Application Form For Various Certificates - For BPT Course

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Dr.

NTR UNIVERSTIY OF HEALTH SCIENCES, VIJAYAWADA – 520 008


APPLICATION FOR (Tick the required)
A. WES Form (World Education Services) B. Attestation of the documents
C. Migration Certificate D. Medium of Instruction
E. Name Equivalence Certificate F. Duplicate Certificates (Marks
Memos/ Provisional Certificate)

Name of the Candidate


1.
(As per Intermediate Certificate)

2. Name of the Course studied

3. Registration No./ Hall Ticket No.

4. Month and Year of Passing

5. Name of the College studied

6. Details of fee paid


(All Payment shall be made through D.D.No: Date:
D.D in favor of “the Registrar,
Dr. NTR University of Health Amount:-Rs. Bank:-
Sciences, Payable at Vijayawada“)

SIGNATURE OF THE CANDIDATE


The following enclosures are to be submitted with this application form for various certificates:-
A. WES Form:- F. Duplicate Marks Memos/ Provisional Certificate:-
1. Original Degree Certificate for verification 1. Xerox copy of Intermediate Certificate
2. Xerox Copies of Original Degree Certificate 2. Fee of Rs.500/- for each certificate
3. Fee of Rs.6,000/- for WES Form 3. Non–traceable certificate from the competent authority (Viz.,
if the Certificate is lost in transit or stolen at any place, the
B. Attestation of Documents:- * certificate from the Sub-Inspector of Police from the Police
1. Original Certificates for verification Station of the concerned jurisdiction)
issued by this University Fill up the details for issuance of Duplicate Marks Memos:-
2. Xerox Copies of Certificates Year of Month & Year of Regular/ Whether Passed
3. Fee of Rs.1500/- upto 40 copies. Course Examination Supplementary or Failed
Fee of Rs.2500/- between 40 & 60 copies
Fee of Rs.4000/- above 60 upto 80 copies
*Attestation of Certificate copies will be
done only on production of Original
Certificates
C. Migration Certificate:-
1. Xerox copy of Original Degree Certificate
2. Fee of Rs.500/- ( Ordinary )
Fee of Rs.1000/- ( Double Payment)

D. Medium of Instruction:-
1. Xerox copy of Original Degree Certificate
2. Fee of Rs.1,000/-

E. Name Equivalence Certificate:-


1. Xerox copy of corrected Intermediate
Certificate
2. Xerox copy of Original Degree Certificate
3. Fee of Rs.2,000/-

FOR THE USE OF DR. NTR UHS, VJA ONLY ADDRESS FOR COMMUNICATION

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