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Price: INR 2000/- Application Registration No.

Gujarat Medical Education and Research Society

Gandhinagar- 382012

APPLICATION FORM Cum RULES & REGULATIONS (NRI Quota Seats) 2014 – 15

M.B.B.S. Course at:

1. GMERS Medical College, Sola, Ahmedabad 2. GMERS Medical College, Gotri, Vadodara 3. GMERS Medical College, Gandhinagar

4. GMERS Medical College, Dharpur-Patan*

5. GMERS Medical College, Valsad [* Subject to approval by MCI/Govt. of India]

LAST DATE OF RECEIVING APPLICATION July 15, 2014

NAME (Surname first)

FOR OFFICE USE ONLY MERIT MARKS: Category: NRI/NRI Children/NRI Dependent

Prepared By Checked By

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2014

R E C E I P T

Received from Mr. /Miss

(For candidate to write)

an application form for admission to FIRST M.B.B.S. Course on NRI seat along with

Application and Processing Fees of Rs. 8000/-by D.D. No.___________________ in

favour of “NRI Admission GMERS” Payable at Gandhinagar Drawn on Bank and

Branch _______________________________ Date:__________________

For Office Use Only

Regd. No. Dated. Category Claimed

Receiver’s Signature Gujarat Medical Education and Research Society ______________________________________ Tel. No. Office : + 91 79 2766 1187

Fax : + 91 79 2766 1190

Email :gmersmchsola@gmail.com

Website:- www.medadmbjmc.in, www.gmersmchsola.com. www.gmers.gujarat.gov.in

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IMPORTANT INSTRUCTIONS

1. Students should carefully read the rules for admission before submitting the

application form. In the event of anything stated therein being found factually

incorrect, the admission will be liable to be cancelled and concerned candidate

and sponsor will be liable to face legal action.

2. A candidate seeking admission to the M.B.B.S. Courses on NRI seats must submit

his/her application in writing in the prescribed form which may be downloaded

from www.medadmbjmc.in, www.gmersmchsola.com and

www.gmers.gujarat.gov.in and submit with Rs.2000/- as form fee plus Rs.

6,000/- as processing fees thus total Rs. 8000/- by Demand Draft. The form duly

filled and signed, together with all necessary documents, a self-addressed envelope

and DD is to be submitted personally during office hours at Office of the Dean,

GMERS Medical College, Sola-Ahmedabad on or before the prescribed last date, i.e.

July, 15 2014 which is notified in the newspaper. Incomplete application will be

rejected. The payment shall be made by DD in favor of “NRI Admission GMERS”

payable at Gandhinagar.

3. Students joining GMERS Medical College will be awarded degree from concerned University to which the college is affiliated.

4. No application for admission will be considered unless it is accompanied by attested copies of the certificates.

5. Any change in any of the documents or in the examination marks after submission

of the application should be promptly reported to the Office of the Dean, GMERS

Medical College, Sola-Ahmedabad with attested copy of the same. The candidate

will be responsible for consequences if he/she fails to do so.

6. Admission to NRI quota seats at GMERS Medical Colleges will be finalized on the basis of merit list as prescribed under the rules. Time table and venue for the personal interview will be intimated later. The students are advised to carefully note down the time and venue of their personal interview. The college will not be responsible if students loses his admission by remaining absent at the interview.

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RULES & REGULATIONS: The Rules for Admission to MBBS Course at the GMERS Medical Colleges are in Accordance with the Notification of the Health and Family Welfare Department, Government of Gujarat dated 27th May, 2014. 1. DEFINITIONS:

