for bachelor of physiotherapy (b.p.t. 4½ year …admission brochure- 2017 for bachelor of...

ADMISSION BROCHURE- 2017ADMISSION BROCHURE- 2017ADMISSION BROCHURE- 2017For

Bachelor of Physiotherapy (B.P.T. 4½ Year Degree Course) Bachelor of Physiotherapy (B.P.T. 4½ Year Degree Course) Bachelor of Physiotherapy (B.P.T. 4½ Year Degree Course)

Affiliated to Madhya Pradesh Medical Science University Jabalpur (M.P.)

M.G.M. MEDICAL COLLEGE & M.G.M. MEDICAL COLLEGE & ASSOCIATED HOSPITALS SOCIETY INDORE (M.P.) ASSOCIATED HOSPITALS SOCIETY INDORE (M.P.)

M.G.M. MEDICAL COLLEGE & ASSOCIATED HOSPITALS SOCIETY INDORE (M.P.)

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ABOUT THE INSTITUTION

M.G.M. MEDICAL COLLEGE & ASSOCIATED HOSPITALS SOCIETY

Mahatma Gandhi Memorial Medical College, Indore is one of the oldest and

most prestigious institutions of Medical Sciences in India having high traditions in

teaching, training & researches in various medical specialties for the past 67 years.

The glorious history of the college dates back to the period of King Edwards

Medical School, which was later on, renamed as Mahatma Gandhi Memorial, Medical

College. The college includes reputed institutions like Maharaja Yashwantrao Hospital,

Chacha Nehru Bal Chikitsalaya (Children's Hospital) & Research Center, Government

Cancer Hospital, Government Dental College & College of Nursing. In the year 1997 the

Department of Physiotherapy was established and till date 15 batches have successfully

passed Bachelor of Physiotherapy Degree Course.

Our institution is afliated to Madhya Pradesh Medical Science University, Jabalpur. In

the year 2012 we have also started Post Graduate Course in four major Physiotherapy

Branches i.e. MPT Orthopaedics, MPT Neurology, MPT Sports & MPT Cardiothoracic.

Physiotherapy is an essential allied health science branch without which the

modern medical science can't keep pace ahead. After any Impairment and Dysfunction

related to Orthopaedics, Neurology and Cardiorespiratory nature physiotherapy is an

integral part of the treatment; and this therapy is also of paramount importance in Sports

injury and tness.

The college grooms its students with the best facilities for their overall

development. It has a well established and one of the best Library in the state.

Physiotherapy Department has also good number of patients for adequate clinical

exposure to the students.

In our institution good infrastructure, expertise services, best academic activities

and congenial atmosphere is available with dedicated and experience faculties. On one

hand institute is imparting quality training and teaching to the students and on the other

hand working in the eld of Disability Prevention & Rehabilitation. We are committed to

provide physiotherapy and rehabilitation services to rural and urban population of the

state.

The past track record of the college is outstanding with many of our alumni

occupying good positions both in India and abroad.stWe welcome the 21 Batch of our institution and wish them a bright future in the eld of

the Physiotherapy.

Department of Physiotherapy of Mahatma Gandhi

Memorial Medical College, Indore has been a pioneer in

physiotherapy curriculum since the year 1997 of quality

education which nurtures young physiotherapists for the needs of

society. Many physiotherapists find their abilities in the field of

Rehabilitation, which is one the most essential & paramount

areas of development according to Ministry of Social Justice &

Empowerment.

In today's world people are living with much more busy

lifestyle entailing disease and therefore they find drugless

treatment & comfort in their ailment with physiotherapy.

I wish all the very best for the growth & development of

this institution and hope soon it will become one of the best

Institution of the country.

SANJAY DUBEYI.A.S.

COMMISSIONER

INDORE DIVISION, INDORE

Off. : 0731-2435111

Res : 0731-2700888

Fax : 0731-2539552

E-mail : [email protected]

D.O. Letter No.

MESSAGE

SANJAY DUBEY, IAS

It is great pleasure to know that Department of Physiotherapy, MGM 1Medical College, Indore is starting admission procedure for 4/ years 2

Bachelor of Physiotherapy (BPTh) degree course. MGM Medical

College is the pioneer Government Institution to run Under Graduate &

Post Graduate courses of Physiotherapy in Madhya Pradesh State.

The Physiotherapy is a growing profession in our state and it

needs to be taken to a global level. I hope that MGM Medical College,

Indore will continue to be a good platform to prepare new

Physiotherapist for any challenges in the community. In my leadership

Madhya Pradesh Medical Science University, Jabalpur is committed for

Health Professionals and also to update their course and curriculum in

the time with the advance knowledge and evolving strategies globally for

improved patient outcome.

I am sure that Physiotherapy students studying in this institution

will gain tremendous knowledge, skills and inspiration to work with zeal

and commitment in their filed and will be the best physiotherapy

professional for the community.

Warm regards.

MESSAGE

MP Medical Science University NSCB Medical College Campus, Jabapur 482003Phone : 0761-2670340, Fax : 0761-2670333, Website : mpmsu.edu.in

Indoreth5 July, 2017

Prof. Dr. R.S. SharmaVice-Chancellor

MD, DM Cardiology(AIIMS, New Delhi)

MP Medical Science UniversityNSCB College Campus Jabalpur

Pin-482003Mobile : 9827066012

Email : [email protected], [email protected]

Dr. R.S.SharmaDM, Cardioligy

Vice Chancellor, MPMSU, Jabalpur

M.G.M. MEDICAL COLLEGE & ASSOCIATED HOSPITALSINDORE (M.P.) 452 001, INDIA

Phone : +91-0731-2527383, 2438286, Fax : +91-0731-2514628E-mail : [email protected], Website : www.mgmmcindore.org

Indoreth27 June, 2017

I am pleased to convey that ours is one of the oldest medical

colleges of the country having high traditions in imparting teaching,

training and researches in medical sciences. School of Physiotherapy is

amongst one department of this institution which was established in the

year 1997 that is achieving its height year to year. Since 1997 we were

offering Bachelor Degree of Physiotherapy and it is our pride to mention

here from 2012 we have started Master Degree in Physiotherapy in

Neurology, Orthopedics, Sports nad Cardiothoraeic with 5 seats in each

branch.

Physiotherapy has been an essential element of medical sciences

without which the medical science can not keep pace ahead.

Physiotherapy is an integral part of treatment and also a good tool to

physical fitness.

In our institution good infrastructure, expertise services, best

academic activities, atmosphere and a very good and expert, dedicated

and experienced faculty is available thet on one hand impart training and

teaching to the future physiotherapist of our counrtry and on the other

hand also treatment in larger interest of patients being our commitment

ot the society for the very purpose.

We welcome the 2017 batch of our institution and wish a bright

carcer in ones field

(Dr. Sharad Thora)Dean and C.E.O.

M.G.M. Medical College Indore

MESSAGE

Dr. Dinesh K. Sonkar (M.S.)

Prof. & Head, OrthopedicsO fficer In-charge, Physiotherapy

MESSAGE

DEPARTMENT OF PHYSIOTHERAPY

Permitted by Medical Education Dept. Govt. of M.P. & Recognised by M.P. Paramedical Council, Bhopal

Affiliated to Madhya Pradesh Medical Science University, Jabalipur (MP)

(2 years Post Graduate MP Th. & 4 Year Degree Course in BPTh.)1/ 2

Phone : 2528516, 2438194

2527301 (MYH PBX)

Fax : 0731-2514628

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Email : [email protected]

MGM Medical College Indore is one of the oldest medical colleges of the

country having high traditions in imparting teaching, training and research

in medical sciences. School of Physiotherapy is a self finance department of

this institution which was established in the year 1997 and is achieving

height year to year.

In our institution these courses are designed and tought to nurture

talent with high degree of clinical acumen and quality research, so that they

become resourceful Physiotherapist, academician and researchers. We

provide one of the best clinical, technical and research facilities to students

to become enable them to compete with the best professionals in the world.

In this regards we constantly thrive to upgrade our infrastructure with

advance equipments. We have the busiest Physiotherapy OPD in the entire

Madhya Pradesh state with the daily attendance of around 150 patients per

day.

Further a team of well qualified and experienced teaching staff

provide guidance to the students. The past record of our college has been

outstanding with. Many of our students getting scholarships for doing

doctoral degree in USA and other countries of the world and many holding

high positions in clinical and academic field in the prestigious centers in the

world.

