Dr. NTR UNIVERSITY OF HEALTH SCIENCES, A.P., VIJAYAWADA – 520 008.

APPLICATION FORM FOR ADMISSION INTO M.D.S COURSES FOR THE ACADEMIC YEAR 2010 - 2011

Guide lines for filling online Application Form

• First you have to select the Course - “Click on MDS course”

• Click on “New application” to start online application.

I. Enter Your Personal Details:

S.No: Item Instructions

1 Name * Mandatory field – To be filled in Block Letters, as it
appears in BDS Degree certificate.
2 Date of Birth* Mandatory field – To be filled as it appears in S.S.C or
equivalent certificates (DD/MM/YYYY)
3 Sex* Mandatory field – To be filled by the candidate(Male-M Female-
F)
4. Father Name * Mandatory field – To be filled by the candidate’s Father’s
Name
5. Identification Marks* Mandatory field – To be filled as it appears in S.S.C or
equivalent certificates
6 Address for Mandatory Field – Fill your detailed Postal address
communication * giving street Name, Village / Town, Mandal, District, Pin
Town, District, State, Pin code etc.
7. E-mail Enter your e-mail Address
8 Social Status* Mandatory Field – Enter your Social Status (OC / BC-A /
BC-B / BC-C/ BC-D/ SC / ST)
9 Nationality Enter your Nationality.
10 Mobile No* Enter your contact mobile number.

Important Note: While filling the application form don’t use the additional characters like <
>, “ ‘ ; : + = - _ & * ^ % $ # @ !

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 Dr. NTR UNIVERSITY OF HEALTH SCIENCES, A.P., VIJAYAWADA – 520 008.
APPLICATION FORM FOR ADMISSION INTO M.D.S COURSES FOR THE ACADEMIC YEAR 2010 - 2011

II. Enter your Educational Details:

S.No Items Description

1. 10th Class* Mandatory Field – Enter your School name, Town, District
2. Inter 1st Year * Mandatory Field - Enter your College name, Town, District
3. Inter 2nd Year * Mandatory Field - Enter your College name, Town,
District
4. BDS Degree* Mandatory Field - Enter your College name, Town, District
5 BDS Other State* Courses If You have studied BDS course in other State, please Enter
your College name, Town, State
6 Local Area* Mandatory Field – Enter your Local Area

Note: The 6th, 7th, 8th, 9th Details should be entered when you studied MBBS in State wide
Institution/college’s like (Siddhartha Medical College, Govt. Dental College, Hyd, Govt. Dental College,
Vijayawada etc.,)

III. Details of degree:

1. Name of the Degree*
2. Date of completion of
Intern ship*
3 Council Registration No
4. Name of the Institution
where internship completed
5. Name of the University*
Mandatory Field – Enter your Degree (Ex. BDS)
Mandatory Field – Enter by the candidate
Enter Dental Council Registration Number
Enter the name of the Institution where internship is
completed.
Mandatory Field – Enter your University name.

Important Note: While filling the application form don’t use the additional characters like <
>, “ ‘ ; : + = - _ & * ^ % $ # @ !

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 Dr. NTR UNIVERSITY OF HEALTH SCIENCES, A.P., VIJAYAWADA – 520 008.
APPLICATION FORM FOR ADMISSION INTO M.D.S COURSES FOR THE ACADEMIC YEAR 2010 - 2011

IV. Mention Details of Marks:

S.No Item Description

1. Anatomy & Histology Enter your Max. Marks, Marks obtained in Anatomy &
Histology
2. Physiology & Biochemistry Enter your Max. Marks, Marks obtained in Physiology &
Biochemistry
3. Dental Materials & Metallurgy Enter your Max. Marks, Marks obtained in Dental Materials &
Metallurgy
4. Gen. & Dental pharmacology Enter your Max. Marks, Marks obtained in Gen. & Dental
pharmacology
5 Pathology, Parasitology & Enter your Max. Marks, Marks obtained in Pathology,
Microbiology Parasitology & Microbiology
6. Oral Anatomy, Oral Enter your Max. Marks, Marks obtained in Oral Anatomy, Oral
Physiology, Oral Histology Physiology, Oral Histology
7. Pre Clinical Prosthodontics Enter your Max. Marks, Marks obtained in Pre Clinical
Prosthodontics
8. Pre Clinical Conservative Enter your Max. Marks, Marks obtained in Pre Clinical
Dentistry Conservative Dentistry
9 General Medicine Enter your Max. Marks, Marks obtained in General Medicine
10. General Surgery Enter d your Max. Marks, Marks obtained in General Surgery
11. Oral Pathology & Microbiology Enter your Max. Marks, Marks obtained in Oral Pathology &
Microbiology
12. Community Dentistry Enter your Max. Marks, Marks obtained in Community
Dentistry
13 Oral Medicine, Raiology & Enter your Max. Marks, Marks obtained in Oral Medicine,

Important Note: While filling the application form don’t use the additional characters like <
>, “ ‘ ; : + = - _ & * ^ % $ # @ !

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 Dr. NTR UNIVERSITY OF HEALTH SCIENCES, A.P., VIJAYAWADA – 520 008.
APPLICATION FORM FOR ADMISSION INTO M.D.S COURSES FOR THE ACADEMIC YEAR 2010 - 2011

Forensic Odontology Radiology & Forensic Odontology.

