SRI VENKATESWARA VETERINARY UNIVERSITY ADMINISTRATIVE OFFICE : DR.Y.S.R.BHAVAN : TIRUPATI-517502 Application for admission into M.V.Sc/M.Tech (Dairy Technology/Dairy Microbiology) Courses 2015-16 Affix latest 1. Full Name in Block Letters (as indicated in B.V.Sc& AH/ B.Tech (Dairy Technology) : Father’s Name : Mother’s Name : 3. Guardian’s Name & Relationship : 4. Profession of father/husband/guardian : and if in service, designation and office 5. Date of birth, as given in S.S.C./S.S.L.C/H.S.C./ Matriculation Certificate (Certificate to be enclosed) 2. Photograph 6. Place of Birth: District : 7. Nationality Religion: 8. a) Social Status (Certificate to be enclosed) : b) Sex 9. 10. Passport size duly attested by a Gazetted Officer : State: : OC/SC/ST/BC (if BC, indicate group & caste) : MALE/FEMALE State if physically disabled (Enclose certificate) : a) Address for communication : Permanent Address PIN CODE Phone. No. Mobile No. E-mail I.D. Present (Mailing) Address PIN CODE Phone. No. Mobile No. E-mail I.D. b) Present Telegraphic address 11. If employed give your designation and address of the employer: (applications not forwarded by employer shall not be considered and candidates shall not be called for entrance test) 12. Have you ever been debarred/ suspended from any Institution, if so give details 13. : Did you join for M.V.Sc/M.Tech (Dairy Technology/Dairy Microbiology) in ANGRAU/SVVU earlier and could not complete requirements if so amount of stipend received and period spent. 14. Are you already a post graduate, if so furnishing details: 15. Are you presently prosecuting MVSc/M.Tech (Dairy Technology/Dairy Microbiology) if so furnish details: 16.Particulars of Previous Academic Record: (Enclose copies of Certificates for proof) Examination passed Period of Study Marks/ Percentage OGPA Name of the Board/University S.S.C Intermediate (10+2) B.V.Sc & A.H / B.Tech (Dairy Technology) Any other 17. Year and Month of passing the qualifying examination: 18. Have you passed qualifying examination in a year other than 2015 if so details of year of passing and state what you have been doing since then with details: Furnish formula for conversion of OGPA into percentage of marks if passed B.V.Sc & A.H level examination from other Universities which follow Grade Point system (enclose certificate if it is not mentioned on the transcript) 19. Particulars of Education in A.P. for determining local area (enclose study certificates from Heads of institutions) Class VI Academic Year Name of the Institution and Address District VII VIII IX X Inter (Junior) Inter (Senior) 20. If in the seven consecutive academic years mentioned above, if you have not studied for the whole or any part of the seven consecutive years in any educational institution for reasons other than failure, please furnish the Residential Certificate for that period in the prescribed form. 21. Candidates who do not belong to categories mentioned in column Nos.16 and 19 above should furnish the following information duly supported by relevant Certificates. 2 a) b) Period of residence of the candidate in A.P. State excluding the period of study outside the State Period of residence of the parents of the candidate in A.P. State excluding the period of employment outside the A.P. State. OR Note: For a & b categories minimum residential requirement is 10 years. Certificate from the Mandal Revenue Officer clearly indicating the period of residence should be enclosed. Nativity certificate without period of residence shall not be considered. OR c) State whether the candidate/candidate’s spouse or parent is employed in State/Central Government/ Public Sector Corporation /Local Body/University/ Quasi Public Institution with in A.P. State. If so, enclose certificates. 22. State whether the candidate/candidate’s spouse or parent is employed in State/Central Government/Public Sector Corporation /Local Body/University/ Quasi Public Institution with in A.P. State. If so, enclose certificates. 23. Particulars of Medals/Prizes received at B.V.Sc/ B.Tech (Dairy Technology) level in NCC /NSS/ Sports/ Games/ Cultural/Literary activities at International/ Inter state/Inter University level (Enclose Certificate) 24. Particulars of D.D enclosed : DECLARATION I promise to abide by the rules/regulations and the orders of the University, its Authorities and Officers. I do hereby declare that the information furnished in this application is true to the best of my knowledge and belief. I am aware that in the event of any information being found to be false or untrue or if I indulge in ragging/misbehave with other Students/Teachers/Staff of the University, I shall be liable to such action taken by the University, as it may deem proper apart from penal action under Law. Date: - - - - - - - - - Signature of the Candidate I agree to the applicant’s admission to the P.G Course in one of the Colleges of Sri