(a) “NRI” means a Non-Resident Indian as defined under Income Tax Act.1961 read with Foreign Exchange Management Act, 1999. Accordingly following criteria will be used for determining the NRI status of the candidate / parent / sponsor: Non-resident Indian is “a person who is not resident in India”. An individual is said to be resident in India if in the previous financial year, if he –is in India for a period or periods amounting in all to one hundred and eighty two days or more. The term NRI is defined under FEMA rules and regulations as ‘A person resident outside India who is either a citizen of India or is a person of Indian origin (PIO).’ Under the Foreign Exchange management (Deposit) Regulations, 2000, which deal with banking accounts in India by NRIs, the term PIO is defined as below: A Person of Indian Origin (PIO) is a citizen of any country other than Bangladesh or Pakistan, if he at any time held an Indian passport or he or either of his parents or any of his grandparents was a citizen of India by virtue of the Constitution of India or the Citizenship Act, 1955 or he is spouse of an Indian citizen or a person referred to in ‘a’ or ‘b’. Resident Outside India: Person resident outside India means a person who is not resident in India. Resident in India: Person Resident in India means: 1. Person Resident in India for more than 182 days during the course of preceding financial year but does not include: A) A person who has gone out of India or who stays outside India, in either case: (A.1) for or on taking up employment outside India; or (A.2) for carrying on outside India a business or vocation outside India; or (A.3) for any other purpose, in such circumstances as would indicate his intention to stay outside India for a uncertain period. B) A person who has come to or stay in India, in either case, otherwise than: (B.1) for or on taking up employment in India, or (B.2) for carrying on in India a business or vocation in India, or (B.3) for any other purpose, in such circumstances as would indicate his intention to stay in India for an uncertain period; 2. Any person or body corporate registered or incorporated in India; 3. An Office, Branch or Agency in India owned or controlled by a person resident outside India; 4. An Office, Branch or Agency in India owned or controlled by a person resident in India.

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(b) Person of Indian Origin: Person of Indian Origin" means a foreign citizen (not being a citizen of Pakistan, Bangladesh and other countries as may be specified by the Central Government from time to time) if, _ he/she at any time held an Indian passport; or _ he/she or either of his/her parents or grand parents or great grand parents was a citizen of India by virtue of the Constitution of India of the Citizenship Act,1955 (57 of 1955); or _ he/she is a spouse of a citizen of India or a person of Indian origin covered under (i) or (ii) above.

(c) NRI Dependent:

Please refer High Court of Gujarat Order dt.27.09.2010 in SP.CA. No.9079/2010. The student seeking admission under NRI Dependent category should submit the affidavits duly affirmed before the Executive Magistrate, by their parents, categorically stating as to how they do not have economic means to provide for necessary fees and other expenditure for the course in question. The aforesaid affidavit should also indicate as to in what manner a student claims to be a dependent of NRI and also indicate the materials suggesting that in past also for his/her education and other related requirements, he/she was dependent on such sponsor.

2. ELIGIBILITY CRITERIA: Please refer to rules- Para 6B notification by Health & Family welfare

department, Government of Gujarat, Gandhinagar dated 19th

April, 2012 and 12th June, 2013.

a) (1) A candidate shall be Non-Resident Indian, or

(2) His/her parents or in absence of his/her parents, his/her legal guardian shall be Non-Resident Indian, or

(3) He/she shall be dependent of Non-Resident Indian for the educational purposes and shall have necessary proof/evidence in support of his/her dependent.

b) The candidate should have secured minimum 50% marks in subject of Physics, Chemistry

and Biology in respective exam of board as per norms of MCI. c) Bonafide NRI students shall be required to the produce equivalence certificate, from the

Gujarat Higher Secondary Education Board, Gandhinager or Association of Indian

Universities, New Delhi of his/her passing the qualifying examination of the country to

which such examination relates.

d) A candidate shall have completed 17 years of age on the 31st December of the Academic

Year for which the admissions are being conducted:

Provided that in case of under-age candidate, he/she may be granted admission at the time of counseling but his/her academic term shall start from the day when he/she completes 17 years of age and his/her term in the concerned Professional Educational College or Institution shall commence after completion of age of 17 years.

