SRI RAMACHANDRA UNIVERSITY
(Declared under Section 3 of the UGC Act, 1956)
Accredited by NAAC with ‘A’ Grade
Porur, Chennai 600 116, Tamil Nadu, India
APPLICATION FOR NRI/FOREIGN STUDENT ADMISSION TO THE BDS DEGREE COURSE (For the Academic Year 2015 - 16)
Name of the Applicant (First Name) (in BLOCK letters)
(Middle Name)
(Last Name)
Date of Birth (Date/Month/Year)/Age Age:
Nationality
Gender Male Female
Institution last studied Country
Details of qualifying examination passed Roll No.:
Month & Year of passing E-mail ID
Affix your Latest Passport Size
Photograph
Complete Address with Country Code to which communication is to be sent
Father’s Name
Profession (give full details) Mother’s Name
Profession (give full details)
Permanent Address
State
Country / Zip (Pin code) Telephone
Fax Mobile
Details of passport Passport No.
Nationality
Date & place of issue Date of expiry
Type of Visa/document, if any Student visa PIO card OCI card Other (give details) Tick (√)
Name of the qualifying examination passed Duration of the course Month / Year of Passing
FILL IN ALL THE FOLLOWING(Courses taken and grades obtained)
BIOLOGY:
Level Semester I Marks
Equivalent
% of Marks
Semester II Marks
Equivalent
% of Marks
Final Grade Marks
Equivalent
% of Marks 10th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
11th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
12th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
CHEMISTRY:
Level Semester I Marks
Equivalent
% of Marks
Semester II Marks
Equivalent
% of Marks
Final Grade Marks
Equivalent
% of Marks 10th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
11th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
12th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
PHYSICS:
Level Semester I Marks
Equivalent
% of Marks
Semester II Marks
Equivalent
% of Marks
Final Grade Marks
Equivalent
% of Marks 10th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
11th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
12th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
ENGLISH:
Level Semester I Marks
Equivalent
% of Marks
Semester II Marks
Equivalent
% of Marks
Final Grade Marks
Equivalent
% of Marks 10th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
11th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
12th grade Grade ______ ______ Grade ______ ______ Grade ______ ______
ADVANCED LEVEL (AP) Courses taken:
Subjects Yes No Grades Equivalent
% of Marks
Biology Grades ______ ______
Chemistry Grades ______ ______
Physics Grades ______ ______
Honors Level Course:
Subjects Yes No Grades Equivalent
% of Marks
Biology Grades ______ ______
Chemistry Grades ______ ______
Physics Grades ______ ______
Total Grade GPA ...
(Please enclose the photocopy of all available Higher School Transcripts)
Student Declaration:
All the information I have provided herewith are true to the best of my knowledge.
Date : ... Signature of the Candidate
Name:
To be retained by candidate INSTRUCTIONS:
Fill in all the columns in all the pages. Mark NA if not applicable.
Enclose a photocopy of the High School Transcripts for the 10th, 11th and 12th grades. If you have not completed 12thgrade, give the transcripts upto the semester completed. If scores are given as alphabets A-B-, C+ etc., please provide their equivalent numerical value it terms of percentage.
Please attach two passport size photographs with your name written on the back.
Most of your questions about the institution and the admission process have been detailed in the Brochure. Please go through the same and if you still have any specific questions you can contact us via e-mail or phone.
In order to avoid any loss of information and also get an acknowledgement for the receipt of the items sent, you may wish to utilize registered or priority mail services. It is not possible for the admission office to acknowledge every mail received.
It is better to collect all available particulars and information and send them in a single mail in the enclosed envelope and avoid the expenses and inconvenience of multiple mails.
All admissions are made directly by the authorities of the institution and no agency or middleman services are utilized.
Note:
Students applying for the BDS course should also submit an Equivalence Certificate from the Association of Indian Universities, New Delhi (address: Equivalence Division, Association of Indian Universities, No.16, Comrade Indrajit Gupta Marg, New Delhi – 110002, India) http://www.aiuweb.org
Enclosures: (Photocopies only) 1. 12th Grade Mark statement 2. Birth Certificate
3. Conduct Certificate
4. First page of Passport with the photograph and also the VISA to enter the country (Student VISA, PIO Card or OCI Card) - OCI card is preferred.
5. High School Diploma Certificate 6. Accreditation Certificate
7. Numerical Conversion of grade, etc.
8. Two passport size photographs 9. Parent’s photographs (one)
10. Equivalence Certificate from the Association of Indian Universities, New Delhi Please mail to the following address by speed post/courier:
Sri Ramachandra University thanks you for your interest in the institution. Please direct all your enquiries regarding admissions to
The Registrar Sri Ramachandra University
Porur, Chennai - 600 116 Tamil Nadu, India.
Fax No. : 0091-44-2476 5995 e-mail: [email protected] website: www.sriramachandra.edu.in
The tuition fee structure and payment details are as follows:
Sl.
No. Courses Duration Total fee US $
1st
Installment US$
2nd Installment
US$
3rd Installment
US$
4th Installment
US$
1. BDS (Bachelor of Dental Surgery)
4 + 1 year internship
60,000 25,000 payable on
receipt of provisional acceptance letter
15,000 Payable at the time admission i.e. in June/July
2015
10,000 Payable in May 2016
10,000 Payable in May 2017
Note: Hostel fee and Food charges will be payable separately as noted below.
In addition to the tuition fee, the candidates have to pay the following fee also in US$ at the time of admission i.e. in June/July 2015:
For BDS NRI Hostel
(Air-conditioned single occupancy with attached bath room)
For the entire prescribed course period US$ 16,750
Amenities and maintenance charges for Hostel room US$ 750 University Registration Fee, Application Fee, Eligibility Fee, Health
Insurance and record notebooks (single payment at the time of
admission) US$ 250
College caution deposit (refundable).Actual cost of damage, if any
caused by student, will be deducted from this deposit US$ 350 Food charges: Approximately INR 38,000/- per annum, payable separately.
For all NRI students, hostel accommodation is compulsory.
No refund of hostel rent will be made if the students choose, for any reason, not to avail hostel accommodation, either at the time of admission or at a later stage. In which case they have to handover the vacant possession of the room to the Warden for proper maintenance.
Students will have to pay tuition and hostel fees for extended period of study, if any beyond the prescribed course period as per the rules of the University.
Actual cost of damage, if any, caused by the student occupying the hostel room, will be payable by the student on happening of each incident.
Necessary undertakings regarding the above will have to be signed by the student and parent, at the time of admission to the course.
