PROSPECTUS FOR ADMISSION INTO

PG MEDICAL & DENTAL DEGREE / DIPLOMA COURSES IN

PRIVATE UN – AIDED NON – MINORITY MEDICAL / DENTAL
COLLEGES UNDER MANAGEMENT QUOTA IN THE STATE OF
ANDHRA PRADESH FOR THE ACADEMIC YEAR 2012019-20

Dr. NTR UNIVERSITY OF HEALTH SCIENCES,

ANDHRA PRADESH,
VIJAYAWADA - 520 008

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Dr. NTR UNIVERSITY OF HEALTH SCIENCES::AP::VIJAYAWADA-8
ADMISSION INTO POST GRADUATE MEDICAL AND DENTAL MANAGEMENT
QUOTA SEATS IN PRIVATE NON – MINORITY MEDICAL & DENTAL COLLEGES
IN THE STATE OF ANDHRA PRADESH FOR THE YEAR 2019-20
IMPORTANT DATES TO REMEMBER
1 Date of issue of Notification 4.04.2019

Availability of online Application form

2 05.04.2019 TO
http://pvtappgmed.ntruhs.ap.gov.in 15.04.2019
3 Date of release of provisional merit position of all 17.04.2019
the candidates applied for
4 Dates of verification of original Certificates A separate schedule will
Note: Please visit website: http://ntruhs.ap.nic.in be notified
for latest updates/notifications. No individual
intimations will be sent.
5 Date of release of final merit position after To be notified separately
verification of original certificates
6 Dates of exercising web options To be notified separately
7 Allotment of Course / College To be notified separately
8 Reporting to Colleges To be notified separately
9 Commencement of Classes 01.05.2019
10 Web Options for 2nd Counselling To be notified separately
11 Allotment of Course / College of 2nd Counselling To be notified separately

12 Reporting to Colleges To be notified separately

13 Closure of Admissions As per MCI Regulations
14 Venue of verification of certificates Dr. NTR UHS,
Vijayawada

Note: 1. All the dates are tentative and the University reserves the right to
change them without assigning any reason or advance notice. The
candidates are advised to visit the websites for further information
2. Any subsequent notifications will be issued through University website
only.
3. Printout of application along with enclosures should be submitted at
the time of verification of original certificates at verification center,
Dr. NTR University of Health Sciences, Vijayawada.
4. • If the candidate faces any difficulty for submitting the
online application the following numbers may be contacted:
• For technical difficulties No. 9493998537 and 9493998437
• For clarifications on Regulations No.8978780501 and
7997710168 (10.00 AM to 6.00 PM only)

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 Dr. NTR UNIVERSITY OF HEALTH SCIENCES: ANDHRA PRADESH
VIJAYAWADA - 520 008

PROSPECTUS FOR ADMISSION INTO POST GRADUATE MEDICAL AND DENTAL

MANAGEMENT QUOTA SEATS IN PRIVATE NON – MINORITY MEDICAL & DENTAL
COLLEGES IN THE STATE OF ANDHRA PRADESH FOR THE YEAR 2019- 20

Regulations:
The following are the Regulations for admission into Management Quota seats
in Post Graduate Medical & Dental Degree / Diploma Courses in all the Private
Medical / Dental Colleges affiliated to Dr. NTR UHS.
Number of seats under Management quota:
• The number of seats available for the academic year 2019-20 in Post Graduate
Medical & Dental Degree / Diploma Courses at Private Un-aided Non-Minority
Medical and Dental colleges will be in accordance with the orders of the
MCI/DCI / GOI / Govt. of AP.
• The data of seats under Management Quota is given in the Annexure-I
appended herewith, for information.
Eligibility:
• The candidates who fulfil the following criteria are eligible for admission into
Post Graduate Medical/Dental Degree / Diploma courses and they have
to get their certificates verified as per schedule to be notified by the
university.
• The candidates should secure the following cut-off scores in NEET PG-2019 /
NEET MDS -2019 conducted by National Board of Examinations, New Delhi
as per section (10) of Indian Medical Council Act, 1956.
For PG Medical Degree and Diploma:

Eligibility Cutoff Score

Category
Criteria (out of 1200)
General Category (UR) 50th Percentile 340

SC/ST/BC-A/B/C/D/E, 40th Percentile 295

SC-PH/ST-PH/
BC- A/B/C/D/E -PH
th
OC / PH 45 Percentile 317

Lower percentage / percentile of marks for SC/ST/BC/OBC /PH is only for

eligibility purpose and will not be applicable for reservations as there are no
reservation quotas for these categories as per G.O.Ms.No.70, HM&FW (C1) Dept.,
dated 03-05-2017.

