PROSPECT

US
2010
ACDS
C-WAT
COMBINED WRITTEN ADMISSION
TEST CONDUCTED BY ACDS,
SECUNDERABAD FOR ADMISSION
TO
ACDS SECUNDERABAD,
ACN JALANDHAR CANTT AND
AIN GUWAHATI
ON
24 APR 2010
SATURDAY
 1430hr TO 1730hr
(Reporting time- 1430hr)
(Examination – 1500hr to 1700hr)
NOTE: CANDIDATES DESIROUS OF APPLYING FOR MORE THAN ONE
INSTITUTION SHOULD BUY PROSPECTUS FROM RESPECTIVE
INSTITUTIONS. FILLED APPLICATIONS TO BE SUBMITTED TO ACDS
SECUNDERABAD FOR ALL THREE INSTITUTIONS.

RAGGING IS FORBIDDEN AND IS A PUNISHABLE

OFFENCE

ADDRESS FOR CORRESPONDENCE

ARMY COLLEGE OF DENTAL SCIENCES

ACDS Nagar(Chennapur-CRPF Road),Jai Jawahar Nagar Post,
Secunderabad – 500 087

Phones :040-20081759 ;20080243 ; 20080244 ; Fax :040- 27795517

E-mail : army_c@ rediffmail.com Website: www.armycods.in
Headquarters Andhra Sub Area : 27886208
Note :- Prospectus and application are available at the ACDS/Command
HQ (AWES)/
Army HQ (AWES), New Delhi. Application can also be downloaded from
college website.

Cost of application for ACDS – Rs 650/- (By Hand), Rs 700/- (By

Registered Post)
 KINDLY NOTE

1.WRITE MAILING ADDRESS CLEARLY ON THE DOCUMENTS.

2.AFFIX POSTAL STAMPS ON ADMIT CARD, ENVELOPE AND

ACKNOWLEDGEMENT CARD.

3.DO NOT PIN / STAPLE / TAG THE APPLICATION FORM.

4.DO NOT FOLD THE APPLICATION FORM.

5.SEND BACK THE DULY FILLED APPLICATION FORM ALONG

WITH NECESSARY DOCUMENTS ON OR BEFORE 15 -3-

2010 (WITH LATE

FEE OF Rs 300/- UPTO 30 -3-2010).

COURSE AND SEATS

5. The College offers the course leading to award of degree of Bachelor of

Dental Surgery by NTR University of Health Sciences, Andhra Pradesh,
Vijayawada. The duration of the course is five years of active study. PG has
also started in the department of Prosthodontics, Conservative and Periodontics
and is likely to be extended in three more departments in the academic year
2011-2012.

Number of seats in BDS for each academic year:-

(a) For C-WAT candidates - 34

(b) For EAMCET candidates - 06

(Govt of A.P)
Total 40

Note : The number of seats may vary from time to time as per the notification or
permission granted by the Dental Council of India, Government of Andhra
Pradesh and NTR University of Health Sciences (affiliated University).

ELIGIBILITY CRITERIA

13. Eligible Categories. The applicant must fall into the following
categories:-

(a) Wards of serving Army Personnel with continuous 10 years service.

(Submit Certificate No 1).
(b) Wards of the Ex- Army Personnel granted/ awarded regular
pension, liberalized family pension, family pension or disability pension at
the time of their superannuation, demise, discharge, release medical
board / invalided medical board. This includes wards of recruits medically
boarded out and granted disability pension (Submit Certificate No 2).
(c) Wards of ex Army Personnel who have taken discharge/releases
after ten years of service. (Submit Certificate No 1).
(d) Adopted Child of Army personnel adopted at least five years prior
to seeking admission. (Submit Certificate No 3).
(e) Step Children are eligible provided they are born out of a wedding
where at least one parent belonged to the Army. (Submit Certificate No 4).
(f) Children of widows of Army Personnel who are born as a result of
second marriage with Army Personnel. However, children of widows of
Army Personnel born out of remarriage with non – Army personnel would
not be eligible for admission. (Submit Certificate No 5).
(g) Wards of only those ex Army Medical officers /Army Dental Corps
officers presently serving with Indian Navy or Indian Air Force who have
served with the Army for 10 years. (Submit Certificate No 6).
h)Children of APS Personnel classified as ex – servicemen as per
government of India. Ministry of Defence letter No 9 (52)/88/D (res) dated
19 Jul 1989. (Submit Certificate No 7).
(j) Children of those APS personnel who are on deputation and who
have put in 10 years of service in the Army. (Submit Certificate No 7).
 (k) Children of APS personnel who are directly recruited into APS and
completed 10 years of regular service in APS and of those who, as per
their terms and conditions of service, retired from APS after completing
their minimum pensionable service. (Submit Certificate No 7).

