PROSPECTUS. (MBBS Course) ESIC Medical College & post graduate institute of medical sciences & Research, Rajajinagar, Bangalore-10

Similar documents
BOND I. Signature of Bounden: Signature of 1 st Surety: Signature of 2 nd Surety:

BOND. TO KNOW ALL MEN BY THESE PRESENTS THAT WE Dr.. residing at.

No:532/Z/17/11/ /10/2014 RE-TENDER NOTICE FOR REMOVAL OF NON BIO MEDICAL WASTE

( Make it on Rupees 500 /- stamp paper ) Indemnity Bond. Name of Student : Admission Year :

BERHAMPUR UNIVERSITY BHANJA BIHAR, BERHAMPUR , ORISSA

ADMISSION TO HIGHER SPECIALITY (D.M./M,Ch) COURSES IN TAMIL NADU FOR SESSION

FORM OF SURETY BO D TO BE EXECUTED BY A CA DIDATE WHO IS PURSUI G M.Sc./ Ph.D. DAIRYI G AT DRI DEEMED U IVERSITY.

I, son / wife of Sh., aged years, resident of House No., Sector, Chandigarh, do hereby solemnly affirm and declare as under :-

Please read the following instructions carefully before you proceed to execute the Service Agreement-cum-Surety Bond:

(SPACE FOR STAMP RS. 100/-)

GUIDELINES FOR EXECUTING THE SERVICE AGREEMENT-CUM-SURETY BOND FOR OFFICE ASSISTANT GRADE-III TRAINEE BATCH 2018

MDS STUDENT INFORMATION FORM

F.No.III-129/2017-NZP/ Government of India National Zoological Park Mathura Road, New Delhi - 3

A NAVRATNA PSU (Ministry of Railways) CONCOR Bhawan, C-3, Mathura Road New Delhi

ANNA UNIVERSITY OF TECHNOLOGY MADURAI Alagar Koil Road, Madurai

Centre for PG Studies & Distance Education 14 th Post Graduate Diploma in Rural Development Management (PGDRDM): August 2017 July 2018

INSTRUCTIONS. Pharmacy Council of India (PCI) & Kerala University of Health Sciences (KUHS) from time to time.

fcykliqj fo ofo ky;]

Terms and conditions for contractual engagement of Yoga Naturopathy Physician, Yoga Instructor, Naturopathy Therapist and General Duty Attendant

Annexure A TENTATIVE NO OF VACNCIES* (Qualifications/ Experience) POST

National Institute of Technology, Raipur G.E. Road, Raipur Chhattisgarh Website:

ANNA UNIVERSITY OF TECHNOLOGY MADURAI Alagar Koil Road, Madurai

CHECKLIST FOR TRANSMISSION OF SHARES

Legislature) Date: / Dr NTRUHS certificate. Internship. Migration

(Please go through the Brochure, available on our website or at our Territory Offices carefully before filling this application form)

Advertisement for the posts of Assistant Professor in various departments on contractual basis at AIIMS Bhopal.

THE PROHIBITION OF UNFAIR PRACTICES IN TECHNICAL EDUCATIONAL INSTITUTIONS, MEDICAL EDUCATIONAL INSTITUTIONS AND UNIVERSITIES BILL, 2010

National Institute of Fashion Technology Delhi Campus. Hostel Application Form

National Institute of Technology, Raipur G.E. Road, Raipur Chattisgarh Website:

APPLICATION FOR ADMISSION TO B.PHARM COURSE, KERALA: 2012 (Through Lateral Entry)

APPLICATION FORM FOR ADMISSIONS INTO I YEAR BDS COURSE UNDER C CATEGORY (NRI QUOTA) FOR THE ACADEMIC YEAR

The Company Secretaries Regulations,

BHARAT HEAVY ELECTRICALS LIMITED,

(As far as possible the entries, except the Signature, should be type written)

THE NATIONAL MEDICAL COMMISSION BILL, 2017

NATIONAL BOARD OF EXAMINATIONS MEDICAL ENCLAVE, ANSARI NAGAR, MAHATMA GANDHI MARG, NEW DELHI

Registered Valuers Foundation

Municipal Service Commission 149, A.J.C.Bose Road, Kolkata (Opposite R.Ahmed Dental College & Hospital near Maula Ali)

भ रत य वम नपत तन धकरण

(Note: - First page print out on Rs.100 bond paper and other page on normal paper)

F.No. 605/39/2010-DBK Government of India Ministry of Finance Department of Revenue New Delhi ** ** **