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For PG Dental Courses:
Cutoff Score
Category Eligibility Criteria
(out of 960)
General Category (UR) 50th Percentile 250
SC/ST/BC-A/B/C/D/E,
SC-PH/ST-PH/ 40th Percentile 215
BC- A/B/C/D/E -PH
OC / PH 45th Percentile 232
*Lower percentage / percentile of marks for SC/ST/BC/OBC /PH is only for
eligibility purpose and will not be applicable for reservations as there are no
reservation quotas for these categories G.O.Ms.No.70, HM&FW (C1) Dept., dated
03-05-2017.
• The Candidates from All over India are eligible for Management Quota Sub
– Category – 1.
• Foreign Students / NRI / NRI sponsored candidates are eligible for Management
Quota Sub – Category – 2.
• Candidates sponsored by the Managements of Private Un – Aided Non – Minority
Medical / Dental Colleges having Post Graduate Courses in Andhra Pradesh
State are eligible for Management Quota Sub – Category – 3, in the college which
sponsored his / her candidature. The requirements for the sub- category 3 seats
are:

1. The candidates who have completed MBBS/BDS in that particular Institution.

2. Son or Daughter of the employee working in that particular institution.
3. Employee of that particular Institution.
4. The Employee should have a minimum of 6 months experience in that particular
Institution and presently working in the same Institution (Proof to be produced)

• Candidates should have MBBS / BDS Degree recognized by the MCI /

DCI.
• Candidates should complete Internship by 31-03-2019.
• Must have registered with Medical Council / Dental Council and Original
Certificate with MCI/DCI/State Medical Council/ State Dental Council
should be submitted.

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Note:If a candidate is found to have submitted false information or
concealed any relevant information such candidate is liable to be
disqualified for admission and in case already admitted, the
admission will be cancelled. Further disciplinary action against
him/her will be taken by the University/respective institution.
Legal issues if any shall be under the High Court of Judicature for
the State of Andhra Pradesh.
• If the candidate is having a Medical qualification equivalent to MBBS /
BDS (Primary Medical/Dental qualification) from outside India, the Degree
should have been recognized by Medical Council of India /Dental Council
of India for enrolment as Medical Practitioner in the Country.
• Candidate must have Permanent Registration with Medical Council of
India / Dental Council of India or any State Medical Council / Dental
Council.
• Candidates must pay equivalency verification fee as specified in the
regulations along with the registration fee. The fee once paid will not be
refunded or adjusted to a future date. Therefore candidates are advised
to check eligibility conditions thoroughly before applying for determining
merit.
Applications through Online:
• The On-line Application Form for determining Merit Position in
respective categories (Sub Category – 1,2 & 3) will be available on the
website http:// http://pvtappgmed.ntruhs.ap.gov.in from 10.00 AM on
05-04-2019 to 10.00 PM on 15-04-2019.
Note: The candidates are advised to take a print out of the Prospectus to fill
the application form from the websites http://ntruhs.ap.nic.in before
proceeding to fill the application form.
• The candidate should fill the online application form available in the
Website with the data required-for, through internet.
• The Online Application Form can be filled through any computer
with internet connection (Home/ Internet Cafe / Net Centre).

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 • The candidate is advised to fill the Online Application Form after
going through the prospectus by keeping all the Certificates ready to
enter his/her correct data.
• Procedure of filling online application and Procedure for
online payment:
1. Read the Notification, Prospectus / Regulations carefully.
2. Keep all the following ready:
a) NEET – PG 2019 / NEET MDS – 2019 Admit card issued by the NBE.
b) NEET – PG 2019 / NEET MDS – 2019 Score card issued by the NBE.
c) MBBS/BDS Original Degree/Provisional Pass Certificate.
d) Date of Birth Certificate. (SSC or its equivalent certificate).
e) Permanent Caste Certificate if applicable.
f) Internship Completion Certificate.
g) Medical Council / Dental Council of India Registration
Certificate.
h) Differently Abled (PH) Certificate if applicable.
i) Credit card / Debit card.
3. The fee can be paid through Debit card / Credit card or Net
Banking.
4. The fee paid by the applicants is not refundable and not
adjusted to a future date under any circumstances.

