12th Std
month of
Starting like
June/July/Au
gust

computer science

June

161842 OCPM G HSS TALLAKULAM MADURAI-2

BIO-MATHS

june

126431 P.A.C.M Hr sec school,rajapalayam

bio-maths

june

127098 Nadar Higher Secondary School,Rajapalayam

Biology

June

computer science

June

Bio-Maths

June

Bio-Maths

June

Computer-Maths

June

Computer-Maths

June

203920% Johnpaul higher secondary school ,dindigul

138271 S.K.P Hr Sec School,kombai
68584 Government girls hr sec school, kovilpatti
117108 Devangar Hr Sec School,Aruppukkottai
83564 T.D.T.A.Hr.Sec School,Christianagaram,udangudi-628203

349906 vidyaa vikas boys higher secondary school & V.patti,tiruchencode,namakal computer science

June

167961 Mahatma&madurai

JUNE

Bio-Maths

70180 Nadar Higher Secondary School,Kovilpatti,Tuticorin district

Vocational Group,EMI

june

74243 K R S GOVERNMENT HSS NALATTINPUTHUR

biology

June

Computer

June

Computer

June

174229 Mangayarkarasi Higher secondary scchool,Madurai

45019 U.S.P Maticulation Higher secondary school & Kodikurichi,Tenkasi
P/SR/13/08036/00038

DAV PUBLIC SCHOOL RAJRAPPA PROJECT(JHARKHAND)

50149 St.Michaels girls hr. sec. school,Tenkasi

NIL

HSC Discipline
(Bio- Maths/
Computer- Maths
/others)

NIL
175021 SOURASHTRA HIGHER SECONDARY SCHOOL & PARAMAKUDI

Computer
bio-maths
NIL
COMPUTER-MATHS

June
June
NIL
JUNE

189090 GOVT HR SEC SCHOOL,MURAIYUR

BIO COMPUTER

Nil

Nil

Nil

NIL

NIL

NIL

JUNE
Nil
NIL

12th Std
12th Std
month of
year of
Passing like
Starting
April/May/Ju
2005/2006/2 ne (As per
007 etc..
your mark
sheet)

12th Std
year of
passing like
2005/2006/2
007 etc.. (As
per your
mark sheet)

12th Marks details (as per your mark

statement)
HSC ( State
Board/
CBSE/etc.,)

Total Marks
scored

Maximum mark
(Out of)

% of Marks

Diploma
(Starting
MonthYear)

2012%

March

2013%

Matriculation

696

1200

58.00

2012`

march

2013

State Board

1051

1200

87.58

NIL

2012`

march

2013

state board

808

1200

67.33

NIL

2012

March

2013

State Board

740

1200

61.67

2012

March

2013%

state board

998

1200

83.17

2012

march

2013

State Board

908

1200

75.67

2012

April

2013

State Board

1004

1200

83.67

2012

Apirl

2013

State Board

847

1200

70.58

2012

March

2013

State Board

1033

1200

86.08

2012

March

2013

state board

1096

1200

91.33

2012

March

2013

State Board

1086

1200

90.50

NIL

2012

march

2013

State Board

960

1200

80.00

NIL

2012

March

2013

state board

773

1200

64.42

2012

march

2013

state board

779

1200

64.92

NIL

2012

March

2013

State Board

804

1200

67.00

NIL

2012

March

326

500.00

2012

April

799

1200

2013

CBSE
2013

State Board

NIL

NIL

2010

MARCH

2012

NIL

65.2 NIL
66.58
#DIV/0!

NIL

NIL

JUNE,2011

NIL

NIL

NIL

#VALUE!

June-11

STATE BOARD

700

1200

58.33

June-12

NIL

2010

MARCH

2011

Nil

Nil

Nil

NIL

NIL

State Board

673

1200

56.08

Nil

Nil

Nil

Nil

July-11

#DIV/0!

June-10

#VALUE!

June-08

NIL

NIL

NIL

JUNE,2011

#DIV/0!
#DIV/0!