I welcome new batch of BPT students and wish them good luck.

M.G.M. MEDICAL COLLEGE, INDORE (M.P.)

MANAGEMENT COMMITTEE MEMBERS

Dr. Vijay BhaisareM.S.Prof. & Head Dept. of OphthalmologyM.G.M. Medical College & M.Y. Hospital, Indore

Dr. Sanjay DaduM.D.Prof. & Head Dept. of Forensic MedicineM.G.M. Medical College &M.Y. Hospital, Indore

Dr. S.B. BansalM. D. Course CoordinatorProf. Dept. of PSMM.G.M. Medical College, Indore

Dr. Anand Ajmera M.S.Assoc. Professor, Dept. of OrthopaedicsM.G.M. Medical College & M.Y. Hospital, Indore

Dr. Pradeep ShrivastavD. OrthoI/c. Artificial Limb Fitting CentreM.G.M. Medical College &M.Y. Hospital, Indore

Dr. Ramhari MeenaMPT (Neurology)Professor & Vice-Principal Dept. of PhysiotherapyMGM Medical College, Indore

MANAGING COMMITTEEDEPARTMENT OF PHYSIOTHERAPY

M.G.M. MEDICAL COLLEGE & ASSOCIATED HOSPITALS SOCIETY, INDORE

ADVISORS

Smt. Gouri Singh, I.A.S.Principal Secretary,

Dept of Medical Education, Govt. of Madhya Pradesh, Bhopal

Dr. Ulka Shrivastava M.S.

Director, Medical Education Govt. of Madhya Pradesh, Bhopal

Dr. Sharad Thora

M.D.

Chief Executive Officer

M.G.M. Medical College

& Associated Hospital Society, Indore

Dr. V.S. Pal

M.D.

Jt. Director-cum Superintendent, M.Y. Hospital, Indore

OFFICER INCHARGE

Dr. Dinesh K. Sonkar

M.S.

Prof. and HOD Orthopaedics

M.G.M. Medical College & M.Y. Hospital, Indore

DEAN & CEO

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Dr. C.V. KulkarniM.D.Prof. & Head, Dept. of PathologyM.G.M. Medical College, Indore


Dr. Vijay BhaisareM.S.Prof. & Head, Dept. of Ophthalmology

Dr. R.K. MathurM.S.Prof. & Head, Dept. of Surgery

Dr. Nilesh DalalM.S.Professor. & Head, Dept. of Obst. & Gynae

Dr. Mrs. Anita MuthaM.D.Prof. & Head, Dept. of Microbiology

Dr. Anil Bharani M.D.Prof. & Head, Dept. of Medicine

Dr. Mrs. A. BoseM.S., Prof. & Head, Dept. of Anatomy

Dr. Rajni SoniM.D.Prof. & Head, Dept. of Physiology

Dr. Alka AgrawalM.D.Assoc. Prof. & Head, Dept. of Radio Diagnosis

Dr. Dinesh K. Sonkar M.S.Prof. & Head OrthopaedicsDirector Artificial Limb Fitting Centre

Dr. R.K. MundraM.S.Assoc. Prof. & Head, Dept. of Otolaryngology (ENT)

Dr. C.V. KulkarniM.D.Prof. & Head, Dept. of Pathology

Dr. Sanjay DixitM.D.Prof. & Head,Dept. of Community Medicine

Dr. Sharad ThoraM.D.Prof. & Head, Dept. of PaediatricsSupdt., Chacha Nehru Bal Chikitsalaya

Dr. K.K. AroraM.D.Prof. & Head, Dept. of Anesthesiology

Dr. Mrs. Purnima Day SarkarPh.D.Prof. & Head, Dept. of Biochemistry

Dr. Pooja SolankiM.D.Assoc. Prof. & Head, Dept. of Pharmacology

Dr. Ramesh AryaM.D.Prof. & Head, Dept. of RadiotherapySupdt., Cancer Hospital, Indore

Dr. Sanjay DaduM.D.Professor & Head, Dept. of Forensic Medicine

Dr. Ramhari MeenaMPTProfessor & Vice-Principal

Dr. (Mrs.) Niketa ShobhitM.P.T.Demonstrator

Dr. Usha PatelM.P.T.Asst. Physiotherapist

Dr. Ashish MathurM.S.P.T.Professor

Dr. Ritika BhalaviBPTDemonstrator

Dr. Manish GoyalB.P.T.Physiotherapist

Dr. Priyanshu JoshiMPTAsst. Professor

Dr. Sandhya ThakkarBPTDemonstrator

FACULTY MEMBERS – PHYSIOTHERAPY

FACULTY HEAD OF DEPARTMENT

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GENERAL RULES & REGULATIONS FOR BACHELOR OF PHYSIOTHERAPY COURSE

1. Eligibility:

A. A candidate seeking admission to the course must have passed Higher Secondary School Certicate

Examination (10+2) or equivalent examination from a recognized Board/University with Physics,

Chemistry and Biology subjects. The CBSE pass student will be treated at par with other students.

B. A candidate should be domicile of M.P. State. Candidate must have at least 50% marks in Physics,

Chemistry & Biology (PCB) of 10+2 Examination in General Category and 45% marks in ST/SC/OBC

Category. In case of vacancy, candidates from the other states will be considered on merit basis category

wise.

C. Medical Fitness – Medical tness certicate should be furnished at the time of admission from recognized

medical practitioner approved by the State Council.

D. Age limit – No candidate shall be admitted to this course unless he/she has completed the age of 17 years ston or before 31 December of the Admission Year.

(Explanation : For reckoning the age as aforesaid, the date of birth as mentioned in the certicate of Higher

Secondary School Certicate Examination or in the mark-sheet of the said examination shall be deemed to

be authentic and no other documentary proof, except in the following eventuality, in support of age shall be

entertained. In case a candidate, who otherwise satises the domicile requirement and who on account of

being with his/her parents in a foreign country, passes an examination abroad, certied by the school

Education Department of the State Government as equivalent to the Higher Secondary School Certicate

Examination in Madhya Pradesh, adequate alternative documentary proof to the satisfaction of the

admitting authority will be entertained.)

2. Mode of Selection –

a) The selection for the course will be done on merit basis of the marks obtained in qualifying examination

Higher Secondary (10+2) or equivalent. The merit list will be prepared on the basis of marks obtained in

Physics, Chemistry and Biology only.

b) In case of equal mark in merit list, preference will be given to the elder in age.

c) Gap certicates, if any, will have to be attached with the admission form.

d) If the applicants have secured same marks, the preference will be given to the candidate having more marks

in subjects with following order Biology, Chemistry, Physics.

e) Original documents of the admitted candidates will be retained in the institute and will be returned only

after the completion of the course, on production of no dues certicate.

3. Counseling -

a) Counseling shall be done on merit-cum-option basis according to the category in the following sequence.

i) ST Category ii) SC Category iii) OBC Category iv) Unreserved Category.

b) In case eligible candidates to the extent of reservations in any category are not available, the vacant seats

shall be lled up by making then available in other categories as given below

i) The vacant seats of ST Category shall be lled up by the eligible SC Category candidates.

ii) The vacant seats of SC Category shall be lled up by eligible ST Category candidates.

iii) In case the eligible candidates to the extent or reservation in ST and SC categories are not available,

the vacant seats shall be lled up by eligible OBC category candidates.

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iv) In case the eligible candidates are not available in these above three reserved categories in the above

manner, the vacant seats shall then be lled up by the eligible unreserved category candidates.

c) If eligible candidates are not available for admission on vacant seats in MP (Military Personnel), FF

(Freedom Fighter), category, such vacant seats shall be converted in to seats of unreserved category.

4. Distribution of Seats :

a) In BPT degree course distribution of total available 50 seats, distribution will be as per MP state Govt.

rules:- 20% seats are reserved for candidates belonging to Scheduled Tribe (ST), 16% seats are reserved

for candidates belonging to Scheduled Caste (SC), and 14% seats are reserved for candidates belonging

to other Backward Classes (OBC) other than creamy layer of other Backward Classes (OBC) of Madhya

Pradesh or as amended from time to time.

b) The candidate claiming to be a candidate belonging to Scheduled Tribe (ST)/ Scheduled Caste (SC)/

Other Backward Classes (OBC) category of Madhya Pradesh shall have to attach a valid certied copy

of certicate issued by the competent authority of Government of Madhya Pradesh with the

application form and the permanent original caste certicate have to produced at the time of

counseling. The caste certicate should bear issue No., Dispatch no., Date and Seal of the issuing ofcer

else it will not be accepted. He/she will not be eligible for reservation if fails to produce the permanent

caste certicate. The sole responsibility will be of the candidate.

c) Reservation for women (girls) candidates shall be 30% according to merit cum option in each

category.

d) For physically handicapped candidates who are bonade resident of Madhya Pradesh and who

belong to Schedule Caste/Schedule Tribe/Other Backward Classes and Unreserved Category, 3%

seats will be reserved for admission in BPT course at a time of counseling. (As per MP State Govt.

reservation rules the PHC reservation's allocation will make horizontally in different categories). The

seats shall be lled rst by candidate with loco motor disability of lower limbs between 50% to 70%

provided that in case seat remained unlled on account of unavailability of candidate with loco motor

disability of lower limb between 50% to 70% and then any such unlled seat shall be lled by candidate

with locomotor disability of lower limb between 40% to <50%.

e) In case eligible physically handicapped candidates are not available the vacant seat lled by

candidate of that category.

f) The candidate claiming admission against these seats will have to produce valid certicate, in the

prescribed form, District Medical Board and eligibility certicate from Superintendent Vocational

Rehabilitation Centre for Physically Handicapped, Govt. of India, Ministry of labour, Napier town,

Jabalpur. Both the certicates are necessarily to be presented in original, non production of both the

certicates at the time of counseling will disqualify a candidate for admission. The eligibility certicate

should not have been issued more than three months before the date of counseling. Following

disabilities are not eligible for admission in BPT course:- 1. Upper limb handicapped 2. Visual

handicapped 3. Hearing handicapped 4. Lower limb more than 70% handicapped.

Unreserved S.C. S.T. O.B.C. M.P. F.F. Total

2017 22+ 1 * 08 10 06+1 * 01 01 50

2018 23 7+ 1 * 10 07 01 01 50

2019 23 08 9+ 1 * 06+1 * 01 01 50

2020 22+ 1 * 08 10 07 01 01 50

*Seat Reserved for Physically Handicapped candidate

DISTRIBUTION OF SEATS

Category

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NOTE:

(A) Fees once deposited are non-refundable.

(B) CANDIDATES OF RESERVED CATEGORY (ST/SC/OBC) ALSO HAVE TO PAY TUITION & ALL OTHER FEES

AT THE TIME OF ADMISSION, AND EVERY YEAR SO ON. HOWEVER RESERVED CATEGORY STUDENTS,

IF ELIGIBLE CAN APPLY FOR FEES REIMBURSEMENT TO AADIM JATI KALYAN VIBHAG, MP STATE

GOVT. SCHOLARSHIP PORTAL 2.0 : http//www.scholarshipportal.mp.nic.in (THROUGH THE

INSTITUTION).

5. FEES STRUCTURE

(A) Tuition Fees.

Tuition Fee per year Rs. 25,000/-

(B) Others Fees

Security Deposit (Refundable) Rs. 5,000/-

Sports/Entertainment Fees Rs. 1,000/-

Internal Evaluation Fees Rs. 1,000/-

Practical & Other Fees Rs. 1,000/-

Tota (others Fees) Rs. 8,000/

* Security Deposit will be refundable only after successfully completion of the course.

* The fees are subjected to increase as per M. P. Para Medical Council / State Govt. orders or Management Committee / Administration.

Total Fees (A) + (B) for B.P.T. First Year

Course BPT (Degree 4½ years) Rs. 33,000/-

Total Fees (A) + (B) for other (B.P.T. 2nd /3rd / Final) Years

Course BPT (Degree 4½ years) Rs. 28,000/- per year

(C) i) All fees and privileges will be forfeited if a student is dismissed for bad conduct or any other reason or if he/she

leaves before the completion of the course.

ii) The student have to furnish a Bank Guarantee (Seat Leaving Bond) to the Dean & CEO, MGM Medical College,

Indore Rs. 1,50,000/- (In words : Rs. One Lakh fty Thousand) at the time of admission. Stating that candidate

have to pay the bond amount, if they leave in between or prior to completion of course.

(D) The students will have to pay the Tuition & Other fees before commencing of next academic session. If the student fails

to deposit the college fees in the schedule time, late fees @Rs. 20/- per day will be charged.

(E) The student may be levied other fees for Computer, Stationery, Games and Sports, Magazine Fee etc. from time to time,

if necessary.

(F) FEES – The students who fails in any academic year have to take Supplementary exam and have to pay exam fee to the

University. In between years, if the students failed and the tenure extends more than fours years then the students has

to pay all applicable fees for the extended period including examination Fees.

6. Cancellation of Admission –

(A) If it is found that a candidate has succeeded in getting admission in the Institution on the basis of false or

incorrect information or by hiding relevant facts or at any time after the admission, it is found that the admission

was given to a candidate due to some mistake or oversight, the admission granted to such candidate shall be

liable to cancellation forth with/without any notice at any time during the course of his/her studies by the Head

of the institution. In case of disputes or doubts concerning admission etc. decision of the Head of the Institution

shall be nal.

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(B) If a candidate unauthorizly and without information remain absent continuously 30 (thirty) days than

his/her admission will be treated as cancelled automatically. This period of absence will not be adjusted

against any of the permitted leave to the candidates.

(C) Candidates have to give his or her joining report once admitted in the BPT course within 10 days of counseling,

failing which admission is liable to be cancelled. For extension on valid ground, application should be submitted

to the Ofcer Incharge in writing to obtain permission for joining late.

(D) Any student taking part in any kind of anti-social activities, taking part in any kind of misconduct either inside

or outside the institute premises, unauthorized absence from attending classes, taking part in un-academic

activities, ragging etc. will be liable for rustication/expulsion.

(E) The head of the Institution reserve the right to refuse admission/registration at his own discretion of any

student in the beginning of any academic semester, for reason of his/her behaving in a manner subversive to

discipline or any grave misconduct.

(F) Cancellation of the admission by the candidate : Admitted candidate desired to leave his/ her seat will have to

submit his/her application in all respect with reason to the Dean & CEO, MGM Medical College, Indore through

Ofcer Incharge, Physiotherapy alongwith Self attested copy of Fees receipt, Receipt of Seat Leaving bond

payment receipt and then only such an application for cancellation of admission would be consider. Admission

cancellation letter would be issued by Dean & CEO, MGM Medical College, Indore and after receiving such

letter the original documents submitted at the time of admission would be issued to the concern

student/Guardian authorized by the student.

7. Documents Verication Process : If deemed necessary due verication of documents submitted by the candidate at

the time of admission would be done for Caste Certicate, Mark sheets, Domicile and other certicates. It would be

done by sending them to the concern department or institution, for which the documents verication charges would

be applicable to the candidate.

8. Accommodation Facilities: Limited Hostel facility is available for girls only (on rst come rst serve basis). No hostel

facility is available for boys at present. Boys are expected to make their own boarding and lodging arrangements.

9. Academic rules:

(A) Students are required to attend all the lectures, practical and tests etc. conducted in the academic session. A

student is required to attend a minimum of 75% in theory and 80% in practical of the scheduled classes. For this

purpose, attendance in theory and practical classes will be counted separately.

(B) The Dean & CEO of the college may condone the shortage of attendance up to 5% only on valid ground.

(C) The students failing to fulll the required attendance for the full period of one academic session (theory and

practical) will not be eligible to appear in the annual University Examination in theory and practical.

(D) All students should check the percentage of their attendance from time to time and parents/guardians should

also keep a watch in regard to the percentage of attendance of their sons/daughter/wards and progress in

studies.

(E) Transfer & Migration certicates should be submitted in original at the time of admission along with University

enrollment form, failing to which admission will not be given to the candidate. Documents shall be retained by

the college and shall be returned only after the completion of the course by the candidate; and after submitting

the NO DUES certicates from the Accounts Section, Library, Games, Laboratory Section and other relevant

sections.

(F) The course of Bachelor of Physiotherapy is of 4½ years, including six months duration of compulsory

Internship. Total internship period will be compulsory in this institute.

(G) Educational Tour: This will be arranged in few reputed centers of the country for teaching & training. Students

will pay for their lodging, boarding, rail fare and other expenses for this tour. This will be compulsory for all nal

year students.

(H) On successful completion of the course, the candidates will be awarded the Degree of B.P.Th. (Bachelor of

Physiotherapy) by Madhya Pradesh Medical Science University, Jabalpur (M.P.)

(I) Rules and regulations of Madhya Pradesh Medical Science University, Jabalpur (M.P.) will be applicable to the

students for examination and completion of BPT Degree.

(J) As per Madhya Pradesh Sah-Chikitsiy Parishad Adhiniyam 2000, after completion of the course, candidate have

to register themselves in M.P. Paramedical Council, Bhopal (By applying through MP Online portal and getting

their lled application forwarded by the Institution)

Note: – The Institute reserves the right to amend any rule/procedure for admission to the course and any modication so made shall be binding on the candidates

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I. Minimum 34 x 45 mm with at least 75% coverage of face and head of the candidate.

II. Caption indicating name of the candidate and date of taking photograph should be there

at bottom of photo. Photograph should be taken in White/light colour background.

III. The photograph needs to be display full front view of the face. Please look directly in to the

camera with a neutral expression.

IV. Avoid photograph with reflection or shadow on the face red eyes.

V. It should have at least 600 dpi resolutions and it must not have kinks, scratches and stains.

’$moQ>mo {H$gr amOn{ÌV A{YH$mar ¶m àmMm¶© Ûmam grc cJmH$a A{^à‘m{UV hmoZm Mm{hE & hñVmjaH$Vm© H$m Zm‘ ñnï> {cIm hmo & nyU© OmZH$mar Z

^aZo na AmdoXZ nÌ {ZñV H$a {X¶m OmdoJm &

AmdoXZ nÌ ‘| ’$moQ>mo Ho$ ZrMo {ZYm©{aV ~m³g ‘| Cå‘rXdma Ho$ ~m±¶o hmW Ho$ A±JwR>o H$m {ZemZ (Left thumb impression) cJmZm Amdí¶H$ h¡

&

4. nyU© én go ̂ am hþAm AmdoXZ nÌ {ZpíMV én go a{OñQ>S>© S>mH$ Ûmam à^mar A{YH$mar, {’${O¶moWoamnr {d^mJ (H$m¶m©c¶),H$j H«$. 18 Q´>m‘m goÝQ>a

(XþK©Q>Zm Ho$ÝÐ) Ho$ nmg, nwamZr Amo.nr.S>r. ‘hmamOm ¶ed§Vamd {M{H$Ëgmc¶, BÝXm¡a 452001 nVo na A§{V‘ {V{W VH$ àmá hmoZm A{Zdm¶© h¡ &

(S>mH$ ‘| {dcå~ Ho$ {cE g§ñWmZ H$s H$moB© {Oå‘oXmar Zht hmoJr&)

(AmdoXZ-nÌ ~§X {c’$m’o$ ‘| {S>nmQ>©‘|Q> Am°’$ {’${O¶moWoamnr H$m¶m©c¶ Omo {H$ ‘.¶. {M{H$Ëgmc¶ Ho$ H$j H«$. 18 Q´>m‘m goÝQ>a (XþK©Q>Zm Ho$ÝÐ) Ho$

nmg, nwamZr Amo.nr.S>r. ~mø amoJr {d^mJ ‘o pñWV h¡, Cº$ H$m¶m©c¶ {H$ AmdH$ emIm ‘| 10.00 g 3.00 ~Oo Ho$ ‘Ü¶ ̂ r {XE Om gH$Vo h¡ &

5. AmdoXZ nÌ {ZåZ H$maUmo§ go {ZañV {H$¶m Om gHo$Jm :-

1. AnyU© ¶m Ìw{Q>nyU© AmdoXZ ^aZo na & 2. A§{V‘ {V{W Ho$ ~mX AmdoXZ nÌ àmá hmoZo na & 3. AmdoXZ nÌ ‘| {ZYm©[aV ñWmZ na AmdoXH$ H$m

A{^à‘m{UV ’$moQ>mo {MnH$m Z hmoZ na & 4. AmdoXZ nÌ ‘o {ZYm©[aV ñWmZ na narjmWu Ûmam AnZo hñVmja Z H$aZo na Ed§ {ZYm©[aV ñWmZ na ~m±¶o

hmW Ho$ AwJ§R>o H$m {ZemZ Z hmoZo na 5. A§H$ gy{M¶m| H$s A{^à‘m{UV N>m¶mà{V¶m± Z hmoZo na &

7. grQ>m| H$m AmajU :- (EARMARKING AND RESERVATION OF SEATS) ñd{dÎmr¶ ~r.nr.Q>r. {S>J«r H$mog© ‘| àdoe hoVw AZwgy{MV Om{V, AZwgy{MV OZOm{V VWm AÝ¶ [nN>‹S>m dJ© (H«$s‘rco¶a H$mo N>mo‹S>H$a) lo{U¶m| Ho$ {cE ‘.à. emgZ Ho$ {Z¶‘mZwgma Ama{jV h¡ & BgHo$ A{V[aº$ g¡{ZH$ g§dJ© (MILITARY PERSONNEL) d ñdV§ÌVm g§J«m‘ g§dJ© (FREEDOM FIGHTER CLASS) ‘| EH$-EH$ grQ> Ama{jV h¡ &

{Q>ßnUr :- (A) {d{^Þ Ama{jV lo{U¶m| ‘| go Cå‘rXdma Ho$dc EH$ hr loUr ‘| Xmdm H$a gH$Vm h¡ & (~) {Og loUr ‘| àdoe hoVw Xmdm {H$¶m Om ahm hmo Cå‘rXdma H$mo Cggo gå~pÝYV à‘mU-nÌ {ZYm©[aV àmén (gj‘ A{YH$mar Ûmam àXÎm) ‘| hr

àñVwV H$aZm hmoJm &8. AZwgy{MV Om{V (SC) VWm AZwgy{MV OZOm{V (ST) loUr :- Eogm Cå‘rXdma Omo AZwgy{MV Om{V(SC) VWm AZwgy{MV OZOm{V (ST) loUr ‘| hmoZo H$m Xmdm H$aVm h¡ Cgo {ZåZ XñVmdoO àñVw H$aZo hm|Jo (A) gj‘ A{YH$mar Ûmam {ZYm©[aV àmén ‘| à‘mU-nÌ & (~) {ZYm©[aV àmén ‘| Cå‘rXdma AnZo {nVm H$m Am¡a ¶{X {nVm Or{dV Z hmo Vmo ‘mVm H$m Am¡a ¶{X ‘mVm-{nVm XmoZm| Or{dV Z hm| Vmo d¡Y A{^^mdH$

H$m enW-nÌ & {ddm{hV c‹S>H$s Ho$ gå~ÝY ‘§ ¶h enW nÌ CgHo$ n{V Ûmam àñVwV {H$¶m OmZm hmoJm & ¶{X Eogm enW nÌ {H$gr ̂ r àH$ma go PyR>m ¶m JcV nm¶m J¶m Vmo Cå‘rXdma H$m àdoe gå~ÝYr Xmdm AñdrH$ma H$a {X¶m OmdoJm ¶m ¶{X CgZo àdoe nm {c¶m h¡ Vmo Cgo {ZañV H$a {X¶m OmdoJm &

9. AÝ¶ {nN>‹S>m dJ© (OBC) (H«$s‘rco¶a H$mo N>mo‹S>H$a) Eogm Cå‘rXdma Omo AÝ¶ {nN>‹S>m dJ© (OBC) loUr (H«$s‘rco¶a H$mo N>mo‹S>H$a) ‘o hmoZo H$m Xmdm H$aVm h¡ Cgo gj‘ A{YH$mar Ûmam Omar {ZYm©[aV àmén

‘| à‘mU-nÌ àñVwV H$aZm hmoJm &10. g¡{ZH$ g§dJ© (Millitary Personnel)