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Private AP PG Medical – 2019 Online Application

PROCEDURE TO APPLICATION

1. Open the website _______________________________ Home page displayed as follows.

2. Click on the Online Registration.

3. Registration Form appears in which Candidate has to give the details to register.

4. After entering the details click on validate button.

5. If all the details you entered is correct, You will receive the Registration number.
Please Note the Registration number for further correspondence.

6. Then enter Testing Id and the Registration number for updating the details of the candidate
and click on Validate Button.
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7. The application form will be displayed as shown below

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8. After filling the form, click on Save and Exit Button. This process can be repeated
till all the data you entered is correct. Then click on Save and Pay Button to proceed
for payment. Once paid you will not get any refund. Hence, you are requested to double
check the eligibility conditions yourself and pay the fee.

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9. Now you will be directed to the Payment Gateway click OK

10. Select you mode of payment

11. After payment you will receive a Successful Payment message

12. Click OK Button. You will get your filled application form take printout of this form and affix a
recent passport size photo on the space provided and submit the form at the time of certificate
verification.

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Sample of Filled Application

Do's and Don'ts

Do not use mobiles and tablets to Apply. Use only computers with Internet Explorer 11
version.
Do not select or enter false information which can be liable for Criminal Action.
Avoid using slow internet facility.
Keep your mobile with you while Applying and do not block SMS.

The candidate should paste a passport size photograph which is similar

to that applied for NEET-PG
PG 2019
201 / NEET MDS – 2019 in the space provided
in the print out of online application form and submit at the time of original
certificates verification.

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• Registration Fee:
The registration fee is Rs.3500/- + 18% GST (Rs.4130)(Bank transaction
charges extra).
• Verification Fee for candidates studied outside the AP/TS
State and Abroad:
Verification Fee: In addition to the above said registration fee the
candidates who acquired their Under Graduate Degree outside the State
or Country/Abroad and got their certificates registered with Medical
Council of India / Dental Council of India and applying for admission
into Post Graduate Medical/Dental Degree/Diploma courses under this
University, shall pay a verification fee of Rs.7,000/- + 18% GST for
Degree certificates acquired Abroad and Rs.3,000/- + 18% GST for the
Degrees acquired by the candidates from the States other than Andhra
Pradesh & Telangana.
The candidate should sign at the declaration area in the print out
of the online application form to be submitted at the time of verification
of original certificates.
• Verification of Original Certificates:
The candidate should submit the print-out of the filled - in online
application form along with two sets of attested copies of required
certificates at the verification centre, Dr. NTR University of Health
Sciences, Vijayawada.
The candidates shall pay Rs.2500/- + 18% GST (Rs.2950/- ) as
Processing Fee.
Note: The candidature of the applicant will not be considered for
admission to PG Degree / Diploma / MDS courses unless the
print-out application form along with the requisite enclosures is
submitted at the time of verification of original certificates.

• Merit Lists:
The Merit Position of the candidates those who applied through
online in response to the notification issued by Dr. NTR University of
Health Sciences for Management Quota Seats shall be determined

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 by NEET – PG – 2019/ NEET – MDS – 2019 scores and as per their
eligibility criteria, applicable regulations, guidelines viz:
As per PG Medical / Dental Regulations of Medical Council of India
/ Dental Council of India, the candidates who secure minimum of
marks notified by the NBE.
The University will release final merit position of eligible candidates
for exercising web options after verification of original certificates at
the verification centre, Dr. NTR University of Health Sciences,
Vijayawada.

Management Quota Seats (as per G.O.Ms.No.70, HM&FW (C1) Dept., Dt: 03-05-
2017 as amended in G.O.Ms.No.75, HM&FW (C1) Dept., dated 05-05-2017:
50% of Seats in each speciality in each college are Management
Quota Seats.
The Management Quota Seats are categorised into Management
Quota Sub – Category – 1 – 25%, Management Quota Sub –
Category – 2 (NRI/NRI Sponsored) – 15% and Management Quota
Sub – Category – 3 (Institutional Preference) – 10%.
For Management Quota Sub – Category – 1 – (25%). Candidates from
all the states and union territories of India are eligible.
For Management Quota Sub – Category – 2 – (15% of total intake):
shall be filled with Foreign students, NRI candidates and NRI
sponsored candidates on the basis of interse-merit among the
applicants qualified in NEET PG / MDS-2019.
For Management Quota Sub – Category – 3 – (10% of total intake):
shall be filled with the candidates sponsored by the Managements of
the Private Un – Aided Non – Minority Medical / Dental Colleges
having Post Graduate Course in the State of Andhra Pradesh as per
the orders of Hon’ble Division Bench of High Court of Andhra
Pradesh in W.P.M.P.No.20965 of 2017 in W.P.No.17118 of 2017.
The candidates shall submit institutional Sponsorship letter from
one college only.