Kindly Note: While coming to the University, the student must carry original copies of his/her certificates and mark sheets' and other relevant docume

To be presented in Person

Checklist for Incorporation of Company

Annexure II. Terms and conditions

Registered Valuers Foundation

FORM OF NOMINATION FOR ELECTION TO THE COUNCIL (See Rules 5, 9, 10 and 11) NOMINATION

Supporting Documents required in case of No Nomination

BANGALORE MEDICAL COLLEGE AND RESEARCH INSTITUTE SUPER SPECIALITY HOSPITAL (PMSSY) VICTORIA HOSPITAL CAMPUS, BANGALORE

Service Agreement (Refer Page # 3 to 9)

SASMIRA s Institute of Commerce & Science (Affiliated to University of Mumbai) Sasmira Marg, Worli, Mumbai

THE PUNJAB STATE PARAMEDICAL COUNCIL ACT, 2012 (ACT NO. OF 2012)1


Photograph to be pasted and attested by a notary

NATIONAL BOARD OF EXAMINATIONS

THE NATIONAL INSTITUTE OF MENTAL HEALTH AND NEURO-SCIENCES, BANGALORE BILL, 2010

TENDER DOCUMENT FOR RUNNING OF PHOTOCOPIER STALL AT SCHOOL OF UNANI MEDICINE JAMIA HAMDARD HAMDARD, NAGAR NEW DELHI 11006

APPLICATION FOR DECEASED CLAIM (To be used when account has nomination or is a joint account with survivor clause)

FORM OF NOMINATION FOR ELECTION TO THE COUNCIL (See Rules 5, 9, 10 and 11) NOMINATION

Echelon Institute of Technology, Faridabad Page 1

OFFICE OF THE CITY CIVIL COURT, CALCUTTA

TENDER DOCUMENT FOR RECEPTIONIST REGIONAL MUSEUM OF NATURAL HISTORY,BHOPAL

GOVERNMENT OF INDIA MINISTRY OF EXTERNAL AFFAIRS NEW DELHI APPLICATION FORM FOR KNOW INDIA PROGRAMME (KIP)

Phone: To Fax: Website:

Intelligent Communication Systems India Ltd. (ICSIL) TENDER NO: F.1 (ICSIL)/01/217/ 1D Barcode Reader Tis Hazari Court/ , Dated:

(TO BE EXECUTED ON NON-JUDICIAL STAMP PAPER OF Rs.100/-) SERVICE AGREEMENT

TENDER NOTICE NO. 1/2018

No. 29/01/2013-OM&C Government of India Planning Commission

APPLICATION FOR HPCL RETAIL OUTLET (PETROL PUMP) / SKO-LDO DEALERSHIP

Airports Authority of India (Gratuity) Regulations, 2003.

l. Director General, NIRD & PR. Rajendra Nagar, l{yderabad.

INSTITUTE OF TECHNOLOGY GURU GHASIDAS VISHWAVIDYALAYA (Central University) BILASPUR

MAULANA AZAD MEDICAL COLLEGE

THE APPRENTICES ACT, 1961

BAR COUNCIL OF MAHARASHTRA & GOA

INDEX. 1. Claim Form (PNB 831) for nominee I. 2. Inventory for contents of locker (With Nomination & Without Nomination )

National Textile Corporation Ltd

IBPS CWE RRB-V (RESERVE LIST) LIST OF PROVISIONALLY ALLOTTED CANDIDATES FOR PRE-RECRUIMENT CREDENTIALS VERIFICATION OFFICE ASSISTANTS (MP)

GOVERNMENT OF NATIONAL CAPITAL TERRITORY OF DELHI (SMALL SAVING & LOTTERIES) 5 th. Floor, N-Block, Vikas Bhawan, I.P.

(1) The Chapters shall advice and assist the Council through the Regional Council in carrying out the provisions of the CWA Act, 1959 and Regulations

The Company Secretaries Act, 1980

ALL INDIA INSTITUTE OF MEDICAL SCIENCES ACT, 1956

Dated: LIMITED TENDER INQUIRY

TENDER FOR MANPOWER REQUIREMENT FOR ALLIED SERVICES

1. Name of the Applicant (In BLOCK LETTERS as in HSC Certificate) ( (b) Nationality. (c) Blood Group. 3. Date of Birth : Date Month Year

I YEAR BDS ACADEMIC YEAR

TRANSMISSION 1. JOINT HOLDING- : 1.1 IN CASE OF DEATH OF THE FIRST UNIT HOLDER-

NOTIFICATION NO. PSC/EXAM/23/2017 DATED:

(Signature of Candidate) Name: Post of Appointment: Officer JMGS-I. Place: Begusarai. Surety: (KYC of Surety should be enclosed with this Bond)

MUTUAL FUNDS Aditya Birla Sun Life Mutual Fund

1. Passed in Hindi by the Himachal Pradesh Vidhan Sabha. For Statement of Objects and Reasons see R. H. P. Extra., dated p. 919 and 941.

