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Registration No. : (Office Use only)

ANNA UNIVERSITY CHENNAI CHENNAI-600 025, INDIA

APPLICATION FORM FOR ADMISSION TO

B.E/B.Tech/B.Arch DEGREE PROGRAMMES OFFERED AT UNIVERSITY DEPARTMENTS

UNDER NON-RESIDENT INDIANS (NRI) CATEGORY

Registration fee:

Bank Draft No.

Date

Amount

US $200

Issuing Bank

Please paste (do not pin) 3.5x4.5 cm size recently taken Colour Photograph and sign across the lower part of the photo

  • A.

    DETAILS OF THE CANDIDATE:

    • 1.

      Name of the candidate (Capital letters)

Candidate’s Address for Correspondence:

----------------------------------------------- ----------------------------------------------- ----------------------------------------------- ----------------------------------------------- -----------------------------------------------

Phone No:

-----------------------------------------------

e-mail:

-----------------------------------------------

2.

Male/Female

5.

Name of the Mother

:

______________________________

3.

Gender:

4.

Name of the Father

Date-of-Birth:

Day

Month

Year

:

______________________________

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