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B.Tech Application Form 2025 (Phase-1)

The document is a B.Tech application form for the year 2025 submitted by Vedika Dalmia, with application number 25011019302. She has selected SRMIST Main Campus with preferences for programs in Artificial Intelligence and Computer Science. The document includes personal, family, academic, and payment details, along with a declaration of the accuracy of the information provided.

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Vedika Dalmia
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49 views2 pages

B.Tech Application Form 2025 (Phase-1)

The document is a B.Tech application form for the year 2025 submitted by Vedika Dalmia, with application number 25011019302. She has selected SRMIST Main Campus with preferences for programs in Artificial Intelligence and Computer Science. The document includes personal, family, academic, and payment details, along with a declaration of the accuracy of the information provided.

Uploaded by

Vedika Dalmia
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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B.

TECH APPLICATION FORM 2025 (PHASE-1)


APPLICATION NO : 25011019302

Program And Campus Preference


Campus SRMIST, MAIN CAMPUS Program ARTIFICIAL Specialization ARTIFICIAL
Preference 1 (KATTANKULATHUR, CHENNAI) Preference 1 INTELLIGENCE Preference 1 INTELLIGENCE
Campus SRMIST, MAIN CAMPUS Program COMPUTER SCIENCE Specialization SOFTWARE
Preference 2 (KATTANKULATHUR, CHENNAI) Preference 2 AND ENGINEERING Preference 2 ENGINEERING
Campus SRMIST, MAIN CAMPUS Program COMPUTER SCIENCE Specialization
DEVSECOPS
Preference 3 (KATTANKULATHUR, CHENNAI) Preference 3 AND ENGINEERING Preference 3

Personal Details
Nationality INDIAN
Have You Studied From India? YES
Student Aadhar No.
Full Name (As Per The Qualifying Examination Certificate) VEDIKA DALMIA
Mobile No. +91-8328901849
WhatsApp Mobile Number +91-8328901849
Email ID VEDIKADALMIA6@GMAIL.COM
Alternate Email ID
Date Of Birth 12/11/2007
Gender FEMALE

Family Details
Parent Details : FATHER
Father Mother Guardian
Title MR
Name VIVEK DALMIA
Mobile Number +91-9437038295
Email Address DALMIA.VIVEK@GMAIL.COM

Address Details
Address 2504 ATS GREEN 2 Pin Code : 201301
District : GAUTAM BUDDHA
Country Name : INDIA State : UTTAR PRADESH City: NOIDA
NAGAR

Academic Details
Current Education Qualification Status : 12TH APPEARING
XII Details : X Details :
Institute Name GD GOENKA GLOBAL SCHOOL GD GOENKA GLOBAL SCHOOL
Board CENTRAL BOARD OF SECONDARY EDUCATION (CBSE) CENTRAL BOARD OF SECONDARY EDUCATION (CBSE)
Mode of Study REGULAR REGULAR
Marking Scheme PERCENTAGE
Percentage / CGPA 89
Year Of Passing 2025 2023
Hall ticket No./Registration No. 21177284
Address Of School/College SECTOR 50 NOIDA -
NAD ID/Digilocker ID -
Payment Details
Transaction ID 3498847203
Payment Date 09/02/2025
Mode Of Payment

Declaration
I certify that the information submitted by me in support of this application, Is true to the best of my knowledge and belief. I understand that
in the event of any information being found false or incorrect, My admission is liable to be rejected / cancelled at any stage of the program. I
undertake to abide by the disciplinary rules and regulations of the institute.

I hereby declare that I have gone through the eligibility criteria as given in the link below. I am fully aware that, If I do not meet the eligibility
criteria, any provisional admission given to me during the counselling period will be forfeited.
For more information , check - https://www.srmist.edu.in/admission-india/engineering

Applicant Name : VEDIKA DALMIA

Parent Name : VIVEK DALMIA

Date : 07/02/2025

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