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FOR OFFICE USE ONLY

BV05589
MBC/DNC HSC ACADEMIC

PAYMENT DETAILS : AMOUNT - RS. 700.00 TRANSACTION ID : 9093 TRANSACTION DATE : 9/1/2020 11:07:07 AM

TAMIL NADU VETERINARY AND ANIMAL SCIENCES UNIVERSITY

CHENNAI - 600051
APPLICATION FOR BVSc & AH DEGREE COURSE 2020-21

1. Course Applied BVSC & AH

Campus Preference 1 VEERAPANDI, THENI - VETERINARY COLLEGE & RESEARCH INSTITUTE, VEERAPANDI, THENI – 625 534

Campus Preference 2 ORATHANADU - VETERINARY COLLEGE & RESEARCH INSTITUTE, ORATHANADU, THANJAVUR – 614 625

Campus Preference 3 TIRUNELVELI - VETERINARY COLLEGE & RESEARCH INSTITUTE, TIRUNELVELI – 627 358

Campus Preference 4 CHENNAI - MADRAS VETERINARY COLLEGE, CHENNAI – 600 007

Campus Preference 5 NAMAKKAL - VETERINARY COLLEGE & RESEARCH INSTITUTE, NAMAKKAL – 637 002

Campus Preference 6 THALAIVASAL KOOT ROAD, SALEM - VETERINARY COLLEGE & RESEARCH INSTITUTE, THALAIVASAL KOOT ROAD, SALEM – 636 112

Campus Preference 7 PANNAIKINARU, UDUMALPET - VETERINARY COLLEGE & RESEARCH INSTITUTE, PANNAIKINARU, UDUMALPET, TIRUPPUR – 642 126

2. Name (as in HSC/CBSE Mark Sheet) ALAGUMEENATCHI K

3. Date of Birth 11/04/2003 4. Gender FEMALE

5. Nationality INDIAN 6. Religion HINDU

DISTRICT DISTRICT CODE NO.

7. Nativity TAMIL NADU
MADURAI 13

8. Aadhaar Number 335042095130

9. Community MBC/DNC 10. Caste 112-VALAYARS (MADURAI,

11. Father's/Guardian's Name KARUPPAIAH A

12. Occupation DAILY WAGES 13. Annual Income (in Rs.) 60000

14. Mother's Name LAKSHMI K

15. Place of Birth T KUNNATHUR

16. Special Category NOT APPLICABLE

Are you the First Graduate

17. NO 18. Mother Tongue TAMIL
in your family ?

19. Place of Residence RURAL

NO 6/149,
MURUGAN COLONY,
20. Address for correspondence T KUNNATHUR,
PERAIYUR TALUK MADURAI DIST,
625708.

21. Mobile No 9344928731 Alternate Mobile No

22. Landline Number 23. Email ID AYYARKARUPPU@GMAIL.

24. Login Id 25. Qualifying Examinations HSC

26. 12th Std Examination Roll Number 2150487 27. Month and Year of Passing 12th MAR 2020

28. Stream ACADEMIC 29. Month and Year of Passing 11th MAR 2019

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Qualifying Examinations Marks obtained

SUBJECT THEORY PRACTICAL INTERNAL TOTAL
LANGUAGE 84 10 94
ENGLISH 46 10 56
PHYSICS 36 20 10 66
CHEMISTRY 42 20 10 72
BIOLOGY 27 20 10 57
MATHEMATICS 51 10 61
TOTAL 286 60 60 406

30. Name of Board of Examination TAMIL NADU STATE BOARD OF SCHOOL EXAMINATIONS

Number of attempts in the

31. 1 32. Medium of Instruction
Qualifying Examination

School of Study
YEAR OF PLACE OF STUDY
STANDARD NAME & ADDRESS OF SCHOOL
STUDY (VILLAGE/TOWN/DISTRICT)
XII SRI KANDASAMY VIDHYALAYAM HR SEC SCHOOL 2020 PAPPUNAYAKKANPATTI
XI SRI KANDASAMY VIDHYALAYAM HR SEC SCHOOL 2019 PAPPUNAYAKKANPATTI
X SRI KANDASAMY VIDHYALAYAM HR SEC SCHOOL 2018 PAPPUNAYAKKANPATTI
IX SRI KANDASAMY VIDHYALAYAM HR SEC SCHOOL 2017 PAPPUNAYAKKANPATTI
VIII SRI KANDASAMY VIDHYALAYAM HR SEC SCHOOL 2016 PAPPUNAYAKKANPATTI

S.No Particulars View Attached

1 Community Certificate Document 1 Yes
2 Proof for Date of Birth Document 1 Yes
3 Aadhar Card Document 1 Yes
4 Mark sheet of HSC - 12th Document 1 Yes
5 Transfer certificate/ Evidence for having joined in other course Document 1 Yes

DECLARATION
I certify that the particulars furnished above are correct and true to the best of my knowledge and belief.
I understand that withholding any information or giving false information in this application will make me ineligible for admission to BVSc & AH degree course in the Tamil Nad
Sciences University (TANUVAS) and subject to dismissal.
I will not claim any addition, deletion, amendment or correction to the particulars furnished here in any manner whatsoever.
I agree that if I am admitted by the TANUVAS, I will adhere to and be bound by the TANUVAS Act, Statutes, Regulations and Rules concerning University as prescribed / revised fr
I do hereby undertake to abide by the orders of the authorities of the University to pay the tuition fees and other fees as prescribed / revised from time to time.
I am aware that there is 'NO JOB GUARANTEE' by the university.
Place : T KUNNATHUR
Date : 01/09/2020

Signature of the Parent / Guardian Signature of the

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