Serial No.

:____________

M.Sc 50 Rs.
(
SAURASHTRA UNIVERSITY M.Phil 75 Rs.
DEPARTMENT OF BIOSCIENCES
RAJKOT-360005 Ph.D. 500 Rs.

ADMISSION FORM

Application for Admission to the First Semester M.Sc. course in Animal Science/ Plant Science/
Biotechnology/ Microbiology/M.Phil/Ph.D. for the year 200 -200
N.B. : 1. The last date for receipt of the duly completed application is_________
2. Date and Time of Personal Interview will be informed to the Candidate.
3. Separate applications are needed for admission to each of the streams.
FOR OFFICE USE ONLY
(1) University :
- Saurashtra University : Please affix latest
- Other University of Gujarat : Passport size
- Out State University : attested
(2) Year of Passing B.Sc. : photograph
(3) Subject(s) :
(4) % of Marks :
(5) Category
Stream :
Botany :
Zoology :
Microbiology :
Biotelchnology :
Degree programme
M.Sc., M.Phil , Ph.D. :

Surname First Name Second Name

1. Name in full :_________________________________________________________________
( in Block Letters)
2. Address :__________________________________________________________________
__________________________________________________________________
Pin code No.:___________________ Phone :_____________________________

3. Date of birth : Age :

Place of Birth :
4. Nationality : Indian Foreign

5. Sex : Male Female

6. Category
SC ST SEBC PH OTHER

Submit certificate from competent authority for reserved category.

If you are Physical Handicapped. Please attached a certificate from Civil Surgeon. SC Scheduled Caste.
ST-Scheduled Tribe, SEBC Socially & Educationally Backward Class. PH-Physically Handicapped
and Others (General Category)
Tick-the appropriate in No. 4, 5 and 6.

7. Academic Qualification :

Examination University Year of Subject Marks in % Class

Passing offered Obtained Obtained
.F.Y.
S/Y.
T.Y.
M.Sc.

(Please attach copies of supporting certificates.)

8. Are you engaged in any part/full time service (Yes/No.)?________________

If yes, since when :______________________________________________
Present status / course :__________________________________________
Name of organization / Institution :_________________________________

9. Guardian's / Father's details :

Name :__________________________________________________________
Address :________________________________________________________
Pin code No.:_______________________ Phone/ Mobile No.____________
Relationship :_____________________________________________________
Annual income of the guardian / Self , Rs.____________________(Approx.)
 DECLARATION

I hereby declare that the information given herein is correct and that misstatement, if any, whenever found,
will cancel my admission, if granted. I also undertake to observe the discipline and obey the authorities and
also rules and regulations time to time declare without any notice.

Date :____________________
Place :____________________
Signature of applicant
(No other than applicant should sign here )

FOR THE OFFICE USE ONLY

Received by :__________________________________________________

Checked by :__________________________________________________

Registration No.:____________________________________________________

Admitted / Not admitted :_____________________________________________

Fees Paid & Receipt No. & Date :______________________________________

Provision Eligibility Certificate No. & Date :_____________________________

Teacher in Charge Head of the Department

 Sr. No.______________

To be filled by the candidate :

Saurashtra University U.P.C.

Department of Biosciences Su/Bio /______
Rajkot Date :______________

Name in Full (In Block Letters) Please affix

And Address for Communication) latest Passport
Size photograph

3. STREAM : Botany Zoology Microbiology Biotechnology

You are requested to appear for a personal interview for admission on_______________________________
At 1100 hour at this Department without fail, Otherwise you will not be considered thereafter for the
admission You will bring all your original marksheets and certificates at the time of interview. If admitted,
you will have to pay the prescribed fees immediately.

Please bring this letter with you at the time of Admission Interview.