STUDENT INFORMATION FORM

NOW IT IS AGREED BETWEEN THE PARTIES HERETO AS FOLLOW:

NOTICE INVITING e-tender

क ष त र य क य लय, Regional Office, प ल ट स Plot no 36, व र

PROFORMA OF POWER OF ATTORNEY BY THE JOINT VENTURE/ CONSORTIUM MEMBERS (Non Judicial Stamp of Rs.100/- duly notarized)

Checklist for documents. (For Admission to Diploma Courses ) Provisional Admission Letter (Original)

Form No. 1C APPLICATION FORM FOR INDIAN PASSPORT AT AN INDIAN MISSION/POST. Passport for New Born Baby

Terms & Conditions for providing Security Guards. Ref : Tender Notice No.44-D-35/19/3/2010-Admn.II

NOTIFICATION NO. PSC/EXAM/09/2017 DATED:

Transcription:

PROSPECTUS (MBBS Course) 2012-13 ESIC Medical College & post graduate institute of medical sciences & Research, Rajajinagar, Bangalore-10 EmployEEs state insurance corporation (ISO 9001-2000 certified) Panchdeep Bhawan, c.i.g. marg, new delhi-110 002 Tel: 011-23234092/93/98 Fax: 011-23234537 www.esic.nic.in

Contents SECTION I INTRODUCTION SECTION II SECTION III SECTION Iv AIMS & OBJECTIVES esic hospital, Rajaji nagar, bangalore Admission policy Eligibility method of selection duration of course emoluments leave section v disciplines with seats at esic MC & pgimsr, Rajaji nagar section vi fee structure section vii bond for non-service candidates section viii annexures admission form bond Proforma (UG & PG) list of documents to be submitted

SECTION - I. INTRODUCTION The promulgation of Employees State Insurance Act, 1948 envisaged an integrated need based social insurance scheme that would protect the interest of workers in contingencies such as sickness, maternity, temporary or permanent physical disablement, and death due to employment injury resulting in loss of wages or earning capacity. The Act also guarantees reasonably good medical care to workers and their immediate dependants. Following the promulgation of the ESI Act the Central Govt. set up the ESI Corporation, to administer the Scheme. Under the Act, ESIC provides comprehensive health care to all Insured persons and their families as one of the insurance related benefit. To administer this comprehensive medical care there is huge infrastructure comprising of 144 hospitals including arrangements with other Institutions for provision of super specialty care. There was a felt need to upgrade the medical facilities in ESI medical institutions all over the country so as to improve the service, provide best medical care and to have in house super speciality services. With this objective of improving the quality of care provision, need was felt to constantly improve the medical competencies of its human resource. As a first step in realization of this vision, ESIC decided to set up ESI Post Graduate Institutes for Medical Science & Research (ESI-PGIMSR) at their hospitals at Rajaji Nagar, Bangalore / K.K. Nagar, Chennai / Andheri (E) Mumbai/MGM-Parel Mumbai / Basaidarapur in the initial phase. This initiative marks the beginning of its venture in the field of medical education with the setting up of Medical Colleges, Dental colleges and Nursing schools all over India, to follow.

SECTION - II AIMS & OBJECTIVES Primarily to provide adequate medical professionals to run the scheme through medical manpower trained through its own Medical Education institutions. To improve the competencies of its existing medical human resource rendering comprehensive medical care to its clients To improve the quality of rendered comprehensive medical care to its clients thereby increasing client satisfaction To attain self sufficiency in post graduate education by bringing together in one place, educational activities of the highest order in all important branches of health care activities To impart spirit of inquiry and scientific temperament among faculty and students through research oriented activities. Enhancing the social dimension of care, by striving to provide super specialty treatment to insured persons by our own institutions. To constantly display sensitivity and respond to changing educational, social and community demands

Section iii Esic mc & pgimsr, Rajaji nagar, Bangalore ESI Hospital, Rajaji Nagar, Bangalore was inaugurated in 1961 by the then Hon ble Chief Minister of Mysore, Shri B. D. Jatti. After taking over the Hospital by ESIC in 2003, continuous endeavours were made to up-grade and modernize the facilities. As a result of these concerted efforts, ESI Hospital Rajaji Nagar is now a 500 bedded Hospital having state-of-the-art medical infrastructure, modern high tech equipments like CT, MRI etc., along with highly trained medical manpower. The Hospital is centrally situated in Bangalore, at Rajaji Nagar with easy accessibility and connectivity for its clients. It is a ISO: 9002 certified institution providing high quality comprehensive health care services to its clients. To further augment the quality of care for its clients, an ESI Post Graduate Institute of Medical Sciences (PGIMSR) has been established from the academic year 2010-11 with the aim to provide post-graduate teaching and training in various disciplines. The Medical Council of India has permitted the intake of 100 MBBS students from the academic year 2012-13.

SECTION Iv Admission policy For Under Graduate course 1) 15% All India Quota For the Academic year 2012-13 only 2) 85 % State Quota Expected Policy :- 1) 15 % All India Quota 2) 45 % ESIC Stake Holders 3) 40 % State Quota Matter submitted to Central Government which is under process For Post Graduate Course 1) 50 % All India Quota 2) 50 % State Quota Expected Policy :- 1) 40% State Quota 2) 20% to be reserved for ESI doctors working in ESI Corporation/ESI Hospitals 3) 40% All India Basis. Eligibility For UG course (i) The Candidate must possess II nd Pre University Education / Higher Secondary Education from a recognised Board/University. (i) For PG Course The Candidate must possess MBBS Degree for MD/MS/PG Diploma of a University recognized by a Medical Council of India and must have completed the required period of pre-registration internship (12 months) in a recognized hospital. (ii) IMPORTANT: Please Note that the candidates who have already done or are pursuing MD/MS in any subject at the time of counselling shall not be considered for admission to MD/MS Courses. If it is found at a later state that the candidates have given false information at the time of counselling his/her candidature/registration will be cancelled.

method of selection Selection will be made entirely on the basis of entrance examination and the choice of discipline allocated will be on the basis of personal counselling. duration of course (1) MBBS Degree Course :- 04 ½ Years (2) Post Graduate Degree Course: - 3 Years (3) Post Graduate Diploma Course: - 2 Years emoluments : Under Graduate : - No emoluments for Under Graduate students till they complete the course, during Internship they will be eligible for Stipend. Post Graduate:- Emoluments shall be payable to all selected candidates as per the provisions of Central Residency Scheme for Post Graduates. Leave All Candidates shall be entitled for leave as per the provisions of University and Central Residency Scheme.

section v UG Seats :- 100 seats 2012-13 PG seats No of allotted Seats Sl. No Subject Degree Diploma 1. Bio Chemistry 3 (MD) - 2. Pathology 2 (MD) - 3. General medicine 4 (MD) - 4. Obstt & gynae 3 (MS) - 5. Microbiology 4 (MD) - 6. Paediatrics 2 (MD) - 7. Anesthesiology 2 (MD) - 8. General Surgery 2 (MS) -

section v i fee structure For MBBS Students:- (i) Tuition Fee Rs. 24,000/- per year University Actual as per University College Security Rs. 5000/- (at the time of admission) (Refundable) (ii) Hostel charges Room Charges including water electricity Charges separately (iii) Hostel Mess Security Separately Mess charges As per actuals MD/MS Diploma Students As per the guidelines of the MCI the PG Students (Degree/Diploma) are to be designated as Junior Residents (Teaching). They are to be paid Junior residency pay as per Residency Scheme of Central Govt. and which has been adopted by the ESIC and pay revised as per the 6 th CPC and it will be uniform in all the States not to be linked with the residency pay of the concerned State Government. (iv) Tuition Fee Rs. 24,000/- per year University Actual as per University College Security Rs. 5000/- (at the time of admission) (Refundable) (v) Hostel charges As per Residence Scheme Mess charges As per actual The various fee recommended in the preceding para are provisional and to be reviewed after 5 years in case of MBBS/BDS students and 3 years in case of PG Degree/Diploma students.