(l) Children of only those members of MNS who have 10 years service
as regular Army MNS Officer or are in receipt of pension from the Army.
(Submit Certificate No 7).
(m) Children of only those TA personnel who have completed 10 years
of embodied service. (Submit Certificate No 7).

Note: -(1) The management reserves the right to include any other eligibility
criteria from time
to time in addition to, as stated in item (a) to (m) above.
(2) The Pre-University certificates issued by Janardhan Rai Nagar,
Rajasthan Vidyapeeth (Deemed) University, Rajasthan state is not valid.
(3) Student who fails to clear I BDS Exams in three years will
automatically forego his/her seat/admission to BDS.
(4) Mid course withdrawal will be permitted only after payment of full
five years of tuition fee and Miscellaneous fee.

15. Educational Qualifications. No candidate shall be allowed to be

admitted to the Dental Curriculum of Bachelor of Dental Surgery (BDS) course
until he/she has passed qualifying examination as under:-

(a) The higher secondary examination or the Indian School Certificate

Examination which is equivalent to 10+2 Higher Secondary Examination
after a period of 12 years study, the last two years of study comprising of
Physics, Chemistry, Biology and Mathematics or any other elective
subjects with English at a level not less than the core course for English
as prescribed by the National Council for Educational Research and
Training after the introduction of the 10+2+3 years educational structure
as recommended by the National Committee on education;

Or

(b) The Intermediate examination in science of an Indian

University/Board or other recognized examining body with Physics,
Chemistry and Biology which shall include a practical test in these
subjects and also English as a compulsory subject.

Or
 (c) The pre-professional/pre-medical examination with Physics,
Chemistry and Biology, after passing either the higher secondary school
examination, or the Pre University or an equivalent examination. The pre-
professional/premedical examination shall include a practical test in
Physics, Chemistry and Biology and also English as a compulsory subject.
Or

(d) The first year of the three years degree course of a recognized
university with Physics, Chemistry and Biology including a practical test in
three subjects provided the examination is a “university examination” and
candidate has passed 10+2 with English at a level not less than a core
course.
Or

(e) B.Sc examination of an Indian University, provided that he/she has

passed the B.Sc examination with not less than two of the following
subjects Physics, Chemistry, Biology (Botany, Zoology) and further that
he/she has passed the earlier qualifying examination with the following
subjects Physics, Chemistry, Biology and English.

Or

(f) Any other examination which, in scope and standard is found to be

equivalent to the Intermediate science examination of an Indian
University/Board, taking Physics, Chemistry and Biology including
practical test in each of these subjects and English.

16. Minimum Aggregate. He/She must have passed in the subjects

individually and must have obtained a minimum of 50% marks in Physics,
Chemistry and Biology taken together as one and in the same sitting.
Compartmental Pass candidates are not eligible for admission.

17. Candidates who have appeared in the 12th Class or equivalent

examination are also provisionally eligible to apply and appear in the Entrance
Examination. However, their candidature will be considered only if they provide
documentary evidence of having passed the qualifying examination with the
required subjects and percentage of marks at the time of counseling or
admission.