Venkateswara Veterinary University, Tirupati. I shall be responsible for the payment of all his/her fees and other charges. I shall be responsible for his/her good conduct and good behavior during the period of his/her study. Date: - - - - - - - - - Signature of the Father /Guardian 3 DECLARATION ABOUT EMPLOYMENT I hereby declare that I am not employed and if the information is found false at a later stage I am liable for such action taken by University as it may deem fit including cancellation of admission. I hereby declare that I am employed as _______________________________________ in ______________________________________Department at________________________and my application is forwarded by my employer (letter enclosed). Signature of the candidate * strike out whichever is not applicable The application of the candidates not responding to either of the components of above declaration will not be considered Note: Enclose a crossed Demand Draft for `.1000/- towards Registration (`.500/- in case of SC/ST students) drawn on any Nationalized bank favouring COMPTROLLER, SVVU, Tirupati. Enclose certificates pertaining to items under column Nos.5,8,9,11 and 16 to 23 as applicable. These certificates are essential to determine the candidate’s eligibility. For column 17 study certificates from Head(s) of recognized Institution(s) should be enclosed as proof. In reckoning consecutive academic years of study, any period of interruption of study by reason of failure in any examination, other than qualifying examination shall be disregarded. In such cases, information for the earlier academic years also should be furnished so as to cover seven academic years. Candidates who passed any examination by private study should furnish residence certificate. 4 ANNEXURE RESIDENCE CERTIFICATE (This certificate should be furnished by only such candidates who have not studied in any recognized institution in A.P. during the whole or any part of seven consecutive academic years immediately preceding the qualifying examination). As per presidential order period of study in a statewide University shall not be considered. Those who have studied Bachelor Degree course (B.V.Sc & A.H/B.Tech (Dairy Technology) in Sri Venkateswara Veterinary University/A.N.G.R. Agricultural University (State-Wide University) should furnish information pertaining to places of residence before joining Sri Venkateswara Veterinary University, i.e. up to Intermediate Level. ADMISSION FOR M.V.Sc/M.Tech COURSES 1. It is hereby certified a). that Mr/Ms- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Son/Daughter of Sri. - - - - - - - - - - - - - - - - - -a candidate for admission to the - - - - - - - - - - - - - - course appeared for the first time for the - - - - - - - - - - - - - - examination (being the minimum qualifying examination for admission to the course mentioned above) in - - - - - - - - - - - - - - -- - - - -- (month) - - - - - - - - - - -- - - - - (year) - - - - -- - - - - - - . b) that he/she has not studied in any educational institution during the whole/a part of the seven consecutive academic years ending with the academic year in which he/she first appeared for the aforesaid examination. c) that in the seven years immediately preceding the commencement of the aforesaid examination he/she has resided in the following place/places falling within the local area in respect of the - - - - - - - - - - - - - - - - - -- - - -- - -University, namely. S.No Village Mandal District Period 1. 2. 3. 4. 5. 6. 7. 2. The above candidate is therefore, a local candidate in relation to the local area specified in paragraph** 3(1)/ 3(2) / 3(3) of the Andhra Pradesh Educational Institutions (Regulation of Admissions) Orders, 1974. OFFICE SEAL Officer of Revenue Department Not below the rank of Mandal Revenue Officer of the area concerned. 5 SRI VENKATESWARA VETERINARY UNIVERSITY ADMINISTRATIVE OFFICE : DR.Y.S.R.BHAVAN : TIRUPATI-517502 Summary of application for admission to M.V.Sc/M.Tech(Dairy Technology/Dairy Microbiology) (To be filled in by the applicant) 1. Name of the Course : 2. Name of the Candidate : (in block letters as indicated at B.V.Sc & A.H/ B.Tech (Dairy Technology) 3. Father’s Name (in block letters) : 4. Mother’s Name (in block letters) : 5. Date of Birth : Age as on 01-07-2015: 6. a. Social Status : (if SC/ST/BC indicate caste & group) b. Sex : 7. University area (AU/ SVU/OU) : 8. Prizes/medals etc in NCC/NSS/SPORTS/ : games/cultural/literary activities at B.V.Sc/B.Tech(Dairy Technology) level (International/ Inter-state/Inter-University level) [ 9. State if physically disabled: 10. Marks /OGPA secured: i) Name of the qualifying examination: I.D.No : OGPA/Marks : ii) Intermediate (10+2) (% of marks in all subjects) : iii) 10th Class (% of marks in all subjects): iv).Post graduated or Prosecuting Post graduation if so details : 11. State (yes/no) whether copies of the