July-11

2012 - 2016 Batch

SGPA & CGPA - details as per Grade Card (4 Dec

Diploma
(Month Year of
Passing) -

Diploma Institute

Diploma Diplom SGPA in

SGPA in SGPA in SGPA in SGPA in
Branch
a%
Sem
Sem II Sem III Sem IV Sem V
I

NIL

NIL

NIL

NIL

8.5800

8.1900

8.3500

8.4400

8.8400

NIL

NIL

NIL

NIL

7.3200

6.6700

6.6200

7.1100

7.2500

7.0500

5.8100

6.1000

5.4800

6.3400

7.1100

7.0200

6.9800

6.8500

6.6900

NIL

NIL

NIL

NIL

NIL

NIL

NIL

NIL

8.2400

8.5400

8.9300

8.8510

7.8900

7.8600

8.1200

8.2600

8.4500

7.0500

7.2900

7.5800

7.5200

8.0600

9.3200

8.8600

9.0400

9.0000

8.9400

8.3700

8.3300

8.9200

8.5900

8.8400

9.4700

9.3800

9.6200

9.3700

9.4200

NIL

NIL

NIL

NIL

NIL

NIL

NIL

7.0000

6.5200

7.1900

6.5900

7.1300

NIL

NIL

NIL

NIL

7.0000

4.6200

6.1000

6.0000

6.2100

NIL

NIL

NIL

NIL

7.7400

7.8100

7.8500

8.1900

8.1100

NIL

NIL

NIL

8.5800

8.1900

8.2700

7.8500

7.8000

7.0000

6.5200

7.0400

7.0000

6.5000

5.8600

6.8600

APRIL,2014 MSPVL

NIL

8.3700

NIL
EEE

83.40

April-14 Arasan Ganesan Polytechnic college,Sivakasi-626130

EEE

81.21

NIL

NIL

6.9000

6.7000

6.8000

July-14 K.L.N.P.C.

EEE

85.43

NIL

NIL

7.2300

6.5900

6.7400

APRIL,2014 SUBRAMANIYAN POLYTECHNIC COLLEGE

EEE

76.00

April-14

DEEE

64.39

April-13 Kalasalingam Polytechnic Collage

EEE

71.00

April-11 Cape Polytechnic College,Aralvaimozhi,kanyakumari

EEE

66.54

ARASAN GANESAN POLYTECHNIC COLLEGE ,SIVAKASEEE

80.00

June2014

6.5600
3.9200
NIL

NIL

6.5000

6.8000
5.1800
6.4800

6.2900
5.7100
7.1400

er Grade Card (4 Decimal Places must)

Arrear details
Total no. of
arrears in entire
B. Tech.
Curriculum
(I year to till
date) (Nil/Nos.)

No.of
arrears
cleared
(Nil/
Nos.)

8.5000

Nil

Nil

6.9900

nil

nil

6.8200

Nil

No

No

6.68

no

No

8.5900

nil

nil

nil

yes

no

8.2200

nil

nil

nil

yes

no

7.5500

nil

nil

nil

yes

no

9.0200

Nil

Nil

Nil

Yes

No

SGPA in
SGPA in SGPA in
Sem
CGPA
Sem VI Sem VII
VIII

6.36

6.8700
8.4827
7.6210

All the
Academic Gap details
papers
No. of
passed in
arrears to
Academic
first
be cleared
If yes, Give
Break
from
attempt
(As of Now
reason &
10th Std
(From I
duration of
standing
onwards
year to
the gap
arrears)
(Yes
/ No)
final year)
(Nil/
(Yes /NO)
Nos.)
2
No
No
Nil
yes
no
NIL
nil
yes
no
NIL

NIL

NIL

8.6100

8.6100 Nil

Nil

Nil

Yes

No

9.3800

9.4400 NIL

NIL

NIL

YES

NO

NIL
NIL

7.1700

Nil

No

No

5.86

15

11

No

No

6.7400

Nil

no

no

NIL

Nil

Yes

No

NIL

Yes

No

NIL

7.9600 Nil

Nil

7.97 Nil

Nil

7.1000 nil

Nil

nil

nil

yes

no

NILL

NO

NO

6.7600

6.7000

2 NILL

7.0000

7.1300

Nil

No

No

NIL

7.1000

Nil

No

No

NIL

7.8000
7.0000

7.2000
6.7500

NIL

NO

NO

Nil

No

NO

no

no

Yes

No

No

No

5.3300
6.7200 NIL

6.4

NIL
6

NIL
5

NIL

mic Gap details

How many
years
or
months

Languages Known
( Tamil/English/Hindi/etc.,)

Speak

Read

Driving License

Write

Two
Wheeler
(Yes /
No)

