Rs. 200/-
N. T. R. UNIVERSITY OF HEALTH SCIENCES, A.P ..
VIJAYAWADA- 8
APPLICATION FORM FOR ISSUE OF B. D. S. MIGRATION CERTIFICATE
NAME OF THE COLLEGE :
1. NAME OF THE CANDIDATE
(As per Intermediate)
2. MONTH & YEAR OF PASSING
FINAL YEAR B. D. S.
3. HALL- TICKET
4. DETAILS OF FEE PAID
BANK NAME
D. D. NO.
ENCLOSURES:
AMOUNT -
DATE -
1. INTERMEDJATTE /EQUIVALENT CERTIFICATE (ATTESTED COPY)
2. PROVISIONAL CERTIFICATE (ATTESTED COPY)
3. INTERNSHIP CERTIFICATE (ATTESTED COPY)
4. D. D. FOR PRESCRIBED FEE
WRITE COMPLETE ADDRESS TO WHICH
THE MIGRATION HAS TO BE SENT WITH
PHONE NO.
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