Scribd
Upload
8K views3 pages

B.SC., (Nursing) - Original Degree & Migration Application Form

This document is an application form for students to apply for their permanent degree certificate and migration certificate for a Bachelor of Science in Nursing or Post Basic Bachelor of Science in Nursing degree from Dr. NTR University of Health Sciences in Andhra Pradesh, India. It provides instructions for applicants to fill out their personal details like name, father's name, and degree information. It also lists the required documents and fees to submit with the application. Completed forms must be signed by the applicant and verified by the principal of the applicant's college before being submitted to the University.

Uploaded by

GCON KURNOOL
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
8K views3 pages

B.SC., (Nursing) - Original Degree & Migration Application Form

This document is an application form for students to apply for their permanent degree certificate and migration certificate for a Bachelor of Science in Nursing or Post Basic Bachelor of Science in Nursing degree from Dr. NTR University of Health Sciences in Andhra Pradesh, India. It provides instructions for applicants to fill out their personal details like name, father's name, and degree information. It also lists the required documents and fees to submit with the application. Completed forms must be signed by the applicant and verified by the principal of the applicant's college before being submitted to the University.

Uploaded by

GCON KURNOOL
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.

NTR UNIVERSITY OF HEALTH SCIENCES, ANDHRA PRADESH


VIJAYAWADA – 520 008
This application form may be downloaded by candidates through NTR UHS Website
http://ntruhs.ap.nic.in
APPLICATION FOR ISSUE OF PERMANENT DEGREE CERTIFICATE &
MIGRATION CERTIFICATE B.Sc., (NURSING)/ POST BASIC B.Sc., (NURSING)

(This is the prescribed Application Form for obtaining Permanent Degree


Certificate & Migration Certificate, to be filled up and to be submitted to this University
through the concerned Principal, by all those candidates who have passed their UG
Degree Courses of B.Sc., (N)/PB B.Sc., (N) Examinations.)
1) Full Name of the Candidate: Please affix here
your latest
__________________________________________________________
passport size
2) Surname of the Candidate: photograph duly
attested by the
__________________________________________________________
Principal (Color
3) Name of the Father / Mother of the Candidate: or Black & White)

___________________________________________________________________________

4) a) Degree Certificate applied for:_______________________________________________

b) Month & Year of Passing: ____________________________________________________

c) Hall Ticket No. B.Sc., (N)/PB B.Sc., (N) Course:_________________

d) College where studied and passed:_____________________________________________

5) Details of fee paid:

a) Amount: Rs.____________/-, b) Demand Draft No.____________, c) Date:____________

d) Name of the Bank:_____________________________, Place of the Bank:______________

FOR THE OFFICE USE ONLY ADDRESS FOR COMMUNICATION

FOR THE USE OF NTR UHS EXAMINATIONS WING

Jr. Asst. Sr. Asst. Supdt. Asst. Registrar(Exams) Dy. Registrar(Exams)


7) FEE DETAILS:-

Double Payment
Sl. No. Details Ordinary
(for early issued)
1. Original Degree Certificate (OD) 2000/- 4,000/-
(Late fee is Rs.200/- per year upto a maximum of
Rs.1,000/-)
Migration Certificate (MC) 500/- 1,000/-

a) Demand Draft for obtaining the Permanent Degree Certificates is to be taken from any
Nationalized Bank, payable at Vijayawada, in favor of “The Registrar, Dr. NTR
University of Health Sciences, Vijayawada”.
b) The amount once paid towards fee for OD/MC shall not be refunded
or transferred under any circumstances. No correspondence will be
entertained in this regard.
c) The Dr. NTR University of Health Sciences shall not be responsible for non receipt
of applications or for its delay in Postal transit or loss in transit.

8) ENCLOSURES:- The Following serial wise:


1. Two Passport size Photographs (One affixed on the application form duly attested
by the concerned Principal)
2. Demand Draft for OD/MC Fee
3. Attested Copy of Intermediate or its Equivalent Certificate.
4. Attested Copy of Provisional Certificate of B.Sc., (Nursing)/ PB B.Sc., (Nursing).
5. Attested Copy of Nursing Registration Certificate issued by the A.P. Nursing
Council for B.Sc., (N)/ PB B.Sc., (N) Course. (renewable every five years)
6. Attested copies of All Marks Memos passed and failed.

Signature of the Applicant

FOR THE USE OF PRINCIPAL’S OFFICE ONLY

Certified that the details furnished above by Mr. / Ms.________________________________


are verified from the relevant records and are found correct. The applicant has no dues to this
college. Hence, there is no objection for issue of Permanent Degree Certificate to him/ her.

Station: ______________________

Date: ________________________ (Signature of the principal with office seal)

INSTRUCTION / GUIDELINES TO THE CANDIDATES WHO ARE APPLYING FOR


ISSUE OF PERMANENT DEGREE CERTIFICATE & MIGRATION CERTIFICATE OF
B.Sc., (NURSING) / PB B.Sc., (NURSING) COURSES

1) Use only Capital Letters.


2) All applications must be routed through Principal of the College where the applicant has
studied and passed the B.Sc., (Nursing)/ Post Basic B.Sc., (Nursing) Degree
Examinations.
3) Column No.1 & 2 of the application form: Full Name & Surname of the Candidate:
a) It should be written as spelt in the Intermediate or its Equivalent Certificate (by
those who are applying for B.Sc., (Nursing)/ Post Basic B.Sc., (Nursing) Degree
permanent Certificates only.
b) In case of those who want to obtain the B.Sc., (Nursing)/ Post Basic B.Sc.,
(Nursing) Degree Certificates as per the changed name/ Changed Surname, the
full change name must be written as spelt in the AP Gazette/ Proceedings of the
Dr. NTR University of Health Sciences/ Proceedings of the Director of Medical
Education, Andhra Pradesh/ Proceedings of the Director of Health, Andhra
Pradesh OR any other Educational Authority.

5) Two Address Slips: Two address slips given at the end of this page of this application
form are to be filled up by the candidates (all in capital letters only), giving the Pin Code,
Telephone No., Cell Phone No., for use by Dr. NTR UHS Examination Wing, for pasting
on the Degree Dispatch covers for the purpose of Post.

FILLING THE BELOW TWO COLUMNS IS MANDATORY

To:

Pin Code:_____________ Telephone No.________________ Cell Phone No.____________________

To:

Pin Code:_____________ Telephone No.________________ Cell Phone No.____________________

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy