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Application Form No…….................
ICAR- INDIAN VETERINARY RESEARCH INSTITUTE (Deemed to be
University)
Izatnagar-243 122, Bareilly (UP) India
ADMISSION TO PhD DEGREE PROGRAMMES FOR 2018-2019 (Note: Please
read information Bulletin carefully before filling the application
form and use correct code)
Roll No…….......……. Examination Centre ....................
(Roll No. and Examination Centre will be filled by the Office
only)
Discipline Name
....................................................... Discipline
Code .......................... 1. PhD Degree Programme
(Session).....….......…..............Subject
Code**……………......…..
Affix recent photograph with signature of the
candidate
2. Category of Admission:
..................................................................................................................................
i.e. Open or Sponsored by ICAR Institute, Central/ State
Agricultural Universities, Central/State Government Departments 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 01.08.2018) ......................
(only completed years)
7. (i) Category Whether General/OBC/Divyang/SC/ST…... (ii)
Nationality:.................................. 8. (i) Sex:
Male/Female: ........................................... (ii)
Marital Status: Married/Unmarried:...................... 9. (i)
State/Union Territory of domicile: ......................... (ii)
Rural/Urban: ...........................
10. Nearest Railway Station to Home town:
...................................................................................................
(can not be changed during study period)
11. Choice of Examination Centre:
..................................................................................................................
(Izatnagar- 01, Bengaluru- 02, Kokata- 03, Palampur- 04, Pune-05,
National Institute of High Security Animal Disease, Bhopal- 06)
12. Educational Qualifications:
Particulars Name of Examination
High School Intermediate BVSc & AH MVSc
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.: Strike-off which is not applicable *
For Sponsored candidates only ** Indicate one code out of the
subject given in the Information Bulletin
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13. Full Address for Correspondence:
P I N
14. Permanent Home Address :
P I N
15. Whether employed: Yes / No. (i) If employed, give full Name,
Address and Contact No. of employer
...... ..... ..... .... ..... ..... .... ..... ..... .... .....
..... ...
....................................................................................................................................................
16. Candidate Aadhaar No …………………………….. Mobile No. :
...........................
Telephone No with STD Code. …………………………….. E.mail: ..…………………….……
17. Language Known (Read/Write/Speak) :…………………………. 18. Employment
Record :
Name of Institute/ Post held Temporary/ Scale of pay Date of
Date of Dept./University/ Permanent joining leaving
Organisation
19. Are you a recipient 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.
20. (a) Were you admitted at I.V.R.I. earlier ?
..................... Yes / No
(b) If so, state the programme and year : Programme
......................................... Year ....................
(c) State if you discontinued the programme : Yes / No (d) If yes,
state the date from which discontinued and reasons thereof :
............................................. (e) Whether the
amount of bond money deposited ? ............................ Yes /
No (f) If no, the bond money/fellowship paid to him/her, has to be
refunded before admission
21. Fees: E-receipt: SBI Collect Reference No.:
...................................................................................
Dated ...................................... 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 and submit NOC later on. (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 01.08.2018.
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............................. E-receipt: SBI Collect
Reference No.:
............................................................ Dated
.............................................. Amount
...............................................
Checked by
INSTRUCTIONS FOR CANDIDATES TO FILLUP THE APPLICATION FORM
FOR ADMISSION TO Ph.D. PROGRAMMES 1. The candidate should
carefully go through the Information Bulletin before filling-up the
application
form. 2. The application form should be filled legibly in
candidate's own handwriting without any cutting/
overwriting/erasing, etc. 3. The candidate should ensure that
he/she fulfills all the eligibility requirements for appearing in
the
entrance examination before filling-up the application form. 4.
Admit Cards will not be sent by post. Candidates have to retain a
copy of Admit card with them and
noted down the Roll No. as displayed on website. The List of
Students along with Roll No. will be displayed on Institute's
website (www.ivri.nic.in).
5. No candidate will be allowed to appear in the entrance
examination without Admit Card. 6. First semester of Academic
Session will commence on 01.08.2018.
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ICAR- INDIAN VETERINARY RESEARCH INSTITUTE
(Deemed University)
Izatnagar- 243 122, Bareilly (UP) India
ADMISSION TO PhD DEGREE PROGRAMME FOR 2018-2019
VERIFICATION SHEET
Affix recent
photograph with signature of the
candidate Roll No…..............……….
(to be filled by Office) Full name of candidate in capital
letters: (first, middle and surname): Father's name: PhD Degree
Programme ............………………………… 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
2018-2019. (FOR OFFICE USE ONLY)
EXAMINATION SCHEDULE
Date & Time of Written Exam Signature of the Signature of
the Candidate Invigilator
6th May, 2018 (Sunday) (11:00 a.m. to 1:00 p.m.)
Centres for written Examination: IVRI Izatnagar, Bengaluru,
Kolkata, Pune, Palampur, NISHAD Bhopal. Interview Schedule: 11th
June, 2018 to 22nd June, 2018. Note: The venue of the interview
will be IVRI, Izatnagar. The exact date and time of the interview
in respect of successful candidates in the written examination will
be displayed on the website of IVRI while declaring the result of
written entrance examination. 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
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ICAR- INDIAN VETERINARY RESEARCH INSTITUTE (Deemed
University)
Izatnagar- 243 122, Bareilly (U.P.) India ADMISSION TO PhD
DEGREE PROGRAMME Affix recent FOR 2018-2019 photograph with
signature of the Sl.No. _______ OFFICE COPY candidate (For
office use only)
ADMIT CARD (To be filled-in by the Candidate)
Roll No……...........…….
1. Name:
.................................................................................................................................................
2. Programme: PhD
..........................................................................
3. Discipline:
............................................................................................................................................
4. Date of Entrance Examination: 6th May, 2018 (Sunday) 5.
Examination Centre for written examination:
.................................................................................................
Interview Schedule: 11th June, 2018 to 22nd June, 2018. Note: The
venue of the interview will be IVRI, Izatnagar. The exact date and
time of the interview in respect of successful candidates in the
written examination will be displayed on the website of IVRI while
declaring the result of written entrance examination. Signature of
Candidate Registrar Instructions 1. You must report at the
examination centre atleast 30 minutes before the commencement of
the examination. 2. Show your admit card to Supervisory Staff
otherwise you will not be allowed to appear in the exam. 3. Use of
unfair means will disqualify you from the examination.
ICAR- INDIAN VETERINARY RESEARCH INSTITUTE (Deemed
University)
Izatnagar- 243 122, Bareilly (U.P.) India
ADMISSION TO PhD DEGREE PROGRAMME FOR 2018-2019
Sl.No. _______ CANDIDATE COPY
(To be retained by the candidate and produced at the time of
examination) ADMIT CARD
Affix recent photograph with signature of the
candidate
(To be filled-in by the Candidate)
Roll No……...........…….
1. Name:
.................................................................................................................................................
2. Programme: PhD
..........................................................................
3. Discipline:
............................................................................................................................................
4. Date of Entrance Examination: 6th May, 2018 (Sunday) 5.
Examination Centre for written examination:
.................................................................................................
Interview Schedule: 11th June, 2018 to 22nd June, 2018. Note: The
venue of the interview will be IVRI, Izatnagar. The exact date and
time of the interview in respect of successful candidates in the
written examination will be displayed on the website of IVRI while
declaring the result of written entrance examination. Signature of
Candidate Registrar Instructions 1. You must report at the
examination centre atleast 30 minutes before the commencement of
the examination. 2. Show your admit card to Supervisory Staff
otherwise you will not be allowed to appear in the exam. 3. Use of
unfair means will disqualify you from the examination.
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