TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY CHENNAI 600 051 2014-15
APPLICATION FOR ADMISSION TO MPhil (BIOTECHNOLOGY) / MBA (FOOD AND LIVESTOCK BUSINESS MANAGEMENT) / MSc (BIOINFORMATICS) / MSc (BIOSTATISTICS) / POST GRADUATE DIPLOMA IN BIOINFORMATICS / COMPANION ANIMAL PRACTICE / VETERINARY LABORATORY DIAGNOSIS / BUSINESS MANAGEMENT IN ANIMAL AND FISHERIES SCIENCES (PART TIME EVENING COURSE)
Course applied for ___________________ _______________________________________
1. Name (initials at the end) :
2. Address for communication :
Pin code
e-mail ID: ______________________________________ Mobile No: _________________________________
3. Date of birth (evidence to be : enclosed)
4. Sex : Male Female
5. (a) Name of Father / Guardian :
(b) Name of Mother :
(c) Occupation of Parent : :
6. Nativity (refer Prospectus) : Tamil Nadu Others
7. Community : OC BC BCM MBC/DNC SC SCA ST (enclose attested copy of Community certificate)
8. Mother tongue : Read the prospectus carefully before filling in the application form. Use CAPITAL letters for filling in the application form. Tick appropriate boxes wherever necessary. Use separate application for each course.
Affix a recent passport size photograph
9. Details of educational qualification Sl.No. Name of Degree Major Subject College and University Year of pass Grade / % marks
(Attested copy of provisional / degree certificate and mark sheet / transcript card should be enclosed)
Y M D 10. Experience as on 28.08.2014 : Y (evidence should be enclosed) If currently employed, application must be routed through the employer.
11. Details of publications (Indicate only numbers) : (copies should be enclosed)
Research articles Popular articles
Books Booklets
Manuals Others
12. No. of academic awards / medals / prizes : (Details and evidences should be enclosed)
13. Application /Registration fee : (drawn in favour of Finance Officer, TANUVAS) :
DECLARATION (i) I hereby solemnly and sincerely affirm that the statements made and information furnished in my application and also in all enclosures thereto are true. Should it however, be found that any information furnished therein is untrue in material particulars, I realize that I will forego my seat in the college and I am liable for criminal prosecution.
(ii) I apply to the above said course with a clear understanding that there is no job guarantee.
(iii) I do not claim any extra facilities like scholarship, stipend etc. which are not normally in existence.
Station :
Date : Signature of the Applicant
FOR THE USE OF THE FORWARDING AUTHORITY (for employed candidates only) Endt. No. Dated :
The application of Dr./Thiru./Tmt./Selvi.______________________________________________________ for admission to __________________________________ (indicate PG Degree / PG Diploma) is forwarded for consideration. He/ She will be relieved in the event of selection. Station :
Date : Signature of the Competent Authority Designation
(Office Seal)
Bank Draft No. Date Amount (Rs.) Issuing Bank and Branch
TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY POST GRADUATE ADMISSION ENTRANCE EXAMINATION 2014-15
HALL TICKET (Duplicate)
Name of the Course applied : _______________________________________________________
Entrance Examination Number : ____________________ (for office use only)
Name (in Block Letters) : Dr. / Thiru./Tmt./Selvi. _____________________________________
Address for Communication : ________________________________________________________
Constituent of Symbiosis International (Deemed University) (Established Under Section 3 of UGC Act 1956, Vid Notification No.F.9.12/2001-U.3 of The Govt. of India)