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e) “Provisional Eligibility Certificate” should be obtained from concerned University within

one month of admission. 4. MERIT LIST: Please refer to rules- Para 7C (4) of notification Health & Family welfare

department, Government of Gujarat, Gandhinagar dated 19th

April, 2012and 12th

June, 2013.

Admission on the non-resident Indian seats shall be given by the management on the basis of inter-se merit list of the candidates, who have applied for admission against the Non-Resident Indian seats in the following manner namely:

(i) The candidate who is Non-Resident Indian as also the candidate whose parents and in the

absence of his/her parents, his/her legal guardian who is Non-Resident Indian, shall be

offered the Non-Resident Indian seats in the first instance, and thereafter, the Non-

Resident Indian Seats, if remains vacant, shall be offered to the candidate who is

dependent of the Non-Resident Indian. (ii) The merit order will be decided on the basis of total marks obtained in theory in qualifying

examination of the science subjects i.e. Physics, Chemistry & Biology at HSCE or its equivalent examination.

(iii) The criteria for deciding merit order in case of students having equal merit shall be in the

following sequence, namely:-

(a) The candidate who has obtained higher marks in the subject of Biology in qualifying examination.

(b) Higher Marks obtained in English subject in qualifying examination (c) Higher Marks obtained in Secondary School Certificate Examination (Standard 10), and (d) Date of birth (Candidate who is older in age shall be given priority).

5. DOCUMENTS: Application will be considered only if it is accompanied by copies of the

following certificates, duly attested by a Gazetted Officer or by a Principal of School/College.

(a) School Leaving Certificate or any other authorized document clearly showing date of birth.

(b) SSCE (or its equivalent examination) mark sheet, passing certificate and attempt

certificate.

(c) HSCE (or its equivalent examination) mark sheet, passing certificate and attempt certificate.

(d) Equivalence Certificate of HSCE examination in case of students from foreign country. (e) Document related to proof of place of origin (Citizenship/P.R. Card etc.)

(f) Undertaking in regards of fees from NRI Student / Parent for NRI/ NRI Children / NRI

Ward Category. (g) Undertaking letter from sponsor for NRI Dependent category. (h) Affidavit before Executive Magistrate / Notary Public for NRI dependent.

(i) Passport (attested color Xerox copies of all pages of Passport) of NRI / NRI Children /

NRI Sponsor/Ward category which should include the period from 1-4-2013 to 31-3-2014. If the current passport does not include this period, copy of the previous passport

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is also to be submitted. (j) Self addressed envelope. (k) Original transcript in case of student from foreign country.

6. The applicant shall have to produce the original certificates at the time of interview. If

during scrutiny or any time thereafter any discrepancy or incorrectness is noticed, the

admission is liable to be cancelled forthwith. The candidate could be expelled and criminal

action would be initiated against him.

7. An applicant who has passed the qualifying examination from other State/National boards

will be admitted provisionally till he/she produces certificates or provisional eligibility from concerned University within one month of joining course. Their admission will be confirmed only after final eligibility certificate from the University is produced.

8. (i)The tuition fees payable will be as follows:-

The fees shall be paid every six months (US $ 8,000 or equivalent in foreign

currency).

(ii) In addition, the student will pay enrollment fees to the University at the time of admission as prescribed by the University and will also pay before beginning of each term fees for students’ gymkhana as fixed by the Dean from time to time.

(iii) The tution fees US$72000 is for the prescribed duration of MBBS course i.e. 4½

years of the study of medical course and one year of internship. If this period is

prolonged beyond 4½ years for reasons such as failures or drop at the

examination, inadequate attendance etc., the student will have to pay additional

fees as under :

(a) Failed in one subject : US $ 667/-

(b) Failed in two subjects : US $ 1334/-

(c) Failed in three subjects : US $ 2000/-

(iv) The tuition fees should be paid through a crossed D.D. in foreign currency drawn in favour of “NRI Admission GMERS” payable at Gandhinagar. No wire transfer or electronic transfer is allowed.

