Dr.
YSR UNIVERSITY OF HEALTH SCIENCES, ANDHRA PRADESH,
VIJAYAWADA – 520 008
BDS COURSE
APPLICATION FOR PERMANENT DEGREE CERTIFICATE, OFFICIAL TRANSCRIPT AND
MIGRATION CERTIFICATE FORTHCOMING ANNUAL CONVOCATION
1. Name of the Candidate : (As exactly written in Intermediate certificate)
2. Name of the Father / Mother :
3. Details of Study :
a. College where studied & Passed :
b. BDS Passed in (Month & Year) :
c. Division :
d. Hall Ticket No. :
4. Details of Fee Paid :
a. Amount : b. D.D.No. :
c. Date : d. Bank Name :
Details of Internship :
Date From : to
Name & Place of the Hospital :
NAME & ADDRESS:
Please affix here your
latest passport size
photograph (colour)
with wearing of
apron
DO NOT STAPLE
OR PIN THE
Mobile No : PIN: PHOTO
E-Mail ID:
For the use by PRO Cell Signature of the Applicant
DETAILS OF MARKS
MARKS MONTH &
MAX PASSING NO. OF
COURSE SUBJECT AWARDED YEAR OF
MARKS MARKS ATTEMPTS
PASSING
Anatomy & Histology 200 100
Physiology including Bio-
First BDS Chemistry 200 100
Oral & Dental Anatomy,
200 100
Physiology & Histology
General and Dental
200 100
Pharmacology
General Pathology
Parasitology & 200 100
Microbiology
Second
Dental Materials and
BDS 200 100
Metallurgy
Pre – Clinical
100 50
Prosthodontics
Pre – Clinical
100 50
Conservative Dentistry
General Medicine 200 100
Third General Surgery 200 100
BDS
Oral Pathology &
200 100
Microbiology
Prosthodontics including
200 100
Crown & Bridge
Conservative Dentistry &
200 100
Endodontics
Orthodontia 200 100
Final Oral Maxillofacial Surgery 200 100
BDS Oral Medicine &
200 100
Radiology
Periodontia 200 100
Pedodontia 200 100
Public Health Dentistry 200 100
TOTAL MARKS
Enclose the following Certificates (attested copies) in order of preference.
1. Prescribed fee in the form of Demand Draft drawn in favour of the Registrar, Dr. YSR
UHS Payable at Vijayawada
2. Intermediate Certificate (Pass Certificate long marks memo)
3. Copy of proceedings issued by Dr. YSR UHS in case of change in Name/Surname
4. Provisional Certificate
5. Internship Certificate
6. Copies of Marks Memos of all Years (including failed memos)
7.
7. If transferred from one College to another college for Internship, NOC issued by
Dr.YSR UHS must be enclosed.
8. Don’t enclose any other copies which are not asked for
FOR THE USE OF PRINCIPAL, OFFICE ONLY
Certified that the details furnished by Dr. are
verified from the relevant records and are found correct. The applicant has no due to this
college. Hence, there is no objection for issue of BDS Degree to him / her.
Station :
Date :
(Signature of the Principal with Office Seal)
FOR THE USE OF DR.YSR UHS EXAMINATION WING
1. T.R.No. : 2. Degree Certificate Sl.No.
3. Sl.No. & page No. of the Degree Issue Registrar (IN Advance OF)
Submitted :
All the details have been verified D.D. has been removed by the P.R.O Cell. Hence, the
permanent Degree Certificate, Official Transcript & Migration Certificate may be issued.
Sr.Asst. Supdt. A.R (Exams) D.R (Exams)
