Applicant's Personal Copy

Reg-No. : 104376752

Tamil Nadu Agricultural University UG Admission 2019

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, KAVIMUKILAN A. born on 31/01/2002 at Place of Birth Batlagundu , Son of

ARUNMANI.A and ARUNA.V residing at A4,Prabhu apartment, 9, parasurampatti main
road,moondumavadi ,k.pudur , Madurai village/town in Madurai district of Tamil Nadu ,
India - 625007 is using kavimicky2002@gmail.com email address and +91-9842224587
mobile no. for all my correspondence with TNAU in respect of UG Admission 2019 Activities.

I am an INDIAN and my native state is Tamil Nadu . I belong to BC (104, Nadar). I Studied Twelth Standard (+2) under
Academics. I completed my Twelth standard (+2) in 1 Attempt and the medium of learning is English.
My 12th Roll No. / Registration No. is 4174203 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 2019 Mahatma Madurai Tamil Nadu

Maths
1 77 100
Matric Higher
Secon..
Physics
2 76 100 2018 Tamil Nadu
10+1 Mahatma Madurai
Matric Higher
Biology
3 75 100 Secon..

10th 2017 Mahatma Madurai Tamil Nadu

Chemistry
4 85 100 Matric Higher
Secon..

My Tenth Standard Mark Sheet Serial No. is 7741364

I am not applying for Special Reservation or Quota.

I KAVIMUKILAN A. Son of ARUNMANI.A 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 alloted to me based on the preference made by me during the time of online 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 2019.

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

Place: ______________________
Date: ______________________
 TNAU Copy

Reg-No. : 104376752

Tamil Nadu Agricultural University UG Admission 2019

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, KAVIMUKILAN A. born on 31/01/2002 at Place of Birth Batlagundu , Son of

ARUNMANI.A and ARUNA.V residing at A4,Prabhu apartment, 9, parasurampatti main
road,moondumavadi ,k.pudur , Madurai village/town in Madurai district of Tamil Nadu ,
India - 625007 is using kavimicky2002@gmail.com email address and +91-9842224587
mobile no. for all my correspondence with TNAU in respect of UG Admission 2019 Activities.

I am an INDIAN and my native state is Tamil Nadu . I belong to BC (104, Nadar). I Studied Twelth Standard (+2) under
Academics. I completed my Twelth standard (+2) in 1 Attempt and the medium of learning is English.
My 12th Roll No. / Registration No. is of 4174203 Higher Secondary Board and Marks obtained by me are furnished
below:

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

Class
Obtained Marks Year School

1 Maths 77 100 10+2 2019 Mahatma Matric Madurai Tamil Nadu

Higher Secon..
2 Physics 76 100
10+1 2018 Mahatma Matric Madurai Tamil Nadu
3 Biology 75 100 Higher Secon..
10th 2017 Mahatma Matric Madurai Tamil Nadu
4 Chemistry 85 100 Higher Secon..

My Tenth Standard Mark Sheet Serial No. is 7741364

I am not applying for Special Reservation or Quota.

I KAVIMUKILAN A. Son of ARUNMANI.A 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 alloted to me based on the preference made by me during the time of online 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 2019.
Signature of the Parent/Legal Guardian _______________________ Signature of the Candidate _____________________

Place: ______________________
Date: ______________________
 Reg-No. : 104376752
APPENDIX IX

TAMIL NADU AGRICULTURAL UNIVERSITY

UNDERGRADUATE ADMISSIONS 2019

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 / 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 11th and 12th and 13th of June 2019 between
9:00 AM and 5:00 PM.
3. All other candidates are required to submit necessary documents and Annexures at the time of
certificate verification on the day of counseling.
4. DO NOT SEND ANY DOCUMENT OR PRINT OUT OF ONLINE APPLICATION PAGES TO TNAU.