(v) All the students who are admitted under NRI seats quota will have to submit an

undertaking for the payment of fees in the format prescribed by the institute and submit it along with the application form.

(vi) The selected student will pay the total amount institutional fee (all terms) if he/she

leaves course incomplete and join the other college after final counseling. No fees /

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charges will be refunded if a student leaves the course midway for any reason

whatsoever or is expelled from the college for any reason whatsoever or is prohibited

by the university to pursue his studies further for any reason.

(vii) Fees, once paid will not be refunded except:

a. Candidate who was admitted provisionally is declared not eligible for admission by

the University afterwards in which case 90% of the tuition fees will be refunded or

b. Student dies during the course. Proportional amount of tuition fees for unutilized term will be refunded. However, no part of other charges or fees will be refunded.

9. Residence in the college hostel will be offered to the students as available. The allotment,

decided on the basis of merit/requirements, will be at the discretion of the Dean / Principal. Admission to the college does not guarantee hostel admission.

10. The hostel fees will be charged at rate fixed by the Dean/Principal from time to time and will

be paid by the student before the beginning of each term. Any other fee is to be paid by student, as decided by college authorities at par with all students.

11. So long as the father of the student is alive, no other person will be ordinarily accepted as

his guardian.

12. Chairman, GMERS reserves the right to insert any new rule or to edit / modify / delete any

rule to meet the exigencies of situation at any time.

13. The college follows the curriculum and study pattern prescribed by the Medical council of

India, as per its present guidelines the academic terms are as follows: (a) First Term : August to January

(b) Second Term : February to July. 14. For further information or clarification, contact:

Tele:- +91-79-2766 1187 Fax: +91-79-2766 1190 Web: www.medadmbjmc.in, www.gmers.gujarat.gov.in

15. Interpretation: In implementation of the provisions of these rules, if any difficulty or question arises as to the interpretation of any provision, decision of the Chairman, Gujarat Medical Education and Research Society shall be final.

16. The Jurisdiction of any dispute will be at Ahmedabad.

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Application Form M.B.B.S. COURSE ON

NRI SEATS Academic Year 2014-2015 Course Applied For (Please √ mark): M.B.B.S. Category Applied for (please √ mark): (a) NRI/NRI Children/NRI Wards

(b) NRI Dependent IMPORTANT:

(1) Students should carefully read the rules for admission before submitting the application form. The application must be accompanied with Form Fee of Rs.2,000/- plus Processing fees of Rs. 6,000/- thus total Rs. 8000/- by Demand Draft payable to “NRI Admission GMERS” at Gandhinagar.

(2) Every entry in the form must be completed in detail. Incomplete applications are liable to be rejected. (3) No application for admission will be considered unless it is accompanied by attested copies of the documents mentioned in Rule No. 5. (4) Students should carefully read the rules for admission before submitting the application form. Inthe

event of anything stated therein being found factually incorrect, the admission will be liable to be cancelled.

A: APPLICANT’S DETAILS

1. Full Name: (Surname) (First Name) (Middle Name)

2. Father’s/Husband/

Guardian Name: (Surname) (First Name) (Middle Name)

3. (a) Sponsor’s Name: (Surname) (First Name) (Middle Name)

(b) Relationship: ______________________________________________ ______________________________________________

(c) Permanent Address: ______________________________________________ (Parents/Sponsor) ______________________________________________ 4. Present Address: _________________________________________________

(Applicant) _________________________________________________ _________________________________________________ _________________________________________________

5. Permanent Address: _________________________________________________

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[if different from (4)] _________________________________________________

6. Telephone No & Area Code: (Mobile) : {____________} ____________________________

{Residence}: {____________}____________________________

{Office} : {____________}____________________________

{FAX} : {____________}____________________________

{E-Mail} : _________________________________________

(Mandatory) (Local Contact Phone No.) _______________________________

(Mobile) ___________________________________________ 7. Sex : Male / Female

8. Religion : __________________________

9. (a) Date of Birth : _________ ___________ __________ (Date) (Month) (Year)

