(Established by Government of Gujarat vide Gujarat Act No.

9 of 2009 )

Student Registration
Postgraduate / Ph D Form
(USE CAPITAL LETTERS TO FILL THIS FORM)
COLLEGE OF VETERINARY SCIENCE AND ANIMAL
Name of College
HUSBANDRY, KU, ANAND
Course M.V.Sc.(VETERINARY PHARMACOLOGY & TOXICOLOGY) Please affix
Admission Year 2024 your recent
passport size
First Name ASHWINI colour
Surname SHUKLA photograph
Date of Birth 23/01/1998
(DD/MM/YYYY)
E-mail ID ashwinishivamshukla@gmail.com Contact No 6398446321
Guardian Contact Family Income
9450239856 ABOVE 800000
No. (Yearly)
Students Category GENERAL-UR Admission Category GENERAL-UR
Gender MALE Blood Group B+
Student Bank A/C 993313699950
20273748738 Aadhar Card Number
No
Present Address ROOM NO. 16, HOSTEL-C-GANDHI HOSTEL Permanent Address Y II B 32 TRIVENIPURAM
(PG 1ST YEAR) ANAND VETERINARY COLLEGE CAMPUS, ANAND JHUNSI PRAYAGRAJ 211019
Taluka: ANAND City: ANAND Taluka: JHUNSI City: PRAYAGRAJ
Dist.: ANAND Pin: 388001 Dist.: PRAYAGRAJ Pin: 211019
Academic Details:

Examination Board/ Exam Seat No. Passing Marks Percentile / Main GUJCET / JEE
Passed University No. of Year Out of Percentage / Subjects Marks
trials OGPA / /UPCATET
GRADE Rank
SSC (10th ) CBSE 5121664 1 2014 9.8/10 93.1 - -
HSC (10+2) CBSE 5615220 1 2016 445/500 89.0 BIOLOGY UPCATET-
240(Rank)
Undergraduate SVPUAT MEERUT V-4294/18 1 2024 7.968/10 79.68% Veterinary -
Science & AH
Postgraduate - - - - - - - -
Documents enclosed:
Other Relevant Certificate
School Leaving Certificate Caste Certificate (If applicable)
(If any please specify)
SSC Marksheet Aadhar Card* 1)
First Page Photocopy of Bank
HSC Marksheet Passbook * (A/C, Name, IFSC 2)
code, Detail Bank Name)
Undergraduate Certificate* Medical Fitness Certificate 3)
Postgraduate Certificate* Fee Receipt *
4)
(only for Ph.D Students) (in University format)
Please note that fields with (*) are mandatory

________________ __________________ ________________________ ________________________

Student Signature Major Guide Signature HOD Signature Seal and Principal Signature
For official use only:

Registration
College Code
Number

Verified By Remarks -