Application Form No…….................

INDIAN VETERINARY RESEARCH INSTITUTE
(Deemed University)
Izatnagar, Bareilly - 243 122 (U.P.) India

ADMISSION TO MASTER'S* /DOCTORAL DEGREE PROGRAMMES FOR 2011-2012
Affix
recent
photograph with
signature of the
candidate in size
2.5cmx3cm

Roll No…….......…….
(to be filled by Office)

1. Degree Programme (Ph.D. / M.V.Sc.*)………………………… Subject Code**……………......…….............
2. Category of Admission :..............................................................................................................................
i.e. Open or Sponsored by SAU/Central/State Govt. Department/ICAR in service/Departmental (IVRI)
3. Full name of candidate in capital letters : (first, middle and surname):

4. Father's name :
5(i). Mother's Name :............................................. (ii). Husband's Name: ......................................................
(in case of married women)
6. Date of Birth

Age (as on 01.9.2011) ........................ (only completed years)

7(i). Category Whether General/OBC/PH/ S.C./S.T. ......................... (ii) Nationality :....................................
8(i). Sex : Male/Female : .............................
(ii) Marital Status : Married/Unmarried :...........................
9(i). State/Union Territory of domecile : .......................... (ii) Rural/Urban : ...........................
10. Nearest Railway Station to Home town : ...................................................................................................
(can not be changed during study period)
11. Educational Qualifications :
Particulars
Name of Examination
High School
Intermediate
B.V.Sc. & A.H. M.V.Sc.
or equivalent
or equivalent
(a University/Board
(b) Institution/College
(c) Year of passing the exam.
(d) Prescribed minimum
duration of course in years
(e) Medium of instruction
(f) Division/Class/
OGPA obtained
(g) Maximum Marks/Overall
Grade Point attainable
(h) Percentage of marks obtained
(upto one decimal place)
(i) Subjects taken
(j) Date of final Viva-Voce
in M.V.Sc.
(k)

M.V.Sc. Thesis Title :

N.B. : Delete which is not applicable
* For Sponsored candidates only
** Indicate one code out of the subject given in the Information Bulletin

12.

Full Address for correspondence :

13.

Permanent Home Address :

14.

Whether employed:
Yes / No.
(i) If employed, give full Name, Address and Contact No. of employer ....................................................
....................................................................................................................................................
Candidate's Telephone No. (with code) : .................................. Mobile No. ..........................................
Fax No. ............................................
E-mail address if any : ....................................................
Language Known (Read/Write/Speak) : ..............................................................................................
Employment Record :

15.
16.
17.

Name of Institute/
Dept./University/
Organisation

21.

Post held

Temporary/
Permanent

Scale of pay

Date of
joining

Date of
leaving

Are you a receipient of any Scholarship/Fellowship from the ICAR/CSIR/UGC/Govt. of India for Ph.D./M.V.Sc.
Degree ?
……………. Yes / No.
If yes, please attach an attested copy of the letter indicating the same and the period upto which it is valid.

22.

(a)
(b)
(c)
(d)

23.

Fees:

Were you admitted at I.V.R.I. earlier ? ..................... Yes / No
If so, state the programme and year : Programme ......................................... Year ....................
State if you discontinued the programme : Yes / No
If yes, state the date from which discontinued and reasons thereof : ..............................................
Bank Draft No...........................Date..............................................Amount.............................

DECLARATION BY THE CANDIDATE
I, the undersigned hereby declare that information furnished by me is correct and that no relevant information
has been suppressed. I also declare that if any information or document furnished by me in this application is found
to be wrong, I shall have no objection to my selection being cancelled outrightly.
(a) I am not employed and, therefore, submitting this application directly.
(b) I am an employee of the …………………………………......................................……. and, therefore, submitting
my application through proper channel, as a sponsored candidate.
(c) I am an employee of ........................... & applying under Open Category, submitting a NOC.
(d) If admitted, I undertake to abide by the rules and regulations of the Institute.
(e) I have enclosed attested photo copies of all the required certificates and documents.
Place:……………………….
Date:………………….........
(Signature of the Candidate)
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FOR SPONSORED CANDIDATE
Application forwarded for consideration under SPONSORED CATEGORY. He/She has (in words)
……….........………………. years of experience in Teaching/Research/Extension at this Organisation. In the event
of his/her selection, he/she will be relieved so as to enable him/her to join at IVRI on 01.09.2011.
The candidate will be fully sponsored on Deputation terms/Study leave entitling him/her for salary and
allowances.
Date……………...................
(Signature of the Sponsoring Authority)
Seal
Note : No Scholarship/Fellowship will be granted to the sponsored candidates.

