Tamil Nadu Agricultural University UG Admission 2017: Reg-No.: 367475733

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Applicant's Personal Copy

Reg-No. : 367475733

Tamil Nadu Agricultural University UG Admission 2017


Online Application Submission to Tamil Nadu Agricultural University for Counseling Seats as well as Seats
available under Management Quota of Affiliated Private Agricultural and Horticultural Colleges
Joint Declaration made by the Candidate and Father/Mother/Legal Guardian

I, SASIREKHA K born on 10/02/2000 at Place of Birth TINDIVANAM , Daughter of


KANNIYAPPAN. P and KASTHURI. K residing at 2/88, GANGAIYAMMAN KOIL STREET ,
NALLARASAN PETTAI, VALAVANUR(PO) VILLUPURAM (TK) village/town in VILLUPURAM
district of Tamil Nadu , India - 605108 is using ksasirekha102@gmail.com email address
and +91-9786164964 mobile no. for all my correspondence with TNAU in respect of UG Admission
2017 Activities.

I am an INDIAN and my native state is Tamil Nadu . I belong to MBC/DNC (026, VANNIYA KULA SHATHRIYAR). I
Studied Twelth Standard (+2) under Academics. I completed my Twelth standard (+2) in 1 Attempt and the medium of
learning is English.
My Twelth Standard (+2) Mark Sheet Serial No.is 1 of Higher Secondary Board and Marks obtained by me are furnished
below:

Marks Max Academic Name of the


S.No. Subject Class Place State
Obtained Marks Year School

10+2 2017 GOVT VILLUPURA Tamil Nadu


Maths
1 143 200
GIRLS M
HR.SEC.SC
Physics HOOL
2 170 200

10+1 2016 GOVT VILLUPURA Tamil Nadu


Biology M
3 159 200 GIRLS
HR.SEC.SC
Chemistry HOOL
4 170 200
10th 2015 GOVT VILLUPURA Tamil Nadu
GIRLS M
HR.SEC.SC
My Tenth Standard Mark Sheet Serial No. is 5332867 HOOL

I am not applying for Special Reservation or Quota.

I SASIREKHA K Daughter of KANNIYAPPAN. P here by declare that


the information furnished above are correct and true to the best of my knowledge. If found otherwise, I undertake to forego my
candidature and seat in the University if selected. I do hereby undertake that, I am aware that there is no JOB GUARANTEE, I
will not claim any extra facilities like scholarship, stipend, etc ., which are not in operation, I am willing to study in the degree
and campus chosen by me during counseling and will not claim change of degree / campus. I do hereby undertake to abide by
the rules in vogue and orders of the authorities of the University to pay the tuition and other fees as prescribed and revised from
time to time. I understand that counseling fee and semester fees, once paid are not refundable.
I further declare that I had read and understood the entire content of the Information Brochure of TNAU UG
Admission 2017.

Signature of the Parent/Legal Guardian _______________________ Signature of the Candidate _____________________

Place: ______________________
Date: ______________________
TNAU Copy

Reg-No. : 367475733

Tamil Nadu Agricultural University UG Admission 2017


Online Application Submission to Tamil Nadu Agricultural University for Counseling Seats as well as Seats
available under Management Quota of Affiliated Private Agricultural and Horticultural Colleges
Joint Declaration made by the Candidate and Father/Mother/Legal Guardian

I, SASIREKHA K born on 10/02/2000 at Place of Birth TINDIVANAM , Daughter of


KANNIYAPPAN. P and KASTHURI. K residing at 2/88, GANGAIYAMMAN KOIL STREET ,
NALLARASAN PETTAI, VALAVANUR(PO) VILLUPURAM (TK) village/town in VILLUPURAM
district of Tamil Nadu , India - 605108 is using ksasirekha102@gmail.com email address
and +91-9786164964 mobile no. for all my correspondence with TNAU in respect of UG Admission
2017 Activities.
I am an INDIAN and my native state is Tamil Nadu . I belong to MBC/DNC (026, VANNIYA KULA SHATHRIYAR). I
Studied Twelth Standard (+2) under Academics. I completed my Twelth standard (+2) in 1 Attempt and the medium of
learning is English.
My Twelth Standard (+2) Mark Sheet Serial No.is 1 of Higher Secondary Board and Marks obtained by me are furnished
below:

S.No. Subject Marks Max Academic Name of the Place


Class State
Obtained Marks Year School
1 Maths 143 200 10+2 2017 GOVT VILLUPURA Tamil Nadu
GIRLS M
2 Physics 170 200 HR.SEC.SC
Biology HOOL
3 159 200
10+1 2016 GOVT VILLUPURA Tamil Nadu
4 Chemistry 170 200 GIRLS M
HR.SEC.SC
HOOL
10th 2015 GOVT VILLUPURA Tamil Nadu
My Tenth Standard Mark Sheet Serial No. is 5332867
GIRLS M
I am not applying for Special Reservation or Quota. HR.SEC.SC
HOOL
I SASIREKHA K Daughter of KANNIYAPPAN. P here by declare that
the information furnished above are correct and true to the best of my knowledge. If found otherwise, I undertake to forego my
candidature and seat in the University if selected. I do hereby undertake that, I am aware that there is no JOB GUARANTEE, I
will not claim any extra facilities like scholarship, stipend, etc ., which are not in operation, I am willing to study in the degree
and campus chosen by me during counseling and will not claim change of degree / campus. I do hereby undertake to abide by
the rules in vogue and orders of the authorities of the University to pay the tuition and other fees as prescribed and revised from
time to time. I understand that counseling fee and semester fees, once paid are not refundable.
I further declare that I had read and understood the entire content of the Information Brochure of TNAU UG
Admission 2017.

Signature of the Parent/Legal Guardian _______________________ Signature of the Candidate _____________________

Place: ______________________
Date: ______________________
Reg-No. : 367475733
APPENDIX IX

TAMIL NADU AGRICULTURAL UNIVERSITY


UNDERGRADUATE ADMISSIONS 2017

CHECKLIST OF ORIGINAL DOCUMENTS TO BE PRODUCED BY CANDIDATES


AT THE TIME OF COUNSELLING

1. 12th Marksheet
2. 10th Marksheet / Birth Certificate as Proof of Birth
3. Community Certificate
4. Nativity Certificate for candidates who are native of Tamil Nadu
but studied 10th, 11th and 12th Standard outside Tamil Nadu
5. Signed Joint Declaration Form
6. First Graduate Certificate, for those who are applying for First
Graduate Fee Concession

Note:
1. Originals must be produced for all the self-attested photocopies for verification. Only verified
candidates will be considered for counseling.
2. Candidates who have applied for seat under Differently Abled / Ex-servicemen Descendants
of Freedom Fighter / Eminent Sports Person are required to submit necessary documents and
Annexures IN PERSON to the Dean (Agriculture) and Chairman (Admissions) at Office of the
Dean (Agriculture), Tamil Nadu Agricultural University, Coimbatore ONLY on 5th or 6th of June
2017 between 9:00 AM and 5:00 PM.
3. Candidates who have applied for seat under Industry Sponsorship / Non Resident Indian (NRI)
Quota are required to submit necessary documents and Annexures IN PERSON to the Dean
(Agriculture) and Chairman (Admissions) at Office of the Dean (Agriculture), Tamil Nadu
Agricultural University, Coimbatore ONLY on 5th or 6th or 7th of June 2017 between 9:00
AM and 5:00 PM.
4. All other candidates are required to submit necessary documents and Annexures at the time of
certificate verification on the day of counseling.
5. DO NOT SEND ANY DOCUMENT OR PRINT OUT OF ONLINE APPLICATION PAGES TO TNAU.

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