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 *There are No Reservations for SC / ST, BC / OBC in all the
Categories of the Management Quota Seats.
• Fee Structure:
University Fee:
a) All the selected candidates shall pay the Non – Refundable University Fee
of Rs.49,500/- for Medical & Dental courses.
Tuition Fee (as per G.O.Ms.No.72, HM&FW (C1) Dept., dated 03-05-2017
as amended in G.O.Ms.No.77, HM&FW (C1) Dept., dated 05-05-2017:
PG – Medical Courses:
b) Tuition Fee for Management quota seats (Sub-Category 1):All Broad
specialties:
a) Pre-clinical Degree /Diploma Courses -Rs.3,96,900/-per annum
b) Para-clinical Degree /Diploma Courses- Rs.7,60,725/-per annum
c) Clinical Degree/ Diploma Courses - Rs.26,68,050/-per annum
c) Tuition Fee for management quota seats (Sub-Category 2& 3):All Broad
specialties: Degree Courses / Diploma Courses: not exceeding 3 times of b
& C above.
Note: The course wise / college wise fee for Sub – Category – 2 & 3 will be
displayed in the website http://ntruhs.ap.nic.in in due course.
PG – Dental Courses:
d) Tuition Fee for Management quota seats (Sub-Category 1): All Broad
specialties:
a) Para-Clinical Degree Courses - Rs.7,71,750/-per annum
b) Clinical Degree Courses - Rs.11,02,500/-per annum

e) Tuition Fee for Management quota seats (Sub-Category 2 & 3):

All Broad specialties:
a) Para-Clinical Degree Courses - Rs.8,82,000/-per annum
b) Clinical Degree Courses - Rs.16,53,750/-per annum

Note: Para – Clinical Degrees includes Oral Pathology and Oral Medicine &
Radiology
All the selected candidates shall submit Bank Guarantee to the
respective college for Tuition Fee chargeable for the remaining period of the
course.

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Note: As per the Interim Orders of Hon’ble High Court in WP Nos.130,131, 132 &
17102 of 2017 the candidates alloted to the Private Un-Aided Non-Minority
Medical/Dental Colleges shall pay 50% of the Tuition fee fixed for the respective
course / Specilaty as notified and submit Bond for the rest of the amount, subject
to the outcome of the WPs.
The candidates selected into MD/MS/Diploma (only PG Medical Courses)
shall work for one year as “Senior Resident” in the Institution where they pursued
the course.
The selected candidates will be paid stipend @ Rs.30,000/-per month for
Medical Courses and @ Rs.25,000/- per month for Dental courses.

Documents to be submitted along with Application Form at

the Time of Verification of Original Certificates.

1. NEET PG - 2019 / NEET MDS – 2019 – Admit Card.

2. NEET PG - 2019 / NEET MDS – 2019 –Score Card.
3. Date of Birth Certificate (X class / SSC or equivalent certificate).
4. Copies of Temporary/Permanent Medical Registration / Dental
Registration from the respective State Medical Council / Dental Council.
5. Copy of the Compulsory Rotatory Internship Completion Certificate.
6. Copy of Provisional or Original Degree Certificate.
7. Social Status Certificate (Permanent Caste Certificate)
8. Differently abled Certificate issued by the Competent Authority as
specified in the Regulations.
9. Copy of Permanent Registration Certificate with State Medical Council /
MCI in respect of candidates obtained Foreign Degree.
10. NRI Sponsorship Letter (if applied for Sub-Category 2 as per the
Anexure II). Proof of documents to be submitted

Declaration (given at Annexure-II in the Prospectus) on White Paper signed by

both the candidate and NRI alongwith evidential documents such as Green
Card/Citizenship Card/Bank Statements/Pass-port issued by the respective
Country/Electricity Bill/Gas Bill /Water Bill.(Visa / Driving license will not be
accepted)

11. Institutional Quota Sponsorship Letter (if applied for Sub-Category 3 as

per the Anexure III).