18. (i) Age. The candidate should have completed the age of 17 years at the
time of admission or will complete this age on 31st December of the year of
 his admission. Candidate should have passed the two years Intermediate
or equivalent course thereof, with science subjects Viz., physics,
Chemistry and Biology (Botany and Zoology) securing a minimum of 50%
from a recognized Indian Intermediate Board or University. Candidate
possessing qualification of a University/Intermediate Board out side the
state should produce the certificate of equivalence from the Registrar, Dr
NTR University of Health Sciences.
(ii) BSc (Part – I) Examination of an Indian University as laid down by the
University Grants Commission. A student who has passed BSc.
Examination with one or more of the subjects mentioned in a) above i.e.
Physics, Chemistry and Biology would be admitted to the dental course if
he/she has passed the remaining subjects in the Intermediate
examination.
(iii) Should have secured not less that 50% of marks on the aggregate of
the above subjects in the qualifying examination and competitive exam.

(iv) The Candidate should be medically fit.

19. Ensuring Eligibility. Ensuring that a candidate fulfills all

conditions/qualifications for eligibility in the BDS Course is the responsibility of
the candidate. The eligibility of the candidate will be verified by the ACDS at the
time of admission and also later during the scrutiny of papers by the University.
If a candidate is found to be ineligible at any stage during the entire process, the
College reserves the right to cancel his/her candidature.

WEIGHTAGE FOR GALLANTRY AWARD WINNERS

20. Weightage. The wards of the Gallantry Award Winners have to submit
certificate No 9 and will be given weightage in admission as under:.-
 (a) Gallantry Award Weightage Short Name
Code No

(i) Param Vir Chakra - 5% PVC

E-5
(ii) Ashok Chakra - 5% AC
E-5
(iii) Mahavir Chakra - 4% MVC
D-4
(iv) Kirti Chakra - 4% KC
D-4
(v) Vir Chakra - 3% VrC
C-3
(vi) Shaurya Chakra - 3% SC
C-3
(vii) Sena Medal (Gallantry only) - 1% SM
A-1

(b) Distinguished Service in War/Conflict/Hostilities

(i) Sarvottam Yudh Seva Medal - 3% SYSM

C-3
(ii) Uttam Yudh Seva Medal - 2% UYSM
B-2
(iii) Yudh Seva Medal - 1% YSM
A-1

(c) Mention in Dispatches - 1% M-I-D

A-1
(d) Wards of War Widows (Army) - 5% WW
E-5
(Submit Certificate No.10)

Note : The percentage will be that of the marks obtained in the Combined Written
Admission Test, which will be added to actual marks scored by the candidate.

21. Proof of Gallantry Award. A certified photocopy of the Part II

order/Gazette notification confirming the award/Copy of Certificate, should be
attached with the application for claiming the weightage for gallantry awards. For
Sena Medal (Gallantry) a certificate has to be obtained from MS-X that the Sena
Medal awarded to the Service/Ex-service personnel is for acts of
Courage/Bravery.
NOTE : IT IS THE RESPONSIBILITY OF THE CANDIDATES TO
ASCERTAIN WHETHER THEY POSSESS THE REQUISITE ELIGIBILITY &
QUALIFICATIONS FOR ADMISSION. HAVING BEEN CALLED FOR WRITTEN
TEST DOES NOT NECESSARILY MEAN ACCEPTANCE OF ELIGIBILITY.
FINAL ELIGIBILITY FOR ADMISSION WILL BE DECIDED BY ACDS &
N.T.R.UNIVERSITY OF HEALTH SCIENCES A.P, VIJAYAWADA.

23. Date and Centres of C-WAT

(a) Date : 24 Apr 2010

b) Time : 1430hr to 17300hr (Exam is from 1500hr to
1700hr)
c) Day : Saturday
d) Reporting time : 1430hr
(e) Centre : As given in your admit card & as per your
choice from among
the Centres given in next paragraph.

CENTRE FOR COMBINED WRITTEN ADMISSION TEST (C-WAT)

24. Various Centres for C-WAT all over India alongwith their code numbers
are given below. The candidate shall mention the name of Centre and its code
number of his/ her choice in column No (14) in the application form.

Ser No Station Code No Tentative Venue

01. Pathankot 01 Army School, Pathankot

02. Jalandhar Cantt 02 Army Public School,
Jalandhar Cantt
03. Ambala 03 Army School, Ambala
Cantt
04. Delhi 04 Army Public school, Delhi
Cantt
05. Kota 05 Army School, Kota
06. Jodhpur 06 Army School, Jodhpur
07. Dehradun 07 Army School, Dehradun
08. Lucknow 08 Army Public School,
Lucknow
09. Bhopal 09 Army School, Bhopal
 10. Pune 10 Army Public School, Pune
11. Secunderabad 11 Army School No. 1,
Secunderabad
12. Bangalore 12 Army Public School,
Bangalore
13. Kolkata 13 Army Public School,
Kolkata
14. Guwahati 14 Army School, Narangi,
Guwahati
15. Danapur 15 Army School, Danapur

25. Change of Centre. A candidate desirous of changing the Centre

subsequently can apply for the same. The request must reach Principal ACDS
on or before 01 April 2010 Request for any change after 01 April 2010 will not be
entertained.

26. Time for Reporting and for Written Examination.

(a) Reporting Time : 1430hr

(b) Timings for Exam : 1500hr to 1700hr

(c) Departure Time : 1730hr

27. Type and Conduct of Exam Paper. The test paper will consist of 110
objective type (multiple choice) questions in the following format:-

(a) Part I – Physics & Chemistry (73 questions)

b)Part II – Biology (Zoology & Botany) (37 questions).

FILLING UP OF APPLICATION FORM

34. Application Form is enclosed in the envelope. Candidate must affix

adequate postage for Registration charges failing which Admit cards will be
dispatched by normal post only. Incomplete or Improperly filled applications are
likely to be rejected. Application forms duly completed in all respects alongwith
documents must reach Principal ACDS, Secunderabad within the dates specified
below :-

(a) Without late fee on or before - 15 Mar 2010.

(b) With late fee of Rs 300/- in favour - on or before 30 Mar 2010.
of ACDS payable at Secunderabad A.P. (enclose DD for Rs 300/-)

ADMIT CARD

40. The Admit Card for the entrance test will be sent to the eligible candidates
by Registered Post at the address given by them on the application form.
Candidate shall affix adequate postal stamp on the envelope of admit card and
write their address clearly. All candidates should normally receive the Admit
Card by 12 Apr 2010. If any candidate fails to receive the Admit Card by the
above date he/she should enquire by telephone or telegraphically from the office
of ACDS Secunderabad by giving application No, full name, address and place of
examination as mentioned in the application form. Tel No’s 040-20081759;
20080243; 20080244; Fax: 040- 27795517, E - mail :
army_c@rediffmail.com. Procedure for appearing in the exam in absence of
admit card is given at Para 42. Provisions will be made to e-mail admit cards to
those who do not received same till 14 April 2010.

Counselling. Counselling will commence from 05 July 2010 onwards.

Provisionally eligible candidates will be called strictly in order of their merit in C-
WAT. Following documents in original are required to be produced by the
candidates at the time of counselling:-

(a) Proof of age as it appears in the mark sheet of SSC/Class

10/equivalent examination.
b)Certificate of passing the (10+2) CBSE/equivalent qualifying
examination.
c)Mark sheet of passing the (10+2) CBSE/equivalent qualifying
examination.
d)School/Institute leaving certificate (after qualifying in 10+2 equivalent
examination).
e)Proof of eligible category as per para 11 (Certificate as applicable).

ENQUIRIES

56. Queries on receipt of application form/non receipt of admit card/result or

any other information can be enquired from Principal or Registrar on Telephone
Number 040–20081759 / 20080243 / 20080244, or E-mail :
army_c@ rediffmail.com.

Candidates desirous of applying to more than one institution will have

to procure the prospectus of the respective institutions; fill in the
prescribed forms for each of them and submit them directly to Army
College of Dental Sciences Secunderabad.