Section - vii bond for non-service candidates For Under Graduate Course:- Annexure-2 For Post Graduate Course:- The non-service candidates shall be required to furnish a Bond to serve the ESI organisation for a period of 5 years. The format of the Bond is available as Annexure -3. section viii annexures 1. admission form 2. bond PROforma 3. checklist of documents to be submitted

Annexure 1 Format admission form ESIC MC & PGIMSR Application Form for MD / MS Courses 2010-11 Application Form No. Note : Please Read All The Instructions Given In the Prospectus Carefully Before Filling The Application Form Name of Candidate : (As given in Class X certificate / MBBS Degree Certificate) Photograph of the Candidate Father's / Husband's Name : Mother's Name : 2. (a) Date of Birth D D m m y y y y 3. Nationality : Male Female 1. ll India Quota 4. Gender 5. Category 2. tate Quota 3. erving ESI Doctors Quota 6. Permanent Address : 7. Address for Correspondence

8. STD Code Telephone Number Mobile Number 9. Qualification Name of the College and University Registration Number MCI State MC 10. Whether pursing PG Degree / Diploma Anywhere YES NO 11. Internship : Commencement (dd/mm/yy) Completion (mm/yy) DECLARATION Signature of the Candidate I hereby solemnly and sincerely affirm that the statements made and information given by me in the application form is true and correct. I agree to abide by the Rules, Regulations and Procedures as contained in the information Brochure / Prospectus. At present, I have not taken admission in any Medical MD/ MS courses during the previous (3) year(s). I further declare that, if it is proved that I have secured admission for any of the PG Course earlier/ discontinued after taking admission, my current year's admission shall be cancelled. I agree to submit all the required original certificates at the time of my selection during admission process as per the rules, failing which my claim for selection shall not be granted. I have not concealed any material, information, however, if any information submitted herein is fraudulent, incorrect or untrue, I understand that I am liable to criminal prosecution and I also agree to forgo my seat in ESI PGIMSR,. I understand that the selection and admission to the course is also liable to be cancelled. Date : Place: (Signature of the Candidate)

U.G Bond PROforma Annexure 2. BOND (Total Value of Rs. 100/- Stamp Paper*) (FOR MBBS STUDENTS) WHEREAS the Bounden..has been selected to Undergo MBBS in Corporation Medical College in the merit quota for the duration of the course as prescribed by Medical Council of India. AND WHEREAS, the Corporation have agreed to incur the expenses on condition that after Successful completion of the course of study within the prescribed period the bounden shall serve the ESI Corporation/ESI Scheme for a period of five years in any institution of the Corporation/Scheme anywhere in India, if the Corporation requires and also subject to the terms and conditions hereinafter appearing and the bounden and the sureties have agreed to the same. NOW the condition of the above written obligation is that in the event the Bounden after successful completion of the Graduate course of study to which he/she was selected fails to serve. The Corporation for period of five years, if required by the Corporation, the Bounden and sureties shall forthwith pay to the Corporation for violation of conditions, on demand the total amount of Rs. 7,50,000/- (Rupees Seven lakh fifty thousand only) the amount spent by the Corporation for their studies along with 15% interest as fixed by the Corporation. On the quantum of amount payable by the Bounden and the sureties, the decision of the Corporation shall be final and legally binding on the bounden and sureties and upon the payment of such sum the above written obligation shall be discharged. PROVIDED further that the bounden and the sureties do hereby agree that if the Bounden fails to serve the Corporation for a period of five years, if Corporation requires, it may be construed as professional misconduct and the fact reported to the Medical Council of India for suitable action including cancellation of registration by the Council. PROVIDED further that the bounden and the surety do hereby agree that all sums found. Due to the Corporation under or by virtue of this bond shall be recovered jointly and severally from them and their properties movable and immovable as if such dues were arrears of land revenue under the provisions of the Revenue Recovery Act for the time being in force or in such other manner as the Corporation may deem fit. The liabilities of the sureties under this Bond is Co-extensive with that of the Bounden and shall not be affected by the Corporation giving time or any other indigence to the bounden or by the Corporation varying of the terms and conditions herein contained. Signed this..day of in the year..by the bounden Shri/Smt.... Signature In the presence of Witness*. 1. 1. Signed by bounden (Name & Address) ((Name & Address with Offcial seal) 2 2. Signed by Shri/Smt.(The Name & Address) Surety )(Residential Address with proof is compulsory)

TO KNOW ALL MEN BY THESE PRESENTS THAT We... son/daughter/wife of..residing at (herein after called the Bounden) And (I) Shri..(Parents/Guardian) residing at..(here enter address) (hereinafter called the surety ) do hereby bind ourselves and each of us, our and each of our heirs, executors and administrators jointly and severally to pay to the Employee s State Insurance Corporation (hereinafter referred to as the Corporation) on demand the total amount of Rs. 7,50,000 (Rupees Seven lakh fifty thousand only) the amount spent by Corporation for their studies with 15% Interest as fixed by Corporation. Signed this.day of..in the year...by the bounden Shri/Smt. Signature In the present of Witness* I. 1. Signed by bounden (Name & Address) (Name & Address with Official Seal) 2 2. Signed by Shri/Smt ( the Name & Address) (Surety)(Residential Address with proof is compulsory) Dean/Administrative Officer of ESIC Medical College/ESI PGIMSR/Dental College will sign as Witness.