N.B.: ALL THE ORIGINAL CERTIFICATES SHOULD BE PRODUCED AT THE TIME OF

VERIFICATION OF ORIGINAL CERTIFICATES.

Vijayawada Dr. S. APPALA NAIDU

Date: 04-04-2019 REGISTRAR
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 ANTI RAGGING ACT
Ragging is prohibited in the Educational Institutions in the State
of Andhra Pradesh vide Act No.26 of 1997, Dt. 21/8/1997. The Anti-
Raging Act is placed on the Website of the University for information.

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 ANNEXURE - I
Seats available in Medical & Dental PG courses under
Management Quota for the year 2019-20.
Medical Degree Courses:
1) General Medicine - 68 9) Emergency Medicine - 2 17) Physiology - 10
2) Paediatrics - 38 10) Family Medicine - 1 18) Biochemistry - 13
3) Anaesthesia - 48 11) General Surgery - 68 19) Pathology - 20
4) TBCD - 21 12) Orthopaedics - 40 20) Microbiology - 14
5) DVL - 21 13) Ophthalmology - 21 21) Pharmacology - 14
6) Radio Diagnosis - 39 14) ENT - 18 22) Forensic Medicine - 2
7) Psychiatry - 14 15) Obstrics & Gynaec - 45 23) Community Medicine - 20
8) Radio Therapy - 3 16) Anatomy - 10 24) Hospital Administration - 3

Medical Diploma Courses:

DCP- 3

Medical Colleges
1) AlluriSitarama Raju Academy of Medical Sciences, Eluru.
2) Dr. Pinnamaneni Siddhartha Inst., of Medical Sciences & Research,
Chinaoutpalli.
3) Great Eastern Medical School, Srikakulam.
4) GSL Medical College, Rajahmundry.
5) Katuri Medical College, Chinakondrupadu, Guntur.
6) Konaseema Instituteof Medical Sciences, Amalapuram.
7) Maharajah’s Institute of Medical Sciences, Vizianagaram.
8) Narayana Medical College, Nellore.
9) NRI Academy of Medical Sciences, Chinakakani, Guntur.
10) PES Institute of Medical Sciences, Kuppam.
11) Santhiram Medical College, Nandyal.
12) NRI Instiute of Medcial Sciences, Sangivalasa, Vizag

MDS Courses:
Degree Courses:

1) Orthodontics &DentofacialOrthopedics - 31 6) Conservative Dentistry &Endodontics - 32

2) Periodontics - 27 7) Public Health Dentistry -8
3) Prosthodontics and Crown & Bridge - 30 8) Oral Medicine & Radiology - 21
4) Oral &Maxillo Facial Surgery - 19 9) Oral Pathology - 20
5) Pedodontics & Preventive Dentistry - 25

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Diploma Courses:
1) Orthodontics &DentofacialOrthopedics- 1 3) Prosthodontics and Crown & Bridge- 1
Conservative Dentistry
2) 1 4) 1
Pedodontics & Preventive Dentistry- &Endodontics-

Dental Colleges
1) CKS Teja Institute of Dental Sciences, Tirupati.
2) Drs.Sudha & Nageswara Rao Siddhartha Institute of Dental Sciences,
Chinaoutpalli
3) G. Pulla Reddy Dental College, Kurnool
4) GITAM Dental College, Visakhapatnam
5) Narayana Dental College, Nellore
6) Sibar Institute of Dental Sciences, Takkellapadu, Guntur
7) St. Joseph Dental College, Eluru
8) Sree Sai Dental College & Research Institute, Srikakulam.
9) Vishnu Dental College, Bhimavaram
10) Lenora Institute of Dental Sciences, Rajahumundry.
11) GSL Dental College, Rajahmundry
12) Anil Neerukonda Inst. Of Dental Sciences, Visakhapatnam