IMPORTANT INSTRUCTIONS

1. INFORMATION ON APPLICATION FORM WILL BE SCANNED TO

GENERATE ADMIT CARD AND ELIGIBILITY

2. FILL THE FORM IN BLOCK LETTERS ONLY, LETTERS SHALL

BE WITHIN
THE BOX. LEAVE ONE BOX BLANK BETWEEN WORDS/FOR
SPACE.

N E H A A G A R W A L
H N O 2 5 / 3 1 6 M O O N S T
R E E T D E H R A D U N
U T T A R A N C H A L
Name
Address

3. USE BLUE / BLACK INK OR BALL PEN ONLY.

4.PASTE PHOTO AT APPROPRIATE PLACE. DO NOT SIGN OR

ATTEST OVER THE PHOTO.
1. Last date of Receipt of application forms by the College : 15 Mar
2010
2. Last Date of receipt of application form with late : 30 Mar
2010
Fee of Rs 300/-
3. Identification of Centers and Nominal Rolls to be : 05 Apr
2010
sent by ACDS to Commands by
4. Dispatch of Admit Cards by : 05 Apr
2010
5. Combined Written Admission Test (C-WAT) : 24Apr
2010
(Saturday)
(02.30 PM
to 05.30 PM)
6. Publication of results (merit wise) on the College : 01 Jun
2010
Notice Board & Web site
7. Counselling of eligible candidates at ACDS
Secunderabad:-

(i) First Counselling

(Merit 1 to 34) : 05 Jul
2010
(Merit 35 to 70) : 07 Jul
2010
(Merit 71 to 100) : 09 Jul
2010

(ii) Second Counselling : 19 Jul

2010

(iii) Third Counselling : If required

intimated later

8. Physical Joining of selected candidates at : 29 to 31st

Jul 2010
ACDS Secunderabad
9. Commencement of BDS Course at : 02 Aug
2010
ACDS Secunderabad
 CERTIFICATE—1

CHILDREN OF SERVING ARMY PERSONNEL WITH CONTINUOUS 10 YEARS

SERVICE
(By OC Unit)

It is certified that Mr/Miss_________________________________________

is Son/Daughter of No ___________ Rank _________ Name ________________

_____________________ serving in Regular Army in____________________ and likely

to

retire on _________________________ (month/year).

Place : OC Unit/Head of
Department/
Records Office/DSS
& A Board
Name
Designation
Office Seal
Name and Signature of the Candidate
…………………………….
……………………………………………………………………………….

CERTIFICATE—2

EX- ARMY PERSONNEL GRANTED/ AWARDED REGULAR PENSION,

LIBERALIZED FAMILY PENSION, FAMILY PENSION OR DISABILITY PENSION AT
THE TIME OF THEIR SUPERANNUATION, DEMISE, DISCHARGE, RELEASE
MEDICAL BOARD / INVALIDED MEDICAL BOARD. THIS INCLUDES WARDS OF
RECRUITS MEDICALLY BOARDED OUT AND GRANTED DISABILITY PENSION

(By AGs Branch, Army HQ/Record office/DSS & A Board)

It is certified that
Mr/Miss_______________________________________________________
Son/Daughter of /Late No/No ___________ Rank _________ Name
_________________________
______________________ Resident
of_________________________________________________
Village/City __________________________ District
_______________________________________
State _____________________________and he / she is the ward of
__________________who is an Ex- Army Personnel granted/ awarded regular pension,
liberalized family pension, family pension or disability pension at the time of their
superannuation, demise, discharge, release medical board / invalided medical board.
This includes wards of recruits medically boarded out and granted disability pension.
( Strike out which is not applicable)
His/Her father was
*a battle causality during war/Op/CI Operation and was declared dead during the
said
operation vide death Certificate No _____________________ dated
________________
(Copy of death certificate attached).
*died during service due to
_________________________________________________
(Copy of death certificate attached)
*Strike out the portion, which is not applicable.