14 Oral & Maxillofacial Surgery Enter your Max. Marks, Marks obtained in Oral & Maxillofacial
Surgery
15 Periodontics Enter your Max. Marks, Marks obtained in Periodontics
16 Conservative Dentistry & Enter your Max. Marks, Marks obtained in Conservative
Endodontics Dentistry & Endodontics
17 Pedodontics Enter your Max. Marks, Marks obtained in Pedodontics
18 Orthodontics Enter your Max. Marks, Marks obtained in Orthodontics
19 Prosthodontics Enter your Max. Marks, Marks obtained in Prosthodontics
20 Any Extra Subject IF you have studied any subject other than the above
subjects, Enter the Name of subject, Max. Marks, Marks
obtained
21 Any Extra Subject IF you have studied any subject other than the above
subjects, Enter the Name of subject, Max. Marks, Marks
obtained
22 Any Extra Subject IF you have studied any subject other than the above
subjects, Enter the Name of subject, Max. Marks, Marks
obtained
23 Any Extra Subject IF you have studied any subject other than the above
subjects, Enter the Name of subject, Max. Marks, Marks
obtained
24 Whether the Candidate is Select Yes / No
studying PG course?
25 Name of the Degree Enter Name of the PG subject
26 Year of admission Enter the year of Admission into PG Course
27 Name of the college Enter the Name of the college where your studying the PG
course
28 Have you discontinued your Select Yes / No
PG Course?

V. Enter the details of Demand Draft particulars and Test Centre Chosen in Order of Priority:

S.No. Item Description

1 Bank Name * Mandatory Field – Enter Bank Name from where DD is drawn
2. Branch * Mandatory Field – Enter Name of the Branch
3. DD Number* Mandatory Field – Enter the DD Number
4. Drawn Date* Mandatory Field – Enter the DD Date.
5. Amount(Rs.)* Mandatory Field – Enter the Amount
6 Test Centre Chosen (in order Mandatory Field – Select for First Priority of centre from the
of Priority 1)* List Osmania Medical College, Hyderabad, Siddhartha Medical
College, Vijayawada.
7. Test Centre Chosen (in order Mandatory Field – Select for First Priority of centre from the
of Priority 2)* List

Important Note: While filling the application form don’t use the additional characters like <
>, “ ‘ ; : + = - _ & * ^ % $ # @ !

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 Dr. NTR UNIVERSITY OF HEALTH SCIENCES, A.P., VIJAYAWADA – 520 008.
APPLICATION FORM FOR ADMISSION INTO M.D.S COURSES FOR THE ACADEMIC YEAR 2010 - 2011

8 Rechange your selected Press Rechange your Selected Priority Button for Reselect the
priority above mentioned centre priority Selection
9 Check box Please select the check box after completion of the total
application
10 Press Finish button to For Saving the Application form, press the finish button. After
complete the application form pressing the finish button the application form is final and no
alternation can be done in the application form.
11 Submit Press the SUBMIT button to save the application and to
generate an application number.
To upload the scanned photo, press the SUBMIT button and
follow the instructions.

Instructions for Photo scanning and uploading:

1. The Photo shall be only in .JPG format. Other formats will not be accepted.
2. The size of photo shall be 1.6 inch width and 2.0 Inch Height i.e., 115 Pixel width and
144 Pixel height and should be below 200 Kb.

3. Take your passport size photo and scan through your local software.

4. After scanning, if the size of the photo is more, crop the image to fit the above
dimensions at serial No.2

5. Put your signature on a white paper with Black Ink and scan your signature and crop the
image to fit the dimensions of 1.6 inch width and 1.0 Inch Height

6. Then you have two images. (1. your photo 2. Your signature)

7. Mix photo and signature together as a single image, Example given below.

8. Then upload your photo with signature as a single image to the online application form.

9. Go to image upload page, select your image and then click upload.
10. Check your image preview with signature on printing application area and if you see the
photo preview with signature, the photo is uploaded. If not please check all above
conditions and Re-upload the image.

Home Page – on left side 3 Items will appear for Download.

1. Prospectus for Admission: Click this Button – The Prospectus in PDF file will be downloaded.

Important Note: While filling the application form don’t use the additional characters like <
>, “ ‘ ; : + = - _ & * ^ % $ # @ !

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 Dr. NTR UNIVERSITY OF HEALTH SCIENCES, A.P., VIJAYAWADA – 520 008.
APPLICATION FORM FOR ADMISSION INTO M.D.S COURSES FOR THE ACADEMIC YEAR 2010 - 2011

2. Sample Application - Click this button – Sample Application form will appear
3. Instructions of filling the application – Click this button - A PDF file containing all important
Instructions to fill the online application forms will be viewed / downloaded (Please read
carefully before filling the online application form).

Registration Status: Click this button – To know the Registration status of your application form
with the University. To know the Registration status enter your application number and Demand Draft
number.

Eligibility Status: Click this button - To know the Registration status of your application form with the
University. To know the Eligibility status enter your application number and Demand Draft number.

Download Hall Ticket: Click this Button - To download the Hall Ticket enter your application number
and Demand Draft number.

---------------------------------------------- The End -------------------------------------------

Important Note: While filling the application form don’t use the additional characters like <
>, “ ‘ ; : + = - _ & * ^ % $ # @ !

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