following certificates have been enclosed: A. Marks /OGPA of all years of (i) S.S.C, Intermediate and B.V.Sc /B.Tech(Dairy Technology) level examination B. Provisional/degree certificate of (ii) B.V.Sc/B.Tech (Dairy Technology) level examination C. Date of Birth Certificate (SSC certificate) : D. Study certificates from heads of recognized Educational Institutions from 6th class onwards. Those who appeared for any examination by private study should enclosed residence certificate , E. Social Status Certificate issued by the competent authority: F. Certificates showing the formula for conversion of OGPA into marks (in respect of candidates who passed from Universities other than ANGRAU/SVVU) G. Physical disability certificates (if any) : 12. Employed or not employed : 13. If Employed whether application is routed through employer: I agree to abide by the decision of the University with regard to the allocation of seat for the P.G. course by counseling. Signature of the Candidate ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ For Office Use only Remarks: Hall Ticket No…………….. Hall Ticket may be issued / Application is incomplete / rejected 6 ORIGINAL SRI VENKATESWARA VETERINARY UNIVERSITY ADMINISTRATIVE OFFICE : DR.Y.S.R.BHAVAN : TIRUPATI -517502 Hall-ticket for Entrance Test for Admission to M.V.Sc / M.Tech Courses 2015-16 Name of the Candidate:________________________________ Hall Ticket No Father’s Name :______________________________________ Affix latest Pass port size photograph and get it attested by Gazetted Officer Centre of Entrance Test: M.V.Sc/M.Tech : College of Veterinary Science, SVVU, Tirupati Signature of the candidate Attested the signature and photograph Date and Time of Entrance Test Date: 10-12-2015 Time: 10.00 AM to 12.00 Noon Signature of the Gazetted Officer with seal REGISTRAR DUPLICATE SRI VENKATESWARA VETERINARY UNIVERSITY ADMINISTRATIVE OFFICE : DR.Y.S.R.BHAVAN : TIRUPATI-517502 Hall-ticket for Entrance Test for Admission to M.V.Sc/M.Tech Courses 2015-2016 Name of the Candidate:________________________________ Hall Ticket No Father’s Name :______________________________________ Affix latest Pass port size photograph and get it attested by Gazetted Officer Centre of Entrance Test: M.V.Sc/M.Tech: College of Veterinary Science, SVVU, Tirupati Date and Time of Entrance Test Date: 10-12-2015 Time: 10.00 AM to 12.00 Signature of the candidate Attested the signature and photograph Signature of the Gazetted Officer with seal REGISTRAR 7 INSTRUCTIONS TO CANDIDATES 1. Hall Ticket shall be presented to the Supervising Officer at the Entrance Test Centre. Any candidate without this Hall-Ticket shall not be allowed for the entrance test. 2. No travelling expenses will be paid for the journey for appearing for the entrance test 3. Violation of any instructions and adoption of any malpractices in the examination Hall shall render in cancellation of his/her answer-script and forfeiture of his/her claims for appearing in the Entrance Test. The decision of the Chief Superintendent of Entrance Test Centre shall be final in all these matters. 4. The candidates will not be admitted to the examination after the first 10 minutes and will not be allowed to leave the examination hall till the first half an hour is over. 5. Mark your Question Booklet Series on OMR Answer sheet by darkening the appropriate circle with Black Ball Point pen only. 6. The candidates has to select the correct answer and mark it on the OMR Answer sheet by darkening the appropriate circle for the respective question by using black ball point pen only. 7. Issue of Hall Tickets and appearance at the examination does not automatically entitle a candidate for admission. INSTRUCTION TO CANDIDATES 1. Hall Ticket shall be presented to the Supervising Officer at the Entrance Test Centre. Any candidate without this Hall-Ticket shall not be allowed for the entrance test. 2. No travelling expenses will be paid for the journey for appearing for the entrance test 3. Violation of any instructions and adoption of any malpractices in the examination Hall shall render in cancellation of his/her answer-script and forfeiture of his/her claims for appearing in the Entrance Test. The decision of the Chief Superintendent of Entrance Test Centre shall be final in all these matters. 4. The candidates will not be admitted to the examination after the first 10 minutes and will not be allowed to leave the examination hall till the first half an hour is over. 5. Mark your Question Booklet Series on OMR Answer sheet by darkening the appropriate circle with Black Ball Point pen only. 6. The candidates has to select the correct answer and mark it on the OMR Answer sheet by darkening the appropriate circle for the respective question by using black ball point pen only. 7. Issue of Hall Tickets and appearance at the examination does not automatically entitle a candidate for admission. 8