Bg g§dJ© Ho$ AÝVJ©V EH$ ñWmZ g¡{ZH$m| Ho$ nwÌ/nw{Ì¶m| Ho$ {cE Ama{jV aIm J¶m h¡ & g¡{ZH$ dJ© ‘| à{Vajm H$‘©Mm[a¶m| Ho$ én ‘| godm H$a MwHo$ ^yVnyd© g¡{ZH$, H$m¶©aV à{Vajm H$‘©Mmar VWm Eogo à{Vajm H$‘©Mmar h¡ {OZH$s godm Ho$ Xm¡amZ ‘¥Ë¶w hmo MwH$s hmo ¶m Omo godm Ho$ Xm¡amZ ñWmB© én go {dH$cm§J hmo JE hm| & Bg dJ© Ho$ AÝVJ©V àdoe hoVw Xmdm H$aZo dmco Cå‘rXdma H$mo Bg Ame¶ H$m à‘mU-nÌ àñVwV H$aZm hmoJm {H$ do ‘.à. ‘| ì¶dñWm{nV ^yVnyd© g¡{ZH$ H$m nwÌ/nwÌr h¡ & ^yVnyd© g¡{ZH$ H$m VmËn¶© Eogo ì¶{º$ go h¡ Omo ^maV gaH$ma, ajm ‘§Ìmc¶ Ûmam Omar H$s JB© ^yVnyd© g¡{ZH$ H$s n[a^mfm Ho$ AÝVJ©V AmVm h¡ & ̂ yVnyd© g¡{ZH$ Ho$ nwÌ/nwÌr hmoZo Ho$ ’$cñdén àdoe H$m Xmdm H$aZo dmco Cå‘rXdma H$mo AnZo {nVm/‘mVm H$m ^yVnyd© g¡{ZH$ gå~ÝYr à‘mU-nÌ {ZYm©[aV àmén ‘| VWm AnZo {nVm/‘mVm Ho$ ‘.à. ‘| ì¶dñWm{nV hmoZo gå~ÝYr à‘mU-nÌ, gå~pÝYV {Oco Ho$ {Ocm g¡{ZH$ H$ë¶mU A{YH$mar (nyd© H$m nX Zm‘ g{Md {Ocm g¡{ZH$ ~moS>©) go àmá H$a àñVwV H$a hmoJm &

AWdm do ‘.à. Ho$ ~mha nXñW Eogo à{Vajm H$‘©Mmar H$m /H$s nwÌ/nwÌr h¡, Omo ‘.à. H$m dmñV{dH$ {Zdmgr h¡ & Eogo Cå‘rXdma H$mo AnZo {nVm / ‘mVm Ho$

‘.à. Ho$ dmñV{dH$ {Zdmgr hmoZo gå~ÝYr à‘mU-nÌ {ZYm©[aV àmén ‘| àñVwV H$aZm hmoJm & AWdm dh 1 OZdar 2014 H$mo AWdm CgHo$ nyd© H$s {V{W go àdoe H$s {V{W VH$ ‘.à. ‘| nXñW à{Vajm H$‘©Mmar H$m /H$s nwÌ/nwÌr h¡ H$m à‘mU-nÌ {Q>ßnUr :- gm¡{ZH$ dJ© Ho$ AÝVJ©V {H$gr Cå‘rXdma H$s nmÌVm Ho$ gå~ÝY ‘| {H$gr g§Xoh AWdm {ddmX H$s pñW{V ‘| g§MmcH$, g¡{ZH$ H$ë¶mU ‘.à. Ûmam {X¶m

J¶m {ZU©¶ A§{V‘ hmoJm &11. ñdV§ÌVm g§J«m‘ goZmZr (FF)(FREEDOM FIGHTER)

Bg g§dJ© Ho$ A§VJ©V EH$ ñWmZ ñdV§ÌVm goZmZr Ho$ CZ nwÌ/nw{Ì¶m| Ed§ nm¡Ì/nm¡{Ì¶m|/Zm{VZ Ho$ {cE Ama{jV h¡, Omo ‘.à. Ho$ dmñV{dH$ {Zdmgr hmoZo H$s eV© nyar H$aVo h¡ & Bg {Z¶‘ Ho$ àm¶moOZ Ho$ {cE ñdV§ÌVm g§J«m‘ goZmZr go Vmßn¶© ¶h h¡ {H$ CgH$m Zm‘ ‘.à. Ho$ gå~pÝYV {Oco Ho$ H$co³Q´>oQ> ‘| aIr hþB© gyMr ‘| n§OrH¥$V h¢ &

{Q>ßnUr :- ñdV§ÌVm g§J«m‘ goZmZr dJ© Ho$ A§VJ©V àdoe hoVw AmdoXZ H$aZo dmco Cå‘rXdma H$mo ‘.à. Ho$ gå~pÝYV {Oco Ho$ H$co³Q>a go {XE JE {ZYm©[aV àmén ‘|

à‘mU-nÌ àmá H$a àñVwV H$aZm hmoJm & Ho$dc H$co³Q>a AWdm CgHo$ Ûmam àm{YH¥$V A{YH$mar Ûmam Omar {H$¶m J¶m à‘mU-nÌ hr Cå‘rXdma H$m Bg dJ© H$m hmoZo gå~ÝYr EH$‘mÌ d¡Y à‘mU hmoJm &

12. {~Zm dJ© :- Omo Cå‘rXdma Cnamoº$ VrZm| dJm} ‘| go {H$gr ̂ r EH$ dJ© Ho$ AÝVJ©V àdoe Ho$ BÀNw>H$ Zht hmoJo CÝh| CZH$s gå~pÝYV loUr Ho$ AÝVJ©V {~Zm g§dJ© H$m

Cå‘rXdma aIm OmEJm &

6. nVo ‘| n[adV©Z :-

AmdoXH$ Ho$ nVo ‘| n[adV©Z hmoZ H$s [ñW{V ‘| AmdoXH$ H$mo AnZo AmdoXZ nÌ H«$. Ho$ gmW Z¶m nVm VwaÝV à^mar A{YH$mar, {’${O¶moWoamnr {d^mJ ‘.¶.

{M{H$Ëgmc¶, BÝXm¡a H$mo n§OrH¥$V S>mH$ Ûmam ào{fV H$aZm MmhrE & ¶Ú{n nVo ‘| n[adV©Z H$mo ¶Wm ñWmZ A§{H$V H$aZo H$s nyar H$mo{ee H$s OmEJr naÝVw

BgH$m Am¡nMm[aH$ CÎmaXm{¶Ëd g§ñWmZ H$m Zht hmoJm &

à‘m{UV {H$¶m OmVm h¡ {H$ lr/lr‘Vr/Hw$‘mar {nVm/n{V {Zdmgr

Vhgrc {Ocm (‘Ü¶àXoe) amÁ¶ emgZ Ûmam ‘Ü¶àXoe Ho$ ñWmZr¶ {Zdmg à‘mU-nÌ Omar

{H$¶o OmZo Ho$ {cE à^mderc kmnZ {XZm§H$ ‘| {ZYm©[aV ‘mnXÊS> H$s H$§{S>H$m H«$‘m§H$ H$s ny{V© H$aZo Ho$ ’$cñdén

‘Ü¶àXoe Ho$ ñWmZr¶ {Zdmgr h¡ &

2. à‘m{UV {H$¶m OmVm h¡ {H$ ‘Ü¶àXoe emgZ gm‘mÝ¶ àemgZ {d^mJ Ho$ kmnZ H«$‘m§H$ {XZm§H$ Ho$ AYrZ

AmdoXZ Ûmam {X¶ {ddaU AZwgma AmdoXH$ H$s nËZr/Ad¶ñH$ ~ƒo {OZH$m {ddaU ZrMo d{U©V h¡, ‘Ü¶àXoe Ho$ ñWmZr¶ {Zdmgr h¡ &

(1) AmdoXH$ H$s nËZr H$m Zm‘ Am¶w df© h¡ &

(2) AmdoXH$ Ho$ Ad¶ñ¶H$ nwÌ/nwÌr

(1) Am¶w df©

(2) Am¶w df©

(3) Am¶w df©

(4) Am¶w df©

Q>rn : ¶h à‘mU-nÌ Om{V {ZYm©[aV Ho$ {c¶o Omar {H$¶o OmZo dmco Om{V à‘mU-nÌ H$s Om§M ‘| gmú¶ hoVw {dMmamW© J«mø Zht hmoJm &

(AmdoXH$ Ûmam àñVwV enW-nÌ Ho$ AmYma na Omar)

Omo cmJy Z hmo H$mQ> X| &

{d{^Þ à‘mU nÌm| Ho$ àménH$m¶m©c¶ Zm¶~ VhgrcXma/VhgrcXma

àmén-1^mJ (A)