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 ANNEXURE - II

DECLARTION

(This declaration is to be given by a student / ward as well as his /her Guardian

for admission under NRI category
(Management quota- Subcategory 2) being the ward of NRI )
I, Dr. …………………………………………………………………………… NEET-2019
(PG)/(MDS) HT. No. ------------------- and Rank NEET-2019 (PG)/(MDS) --------------
--------ward/S/o or D/o of ………………………………………for admission into Post
Graduate course in Management Quota Subcategory 2 (NRI quota seats) for the
academic year 2019-20 in a Unaided Private Non-Minority Medical & Dental
Colleges affiliated to Dr.NTR UHS in the State of Andhra Pradesh.
I declare that I am a ward S/o or D/o of /under Guardianship of
Mr/Ms…………………………………………………………………………....S/o………………
…………………………………….R/o…………………………………………………………………
…………………………………………………………………………… (here incorporate the
complete address of NRI of whom the candidate/ declarant is a ward).
I declare that the said NRI is paying my fee for my Postgraduate course and I
further declare that the above facts stated are true and correct and I am liable for
any action in the event of concealment of facts. Hence this declaration.
(Signature of the Candidate)
I, ……………………………………………………………….S/o (or) D/o
…………………………………………………….here declare and confirm that the above
declarant viz., Dr……………………………………………………………….is my ward and
is under my guardianship and I hereby irrevocably agree and undertake to provide
financial support to him/her for payment of entire fees and other expenses for
pursuing postgraduate course for the academic year 2019 – 20 in any Unaided
Private Non-Minority Medical & Dental Colleges affiliated to Dr.NTR UHS in the
State of Andhra Pradesh.

Date: (Name and Signature of the Guardian)

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 ANNEXURE - III
Sponsorship Certificate

(Institutional Preference Candidate for Management quota Sub category-3 seats)

This is to certify that Dr. -------------------- S/o or D/o Sri ----------------------

NEET-2019 (PG)/(MDS) Roll No.------------------ NEET Rank.-------------------was a
bonafide student of MBBS /BDS course of ------------- Medical / Dental College, ----
--------, affiliated to Dr NTR University of Health Sciences, Vijayawada, AP.
I, on behalf of the management of the college pleased to recommend his/her
candidature for admission to Postgraduate course under the Management Quota,
Subcategory 3 (Institutional Preference quota)

Principal

Or
Sponsorship Certificate
(Institutional Preference Candidate for Management quota Sub category-3 seats)
Employee of the Institution
This is to certify that Dr. -------------------- NEET-2019(PG) /(MDS) Roll No.---
--------------- NEET Rank.------------------- is an employee (or) S/o or D/o Sri ----------
------------ who is a an employee of our Institution and working as ____________from
_______ to _______ period in ___________________________________ College affiliated to
Dr NTR University of Health Sciences, Vijayawada.
I, on behalf of the management of the college, pleased to recommend his/her
candidature for admission to Postgraduate course under the Management Quota,
Subcategory 3 (Institutional Preference quota)

Date: Signature of the Head

of the Institution /College

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 Annexure - IV

(Non-Judicial Stamped paper for Rs. 100/-)

(For all candidates)
I, Dr.................................................... selected for Post Graduate
Degree/Diploma for the year 2019-20 do hereby undertake to complete the
said course as per the requirements of the University. In the event of my
leaving the studies after joining the course, I undertake to pay to Dr. NTR
UHS a sum of Rs.3,00,000 + 18% GST and refund the amount received as
stipend upto that date.

DATE: Signature of the Candidate

Witness: Sureties
1. Signature: 1. Signature:
Name and address in full Name and address in full

2. Signature: 2. Signature:
Name and address in full Name and address in full
N.B: 1. The Bond Format shall be typed in the Non – Judicial Stamped Paper.
2. Sureties should be for two permanent Gazetted Officers.
__________________________________________________________________________________
Annexure - V
(Non-Judicial Stamped Paper for Rs. 100/-)
(For Non - Service Candidates only for Medical courses)

I, Dr.....................................................................selected for Post Graduate

Degree/Diploma Course for the year 2019 -20 do hereby undertake to
serve the _____________________________________(Institution where they
pursued the Course) as a Senior Resident for a period of one year after
successful completion of the PG Degree / Diploma Course.

Date: Signature of the Candidate

Witness: Sureties
1. Signature: 1. Signature:
Name and address in full Name and address in full

2. Signature: 2. Signature:
Name and address in full Name and address in full

N.B: 1. The Bond Format shall be typed in the Non – Judicial Stamped Paper.
2. Sureties should be for two permanent Gazetted Officers.

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