Registration No. (For Office Use)

TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY, CHENNAI – 600 051

2016-17

APPLICATION FOR ADMISSION TO PhD DEGREE PROGRAMME

PhD in Veterinary and Animal Sciences Subject ______________________________________

PhD in Food Technology

PhD in Biotechnology

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) D D M M Y Y Y Y

4. Sex : Male Female Transgender

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 duly

attested

9. Details of college education

Name of the Degree Discipline College University

Year of

Passing

OGPA / Marks

obtained

Bachelors

Masters

(Attested copy of provisional / degree certificates and mark sheets / transcript cards should be enclosed)

10. Employment status of the applicant, : TANUVAS State Central others

if applicable Govt. Govt.

11. Experience as on 19.08.2016 : Y M D

(evidence should be enclosed)

If currently employed, application must be routed through the employer

12. Details of publications (Indicate only numbers) :

(copies should be enclosed)

Research articles Popular articles Manuals

Books Booklets Others

13. No. of academic awards / medals / prizes :

(Details and evidence should be enclosed)

14. State whether you have been involved in any :

disciplinary case and if so, the decision of

the competent authorities should be enclosed

15. 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 PhD 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 Issuing Bank and Branch

NATIVITY CERTIFICATE

Certified that Dr. __________________________________________________________________

S/o / D/o / W/o Thiru. ________________________________________________________________________________

an applicant for admission to PhD is native of _____________________________________________________________

Taluk _____________________________________________

District _____________________________________________

State _____________________________________________

Signature of the Village Administrative Officer : ____________________________________________

Signature of : _____________________________________________

Tahsildar / Deputy Tahsildar

Name and Designation : _____________________________________________

Office Seal :

Station : _____________________________________________

Date : _____________________________________________

NOTE

(a) This certificate should be furnished only by those candidates who have not studied undergraduate degree

course (BVSc / BVSc & AH) in Tamil Nadu on selection from the Tamil Nadu state quota.

(b) This certificate should first be signed by the officer in-charge of concerned village or town which is claimed

as the place of nativity and it should there after the countersigned by an officer of the revenue department not

lower than the rank of Deputy Tahsildar of the taluk concerned.

TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY

POST GRADUATE ADMISSION ENTRANCE EXAMINATION 2016-17

HALL TICKET (Duplicate)

Course: PhD (Veterinary and Animal Science / Food Technology / Biotechnology)

(strike whichever is not applicable)

Entrance Examination Number : ____________________ (for office use only)

Name (in Block Letters) : Dr. / Thiru./Tmt./Selvi. _____________________________________

Address for Communication : ________________________________________________________

________________________________________________________

________________________________________________________

PIN

Date of Examination: 08.09.2016 ______________________

Time: 09.30 A.M. (Signature of the candidate)

Venue: Madras Veterinary College

Chennai – 600 007.

Signature of Chairman,

Admission Committee, TANUVAS

………………………………………………………………………… TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY

POST GRADUATE ADMISSION ENTRANCE EXAMINATION 2016-17

HALL TICKET (Original)

Course: PhD (Veterinary and Animal Science / Food Technology / Biotechnology)

(strike whichever is not applicable)

Entrance Examination Number : ____________________ (for office use only)

Name (in Block Letters) : Dr. / Thiru./Tmt./Selvi. _____________________________________

Address for Communication : ________________________________________________________

________________________________________________________

________________________________________________________

PIN

Date of Examination: 08.09.2016 ______________________

Time: 09.30 A.M. (Signature of the candidate)

Venue: Madras Veterinary College

Chennai – 600 007.

Signature of Chairman,

Admission Committee, TANUVAS

Note: Both the Hall Tickets (Original and Duplicate) should be signed and returned along with the application.

Affix a recent

passport size

photograph duly

attested

Affix a recent

passport size

photograph duly

attested