ANNA UNIVERSITY :: CHENNAI - 600 025

APPLICATION FOR TAMIL NADU COMMON ENTRANCE TEST (TANCET) 2013

For 1) M.B.A. 2) M.C.A 3) M.E./M.Tech./M.Arch./M.Plan. Degree Programmes 2013-2014

---------------------------------------------------------------------------------------------------------------------------Date : 25/02/2013

Application Number : 44112

1. Name : SIVA SUNDARA PANDYAN.K

2. Centre opting for Entrance Test : Tirunelveli

3. Choice of Entrance Test : M.E./M.Tech./M.Arch./M.Plan

4. Date of Birth : 25-Apr-1987

5. Gender : Male

6. Nationality : Indian

7. Nativity : Tamil Nadu

8. Community : SC

9. 10th Std. Registration No./ Year : 073106 / 2002

10. Year of Passing of HSC or Diploma : 2004

11. Course Studied / Studying Details(For M.E./M.Tech./M.Arch./M.Plan.only)

i) Course : B.E./B.Tech

ii) Specialisation / Group : EEE

12. Section under Part-III opted (For M.E/M.Tech/M.Arch/M.Plan only)

i) Part No. : 4

ii) Subject : Electrical & Electronics Engg. and Instrumentation Engg.

13. Demand Draft Details

DD Amount : 250

DD Number : 825385540

DD Date : 22-Feb-2013

Bank Name : Indian Overseas Bank

14. Name and Address for sending the Hall Ticket

63 KORNALISE STREET

NAZAREATH

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NAZAREATH

29

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Pin : 628617

Phone / Mobile No. : 9042630060