DEVElOPMENT OF COMMON SOFTWARE FOR ONLINE REGISTRATION AND UPDATION OF STATE VETERINARY REGISTERAND INDIAN VETERINARY PRACTITIONERS REGISTER ANNEXURE -II Mandatory

Information

about each registered veterinary

practitioner

as entered in SVPR

.:. This information should be provided in MS excel or MS Access for Fox Pro format only Heads

51 NO 1

5VC Registration No.

2

Date of Registration

3

Full Name of practitioners as written in SVPR

4

Father'sl Husband's Name

5

Date of birth (DDI MM/YYYY)

6

Nationality

7

Residential Address District State Pin code Country

8

Professional District

Address ,

State Pin code Country 9

Correspondence Address District State Pin code Country

10

Authentic Mobile No

11

EmaillD

12

Date of last renewal (if any) (DD IMM IYYYY)

13

Registration

Valid/Invalid

(Enter only valid or invalid)

Give details for invalidation like deleted due to death, transfer, Non-renewal, Disciplinary action and any other Basic qualification' for registration

14 15

Name of the authority (University/lnstitution which conferred the decree Name of college

)

Passing year and date Roll no 16

A.

Post-graduation Masters University College Passing year and date Roll no Discipline

17 B.

PhD University Discipline Date and year of awarding

18 C. Others University

19

20

Discipline Date and year of awarding Whether the name of Registered veterinary practitioner included in the IVPR prepared by veterinary council of India If yes in respect of point -19 then provide following information (a)

Year of IVPR in which name has been included

(b)

Serial number in IVPR

(c)

Page number in IVPR

Signature

Note 1.

2. 3. 4.

To add new additional qualification, send Rs.15/- each for each qualification as demand draft drawn in favour of the Registrar, KSVC, payable at Thiruvananthapuram along with the self attested copies of the certificate. The last date for submission of this performa is 20-01-2016 since the details are to be given to VCI to update the IVPR. For obtaining IVPR number visit KSVC Website. wWJ!'Lk~Lqllv.s;!erinarycouncil.com The filled up proforma should be forwarded to the Registrar, Kerala State Veterinary Council, Peroorkada, Thiruvananthapuram 695005