RADESH “ ‘VIJAYAWADA-520008 | ay apvance canbe Ni 1, ‘HOR ALL PG COURSES IN ADVANCEPOST CONVOCATION Mice press Aptatn for Ke obasing Pemaram Deve Caisete IN ADVANCE of Ata Conoco tbe fit upan av fesse ois Unies hough he cncened red, ya ne cn no ‘te ps aie PDP Dion Seer Spry Dew Pah betwee he as aol Frosig Al Comoe) 1) FulNane ofthe Canidae eas si ere —— your latest 2) Surana oe Cais eet cpr wheheratane a hotomap with 3) Name o Fr Mata of i Cie swearing of Apron uly attested ae byte Pitta 4) 8) Pemarent Degree Diploma Ceitene Apple for by Mond & Year oF Psing ©) Regitered No. HLT No, 4 catge where Std and Passe. 15) Detail of fe pai 8) Amount Rs yD Order No. Dee 4) Nae ofthe Bak yPlaes TOR HE USE OF Dz, NTR UNS EXAMINATIONS WING TH Page No 2)Deyee Cai SINO S)SINe fPage No.of ogre Is Regier (IN ADVANCE af) All the duals tave been veri. DDIPO hasbeen st tothe Fiance Wing. Hani, the Permanent Desre Ceres) snd JeAst Seas Supdt ——AR(Exams)——“DR(Esams) JRE | os SS1 Detais of Registration done wih he Ste MCUDCUNCL 4 Region No:___TemporanyPermaneee 1h Da otRepsvaioa Phere Region 17) FultPoctl Permanent nd Carespondence sr (ith PIN Cod) ‘Telephone Call Phone No 5 Gai, Place: Dawe: (Signature ofthe Applicant) FOR THE USE OF PRINCIPAL ONLY Ceri tt he desis above by Dr re veri an ‘ound comet. The applica bs no ds ois College Hence, ther is objeto fo sue of Soper Speci Degree /PG Deg PG Diploma PRD, UG permanent Degree Cerise oi. Plae Date (Sigtr ofthe Principal wi oe sal)INSTRUCTIONS / GUIDELINES TO THE APPLICANTS, 1) USE ONLY CAPITAL LETTERS. 2) All Applitons mus be rose hough he Pincpl ofthe College whee spc as tail pase ‘he PG Degree) PC Diploma Supe Specialy DepeeEuaation 5) Column Nat &2 ofthe aplication Form: Full Name & Surname of he Candidate: {eso be writen sty set in the UG Degree Creche wh re apy fr PO DDepe/PG Diploma /SiperSpecity Depee Femanent Cetfests Only) 1 Ince of thoe ho at to bin the UG DegreePO. DiplonaSuper Spciaty Desree {Me Director of Medial Edvnton, Andhra Pradesh Proceedings af the Director of Health, ‘Andhra Pradesh OR aay other Educational Authoriey aod the copy ef ters shoud be acter 4) Caluna No3 fie application Ferm: Name ofthe Father Mother: Ir sbuld be fled wp only by tose rho plying for ite of he Permanent Dees ett ony 5) Colum Ne) oft applicaon fom: Perranent dees Certete Appi For Pleas sect ether apy for sau of MIMS Degree Diploma MD(AYUYMDAH)M.Se(Appid NurtonyMDSIM.Se(S}MPTSuper Specialy’ MD(U)PDEMSVD, 6), Passport Sie Photographs One Pholopaph of werng wi apron sbould be affixed onthe Application Fo duly atesed by ‘the Praipal of the cols where the apylcas has suied a pasted for el tbe of Pring’ of Site ad seal ofthe cllee . One Phoiogaph stout apt oa eveape and isto be ecosedo the Aplcation 7) Column No: Daas x “The amount of Fee ofthe concerned courses ae hept it University Website separately. The ee shou be py nthe fra of demand dratl Onine i avout of Regan, DeNTR Uatversiy of ‘Health Sieces, Vijayawada, AP payable st Vijayawada on any Scheduled Bee 8) Colum No.7; Pull pot permanent and Correspondence Adres: Toe rered ty Br NTR URS rclieton an, 1) Column Nos: Tee Call Phowe No ‘This egured Dr NTR UHS for srifeaon ey §) Filled in ppcton fore tole set oe CONTROLLER OF EXAMINATIONS? "Dr NTR Univesy of Heh Sines, ‘Viugaa30008, Andhra Pals, ENCLOSURES: ‘The flowing documents ae oe cose 1. Ate copies of Under Graduate Degree Censcat nd Provisional Ceifewe of PG Course 2. Tose canes who wan obtas tha Dee Ceri prt changed Nane/ hanged Same ‘ould at tented copy of AP Gate Procetng of Dr. NTR Univers of Heath Selene ty ‘tor Eduestona shor 5. Alleclosies mast be eurely gee the aplicton 44 Evelpe coining the Pasipo st peosanh sole kept a the hom ofa he ‘lots, 5. DD Pay Onker probed fe o che anki he ame of Rega Dr NTR Univers of Heath Scenes, Vjeatade paable at Vaya 6. There is mo ned eal selkakdesed enelee cer wih stamps or without ampsNote: (1) This Applicaton fom should not be usd otanieg the permanent UGPGIDegretDiploma Super Spay Dap utes IN-PERSON" a “IN-ARSENTIA” of NT LHS Anus! Convection, Sopa proeritedAppicaoe fms wil be spi oh al he Principals Detar er ti parr, Pik floor Tv obtaining IN-PERSON (by those aha cn ke prin the Convocation creo) ih Viva) nd whe clo for cing IN-ABSENTIA (those who cao ke prin te Convocation cere.) pt on sa fo §Rs28"- er mor fer ech appcaon form 9 be pucaseé by elle ands as abd When the dae forthe [NTR Uns Annual Convoaon i aliod sud sme b announced hg al tbeteaing Now Dis, 2) The folowing Two Ades slips ae to be led up by she splint to which Richer pemnest Degree Cente ecm. The nats re request amit the clea in heh he eis © the dspace by Unies ne bow Eor Office Use: To Pin Code Cell Phone No, To Pin Code: Cell Phone No,