Place : OC Unit/Head of
Department/
Records Office/DSS
& A Board
Date : Name
Designation
Office Seal
Name and Signature of the Candidate

CERTIFICATE – 3

ADOPTED CHILDREN OF ARMY PERSONNEL: ADOPTED ATLEAST

5 YEARS PRIOR TO SEEKING ADMISSION
(By Army HQ AG’s Br/OC Unit)

Certified that Mr/Ms …………………………………………………………….is

son/daughter of
No…………………………………..Rank…………………..Name……………………………
…………
adopted on…………………………..(5 yrs prior to seeking admission). The legal papers
(Copy)of adopted child are enclosed with certificate.

Signature of the parent Signature of the Concerned

Dte
At AHQ/OC Unit
Place : Name
Designation
Date : Office Seal
Name and Signature of the Candidate

…………………………….…………………………………………….
………………………………….

CERTIFICATE – 4

STEP CHILDREN OF ARMY PERSONNEL WHO WERE BORN OUT OF A WEDLOCK

WHERE ATLEAST ONE PARENT BELONGED TO THE ARMY
(By Army HQ AG’s Br/ Respective Record Officer)

Certified that Mr/Miss _______________________________

______son/daughter of
No _____________ Rank __________________ Name
_________________________Unit
__________________________ was born out of a wedlock where the father/mother
belongs to
Army and is presently serving in unit ____________________________________

Signature of
OC Unit/
Record Officer
Place : Name
Designation
Date : Office Seal
 CERTIFICATE – 5

CHILDREN OF WIDOWS OF ARMY PERSONNEL (BORN AS A

RESULT OF FIRST MARRIAGE) WHO NOW RE-MARRIED CIVILIAN
(By Army HQ AG’s Br/Respective record Office)

It is certified that Mr/Miss _____________________________________ was

born to
Mrs _________________________ who is widow of late No
_________________________
Rank ____________ Name __________________________________ of Unit (give last
unit)
________________________ and Mr/Miss ______________________ has been born
out as a
result of first marriage with _______________________________

Signature of the Parent Signature of

OC Unit/
[ Concerned
Record Office
Place : Name
Designation
Date : Office Seal

………………………………………………………………………………………………………
………………….

CERTIFICATE— 6

CHILDREN OF ARMY MEDICAL CORPS/AD CORPS OFFICERS SERVING

IN AF/NAVY MEDICAL ESTABLISHMENT
(By Parent, Countersignature by OC Unit)

I, No ________________ Rank ___________ Name

__________________________
Father/Mother/Husband of ______________________________ certify that :-
* (a) I am commissioned in Army Medical/Army Dental Corps and have not
been
seconded to Navy or Air Force.

*(b) I am commissioned in Army Medical/Army Dental Corps and have been

transferred to Navy or Air Force but I am member of AOBF and have served in
the Army for minimum ten years.
*Strike out the portion, which is not applicable.

Place : Signature of CO/OC

Name
Date : Designation

COUNTERSIGNED
CO/OC Unit
Name
Designation
Office Seal
Name and Signature of the Candidate

CERTIFICATE—7

CHILDREN OF SERVING MNS/APS/TA PERSONNEL WITH CONTINUOUS 10

YEARS SERVICE
(By AG’s Branch, Army HQ/Records Office/DSS & A Board)

I, No _______________ Rank ______________ Name

______________________
*Father of Mr/Ms __________________________________________ certify that
I am APS Personnel classified as ex – servicemen as per government of
India Ministry of Defence letter No 9 (52/88/D (res) dated 19 Jul 1989.

OR

I, No _______________ Rank ______________ Name

______________________
*Father of Mr/Ms __________________________________________ certify that
I am an APS personnel who is on deputation and has put in 10 years of
service in the Army.
OR

I, No _______________ Rank ______________ Name

______________________
 *Father of Mr/Ms __________________________________________ certify
that.
I am an APS personnel who is directly recruited into APS and as per terms
and conditions of service, retired from APS after completing the minimum
pensionable service.

OR
I, No _______________ Rank ______________ Name
______________________
*Mother of Mr/Ms __________________________________________ certify
that
I am a serving/retired MNS and has 10 years service as regular member
of MNS /I am in receipt of pension from the Army.
OR

I, No _______________ Rank ______________ Name

______________________
*Father of Mr/Ms __________________________________________ certify that
I am a TA personnel who has completed 10 years of embodied service.