Q>ßnm/Vhgrc

à.H«$./~r-121/df©

{Ocm

{XZm§H$ñWmZr¶ {Zdmgr à‘mU-nÌ

hñVmja VhgrcXma/Zm¶~ VhgrcXma

Vhgrc {Ocm

dmñV{dH$ {Zdmgr à‘mU-nÌ àmén-1^mJ (~)

g§X^© H«$‘m§H$ {XZm§H$

¶h à‘m{UV {H$¶m OmVm h¡ {H$ lr/lr‘Vr/Hw$‘mar AmË‘O/AmË‘Om/nËZr/

lr Omo Vhgrc {Ocm ‘Ü¶àXoe H$m {Zdmg h¡,

àm{YH¥$V A{YH$mar Ho$ hñVmjanXZm‘ Ed§ grc

³¶m|{H$ dh :-1. ‘Ü¶àXoe ‘| n¡Xm hþAm/hþB© h¡ AWdm2. dh/CgH$m nmcH$/d¡Y A{^^mdH$ ‘Ü¶àXoe ‘| {Za§Va H$‘ go H$‘ 15 dfm} go ah ahm h¡ & AWdm3. CgHo$ nmcH$m| ‘| go H$moB© amÁ¶ emgZ H$m godmaV ¶m godm{Zd¥Îm H$‘©Mmar h¡ AWdm Ho$ÝÐr¶ emgZ H$m H$‘©Mmar h¡ Omo ‘Ü¶àXoe ‘|

godmaV h¡ & AWdm4. dh ñd¶§ AWdm CgHo$ nmcH$, amÁ¶ ‘| {nN>co nm§M dfm} go H$moB© AMc g§n{Îm, CÚmoJ AWdm ì¶dgm¶ aIVo h¡ &BgHo$ A{V[aº$1. CgZo AnZr {ejm ‘Ü¶àXoe ‘| pñWV {H$gr ^r ‘mÝ¶Vm àmá {ejU g§ñWm ‘| H$‘ go H$‘ VrZ df© VH$ àmá H$s h¡ & {Og‘| H$jm EH$

Ho$ nyd© H$s {ejm gpå‘{cV Zht hmoJr & AWdm2. CgZo ‘Ü¶àXoe pñWV {H$gr ^r ‘mÝ¶Vm àmá {ejU g§ñWm go {ZåZ{c{IV narjmAm| ‘| go H$‘ go H$‘ EH$ narjm CÎmrU© H$s h¡ & (H$) 10+2 àUmcr H$s Xgdt/ ~mahdt H$jm H$s narjm & (I) AmR>dt H$jm H$s narjm &

{Q>ßnUr : Omo A§e Amdí¶H$ Z hmo CÝh| H$mQ> {X¶m Omd| &

¶hm§ AmdoXH$ H$m nmgnmoQ>©gmB©O H$m ’$moQ>mo cJm¶m

OmEo Omo àm{YH¥$V A{YH$marÛmam gË¶m{nV {H$¶m OmE

{Q>ßnUr (1) AZwgy{MV Om{V H$m AW© h¡ g§{dYmZ Ho$ AZwÀN>oX 341 Ho$ A§VJ©V {d{Z{X©ð> ‘Ü¶àXoe amÁ¶ go g§~§{YV AZwgy{MV Om{V VWm

AZwgy{MV OZOm{V H$m AW© h¡, g§{dYmZ Ho$ AZwÀN>oX 342 Ho$ A§VJ©V {d{Z{X©ð> ‘Ü¶àXoe amÁ¶ go g§~§{YV OZOm{V & ¶h à‘mU nÌ gj‘

A{YH$mar Ûmam {Z¶V Om§M Ed§ AmË‘ g§Vw{ï> Ho$ níMmV hr Omar {H$¶m Omdo, Z {H$ Cå‘rXdma Ho$ A{^^mdH$ Ûmam {X¶o J¶o enW nÌ Ho$ AmYma na

Am¡a Z hr ñWmZr¶ {ZH$m¶m| Ho$ gXñ¶m| Ûmam Omar {H$¶o J¶o à‘mU nÌm Ho$ AmYma na &

ñWm¶r AZwgy{MV Om{V/AZwgy{MV OZOm{V à‘mU nÌH$m¶m©c¶, AZw{d^mJr¶ A{YH$mar (à‘mUrH$aU)

àmén-2

Om{V à‘mU nÌ

AZw^mJ {Ocm ‘Ü¶àXoe

nwñVH$ H«$‘m§H$ à‘mU nÌ H«$‘m§H$ àH$aU H«$‘m§H$

à‘m{UV {H$¶m OmVm h¡ {H$ AmdoXH$ lr/lr‘Vr/Hw$‘mar {nVm/n{V {Zdmgr J«m‘/ZJa

{d.I§. Vhgrc {Ocm g§^mJ Om{V/OZOm{V H$m/H$s gXñ¶ h¡ Am¡a Bg

Om{V/OZOm{V H$mo g§{dYmZ Ho$ AZwÀN>oX 341 Ho$ AYrZ ‘Ü¶àXoe amÁ¶ Ho$ g§~§Y ‘| AZwgy{MV Om{V/AZwgy{MV OZOm{V Ho$ én ‘|

{d{Z{X©ð> {H$¶m J¶m h¡ Am¡a ¶h Om{V/OZOm{V, AZwgy{MV Om{V Ed§ OZOm{V(g§emoYZ) A{Y{Z¶‘ 1976 Ho$

A§VJ©V ‘Ü¶àXoe H$s gyMr ‘| AZwH«$‘m§H$ na A§{H$V h¡ & AV: lr/lr‘Vr/Hw$‘mar {nVm/n{V

H$m Zm‘ AZwgy{MV Om{V/OZOm{V H$m/H$s h¡ &

2. à‘m{UV {H$¶m OmVm h¡ {H$ AmdoXH$ lr/lr‘Vr/Hw$‘mar Ho$ n[adma H$s Hw$c dm{f©H$ Am¶ én¶o h¡ &

hñVmja

{XZm§H$ à‘mUrH$aU A{YH$mar H$m Zm‘ nXZm‘/grc

‘.à. H$s AÝ¶ {nN>‹S>o dJ©(H«$s‘rco¶a H$mo N>mo‹S>H$a) loUr Ho$ Ama{jV ñWmZm| na àdoe Ho$ {c¶o àñVwV {H$¶o OmZo dmco à‘mU nÌ H$m àmén

ñWmB© à‘mU-nÌ

H$m¶m©c¶, AZw{d^mJr¶ A{YH$mar (à‘mUrH$aU)àmén-3


¶h à‘m{UV {H$¶m OmVm h¡ {H$ lr (AmdoXH$ H$m Zm‘) AmË‘O lr {Zdmg/J«m‘

{Ocm/g§^mJ ‘Ü¶àXoe Ho$ {Zdmgr h¡ Omo Om{V Ho$ h¡, {Ogo {nN>‹S>m dJ© Ho$ én ‘|,

‘Ü¶àXoe emgZ, Am{X‘ Om{V, AZwgy{MV Om{V Ed§ {nN>‹S>m dJ© H$ë¶mU {d^mJ H$s A{YgyMZm H«$. E’$-8-5/nƒrg/4/84, {XZm§H$

26 {Xgå~a 1984 Ûmam A{Y‘mÝ¶ {H$¶m J¶m h¡ &

lr ({nVm H$m Zm‘) Am¡a/¶m CZH$m n[adma gm‘mÝ¶V: ‘Ü¶àXoe Ho$ {Ocm

g§Jm^ ‘| {Zdmg H$aVm h¡ &

¶h ^r à‘m{UV {H$¶m OmVm h¡ {H$ lr ({nVm H$m Zm‘) H«$s‘rco¶a(g§nÞ dJ©) ì¶{º$¶m|/dJm} H$s loUr ‘| Zht

AmVo h¡, {OH$gm C„oI ^maV gaH$ma, H$m{‘©H$ Ed§ à{ejU {d^mJ Ho$ n[anÌ H«$‘m§H$ 360/2/22/93 ñWm. (Eg.gr.Q>r.) {XZm§H$

08.09.93 Ûmam Omar gyMr Ho$ H$mc‘-3 ‘| VWm ‘.à. emgZ, gm‘mÝ¶ àemgZ {d^mJ Ho$ kmnZ H«$‘m§H$ E’$-7-16/2000/1 Am.à