Annexure 3 p.g Bond PrOforma (to be executed on Stamp Paper of the value as applicable under Stamp Duty Act) KNOW ALL MEN BY THESE PRESENTS THAT We Shri.Smt. Son / daughter / wife of residing at (Residential Address) (herein after called the Bounder) and (1) Shri (herein after called the sureties ) do hereby bin d ourselves and each of us and our respective heirs, executors & administrators residing at (here enter address) jointly and severely to pay to the Employee s State Insurance Corporation ( herein after referred to as the Corporation ) on demand the total amount of Rs.7.50,000/- (Rupees Seven Lakh fifty thousand only) with interest @ 15% towards failure to fulfil the obligation / for violation of the condition here-in-after mentioned. Signed this. Day of. In the year by the bounden Shri/Smt.. Signature In the presence of Witness*: 1... 1. Signed by bounden (Name & address) (Name & Address with official seal) 2. 2. Signed by Shri./Smt.. (Name & Address) (The Surety) (Residential Address is compulsory)

ANE WHEREAS the Corporation have agreed to incur the expenses on condition that after successful completion of the course of study the bounden shall have any of the Institution of the Corporation or ESI scheme of the State Government, as the case may be for a period of five years anywhere in India and also subject to the terms and conditions hereinafter appearing and the bounden and the sureties have agreed to the same. NOW the condition of the above written obligation is that in the event the Bounden discontinues the study or after Completion of the Post Graduate course of study to which he/she was selected, fails to serve the Corporation for period 5 years, the Bounden and sureties shall forthwith pay to the Corporation on demand the total amount of Rs.7, 50,000/- (Rs. Seven Lakh fifty thousand only) with interest @ 15% towards failure fulfil the obligation. The bond is legally binding on the bounden and the sureties and upon the payment of such sum the above written obligation shall be void and of no effect otherwise this shall remain in full force and effect: PROVIDED further that the bounden and the sureties do hereby agree that if the Bounden discontinues the study or after completion of the Post /graduate /course of study to which he/she was selected, fails to serve the Corporation for a period of five years, it may be construed as professional misconduct and the fact reported to the Medical Council of India or of the Medical /council of the State concerned for suitable action including cancellation of Registration by the Council: PROVIDED further that the bounden and the sureties do hereby agree that all sums found due to the Corporation under or by virtue of this bond shall be recovered jointly and severally from them and their properties movable and immovable as if such dues were arrears of land revenue under the provisions of the Revenue Recovery Act for the time being in force or in such other manner as the Corporation may be deem fit. Provided further that it is not necessary for the Corporation to sue the bond holder before taking action on the surety, under this bond and the liabilities of the sureties Co-extensive with that of the Bounden and shall not be affected by the Corporation giving time or any other indigence to the bounden or by the Corporation varying of the terms and conditions herein contained. Signed this Day of in the year. By the bounden Shri. Smt.. In the presence of Witness *: Signature 1. 1. Signed by bounden (Address) ( Name & Address)

Annexure 4 Checklist of documents to be submitted UNDER GRADUATE COURSE:- 1. CET Allotment order and Admission Ticket 2. SSLC Marks Card / Birth Certificate 3. IInd PUC / Higher Secondary Certificate 4. Caste and Income Certificate 5. Character Certificate 6. Bond 7. Transfer Certificate 8. Declaration 9. Migration Certificate POST GRADUATE COURSE:- 1. Entrance Admission Ticket / Allotment Order 2. MBBS Marks Card (Final Year Part- I & part II) 3. House Surgeon Certificate / Provisional Certificate 4. Registration Certificate of State Medical Council 5. Degree Certificate / Provisional 6. Attempt Certificate 7. SSLC Marks Card / Birth Certificate 8. Eligibility Certificate issued by RGUHS 9. Relief Order 10. Bond Paper 11. Migration Certificate 12. Transfer Certificate 13. Domicile Certificate 14. Caste Certificate 15. Validity Certificate 16. Probationary Declaration Letter ( In-service candidate) 17. Declaration 18. Under taking to submit the validity Certificate