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The Tamilnadu Dr. M.G.R. Medical University, Chennai

1. The document appears to be an application form for graduates of dental courses in Tamil Nadu seeking to obtain their degree certificates from the Tamil Nadu Dr. MGR Medical University either in person at convocation or in absentia. 2. The form requests information from applicants such as personal details, course of study, date of completion and institution. It also specifies the fees to be paid depending on the course and whether the certificate is obtained in person or absentia. 3. Guidelines are provided on the process including deadlines for applications, additional fees for late applications, required documents and payment methods. Applicants are advised to carefully follow the instructions provided.

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Dinesh Kumar
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871 views3 pages

The Tamilnadu Dr. M.G.R. Medical University, Chennai

1. The document appears to be an application form for graduates of dental courses in Tamil Nadu seeking to obtain their degree certificates from the Tamil Nadu Dr. MGR Medical University either in person at convocation or in absentia. 2. The form requests information from applicants such as personal details, course of study, date of completion and institution. It also specifies the fees to be paid depending on the course and whether the certificate is obtained in person or absentia. 3. Guidelines are provided on the process including deadlines for applications, additional fees for late applications, required documents and payment methods. Applicants are advised to carefully follow the instructions provided.

Uploaded by

Dinesh Kumar
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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THE TAMILNADU Dr. M.G.R.

MEDICAL UNIVERSITY, CHENNAI


APPLICATION FOR ADMISSION TO THE CONVOCATION-DENTAL COURSES ( BDS / MDS )
For downloaded applications, kindly remit Rs.50/- (Fifty only) by means of DD/Pay order in favour of "The Registrar, The Tamil Nadu Dr. M.G.R Medical University, Chennai."

Course:
DATE OF SUBMISSION TO THE UNIVERSITY: Whether the candidate desires to receive the Degree: IN PERSON *(Not arise if applied after the Convocation) (Tick whichever is applicable)
1. Name of the candidate (in capitals as per the H.S.C./Equivalent certificate) 2. Date of birth and Sex 3. Fathers Name 4. Permanent address : 5. Address for communication : 6. Contact Phone No. (i ) Landline Number (ii) Mobile Number 7. E-mail address 8. Course (with Branch if any) 9. Month & Year of last examination passed (with Reg. No) 10. Date of completion of internship (if prescribed) : : : : : : : : :

PHOTO ATTESTED BY PRINCIPAL / DEAN OF THE INSTITUTION

or

s IN

11. Whether obtained/applied for (final) Provisional Certificate : 12. Name of the Institution from where qualified 13 .Details of remittance of fee if any 14. Full Specimen Signature of the Candidate In BLACK INK in the Middle of the box provided for the purpose of affixing the candidates photo with Signature on the Degree Certificate. (Do not write name or date with signature) : : :

Certified that the details & information furnished above are true & correct.
Signature of the Candidate COUNTERSIGNED & FORWARDED

Signature of Dean / Principal with college seal IMPORTANT INSTRUCTIONS TO CANDIDATE

1. All the eligible candidates who have completed their study/internship and obtained/applied for their (final) Provisional Pass certificate may submit their convocation application with the Countersignature of the Dean/Principal of the Institution concerned either through the Institution or directly by Registered post to the Controller of Examinations of this University. 2. IN PERSON means that the candidate has to be present himself/herself physically at the time of convocation to receive the Degree/Diploma. IN ABSENTIA means that the presence of the candidate at the time of convocation is not required and the Degree/Diploma certificate will be sent by post after the Convocation. 3. Application for receiving a Degree/Diploma IN PERSON should reach this office in time fixed by the University. The exact date of Convocation will be notified in the Dailies. A CARD OF ADMISSION to Convocation will be sent from the University before the date of Convocation to the candidates who have applied for receiving the Degree/Diploma IN PERSON. The application not received in time will be treated as IN ABSENTIA. 4. The following duly attested by a Gazetted Officer should be enclosed with this application (a) copy of SSLC mark sheet (b) copy of HSC/Equivalent Mark sheet (c) copy of (final) Provisional Pass Certificate (d) Copy of Registration certificate with respective council and (e) copy of the Under Graduate degree certificate in the case of P.G applicants 5. The following should also be enclosed Two copies of candidates latest passport size colour photograph put in a small envelope .(Name, course, Registration Number should be written on the back side of one copy) 6. (a) The revised Convocation fees prescribed with effect from Sep 2010 are : INDIAN MEDICINE & HOMOEOPATHY
750/1250/2250/4000/-

S.No. 1. 2. 3. 4.

COURSE
Under Graduate Post Graduate & P.G. Diploma Higher Specialities Ph.D.

MEDICAL
1000/2000/3000/5000/-

DENTAL
1000/2000/3000/5000/-

ALLIED HEALTH SCIENCES


750/1250/2250/4000/-

Those who have already paid the Convocation fees while applying for Provisional Certificate or along with the Examination fees need not remit again.

(c)

ADDITIONAL FEE /PENAL FOR BELATED SUBMISSION OF APPLICATION: DURATION * ** ADDITIONAL FEE + ADDITIONAL PENAL FEE FOR IN FEE FOR IN PERSON CANDIDATES

SL.NO.

1 2 3 4 5 6

ABSENTIA CANDIDATES Less than 3 months No fees 1000/- (Penal fee only) Above 3 months to 1 1,000/1,000/- + 1000/year Above 1 year to 3 years 2,000/2,000/- + 1000/Above 3 years to 5 years 3,000/3,000/- + 1.000/Above 5 years to 10 10,000/10,000/- + 1,000/years Above 10 years 15,000/15,000/- + 1,000/* Additional fee for belated submittion of Convocation application by the candidates applying for Degree/Diploma certificates after three months from the Date of respective Convocation. ** Any candidate who had applied to receive the Degree " IN PERSON" but failed to attend the Convocation has to remit Rs.1000/- as PENAL FEE for the getting Degree/Diploma certificate thereafter from this University within a period of Three month from the date of respective convoation. In additionan to the Penal fee of Rs.1000/- Additional fee have to be paid if such Degree Certificate are not obtained by the candidates WITHIN THREE MONTHS from the date of respective Convoation.

7. In complete applications will be summarily rejected and their names will be included in the IN ABSENTIA (Not applied) category and those candidates has to apply afresh. . 8. The prescribed fee should be sent only in the form of a crossed Demand Draft drawn on any Nationalized Banks/Scheduled Banks in favour of the Registrar, The TamilNadu Dr. M.G.R. Medical University, payable at Chennai. On the backside of the D.D. the candidate should write his/her name, Registration Number, course and institution. This fee can also be remitted into the I.O.B Branches counter at the University premises and the cash remittance challan be enclosed with the application. The fees once remitted by the candidate will not be refunded. REGISTRAR i/c. ____ ___________________________________________ _______ Address for sending communication : To | 2) To | .. | | .. | . | | Pin Code .... | Pin Code.

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