{XZm§H$ 6 OwcmB©, 2000 H$s AZwgyMr AZwH«$‘m§H$ 6 Am¶/g§nÎmr Am§H$cZ ^mJ(H$) g§emo{YV H$mc‘ (3) ‘| {H$¶m J¶m h¡ &

{XZm§H$à‘mUrH$aU A{YH$mar H$m Zm‘ nXZm‘(grc)

H$m¶m©c¶ VhgrcXma / Zm¶~ VhgrcXma àmén-4

Q>ßnm/Vhgrc

à.H«$./~r-121/df©Am¶ à‘mU-nÌ

à‘m{UV {H$¶m OmVm h¡ {H$ AmdoXH$ lr/lr‘Vr/Hw$‘mar {nVm/n{V {Zdmgr

Vhgrc {Ocm ‘Ü¶àXoe H$s/Ho$ n[adma H$s g‘ñV ómoVm|

go dm{f©H$ Am¶ én¶o (eãXm| ‘| én¶o ) h¡ &

(AmdoXH$ Ûmam àñVwV enW-nÌ Ho$ AmYma na Omar)

{Ocm

{XZm§H$

g¡{ZH$ g§dJ© ({‘coQ´>r ng©Z) hoVw à‘mU nÌ

^yVnyd© g¡{ZH$/‘¥V à{Vajm H$‘©Mmar/ñWm¶r én go {dH$cm§J à{Vajm H$‘©Mmar

àmén-5^mJ (A)


¶h à‘m{UV {H$¶m OmVm h¡ {H$ lr/lr‘Vr Omo ‘hmË‘m J§mYr ñ‘¥{V {M{H$Ëgm

‘hm{dÚmc¶ BÝXm¡a (‘.à.) Ûmam g§Mm{cV ~¡Mca Am°’$ [’${O¶moWoaonr H$mog© df© ‘| nmR²>¶H«$‘ ‘| àdoe

Ho$ {c¶ Cå‘rXdma lr/Hw$‘mar Ho$ {nVm/‘mVm h¡

(A) Wc goZm/dm¶wgoZm/Zm¡goZm Ho$ /H$s ^yVnyd© g¡{ZH$ h¡, godm{Zd¥{Îm/godm‘w{º$ Ho$ g‘¶ do nX na Wo/Wr CZH$m

g{d©g H«$‘m§H$ Wm &

AWdm

(~) CÝhm|Zo WcgoZm/dm¶wgoZm/Zm¡goZm ‘| nX na g{d©g H«$‘m§H$ Ho$ AYrZ godm H$s h¡ godm Ho$ Xm¡amZ do

ñWm¶r én go {dH$cm§J hmo JE h¡/godm Ho$ Xm¡amZ CZH$s ‘¥Ë¶w df© ‘| hmo MwH$s h¡ &

ñWmZ

{XZm§H$

{Ocm g¡{ZH$ H$ë¶mU A{YH$mar Ho$ hñVmja

(H$m¶m©c¶ H$s ñnï> ‘wha)


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(~) WcgoZm/dm¶wgoZm/Zm¡goZm ‘| Ho$ AmohXo na g{d©g H«$‘m§H$ Ho$ AYrZ H$m¶©aV à{Vajm H$‘©Mmar

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(H$m¶m©c¶ grc)

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(1) à‘m{UV {H$¶m OmVm h¡ {H$ lr/Hw$‘mar (Cå‘rXdma H$m Zm‘ nwÌ/nwÌr/lr/lr‘Vr

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(2) lr/lr‘Vr H$m Zm‘ ‘Ü¶àXoe Ho$ {Ocm ({Oco H$m Zm‘) ‘|

g§Ym[aV (Maintained)ñdV§ÌVm g§J«m‘ Ho$ n§Or(Register) Ho$ H«$‘m§H$ na n§OrH¥$V h¡ &

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(H$m¶m©c¶ grc)

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(H$m¶m©c¶ H$s ñnï> ‘wha)

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nyU© Zm‘

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àmén-07

àmén-08

INSTRUCTIONS FOR COMPLETION & SUBMISSION OF APPLICATION FORM· Use Black ink ball pen only to fill-up the form.

· Candidates must retain a photocopy of the filled-in application form & acknowledgment card , before

Submitting it for their personal records and future reference.

· Application form is to be filled up neatly and legitimately. Please ensure to write address and sign the

application form only in the relevant box.

· The photograph of the size 3.5cm X 4.5cm must be against a light background.

· Left thumb impression should be put on given box at application form by the candidate

· Information required in the relevant box is to be filled in Capital Letters only and tick (Ö) clearly the

required information in the boxes wherever provided.

· Please note that name, father's name and date of birth should as recorded as per High School or first

Board/Matriculation examination certificate. Any deviation may lead to cancellation of your candidature, whenever noticed.

1. NAME OF THE CANDIDATE Write your name in capital letters as given in your original certificate of the High School or Your first Board/University Examination. Write single letter in a box. Leave one blank box between any two parts of the name as shown in the example- If your name is “Neha Sharma” then fill in the application form :-

2. CATEGORY : Please tick (Ö) in the appropriate box.

3. GENDER : Please tick (Ö) in the appropriate box.

5. DATE OF BIRTH Enter the date, month and year of your birth as per the English calendar and as recorded in your High School/Matriculation/Secondary School Certificate. Use numerals 01 to 31 for Date, 01 to 12 for MONTH and four digits for the YEAR of birth e.g. May 27, 1988 should be entered as follows.

TH7. YEAR OF PASSING 10 CLASS OR EQUIVALENT Candidates are required to fill up their passing year of both Class or Equivalent Examination in boxes.

TH8. YEAR OF PASSING 12 CLASS OR EQUIVALENT Candidates are required to fill up their passing year of Qualifying (10+2) Examination in boxes.9. MARKS IN QUALIFYING EXAMINATION (10+2) Kindly fill in the appropriate subject and percentage of marks obtained in the 10+2 (qualifying examination). The original mark sheet will have to be produced at the time of counseling\admission. 10. ADDRESS OF THE CANDIDATE Write your complete postal address for sending communication. Address must include your Name, C\o Name (if required) and Pin code which are essential for speed post to reach you. Candidates are encouraged to provide e-mail address\Mobile No. for fast communication.

th11. GIVE NAME OF THE PARENT/GUARDIAN AS RECORDED IN THE 10 CLASS CERTIFICATE13. DECLARATION BY THE CANDIDATES The Candidate must sign the declaration on a prescribed format. Parent\Guardian should also sign at the place provided. Application without signature will be summarily rejected.14. After filling up of the form take Xerox of same. Send original copy by speed\registered post to - The Officer Incharge Department of Physiotherapy Room No. G-18, Near Trauma Center/Casualty Maharaja Yashwantrao Hospital, A.B. Road, Indore -452001

N E H A S H A R M A

2 7 0 5 1 9 8 8

Application No.

DEPARTMENT OF PHYSIOTHERAPYM.G.M. MEDICAL COLLEGE & ASSOCIATED HOSPITALS SOCIETY, INDORE

E-Mail- [email protected] Ph. No. : 0731-2528516, 2438194

APPLICATION FROM - 2017BACHELOR OF PHYSIOTHERAPY

10+2 Scheme 12th Pass PCB (Physics + Chemistry + Biology)DETAILS OF MARKS OBTAINED (For Office Use Only)

Merit No. .........................

Date Sheet No. ...............

Checked by.....................

Verified by.......................

P C B Total

Unreserved SC ST

O.B.C. MP FF PHC

AFFIX ATTESTED RECENT

PASSPORT SIZE PHOTOGRAPH

DULY ATTESTED BY GAZATTED

OFFICER

(SC- Scheduled Caste, ST-Scheduled Tribes, OBC- Other Backward Class, MP-Military Personnel, FF-Freedom Fighter, PHC-Physically Handicapped) (Enclose certificate of competent authority in prescribed form if applying for reserved category)

PERSONNAL INFORMATION(USE CAPITAL LETTERS ONLY)

Name

Father’s/ Guardian’s Name

Mother’s Name

Date of Birth Sex Male Female

Parent’s Occupation (Father) (Mother)

Parent’s Annual Income (Father’s) (Mother’s) Total `

STD Code Phone No. Parent’s Mob. No.

