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Dhanush SRM Application

The document is a B.Tech application form for the year 2025 submitted by Jogi Dhanush Naga Sai Datta Kumar, who is applying for programs at SRMIST, Main Campus, with preferences for Artificial Intelligence, Aerospace Engineering, and Robotics. The applicant is currently in 12th grade and has provided personal, family, and academic details along with a declaration of the accuracy of the information. Payment for the application has been completed, and the applicant acknowledges the eligibility criteria for admission.

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0% found this document useful (0 votes)
55 views2 pages

Dhanush SRM Application

The document is a B.Tech application form for the year 2025 submitted by Jogi Dhanush Naga Sai Datta Kumar, who is applying for programs at SRMIST, Main Campus, with preferences for Artificial Intelligence, Aerospace Engineering, and Robotics. The applicant is currently in 12th grade and has provided personal, family, and academic details along with a declaration of the accuracy of the information. Payment for the application has been completed, and the applicant acknowledges the eligibility criteria for admission.

Uploaded by

dhanushjogi2007
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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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

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