RAJASTHAN STATE VETERINARY COUNCIL ENCLOSURE TO RENEWAL REGISTRATION FORM NAME REGN. NO. (IN BLOCK LETTERS) FATHER'S NAME PERMANENT ADDRESS (IN BLOCK LETTERS) DATE OF BIRTH: DEGREE YEAR OF COMPLETION UNIVERSITY Remarks 1. 2. 3. 4. 5. PLACE OF EMPLOYMENT: (KINDLY TICK THE APPROPRIATE) A STATE GOVERNMENT (SPECIFY) E INSURANCE COMPANY B CENTRAL GOVERNMENT(SPECIFY) F BANKS (SPECIFY) C RETIRED OFFICIALS G UNIVERSITY D PRIVATE COMPANIES ADDRESS WITH DESIGNATION: FOR OFFICE USE ONLY: S.No. Date FOR REGISTRATION/RENEWAL/ ADDL. QUALIFICATIONS AMOUNT PAID BY CASH M.O./D.D. RECEIPT NUMBER &DATE INITIALS OF REGISTRA R REMARKS 1. 2. 3. 4. ADDRESS FOR COMMUNICATION AND CHANGE OF ADDRESS IF SUBSEQUENTLY RECIEVED
