B.
TECH APPLICATION FORM 2025 (PHASE-1)
APPLICATION NO : 25011016796
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 AEROSPACE Specialization AEROSPACE
Preference 2 (KATTANKULATHUR, CHENNAI) Preference 2 ENGINEERING Preference 2 ENGINEERING
Campus SRMIST, MAIN CAMPUS Program AUTOMATION AND Specialization AUTOMATION AND
Preference 3 (KATTANKULATHUR, CHENNAI) Preference 3 ROBOTICS Preference 3 ROBOTICS
Personal Details
Nationality INDIAN
Have You Studied From India? YES
Student Aadhar No. 552764638319
Full Name (As Per The Qualifying Examination Certificate) JOGI DHANUSH NAGA SAI DATTA KUMAR
Mobile No. +91-7075542313
WhatsApp Mobile Number +91-9182047216
Email ID RSEVENTSPLANNER9@GMAIL.COM
Alternate Email ID DHANUSHJOGI2007@GMAIL.COM
Date Of Birth 27/07/2007
Gender MALE
Family Details
Parent Details : MOTHER
Father Mother Guardian
Title MRS
Name VENDRA SIREESHA
Mobile Number +91-9182047216
Email Address SIRI.JOGI@GMAIL.COM
Address Details
1ST FLOOR 6-3-865/E, OPP. GREEN
Address PARK HOTEL, AMEERPET ROAD, Pin Code : 500016
HYDERABAD
Country Name : INDIA State : TELANGANA District : HYDERABAD City: HYDERABAD
Academic Details
Current Education Qualification Status : 12TH APPEARING
XII Details : X Details :
Institute Name ACHIEVERS JUNIOR COLLEGE VIGNANS WORLD ONE SCHOOL
ANDHRA PRADESH BOARD OF INTERMEDIATE
Board CENTRAL BOARD OF SECONDARY EDUCATION (CBSE)
EDUCATION
Mode of Study REGULAR REGULAR
Marking Scheme PERCENTAGE
Percentage / CGPA 57.2
Year Of Passing 2025 2023
Hall ticket No./Registration No. 20125537
ACHIVVERS JUNIOR COLLEGE, SHANTHI NAGAR, BESIDE
Address Of School/College -
FOOD FACTORY RESTAURANT, KAKINADA 533003
NAD ID/Digilocker ID -
Payment Details
Transaction ID 3452836011
Payment Date 27/01/2025
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 : JOGI DHANUSH NAGA SAI DATTA KUMAR
Parent Name : VENDRA SIREESHA
Date : 27/01/2025