Light
(Yes /
No)

Heavy
(Yes /
No)

Preferring
Placement/
Higher
studies/
Entrepreneur /
Not interesed
in placements

Yes

Yes

No

Placement

NIL

tamil,english

tamil,english

tamil,english

no

no

no

placement

NIL

tamil,english,telugu

tamil,english

tamil,english

yes

yes

no

placement

No

No

No

Placement

No

No

No

placement

no

no

Placement

NIL

TAMIL,ENGLISH

TAMIL,ENGLISH TAMIL,ENGLISH Yes

TAMIL,ENGLISH

TAMIL,ENGLISH TAMIL,ENGLISH

TAMIL,ENGLISH

TAMIL,ENGLlISH TAMIL,ENGISH

Yes

Tamil,English

Tamil,English

Tamil,English

Yes

Yes

No

Placement

Tamil,English,telugu

Tamil,English

Tamil,English

No

No

No

Placement

NIL

Tamil,English

Tamil,English

Tamil,English

NO

NIL

NIL

Placement

NIL

Tamil,English

Tamil,English

Tamil,English

Yes

Yes

No

Placement

Yes

No

No

placement

NIL

Placement
Placement

NIL

tamil,english

tamil,english

tamil,english

no

no

no

Placement

NIL

tamil,english

tamil,english

tamil,english

Yes

Yes

No

Placement

NIL

Hindi,English

Hindi,English

Hindi,English

Yes

Yes

No

Placement

TAMIL.ENGLISH

TAMIL,ENGLISH TAMIL,ENGLISH

TAMIL,ENGLIH

TAMIL,ENGLISH TAMIL,ENGLISH YES

YES

NO

PLACEMENT

NIL

tamil,english

tamil,english

No

No

Placement

NIL

Tamil,English,SourashtTamil,English,Sour Tamil,English,Sou No

No

No

PLACEMENT

tamil,english

placement
Yes

NIL

,ENGLISH

TAMIL,ENGLISH TAMIL,ENGLISH YES

YES

NO

PLACEMENT

Tamil,English

Tamil,English

Yes

Yes

No

Placements

tamil,english,telugu

tamil,english,telugu,tamil,english,tel Yes

Yes

No

Placement

tamil,english

tamil,english

Yes

Yes

No

Placement

No

No

No

placement

Tamil,English
tamil,english

Previous work experience

Name of the
Company

Post (Designation)

Total Experience

Address-1
(S/o, D/o. C/o)

NIL

NIL

NIL

D/o K.subramanian

NIL

NIL

NIL

S/o P.Pandiyan

NIL

NIL

NIL

R.GNANASEKARAN
K. Ganesan
P.CHELLAMUTHU

NIL

NIL

NIL

S/o M.CHINNADURAI

NIL

NIL

NIL

D/O. C.RAMAN

NIL

NIL

NIL

S/o K.Subbiah

NIL

NIL

NIL

S/o G.Jeyakumar

NIL

NIL

NIL

S/o S.Subramanian

NIL

NIL

NIL

S/o ASHOK KUMAR SHARMA

S. Rajendran
S.MADASAMY

NIL

NIL

NIL

S/o P.KRISHNA MOORTHY

NIL

NIL

NIL

S/o P.E.Govindan

P.PONNAMARAN
S/o L.Ramesh kumar
NIL

NIL

NIL

S/o S.Nambi narayanan

Address-2
(Door No. Street Name)

Address-3
(Related to address)

14-1-164(1)Gothai hospital street

Name of the
(City/
Town/Village)

Name of the
(District)

Surandai

Tirunelveli

9/51,kunnangudipatti

karungalakudi

melur

madurai

11/234 1st cross street

prr nagar

rajapalayam

virudhunagar

Rajapalayam

Virudhunagar

Dindigul

Dindigul

D.No:11,W-13,1st street,west street

PANNAIPURAM

THENI

D.No:1c/8E,M.K.T Nagar,Manthithoppu road

Kovilpatti

Tuticorin

2/101 ,north street

KIDATHIRUKKAI

RAMANADHAPURAM

258,Mappallai Subbaraja Street

2/125 Naidu street

kottapatty,begambur post

28/67 A,Venkatachalapuram,East Street

Christianagaram post,Thiruchendur Taluk

Udangudi

Thoothukudi

3/110 D1,Kuruniji nagar

venkatachalapuram(post)

sattur

virudhunagar

W4/122, South st

NIL

Alangampatti,Melur tk

Madurai

2/15,West Street,T.Subbiyapuram

Sakkamal puram post

Velathikulam

Tuticorin

1/123 east street

lsk nagar

sevalkulam

Tirunelveli

3/178A,Manthaiamman kovil street

sikkandar chavadi

madurai

Madurai

2/5/12,Main Road

Bungalow Surandai

Surandai

Tirunelveli

HUPPU DVC (GOLA)