*Strike out the portion, which is not applicable

Place : Signature
Name
Date : Designation

CERTIFICATE
(BY OC UNIT)
The facts in the above mentioned undertaking have been verified from official records
and found correct.
OC Unit (for serving personnel)
DSS& A Board (for retired
personnel)
Name
Designation
Seal
Note : Delete portions not applicable
COUNTERSIGNED
Concerned Staff Officer of Fmn
HQs
(for serving personnel)
DSS&A Board (for retired
personnel)
Name
Designation
Office Seal
Name and Signature of the Candidate
 CERTIFICATE –8

MEDICAL FITNESS

(By OC MH/ AUTH MEDICAL ATTENDANT)

It is certified that I have carefully examined Mr/Miss

_________________________
age ________ son/daughter of ______________________________________ and
further
certify that he/she has good physical and mental health and free from any disability likely
to
Interfere in his/her undergoing ___________________________________ Course.
He/She
has no abnormality in the heart and lungs and history of mental disease or epileptic fits.
His/her
major test results are as under :-
a)Height : ________________ cms
b)Weight : ________________ cms
c)Chest : ________________ cms Expanded __________________
d)Vision :- Better Eye Worst Eye

(i)Distance Vision
(corrected) Colour Blindness
Better_______________
(ii) Near Vision Corrected_____________
(Corrected)
(e) Hearing : Left Ear _____________________ Right Ear
__________________
(f) Blood Group.

Signature of OC MH/
Auth Med Attendant
Place : Head of Department
Name
Date : Designation
Office Seal
 CERTIFICATE –9

CHILDREN OF DECORATED ARMY PERSONNEL

(By AG’s Branch, Army HQ/Records Office/DSS & A Board)

It is certified that Mr/Miss_______________________________is son/daughter

of
No________________Rank__________Name________________________________s
erving/ retired Army in __________________________,has been awarded
_____________________for Gallant action
in____________________yr_____________in ______________________operation.

OC/Head of Department
Records Office/DSS & A
Board

Name…………………………..

Designation……………………
[[ Office seal
Note: Strike out which ever is not applicable. Please attach a Xerox copy of the
certificate /part II
order duly attested. Certificate without proof will not be entertained. Candidate has to
forward proof alongwith application.
……………………………………………………………………………………………………
 ……………

CERTIFICATE – 10

WAR WIDOWS
((By Army HQ AG’s Br/Respective record Office)

It is certified that Ms _____________________________________ was widow of

late No
________________Rank ____________ Name
__________________________________ of

Unit (give last unit) ________________________ and late Mr

______________________ has

been expired as a result of _______________________________

Signature of the candidate Signature of

OC Unit/
Concerned
Record Office
[[

Place : Name
Designation
Date : Office Seal

CERTIFICATE – 11

UNDER TAKING BY PARENT/GUARDIAN

1. I,_______________________ F/o. M/o.G/o _______________________,
have carefully read and fully understood the law prohibiting ragging and the
directions of the Hon’ble Supreme court and the Central/State Government in this
regard as well as the DCI Regulations on Curbing the Menace of Ragging in
Dental Colleges,2009.

2. I assure you that my Son/daughter/ward will not indulge in any act of

ragging.

3. I hereby agree that if he/she is found guilty of any aspect of ragging,

he/she may be punished as per the provisions of the DCI Regulations mentioned
above and/or as per the law in force.

Signed this__________________day of ________________month of

__________year

Name : Address
Signature
 CERTIFICATE – 12

UNDERTAKING BY THE CANDIDATE/STUDENT

1.

I,________________________________S/o.D/o.______________________of

Mr/Mrs/Ms.___________________ have carefully read and fully understood the

law prohibiting ragging and the directions of the Hon’ble Supreme Court and the
Central/State Government in this regard.

2. I have received a copy of the DCI Regulations on Curbing the Menace of

Ragging in Dental Colleges, 2009, and have carefully gone through it.