(For Office use only)
Index No.................................... Bank Draft for Rs............................... received

dated :
Checked by :

INSTRUCTIONS FOR CANDIDATES TO FILLUP THE APPLICATION FORM FOR
ADMISSION TO P.G. PROGRAMMES
1.

2.
3.
4.
5.
6.
7.

Admission to Master's degree programme is through a written test conducted by ICAR for award
of JRF. Therefore, candidates interested in seeking admission need not apply to IVRI for the said
programme and they may look for the ICAR advertisement for combined competitive examination
for JRF. However, candiates seeking admission to M.V.Sc. programme under sponsored
category should apply to IVRI through their department.
The candidate should carefully go through the Information Bulletin before filling-up the application
form.
The application form should be filled legibly in candidate's own handwriting without any cutting/
overwriting/erasing, etc.
The candidate should ensure that he/she fulfills all the eligibility requirements for appearing in the
entrance examination before filling-up the application form.
The actual date, time and place for the interview will be indicated in the Admit Card and will also
be displayed on the University Notice Board and on Institute's website (www.ivri.nic.in).
No candidate will be allowed to appear in the entrance examination/interview without Admit Card.
First semester of Academic Session will commence on 01.9.2011 (Thursday).

[3]

INDIAN VETERINARY RESEARCH INSTITUTE
(Deemed University)
Izatnagar, Bareilly - 243 122 (U.P.) India
ADMISSION TO MASTER'S* /DOCTORAL DEGREE PROGRAMMES
FOR 2011-2012

Affix
recent
photograph
with
signature of the
candidate in size
2.5cmx3cm

VERIFICATION SHEET
Roll No…..............……….
(to be filled by Office)
Full name of candidate in capital letters : (first, middle and surname):

Father's name :

Degree Programme (Ph.D. / M.V.Sc.) ………………………… Examination Subject Code…….......…………….
Signature of Candidate
The above candidate has been permitted to appear in the written entrance examination for admission to
Ph.D. degree programmes 2011-2012.
(FOR OFFICE USE ONLY)
EXAMINATION SCHEDULE
Date & Time of Written
Exam

Date & Time of
Interview

Signature of the
Invigilator

Aug.03-04, 2011(Wednesday &
Thursday) 09.00 a.m. on wards

03.07.2011 (Sunday)
(11.00 a.m. to 2.00 p.m.)
Examination Centre :

Signature of the
Candidate

I.V.R.I., Izatnagar

Following tick marked documents which have not been sent by the candidate are to be submitted before
appearing in the entrance examination :Sl.No.
1

Name of document required
High School or equivalent (photocopy)

Certificate

Marks Sheet

2

Intermediate or equivalent (photocopy)

3

B.V.Sc.& A.H (photocopy)

4

M.V.Sc. (photocopy)

5

OBC/SC/ST/PH Certificate (if applicable) (photocopy)

(Not applicable)

6

Sponsorship Certificate/NOC (if applicable) (Original)

(Not applicable)

N.B.: The Invigilator should check the photograph of the candidate and obtain his/her signature. If the candidate
is not present, the word 'ABSENT' should be recorded and signed by the Invigilator.
REGISTRAR
[4]

INDIAN VETERINARY RESEARCH INSTITUTE
(Deemed University)
Izatnagar, Bareilly - 243 122 (U.P.) India
ADMISSION TO MASTER'S* /DOCTORAL DEGREE PROGRAMMES
FOR 2011-2012

Affix
recent
photograph
with
signature of the
candidate in size
2.5cm x3cm

ADMIT CARD
Roll No……...........…….
(to be filled by Office)
1. Degree Programme (Ph.D. / M.V.Sc.*)………………………….............................................………………….
2. Subject Code: ……………………...............................……….................................................................
3. Full name of candidate in capital letters : (first, middle and surname)

4. Father's name :

(FOR OFFICE USE ONLY)
EXAMINATION SCHEDULE
Date & Time of Written Examination

Date of Interview

03.07.2011 (Sunday)
(11.00 a.m. to 2.00 p.m.)
Papers: 1. English & General Knowledge (Part 'A')
2. Subject Matter
(Part 'B')
Examination Centre :

Aug.03-04, 2011 (Wednesday &
Thursday) 09.00 a.m.
onwards

I.V.R.I., Izatnagar

Please submit the following tick marked documents which have not been sent with the application form:
Sl.No. Name of document required

Certificate

Marks Sheet

1

High School or equivalent

(photocopy)

2

Intermediate or equivalent

(photocopy)

3

B.V.Sc.& A.H.