HANUMAN MANDIR

RANCHI

RAMGARH

13th library street

kattalaikudiyiruppu

Tirunelveli

53,SIVASAILAM ROAD

ALWARKURICHI

TIRUNELVELI

86/60,North Car Street,Chinthamani

Sivagiri Taluk

puliyankudi Post

Tirunelveli

4/101,Bharathiyar street

Emaneswaram

Paramakudi

Ramanathapuram

3/47,NADAR STREET

MURAIYUR

SIVAGANGAI

5B/1D/1 sundaravel puram,5th street(west),tuticorin-2

Town

Tuticorin

235/201,dharmapuram street

Rajapalayam

Rajapalayam

virudhunagar

34/10,Vasantham nagar,East Car Street

Kovil vasal,Nanguneri taluk

Eruvadi

Tirunelveli

26/24,thorpathiAmman kovil street

near manjapoo street

srivilliputtur

virundhunagar

Mobile Nos.

PIN CODE

State

627859 Tamil nadu

Email Id

SIM-1

venkatesh0165@gmail. com

8807959375

625101

Tamilnadu

ananthi715@gmail.com

9677465883

626108

Tamilnadu

aravindaravind288@gmai.com

9442902913

bala.balaji.127@gmail.com

9585773512

Balaji061195@gmail.com

9843452660

625524 TAMILNADU

elangkumaran14@gmail.com

8807581076

628501 Tamilnadu

gayathrilakshi996@gmail.com

7418019079

623704 TAMILNADU

chellakesava95@gmail.com

7598062714

628203 Tamilnadu

maharajancm@gmail.com

9629973126

626203 Tamilnadu

muthukumaran45710@gmail.com

9944255656

625101 Tamilnadu

porkodiraman96@gmail.com

9943666519

628712 Tamilnadu

subbiahrajeshkumar@gmail.com

8489468569

627754 Tamil Nadu

Ranjithmamci@gmail. com

9994476851

625018 Tamilnadu

sakthivel5321@gmail.com

8344018182

627859 Tamilnadu

ss.sangesh@gmail.com

9042532242

829110 JHARKHAND

saurabh20131@gmail.com

7845282847

627813 TamilNadu

shinsu802@gmail.com

9791663371

627412 TAMILNADU

KOLAVERIMARGEESH007@GMAIL.COM

9790475385

627855 Tamilnadu

lakshminarayanan24011995@gmail.com

9047152014

623701 Tamilnadu

manikandanpg30@gmail.com

9043109467

626117 Tamilnadu
624002

Tamil nadu

630202 TAMILNADU
628002

saranpraveen74@gmail.com

8015385141

Ram.Mathan.1681995@gamil.com

9994718233

626117 Tamilnadu

praneshjaihari@gmail.com

9659327709

627103 Tamilnadu

vimalshankar007@gmail.com

9543153443

626125 Tamil nadu

Siva.Prakash11345@gmail. com

9524107014

TamilNadu

Mobile Nos.

Land Line

Student's Residential

SIM-2

STD-CODE

Rural / Urban

Phone No.

8760660936
8122410734

NIL

NIL

8056314869

NIL

NIL

NIL

NIL

Rural

8098526919
9585777973
9042107709

urban

nil

urban

9566963811

urban

NIL

NIL

NIL

Rural

8148864034

NIL

NIL

RURAL

NIL

NIL

NIL

Rural

NIL

NIL

NIL

Urban

9688182010

NIL

NIL

Rural

8235663943

NIL

NIL

Rural

7418598898

8015453573

9787232686

rural

9943935549

04634

283009

UBRAN

9597950535

NIL

NIL

Rural

8608795518

NIL

NIL

Rural

7871213447

urban

9442723213

Urban

NIL
9442593663

NIL

NIL

Rural

#VALUE!

