RAJIV GANDHI INSTITUTE OF VETERINARY EDUCATION & RESEARCH
KURUMBAPET, PUDUCHERRY – 605 009
(A Government of Puducherry Institution)
(Affiliated to Pondicherry University, Puducherry)
APPLICATION FOR ADMISSION TO M.Sc. DEGREE PROGRAMME IN
ANIMAL BIOTECHNOLOGY, 2023-24
Name
(As entered in School Certificate)
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Sex
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Select
Male
Female
Other
Date of Birth
*
Age (as on 04.12.2023)
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Nationality
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Aadhar Number
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Name of Parent/Guardian
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Are you a resident / Nativity
*
UT of Puducherry
Other State
General
EWS
OBC (OBC, EBC, BCM)
MBC
SC/ ST/ BT
General
EWS
OBC (Non Creamy Layer)
SC
ST
Permanent Address
PIN
Address for Communication
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Same as Permanent Address
PIN
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Email ID
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Mobile No
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Details of Examinations Passed
*
Name of the Examination Passed
Month and Year of Passing
Name of the Board/University
Percentage Obtained
SSLC or Equivalent
HSC or Equivalent
B.Sc. Subject (Specify):
Are you an employee?
*
Yes
No
(NOC from the employer)
Enclosures
Candidate Image
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Affix recent good quality colour photograph with white background (Allowed size : 600 * 600)
Signature of Candidate
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Age Proof
(Birth Cerificate or xth certificate)
*
(Supported file types: jpg, jpeg, png and PDF)
BSc Degree Certificate
*
(Supported file types: jpg, jpeg, png and PDF)
Consolidated Transcript of BSc degree
*
(Supported file types: jpg, jpeg, png and PDF)
Nativity / Residence Certificate
*
(Supported file types: jpg, jpeg, png and PDF)
Caste Certificate (If Applicable)
*
(Supported file types: jpg, jpeg, png and PDF)
EWS Cerificate (If Applicable)
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(Supported file types: jpg, jpeg, png and PDF)
10th Marksheet
*
(Supported file types: jpg, jpeg, png and PDF)
12th Marksheet
*
(Supported file types: jpg, jpeg, png and PDF)
NOC from the employer (If Applicable)
*
(Supported file types: jpg, jpeg, png and PDF)
Payment Details
Amount Paid
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Date of Payment
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Transaction ID
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Payment Proof
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*
I, hereby solemnly affirm that the statements made and information furnished in the Application Form and the Enclosures thereto submitted by me, are true and no relevant fact is suppressed and that I shall abide by the rules and regulations of the Institute.
Submit