Applicant’s Mob. No. Fax/e-mail

Complete Postal Address

Pin

CATEGORY : (Please tick applicable)

godm kmZ

gmYZm


D O

E R

M E . (MM. .G P. .)M

NOTE :1. A CANDIDATE CAN APPLY ONLY IN ONE CATEGORY 2. SUBMIT THE FORM BY HAND OR SEND BY REGISTERED POST3. THE APPLICATION FORM ALONG WITH ALL ENCLOSURES MUST BE SUBMITTED ON OR BEFORE DUE DATE TOThe Officer Incharge, Department of Physiotherapy, Room No. G-18, Near Trauma Center/Casualty Maharaja Yashwantrao Hospital, A.B. Road, Indore -452001

Candidate’s Left Thumb Impression

D D M M Y Y Y Y (Please tick applicable)

Aadhar No. of Applicant

Father’s Aadhar No.

ACADEMIC RECORD (Class X onwards)(Please enclose duly attested copies of testimonials; originals to be produced at the time of admission)

Examination Year of School Board Miximum Marks Percentage

Passing Marks obtained

10th Class

11th Class

12th ClassthTo be filled up from 12 or (10+2) marksheet

Subject Max. Marks Marks Obtained Aggregate Marks in Science Subjects

(Physics, Chemistry, Biology)

Physics

Chemistry

Biology

English

Hindi

Total Marks

LIST OF ENCLOSURES :-

Check List of the documents to be enclosed

1. 10th Marksheet 6. Cast Certificate (If applicable, For SC/ST/OBC)

2. 12th Marksheet 7. Income Certificate in case of SC/ST/OBC

3. Domicile Certificate M.P. State 8. ST/SC/OBC Ho$ AmdoXH$m| Ho$ {cE A{^^mdH$m| Ûmam dm[f©H$ Am¶ H$m KmofUm nÌ àmén 8 Ho$ AZwgma

4. Gap Certificate (If any) 9. 9”x 4” size Envelope (ñd¶§ H$m nVm ñnï> Ajam| ‘| {cIm) with Rs. 5/- Stamp.

5. Aadhar card 10.

g§`wº$ dMZ nÌ (DECLARATION)h_ (A{^^mdH$ Ed§ AmdoXH$/Amdo{XH$m) g§`wº$ ê$n go {d{YdV KmofUm H$aVo h¡ {H$ h_mao Ûmam {ZåZm§{H$V _m{h{V h_mar OmZH$mar AZwgma gË` Ed§

ghr h¡-1. Bg AmdoXZ nÌ _| h_mao Ûmam àñVwV H$s JB© g_ñV OmZH$m[a`m§ ghr Ed§ gË` h¡Ÿ&2. _¢ dMZ XoVm/XoVr hÿ§ {H$ ̀ {X ~r.nr.Q>r. àW_ df© _| _wPo àdoe {_cVm h¡ Vmo _¢ nyU© ê$n go g§ñWm _| dV©_mZ àM{cV {Z`_m| Ed§ {Xem-{ZX}em| H$mo

g»Vr go nmcZ H$ê§$Jm/H$ê§$Jr Am¡a ̂ {dî` _| ̀ {X BZ {Z`_m| Ed§ {Xem-{ZX}em| _| n[adV©Z {H$`m OmVm h¡ Vmo CgHo$ nmcZ Ho$ {c`o ̂ r dMZ~Õ hÿ§Ÿ&3. _¢ enWnyd©H$ `h ^r H$WZ H$aVm/H$aVr hÿ§ {H$ g§ñWm Ed§ g§ñWm Ho$ ~mha Eogr {H$gr ^r àH$ma H$s Agm_m{OH$ J{V{d{Y`m| _| g{å_{cV Zht

ahÿ§Jm/ahÿ§Jr, {Oggo g§ñWm {H$ gmI d à{Vð>m na H$moB© Am§M Am`oŸ&4. àdoe Ho$ g_` _|ao Ûmam Xr JB© OmZH$m[a`m§ JcV ̀ m AgË` nmB© OmVr h¡ Vmo g§ñWm H$mo ̀ h nyU© ê$n go A{YH$ma hmoJm {H$ _oam àdoe Vwa§V {ZañV H$a

X|Ÿ& _oao àdoe {ZañVrH$aU na _oao Ûmam àdoe Ho$ g_` O_m {H$`m J`m {ejU Ed§ AÝ` ewëH$ amOgmV H$aZo H$m g§ñWm H$mo nyU© A{YH$ma ahoJmŸ&5. h_Zo g§ñWm Ho$ àdoe {Z`_m| Ed§ [Xem-{ZX}em| H$mo gmdYmZr nyd©H$ n‹T Ed§ g_P {c`m h¡ Ed§ h_ gË`m{nV H$aVo h¡ {H$ EH$ ~ma h_mao Ûmam O_m H$s

JB© {ejU ewëH$ BË`m{X H$s am{e (dmngr ̀ mo½` am{e H$mo N>mo‹S>H$a) dmngr H$m Xmdm {H$gr ̂ r pñW{V`m| _| àñVwV Zht H$a|JoŸ&

{nVm/A{^^mdH$ H$m Zm_ ..................................................

hñVmja............................................................................

{XZm§H$.....................................ñWmZ....................................

AmdoXH$/Amdo{XH$m H$m Zm_ ..............................................

hñVmja ......................................................................

For use ofAdmissioncommitte

Checked by.............................................. Fees Rs.....................................

Verified by..................................................Cashier ....................................

21-08-2017 : Last date of submission of completed application forms up to 3:30 P.M.24-08-2017 : Declaration of provisional list of successful candidates on merit shall be put up on the notice board (11:00 AM).

26-08-2017 : Objection, representation, protest, if any, regarding this provisional list should be lodged on or before in writing to Officer Incharge.

04-09-2017 : Counseling and fees payment of the successful candidates shall be at 10.00 A.M. in the Assembly Hall (Auditorium) M.G.M. Medical College, Indore.

07-09-2017 : Regular classes for the students shall start.

30-11-2017 : Admission will be closed.

The admission brochure can be obtained in cash for Rs. 500 /- or by sending a Demand Draft of Rs. 600/- in favour of the “SCHOOL OF PHYSIOTHERAPY” payable at Indore.

Important Dates: Sale of admission forms 10-07-2017 to 18-08-2017 up to 3.30 PM

M.G.M. MEDICAL COLLEGE & ASSOCIATED HOSPITALS SOCIETY, INDORE

E-mail [email protected] : 0731-2528516, 2438194

DEPARTMENT OF PHYSIOTHERAPY

ACKNOWLEDGMENT

Received Application Form No. from (Name of Applicant)

on (date) for admission to B.P.T. Course.

Receiver’s Signature

M.Y. HOSPITAL, INDORE

àdoe Ho$ g‘¶ cmZo hoVwAmdí¶H$ ‘yc (Amo[aOZc) à‘mU-nÌm| H$s gyMr :

1. ñWmZmÝVaU (Q>r.gr.) à‘mU nÌ &2. àdOZ (‘mB©J«oeZ) à‘mU-nÌ 3. Xgdt Ed§ ~mahdt H$s A§H$ gyMr &4. ‘Ü¶àXoe H$m ‘yc {Zdmgr à‘mU-nÌ5. Jon à‘mU-nÌ (¶{X Amdí¶H$ hmo) &6. ‘o{S>H$c {’$Q>Zog à‘mU-nÌ (‘mÝ¶Vm àmá {M{H$ËgH$ Ûmam)7. Xmo nmgnmoQ>© gmBO ’$moQ>mo & SC/ST/OBC N>mÌ/N>mÌm Ho$ {cE1. gj‘ A{YH$mar Ûmam Omar {ZYm©[aV àmén ‘| à‘mU nÌ &2. N>mÌ/N>>mÌm Ho$ A{^^mdH$m| H$s Am¶ H$m à‘mU nÌ ¶m doVZ nÌ (Zm¡H$ar ‘| H$m¶©aV A{^^mdH$)3. AmYma H$mS>©

Price Rs. 500/- Only (Incl. of Application form)

Department of Physiotherapy Room No. G-18, Near Trauma Center/Casualty M.Y. Hospital, M.G.M. Medical College A.B. Road, Indore -452001 Ph. No. : 0731-2528516