ANNEXURE-III

DNB Training Completion Certificate (Provisional)

Format of Training Completion Certificate to be furnished by all DNB Candidates who have undergone
training in institute accredited with NBEMS for DNB training.
✤ Submission of False/Fabricated information/documents shall be liable for penal action.
NOTE: Ensure that DNB training completion certificates MUST be issued on an OFFICIAL LETTERHEAD of the
training hospital/institute under signature and stamp of Dean/ Principal/ Medical Superintendent/Head of the
Institution/Director only, as per the prescribed format along with the leave records.

Office dispatch No.:...................... Date of issue…………………

To,
The Executive Director Candidate’s
National Board of Examinations in Medical Sciences Photograph
Medical Enclave, Ansari Nagar,
Mahatma Gandhi Marg (Ring Road)
New Delhi-110029

Sub: Furnishing of DNB Training Completion Certificate (PROVISIONAL)

Sir,

This training completion certificate has been issued to Dr____________________Son/ Daughter/ Wife of
__________________________ who was registered with National Board of Examinations in Medical
Sciences w.e.f vide Registration Number _______________________ for Two/ Three
years of DNB training in the specialty of ___________ in our hospital/institution, for the purpose of
appearing in DNB Final Examination.

It is hereby certified that:

1. He/She has joined the DNB course on and WILL BE COMPLETING mandatory
Two/ Three years of training on .

2. The details of leave availed by the candidate till date are as follows:
Period of Leave
Year of Training
(Specify Dates of leave Nature of Leave No. of Days
(First/ Second/ Third)
availed)

Total number of leave availed by the candidate during his/her DNB training till
date (Grand Total in Days)

3. He/She has appeared in the Formative Assessments Test (FAT) conducted by NBEMS and the Internal
Assessments conducted by our hospital/institution as per details mentioned below:
Year of Training Year of appearing in FAT Year of appearing in Internal
(First/ Second/ Third) conducted by NBEMS Assessment conducted by the hospital

Proforma for TCC - DNB Final Exam OCTOBER 2024

 4. He/She has completed his/her thesis under supervision of an approved thesis guide and submitted
his/her thesis for assessment to NBEMS on/before 20.08.2024.

5. He/She has worked during his/her DNB training as a resident doctor strictly in accordance with leave
and other training guidelines of National Board of Examinations in Medical Sciences.

It is understood that if the details mentioned herein above are found at any stage to be incorrect/false/
incomplete, he/she shall be declared INELIGIBLE for DNB Final Examination and his/her candidature for
the same shall stand cancelled and result, if any declared, shall be treated as null and void.

Yours sincerely,

Signature of Head of the Institution_________________________

I hereby acknowledge that
the information provided in
this TCC is complete, factual Name & Designation ___________________________________________
and correct.

Official Stamp of the Issuing Authority with

___________________ Name, Designation and Institute
Signature of Candidate

Proforma for TCC - DNB Final Exam OCTOBER 2024

 ANNEXURE-IV

DNB Training Completion Certificate (Final)

Format of Training Completion Certificate to be furnished by all DNB Candidates who have undergone
training in institute accredited with NBEMS for DNB training.
✤ Submission of False/Fabricated information/documents shall be liable for penal action.
NOTE: Ensure that DNB training completion certificates MUST be issued on an OFFICIAL LETTERHEAD of the
training hospital/institute under signature and stamp of Dean/ Principal/ Medical Superintendent/Head of the
Institution/Director only, as per the prescribed format along with the leave records.

Office dispatch No.:...................... Date of issue…………………

To,
The Executive Director Candidate’s
National Board of Examinations in Medical Sciences Photograph
Medical Enclave, Ansari Nagar,
Mahatma Gandhi Marg (Ring Road)
New Delhi-110029

Sub: Furnishing of DNB Training Completion Certificate (Final)

This training completion certificate has been issued to Dr____________________Son/ Daughter/ Wife of
__________________________ who was registered with National Board of Examinations in Medical
Sciences w.e.f vide Registration Number _______________________ for Two/ Three
years of DNB training in the specialty of ___________ in our hospital/institution, for the purpose of
appearing in DNB Final Examination.

It is hereby certified that:

1. He/She has joined the DNB course on and HAS COMPLETED mandatory Two/
Three years of training on .

2. The details of leave availed by the candidate till date are as follows:
Period of Leave
Year of Training
(Specify Dates of leave Nature of Leave No. of Days
(First/ Second/ Third)
availed)

Total number of leave availed by the candidate during his/her entire DNB
training (Grand Total in Days)

3. He/She has appeared in the Formative Assessments Test (FAT) conducted by NBEMS and the Internal
Assessments conducted by our hospital/institution as per details mentioned below:
Year of Training Year of appearing in FAT Year of appearing in Internal
(First/ Second/ Third) conducted by NBEMS Assessment conducted by the hospital

Proforma for TCC - DNB Final Exam OCTOBER 2024

 4. He/She has completed his/her thesis under supervision of an approved thesis guide and his/her thesis
has been ACCEPTED by NBEMS vide acceptance letter dated ____________.

5. He/She has worked during his/her DNB training as a resident doctor strictly in accordance with leave
and other training guidelines of National Board of Examinations in Medical Sciences.

It is understood that if the details mentioned herein above are found at any stage to be incorrect/false/
incomplete, he/she shall be declared INELIGIBLE for DNB Final Examination and his/her candidature for
the same shall stand cancelled and result, if any declared, shall be treated as null and void.

Yours sincerely,

Signature of Head of the Institution________________________

I hereby acknowledge that

the information provided in Name & Designation _____________________________________
this TCC is complete, factual
and correct.
Official Stamp of the Issuing Authority with
Name, Designation and Institute
___________________
Signature of Candidate

Proforma for TCC - DNB Final Exam OCTOBER 2024