Registration No.

(For Office Use)

TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY
CHENNAI 600 051
2014-15
APPLICATION FOR ADMISSION TO PhD DEGREE PROGRAMME










PhD in Veterinary and Animal Sciences Subject __________________________________

PhD in Food Technology


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 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 28.08.2014 : Y M D
(evidence should be enclosed)

12. Details of publications (Indicate only numbers) :
(copies should be enclosed)

Research articles Popular articles

Books Booklets

Manuals 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. / Thiru. / Tmt. / Selvi. __________________________________________________________________

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 under graduate 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 then the rank of Deputy Tahsildar of the taluk concerned.
TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY
POST GRADUATE ADMISSION ENTRANCE EXAMINATION 2014-15

HALL TICKET (Duplicate)

Course: PhD (Veterinary and Animal Science / Food Technology)
(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:17.09.2014 ______________________
Time: 09.30 A.M. (Signature of the candidate)
Venue: Madras Veterinary College
Chennai 600 007.

Chairman, Admission Committee, TANUVAS

TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY
POST GRADUATE ADMISSION ENTRANCE EXAMINATION 2014-15

HALL TICKET (Original)

Course: PhD (Veterinary and Animal Science / Food Technology)
(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:17.09.2014 ______________________
Time: 09.30 A.M. (Signature of the candidate)
Venue: Madras Veterinary College
Chennai 600 007.

Chairman, Admission Committee, TANUVAS

Note: Both the above 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