Application For Issue of B.D.S. Transcript of Marks

DR. NTR UNIVERSITY OF HEALTH SCIENCES. A. P.,
VIJAYAWADA - 8
APPLICATION FOR ISSUE OF B. D. S TRANSCRIPT OF MARKS
RS.1,500/- for Ordinary RS.3,000/- for Tatkal
NAME OF THE CANDIDATE (AS IN 10+2 /INTERMEDIATE)
NAME OF THE COLLEGE STUDIED
HALL- TICKET NUMBER
DATE OF ADMISSION IN TO BDS COURSE
DATE OF COMPLETION OF INTERNSHIP
DIVISION AWARDED IN PROVISIONAL CERTIFICATE
MONTH & YEAR OF PASSING FINAL BDS
BANK NAME & BRANCH: D D NO
DETAILS OF MARKS
DATE: Rs ..

COURSE SUBJECT
MAX. PASSING MARKS NO. OF
-- I Mt\RKS MARKS AWARDED ATTEMPTS A:-IATOMY & HISTOLOGY 150 75
FIRST BDS PHYSIOLOGY INCLUDING BIO-CHEMISTRY I 150 75
DENTAL MATERIALS AND METALLURGY 150 75 j
GENERAL AND DENTAL PHARMACOLOGY 150 75 I
GENERAL PATHOLOGY PARASITOLOGY & MICROBIOLOGY 150 75
SECOND BDS ORAL & DENTAL ANATOMY, PHYSIOLOGY & HISTOLOGY 150 75
PRE- CLINICAL PROSTHODONTICS I 25 I
PRE- CLINICAL CONSERVATIVE DENTISTRY I I 25
GENERAL MEDICINE 150 75
THIRD BDS
, GENERAL SURGERY 150 75 l ORAL PATHOLOGY 150 75
I COMMUNITY MEDICINE 150 75
PROSTHODONTICE INCLUDING CROWN&. BRIDGE 150 75
I CONSERVATICE DENTISTRY & ENDODONTICS 150 7S
ORTHODONTIA 150 75
FINAL BDS ORAL MAXILLOFACIAL SURGERY 150 I 75
I
I ORAL MEDICINE & RADIOLOGY 150
I
75
PERIODONTIA 150 I 75
I I PEDODONTIA 150 75
I DECLARE THAT THE ABOVE PARTICULARS FURNISIIED BY ME ARE CORRECT AND I AM AWARE THAT THE UNIVERSITY
RESERVES THE RIGHT TO TAKE THE APPROPRIATE ACTION WHEN THE PARTICULARS ARE INCORRECT OR FACTS
SUPPRESSED
PHONE NO.)
SIGNATURE OF THE CANDIDATE
ENCLOSURES
I
1. ATTESTED COPY OF THE INTERMEDIATE
CERTIFICATE.
2. ATTESTED COPY OF PROVISIONAL CERTIFICATE.
3. ATTESTED COPY OF THE INTERNSHIP
CERTIFICATE.
4. ATTESTED COPIES OF ALL MARKS MEMOS ISSUED
(INCLUDING FAIL MEMOS ALI)
5. ATTESTED COPY OF D. C. I. REGISTRATION
CERTIFICATE.
6. REQUISITE FEE IN FAVOUR OF REGISTRAR, DR.
NTR UHS, VJA.