S.No

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KLU Reg.No

M. Tech.
degree
M. Tech. degree
Specialization
Branch like
like
CSE/EEE/ECE/etc
CSE/NW/VLSI/
DCN/etc..,

Name of the student

Student's Initial
Capital Letters

Father's Name
(End with
Initial)

Date of Birth

Father's
Business/Occupation

Hosteller /
Day Scholar

Date (DD)
One or Two
digit
numerals
only

Month (MM)
One or Two
digit
numerals
only

Year (YYYY)
four digit
numerals
only

Name & address of

10th Std
SSLC ( State Board/
Gender
the school in which
Marital status
Examination Matriculation/CBSE/e
(M/F) Single (or) Married
the student has
Reg. No
tc.,)
studied S.S.L.C

10th Std month 10th Std year of

of Starting like
Starting
June/July/August 2005/2006/2007

etc..

10th Std month of

Passing like
April/May/June
(As per your mark
sheet)

10th Std year of

passing like
2005/2006/2007
etc.. (As per
your mark
sheet)

10th Marks details (as per your mark statement)

Total Marks
scored

Maximum mark
(Out of)

% of Marks

#DIV/0!
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#DIV/0!
#DIV/0!

12th
12th std School
Examinti Address
on Reg. (School
no.
Name &
Place)

HSC
Discipline
(Bio- Maths/
ComputerMaths
/others)

12th Std
12th Std
12th Std
month of
month of
year of
Passing like
Starting like
Starting
April/May/Ju
June/July/Au 2005/2006/2 ne (As per
gust
007 etc..
your mark
sheet)

12th Std
year of
passing like
2005/2006/2
007 etc.. (As
per your
mark sheet)

HSC ( State
Board/
CBSE/etc.,)

12th Marks details (as per your mark

statement)

Total Marks
scored

Maximum mark
(Out of)

% of Marks

#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
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#DIV/0!
#DIV/0!
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#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
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#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!
#DIV/0!

Diploma
(Starting
Month &
Year)

Diploma
(Month & Name ot the
Diploma
Year of
Institute
Passing)

UG
Degree
passing
UG Degree
year
UG Degree
UG Degree
Passing
like
Starting Month
Starting year
Month like
Diploma Diplom
2005/20
like
like
April/May/Jun
Branch
a%
06/2007
June/July/August 2005/2006/200 e (As per
etc..

7 etc..
your mark
(As per
sheet)
your
mark
sheet)

SGPA & CGPA - details as per Gra

must)

All the
% of Marks
papers
UG
(or)
M.Tech.
passed in
Programme
UG
CGPA
Degree
Name of UG
first
Institute (B.E/B.Tech/BS Branch
as per
SGPA
attempt in
c/ /MCA/MSC/)
your mark
Sem I
UG
statement
(Yes/No)

PA & CGPA - details as per Grade Card (4 Decimal Places

must)

Arrear details
M.Tech.
Degree
SGPA
Sem II

M.Tech.
M.Tech.
M.Tech.
Degree
Degree
Degree
SGPA
SGPA
CGPA
Sem III
Sem IV

Total no.
of arrears
No.of
No.of
in entire
arrears arrears to
M. Tech.
already
be
Curriculu
cleared
cleared
m(Nil/
(Nil/ No.) (Nil/ No.)
No.)

M. Tech. all
the papers
passed in
first
attempt in
PG
(Yes/NO)

Academic Gap details

Academic
Break from
10th Std
onwards
(Yes / No)

If yes, Give
How many
reason &
years
duration of the or
gap
months

Languages Known
( Tamil/English/Hindi/etc.,)

Speak

Read

mil/English/Hindi/etc.,)

Write

Preferring
Driving License
Placement/
Higher
studies/
Entreprene
Two
ur / Not
Light
Heavy
Wheeler
interesed in
(Yes / No)
(Yes / No)
(Yes / No)
placements

Previous work experience

Name of
the
Company

Previous work experience

Address-1
Post

Total
Experience

(S/o, D/o.
C/o)

Address-2
(Door No.
Street
Name)

Address-3
(Related to
address)

Name of the
(City/ Town)

Mobile Nos.

PIN Code

State

Email Id
SIM-1

Mobile Nos.

Land Line

SIM-2

STD-CODE

Phone No.

Student's
Residential
Rural / Urban