3. I hereby undertake that

1I will not indulge in any behavior or act that my come under the definition
of ragging,

2I will not participate in or abet or propagate ragging in any form,

3I will not hurt anyone physically or psychologically or cause any other harm.

4. I hereby agree that if found guilty of any aspect of ragging, I may be

punished as per the provisions of the DCI, Regulations mentioned above and/or
as per the law in force.

5. I herby affirm that I have not been expelled or debarred from admission by
any institution.

Signed this______________day of______________month of __________year

Name : Address
Signature
 Appendix ‘A’
(To be submitted by
all
candidates)

ADDRESS FOR CORRESPONDENCE

(Use Capital Letter Only)

Name of Candidate

Full Postal Address

PIN

Telephone No
(With STD Code)

E Mail ID

PARENT’S UNIT ADDRESS

(Leave Blank if same as above)
RANK NAME OF FATHER/MOTHER

Address

PIN
Telephone No
(With STD Code)

E Mail ID

Appendix ‘B’
Format for
affidavit
Refer to Para 38 of
Prospectus

Note ; Affidavit should be in the name of candidate, if he/she is 18 yrs & above,
Otherwise it should be in the name of father/Mother.

To be made On Rs 20/- Stamp Paper

AFFIDAVIT FOR GAP CERTIFICATE

1. I __________________________ s/o /d/o __________________ age

___________
Resident of _____________________ hereby state on solemn affirmation as
under.

2. That I have passed XIIth standard from ______________ during the year
__________
3. During the year ____________till today i.e, ___________________ I have
not taken any admission in any College/University.
4. Whatever stated above is true and correct to the best of my knowledge
and belief and I have concealed nothing.
5. I fully understand that in case the information provided above by me is
found to be wrong on any later date, my admission to ACDS at any stage is liable
to be cancelled.

NAME
ADDRESS
SIGNATURE
WITNESSES
1.
2.
……………………………………………………………………………………………
…………
Appendix `C’
(Refer to Para 38 of
Prospectus)

UNDER TAKING BY PARENTS AND STUDENT

1. I……………………………..Parent/Legal Guardian

of……………………………., and my ward

Shri/Smt………………………………….., jointly seek admission into Army College

of Dental Sciences for Shri/Smt…………………………, accepting the fees as

prescribed in this prospectus and that the change of fees varies from year to year

and that no dispute raised regarding the change of fees after the admission is

sought by the student.

(TO BE EXECUTED ON Rs 10/- NON JUDICIAL STAMP PAPER NOTARISED

BY A PUBLIC NOTARY).

“TO BE PRODUCED AT THE TIME OF COUNSELLING”

CHECK LIST FOR ADMISSION TO BDS COURSE 2010 AT ACDS

From To
The Principal
Army College of Dental Sciences
Name in full _____________________ ACDS Nagar (Chennapur –
CRPF Road)
Jai Jawaharnagar Post
Address ________________________ Secunderabad 500 087.
----------------------------------------------------

----------------------------------------------------
Telephone No __________________
(Give STD Code also)

E-Mail _________________________

This is to certify that the following documents are enclosed herewith (tick against
each) :-

Ser Enclosures To be checked by To be filled

the candidate in by ACDS
a Duly filled ACDS application form bearing machine
No
b Envelope for admit card
c Acknowledgement card
d Proof of age as it appears in the mark sheet of
SSC/Class X or equivalent examination
e Certificate of passing /appearing in the 10 + 2
CBSE/equivalent qualifying examination
f Mark sheet showing the PCB marks obtained in the
qualifying examination in case the applicant has
already passed the same
g Medical certificate (Certificate No 8)
h Address for correspondence Appx `A’
j Gap affidavit (As per Appx `B’)
k For children of decorated Army Personnel
(Certificate No 9)
l As applicable one or more of the certificates
( Certificate 1 to 7 & 9) mention certificate(s)
No ………………………………………….

Place : Yours
faithfully,

Date :
Signature of the
candidate

Note : Candidates are advised to affix adequate postage to cater for

registered post failing which Admit card will be forwarded by normal post
only.