Convocation Enrollment Form
INSTRUCTIONS:
Please enter your University Registration Number to retrieve your details.
In case of any mismatch in the details, kindly contact your college office for necessary corrections.
Only Mobile Number, Email ID & Postal Address can be updated through this form.
Fields marked with
*
are mandatory.
Please make sure everything is correct before submitting, as changes aren't allowed later.
Registration Number
*
Name
Gender
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Female
Male
Transgender
Date of Birth
Phone Number
*
Email
*
Permanent Address for Certificate Delivery
*
Institution
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SDM College of Dental Sciences and Hospital
SDM College of Medical Sciences and Hospital
SDM College of Pharmaceutical Sciences
SDM College of Physiotherapy
SDM Institute of Nursing Sciences
SDM Research Institute for Biomedical Sciences
Year of Admission
Course
-- Select --
B.Pharm
B.Sc Nursing
B.Sc(Nursing)-RS GROUP A
B.Sc(Nursing)-RS GROUP B
B.Sc. Allied Health Sciences (AS) - Anaesthesia & Operation Theatre Technology
B.Sc. Allied Health Sciences (AS) - Emergency and Trauma Care Technology
B.Sc. Allied Health Sciences (AS) - Medical Imaging Technology
B.Sc. Allied Health Sciences (AS) - Medical Laboratory Technology
B.Sc. Allied Health Sciences (AS) - Medical Records Technology
B.Sc. Allied Health Sciences (AS) - Optometry
B.Sc. Allied Health Sciences (AS) - Renal Dialysis Technology
B.Sc. Allied Health Sciences (SS) - Audiology & Speech Language Pathology
B.Sc. Allied Health Sciences (SS) - Respiratory Therapy
BDS
BPT
BiSep
CERTIFICATE COURSE
Certificate Course in Dental
D.M. - Nephrology
Diploma Nursing
Diploma in Public Health - Community Medicine
Diploma in Public Health - Diploma Public Health
Fellowship in Dental - Cleft Lip & Palate (Oral Surgery)
Fellowship in Dental - Forensic Odontology
Fellowship in Dental - Occlusal Sciences
Fellowship in Dental - Oral implantology
Fellowship in Medical - Arthroplasty
Fellowship in Medical - Consultation-Liaison Psychiatry
Fellowship in Medical - Critical Care Medicine
Fellowship in Medical - Minimally invasive Surgery (Gynaecology)
Fellowship in Medical - Neonatal Intensive Care
Fellowship in Medical - Orthopaedic Trauma
Fellowship in Medical - Reproductive Medicine
Fellowship in Medical - Rhinology
General Duty Health Care Assistant (GDHA)
M.Ch. - Paediatrics Surgery
M.Ch. - Plastic and Reconstructructive Surgery
MBA - Hospital Administration
MBBS
MD - Anaesthesialogy
MD - Anatomy
MD - Biochemistry
MD - Community Medicine
MD - Dermatology
MD - Emergency Medicine
MD - Forensic Medicine
MD - General Medicine
MD - Hospital Administration
MD - Microbiology
MD - Paediatrics
MD - Pathology
MD - Pharmacology
MD - Physiology
MD - Psychiatry
MD - Radio Diagnosis
MD - Respiratory Medicine
MDS - Conservative Dentistry & Endodontics (MDS)
MDS - Oral & Maxillofacial Pathology & Oral Microbiology (MDS)
MDS - Oral & Maxillofacial Surgery (MDS)
MDS - Oral Medicine & Radiology (MDS)
MDS - Orthodontics & Dentofacial Orthopedics (MDS)
MDS - Pediatric & Preventive Dentistry (MDS)
MDS - Periodontology (MDS)
MDS - Prosthodontics and Crown & Bridge (MDS)
MDS - Public Health Dentistry MDS
MPT - Cardiorespiratory Disorders
MPT - Community Physiotherapy
MPT - Musculoskeletal Disorders
MPT - Neurological & Psychosomatic disorders
MPT - Obstetrics & Gynecology
MPT - Paediatrics
MPT - Sports
MS - General Surgery
MS - Obstetrics & Gynaecology
MS - Ophthalmology
MS - Orthopaedics
MS - Otorhinolaryngology
MSc - (by Research) Medical Science
MSc - Biomedical Science
MSc - Computational Biology
MSc - Human Genetics
MSc Nursing - Child Health (Paediatric) Nursing PG
MSc Nursing - Child Health Nursing PG
MSc Nursing - Community Health Nursing PG
MSc Nursing - Medical Surgical Nursing (PG)
MSc Nursing - Obstetrics and Gynaecological Nursing (PG)
Ph.D in Biomedical Sciences - Biomedical Sciences
Ph.D in Dental - Oral Medicine & Maxillofacial Radiology
Ph.D in Medical - BIOMEDICAL RESEARCH
Ph.D in Medical - Biochemistry
Ph.D in Medical - Human Anatomy
Ph.D in Medical - Human Physiology
Ph.D in Medical - Microbiology
Ph.D in Medical - Pathology
Ph.D in Nursing Sciences - Community Health Nursing
Ph.D in Nursing Sciences - Medical Surgical Nursing
Ph.D in Nursing Sciences - Obestrics and Gynocology Nursing
Ph.D in Physiotherapy - Physiotherapy
Attending in Person/Absentia
*
-- Select --
In Person
In Absentia
Number of Persons Accompanying
*
-- Select --
None
1
2
Upload Documents
Photo (Only JPG or PNG)
*
Marks Card Final Year (Only JPG, PNG or PDF)
*
Provisional Degree Certificate (Only JPG, PNG or PDF)
Convocation Fees Receipt (Only JPG, PNG or PDF)
*
Internship Completion Certificate (Only JPG, PNG or PDF)
*
NOC From Arogya Soudha (Only JPG, PNG or PDF)
I hereby declare that the information furnished is true to the best of my knowledge.
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