APPLICATION FOR RENEWAL OF REGISTRATION

From
DR.____________________________________________________________________
Residential Address: ______________________________________________
________________________________________________________________________

***Recent
photo with
date to be
paste and
should be
attested by
gazetted officer

________________________________________Pin code: _____________________

To
The Registrar,
TamilNadu State Veterinary Council, Chennai -600035.
Sir,
I wish to state that my Registration with the TamilNadu State Veterinary Council expires /
expired on ________________________ 1st Renewal / 2nd Renewal.
I desire to retain my name in the TamilNadu State Veterinary Council register and therefore
request you to renew my registration and issue certificate of renewal of registration.
1. TNSVC Registration no

: ________________________Date of Registration: ____________________________

2. Applicant Name in full

: _____________________________________________________________________________

3. Fathers or Husbands Name

: _____________________________________________________________________________

4. Date of Birth

: ______________________________E-mail id: __________________________________

5. Telephone No.

: _______________________________Mobile no: ________________________________

6. Employment status in detail

Designation: _______________________________________________________________

Office Address
7.
Qualification
B.V.Sc / B.V.Sc &A.H

: ______________________________________________________________________________
___________________________________________Pin code:_________________________
Year of Passing University & College

M.V.Sc.,
Ph.D
Encl: 1. Original Registration Certificate.
2. Two Recent stamp size photos with date.
3. Demand Draft for a sum of Rs.215/- (Rs.15/-towards renewal charges and Rs.200/- towards Office
Maintenance Charges) in the name of Registrar, TamilNadu State Veterinary Council (D.D no:
_________________dt:____________________ State bank of India branch____________________ payable at Chennai).
4. In case of Change of address furnish the attested copy of residential proof such as, Ration card /
driving license / passport along with requisition letter.
Yours Faithfully,
Place: _________________
Date: __________________
Signature of the applicant.
==============================================================================================
Note: *If the certificate is to be sent back by Regd. Post from this office, they are requested to

send total a sum of Rs. 265/-(i.e. towards Renewal fee Rs.215 & Postal charges Rs.50).
** Recent Photos with date to be paste and should be attested by Gazetted officer.