ACADEMIC SECTION INDIAN VETERINARY RESEARCH INSTITUTE (DEEMED UNIVERSITY) IZATNAGAR (U.P.)

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1 ACADEMIC SECTION (To be submitted in duplicate at the time of Hard Bond Thesis) Academic Session : 1. Name of Student : 2. Roll Number : 3. Male/Female : 4. Date of Birth : 5. Date of Admission : 6. Date of Preliminary Viva Voce Examination : 7. Date of submission of ORW : 8. Title of Thesis : 9. Date of submission of Thesis : 10. Date of Final Viva Voce Examination : 11. Date of Issue of PDC : 12. Final O.G.P.A. : 13. Source of Fellowship : 14. Exact date upto which fees etc. paid : 15. Whether belong to (SC/ST/OBC) : 16. Whether belongs to rural/urban area : Signature of the student

2 APPLICATION FOR DEGREE CERTIFICATE 1. Name IN FULL (a) In English (in BLOCK LETTERS) : As per matriculation certificate (b) Name (in Hindi) : 2. Father s Name (a) In English : (b) In Hindi : 3. Whether the degree is sought to be taken: Please tick mark ( ) in the appropriate Box In Person In absentia 4. Full particulars of student at IVRI (Deemed University): (a) Name of Degree completed : (b) Major subject in which degree completed : (c) Month and year of admission : (d) Roll No. : (e) Date of final viva-voce examination : 5. Address (in BLOCK letters) (a) Permanent Home address for correspondence With telephone No., if any : (b) If the degree is sought to be taken in Absentia the address to which it should be posted: 6. Bank draft No., date and the amount of fee paid: SIGNATURE OF THE STUDENT

3 No Dues Certificates 1. Received Hard Bound thesis from Dr Roll No , Discipline M.V.Sc/PhD student of this Institute for Divisional Library. Title of the thesis Signature of Dealing Assistant, Division Office & Seal 2. Received Hard Bound thesis alongwith two C.D. in PDF form (IN ONE FILE) from Dr Roll No Discipline , M.V.Sc/PhD student of this Institute for NLVS Record. Title of the thesis Signature of Dealing Assistant, NLVS & Seal 3. Received Thesis Abstract (English) alongwith one CD (soft copy) from Dr , Roll No , Discipline , M.V.Sc/PhD student of this Institute; Signature of English Instructor 4. Received Thesis Abstract (Hindi) alongwith one CD (soft copy) from Dr , Roll No , Discipline , M.V.Sc/PhD student of this Institute; Signature of D. Asst., Hindi Cell & Seal 5. Received C.D. consisting of abstract and ORW. Signature of Dealing Assistant, JD (R) s Office & Seal 6. Received Student s Profile. Signature of I/C Placement Cell

4 Name of the student : Roll No. : Degree : Discipline : Name of Advisor : Date of Final VIVA-VOCE : ACADEMIC SECTION PROFORMA FOR BEST TEACHER AWARD (To be submitted at the time of Hard Bound Thesis) 7. Name of three scientists who in your opinion did excellent teaching in your discipline: Name of the Scientists To what extent course work is helping you in your research (Please cross the appropriate box): Course taught very useful slightly useful not useful 9. What in your opinion was the weakness of teaching programme in your discipline?. 10. What in your opinion was the strength of teaching programme in your discipline? 11. What suggestions you would like to make for improving the teaching of your discipline at the Institute? SIGNATURE OF THE STUDENT

5 PLACEMENT CELL Personal Profile of the Student (to be submitted in Placement Cell) Name of the student : Roll No. : Degree : Discipline : Name of Advisor : Thesis Title Research Area of Interest: Postal Address: E. mail address: _ Phone Number: Land Line Phone No. (with STD code): Mobile phone No Signature of the Student