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CId=0B77RNE2zH9A582QyzwN6Q==

FOR OFFICE USE ONLY

BV03006
BC HSC ACADEMIC

PAYMENT DETAILS : AMOUNT - RS. 700.00 TRANSACTION ID : 5846 TRANSACTION DATE : 8/27/2020 10:52:48 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 CHENNAI - MADRAS VETERINARY COLLEGE, CHENNAI – 600 007

Campus Preference 2 TIRUNELVELI - VETERINARY COLLEGE & RESEARCH INSTITUTE, TIRUNELVELI – 627 358

Campus Preference 3 ORATHANADU - VETERINARY COLLEGE & RESEARCH INSTITUTE, ORATHANADU, THANJAVUR – 614 625

Campus Preference 4 VEERAPANDI, THENI - VETERINARY COLLEGE & RESEARCH INSTITUTE, VEERAPANDI, THENI – 625 534

Campus Preference 5 THALAIVASAL KOOT ROAD, SALEM - VETERINARY COLLEGE & RESEARCH INSTITUTE, THALAIVASAL KOOT ROAD, SALEM – 636 112

Campus Preference 6 PANNAIKINARU, UDUMALPET - VETERINARY COLLEGE & RESEARCH INSTITUTE, PANNAIKINARU, UDUMALPET, TIRUPPUR – 642 126

Campus Preference 7 NAMAKKAL - VETERINARY COLLEGE & RESEARCH INSTITUTE, NAMAKKAL – 637 002

2. Name (as in HSC/CBSE Mark Sheet) JEFRIN SINGH J

3. Date of Birth 16/01/2003 4. Gender MALE

5. Nationality INDIAN 6. Religion CHRISTIAN

DISTRICT DISTRICT CODE NO.

7. Nativity TAMIL NADU
KANYAKUMARI 15

8. Aadhaar Number 223194377944

9. Community BC 10. Caste 078-NADAR, SHANAR AND GR

11. Father's/Guardian's Name JAYSINGH T

12. Occupation SELF EMPLOYED 13. Annual Income (in Rs.) 64000

14. Mother's Name SHYLAJA T

15. Place of Birth KATTUVILAI KANNIYAKUMARI

16. Special Category NOT APPLICABLE

Are you the First Graduate

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

19. Place of Residence RURAL

4 91 C,
KATTUVILAI,
20. Address for correspondence KAPPIYARAI POST,
KANYAKUMARI DISTRICT,
629156.

21. Mobile No 8300329747 Alternate Mobile No 9789172723

22. Landline Number 23. Email ID JEKSHAJAYSINGH@GMAIL.COM

24. Login Id 25. Qualifying Examinations HSC

26. 12th Std Examination Roll Number 2006501 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 60 10 70
ENGLISH 68 10 78
PHYSICS 20 20 10 50
CHEMISTRY 24 20 10 54
BIOLOGY 35 20 10 65
MATHEMATICS 25 10 35
TOTAL 232 60 60 352

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

Number of attempts in the

31. 1 32. Medium of Instruction EN
Qualifying Examination

School of Study
YEAR OF PLACE OF STUDY
STANDARD NAME & ADDRESS OF SCHOOL
STUDY (VILLAGE/TOWN/DISTRICT)
XII BETHLAHEM MATRIC AND HIGHER SECONDARY SCHOOL 2020 KARUNGAL
XI BETHLAHEM MATRIC AND HIGHER SECONDARY SCHOOL 2019 KARUNGAL
X BETHLAHEM MATRIC AND HIGHER SECONDARY SCHOOL 2018 KARUNGAL
IX BETHLAHEM MATRIC AND HIGHER SECONDARY SCHOOL 2017 KARUNGAL
VIII BETHLAHEM MATRIC AND HIGHER SECONDARY SCHOOL 2016 KARUNGAL

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 Nadu Vet
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 from tim
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 : KATTUVILAI
Date : 27/08/2020

Signature of the Parent / Guardian Signature of the Candi

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