(photocopy)

4

M.V.Sc.

(photocopy)

5

Caste/PH certificate (if applicable) (photocopy)

Not applicable

6

Sponsorship certificate/NOC (if applicable) (Original)

Not applicable

*For Sponsored Candidates

REGISTRAR
[5]

IMPORTANT INSTRUCTIONS TO CANDIDATE
1.

The admit card should be produced on demand.

2.

No candidate will be allowed to appear in the written entrance examination/interview without
the admit-card.

3.

The candidate is advised to report at the examination centre/hall half-an-hour prior to the start
of the examination.

4.

The candidate should bring his/her own pen and ink etc.

5.

The written examination will be conducted on 03.07.2011 (Sunday) at IVRI, Izatnagar, Bareilly.

6.

Students should not carry Cell-phones in the examination hall.

7.

Interviews will be held on August, 03-04.2011 (Wednesday& Thursday) at 09.00 A.M onwards.
in the University Building at I.V.R.I., Izatnagar, Bareilly.

8.

No TA/DA will be given for attending the interview to the candidates except those belonging to
SC/ST category.

Under Certificate of Posting
To,
Dr..……………………….......…………..
………………………………………..
………………………………….…….
…………………………………….….
Sender :
REGISTRAR
I.V.R.I. (Deemed University),
Izatnagar-243 122 (U.P.)

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Candidate may please write or type his/her mailing address in block letters legibly in the space given below
(except Roll No.) and attach this sheet with the application form.
Roll No.:............................

Roll No.:.............................

Shri/Ms…………………………………………....………

Shri/Ms…………………………………………....………

Address……………………………………………...……

Address…………………………………………....….....

…………………………………………………....….……

……………………………………....……………………

City…………………………………………..…...……….

City……………………………………...…...…..………

State (…………..…...……..) PIN :__ __ __ __ ___ __

State (………....…………..) PIN :__ __ __ ___ __ __

Phone/FAXNo.(if any)……… ……....…….…………..

Phone/FAXNo.(if any)……… ……....…….…………..

Roll No.:.............................

Roll No.:.............................

Shri/Ms…………………………………………....………

Shri/Ms…………………………………………....………

Address……………………………………………...……

Address…………………………………………....….....

…………………………………………………....….……

……………………………………....……………………

City…………………………………………..…...……….

City……………………………………...…...…..………

State (…………..…...……..) PIN :__ __ __ __ ___ __

State (………....…………..) PIN :__ __ __ ___ __ __

Phone/FAXNo.(if any)……… ……....…….…………..

Phone/FAXNo.(if any)……… ……....…….…………..

Roll No.:.............................

Roll No.:.............................

Shri/Ms…………………………………………....………

Shri/Ms…………………………………………....………

Address……………………………………………...……

Address…………………………………………....….....

…………………………………………………....….……

……………………………………....……………………

City…………………………………………..…...……….

City……………………………………...…...…..………

State (…………..…...……..) PIN :__ __ __ __ ___ __

State (………....…………..) PIN :__ __ __ ___ __ __

Phone/FAXNo.(if any)……… ……....…….…………..

Phone/FAXNo.(if any)……… ……....…….…………..

Roll No.:.............................

Roll No.:.............................

Shri/Ms…………………………………………....………

Shri/Ms…………………………………………....………

Address……………………………………………...……

Address…………………………………………....….....

…………………………………………………....….……

……………………………………....……………………

City…………………………………………..…...……….

City……………………………………...…...…..………

State (…………..…...……..) PIN :__ __ __ __ ___ __

State (………....…………..) PIN :__ __ __ ___ __ __

Phone/FAXNo.(if any)……… ……....…….…………..

Phone/FAXNo.(if any)……… ……....…….…………..

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