0% found this document useful (0 votes)
64 views3 pages

MBBS Application 2024 GG

This document is an application form for a student to request their permanent degree certificate, official transcript, and migration certificate from Dr. YSR University of Health Sciences in Andhra Pradesh, India. The form requests information such as the student's name, father/mother's name, details of their MBBS study including the college attended and year passed, internship details, registration information, and copies of relevant documents. It provides instructions on enclosing certified copies of documents like marks memos and certificates with the prescribed application fee. Sections are included for verification of the details by the principal's office and examination wing before the documents are issued.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
64 views3 pages

MBBS Application 2024 GG

This document is an application form for a student to request their permanent degree certificate, official transcript, and migration certificate from Dr. YSR University of Health Sciences in Andhra Pradesh, India. The form requests information such as the student's name, father/mother's name, details of their MBBS study including the college attended and year passed, internship details, registration information, and copies of relevant documents. It provides instructions on enclosing certified copies of documents like marks memos and certificates with the prescribed application fee. Sections are included for verification of the details by the principal's office and examination wing before the documents are issued.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 3

Dr.

YSR UNIVERSITY OF HEALTH SCIENCES, ANDHRA PRADESH,


VIJAYAWADA – 08

MBBS 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. MBBS 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 :

5. Details of Internship : 6. Details of Registration done with state MCI :

a. Date From : to a. Temporary/Permanent Registration


Number :
b. Name & Place of the Hospital : b. Date & Place of Registration :

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

COURSE SUBJECT MAX PASSING MARKS MONTH & NO. OF


MARKS MARKS AWARDED YEAR OF ATTEMPTS
PASSING (including
NR/DET/AB)

Bio – Chemistry 200 100


First
Anatomy 200 100
MBBS
Physiology 200 100

Pharmacology 150 75

Second Microbiology 150 75


MBBS Pathology 150 75

Forensic medicine 100 50


Oto-Rhino-Laryngology
100 50
Final (ENT)
MBBS Ophthalmology 100 50
Part – I Community Medicine
200 100
(SPM)
Medicine 300 150

Final Surgery 300 150


MBBS Obstetrics &
Part – II 200 100
Gynaecology
Paediatrics 100 50

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, DrYSR 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. Temporary/Permanent Registration Certificate
7. Copies of Marks Memos of all Years (including failed memos)
8. AHA certified BLS certificate issued by Dr YSR UHS .
9. If transferred from one College to another college for Internship, NOC issued by Dr. YSR
UHS must be enclosed.
10. 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 MBBS 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)

You might also like