(b) Age in completed year: ___________________________

(as on 31st

December, 2014)

10. Nationality: ___________________________

11. (a) Place of Birth (a) Country : ____________________

(b) State : ____________________

(c) District : ____________________

(d) City/Town/Village : _____________________

(b) If the place of birth is outside India, give following details: (a) Present Nationality : ____________________

(b) Country of your present passport: _______________

(c) Passport Valid up to : _____________________

(d) Passport Number : ____________________

(e) Issued By : __________________________

12. Category applied 1. NRI/NRI children / NRI Wards

2. NRI dependent

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13. Details of S.S.C. Examination (Std. X) or its equivalent passed by student:

(a) Name of Examination :(a) __________________________________________

(b) Name of Board :(b) _________________________________________

(c) Name of School :(c) __________________________________________

(d) Address of School :(d) _________________________________________

(e) Month & year of Passing :(e) __________________________________________

(f) Examination Seat No. :(f) __________________________________________

(g) Marks obtained :(g) __________________________________________

14. Details of H.S.C. Examination (Std.XII) or its equivalent passed by student:

(a) Name of Examination :(a) __________________________________________

(b) Name of Board :(b) __________________________________________

(c) Name of School :(c) __________________________________________

(d) Address of School :(d) __________________________________________

(e) Month & Year of Passing :(e) _________________________________________

(f) Examination Seat No. :(f) __________________________________________

(g) Marks obtained :(g) __________________________________________

(h) Number of attempts :(h) __________________________________________

17. Marks obtained at H.S.C.E. or Equivalent Examination:

SUBJECT

THEORY MARKS PRACTICAL MARKS

MAXIMUM OBTAINED MAXIMUM OBTAINED

1. Chemistry

2. Physics % Marks:

3. Biology Theory ONLY

(up to 4 digits)

4. Total of 1 to 3

5. English ------

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18. No. of days spent abroad in the last financial year i.e. 1stApril 2013 to 31stMarch 2014 (NRI Student/Parent/Sponsor):

Period From To Total days

Inside India

Outside India

I solemnly declare that I have personally checked and verified all the information

filled in this form and that they are correct and that no relevant information of fact is suppressed or omitted.

I undertake to abide by the decision / order of the Dean/Principal to cancel my

admission and/or to expel me from the college and/or to prosecute me in case any

incorrect information or discrepancy is found in this form either at the time of admission

or at any time during the course of my study.

I hereby agree, if admitted, to conform to the Rules and Regulations of the Medical

College in force and that may hereafter be made for the governance of the college and

undertake that so long as I am a student of the college I will do nothing either inside or

outside the college that will interfere with its orderly governance, discipline and good

name. Date: _____________________ _____________________

Place: Signature of the Signature of the

Father/Guardian Student

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CHECKLIST Please tick (√) appropriate box of the documents you have submitted with this application. (Attach only the attested photocopies in the sequence given below)

1. School Leaving Certificate or other document showing place of birth. ( )

2. S.S.C.E. / Equivalent Examination Mark sheet. ( )

3. S.S.C.E. / Equivalent Examination Passing Certificate. ( )

4. H.S.C.E. / Equivalent Examination mark sheet. ( )

5. H.S.C.E. / Equivalent Examination Attempt Certificate. ( )

6. Transcript – for abroad student. ( )

7. Equivalence Certificate – for abroad student. ( )

8. Passport (Attested color photocopies of all pages including

blank Pages) of NRI/NRI Parents/Sponsor ( )

9. Undertaking in regard for the fees from NRI Student/Parent ( ) 10. Undertaking letter from NRI Sponsor ( )

11. Affidavit before Executive Magistrate / Notary for NRI Dependent ( )

12. Document/s for Proof of Origin (Citizenship Card/P.R. Card etc.) ( )

13. Self-addressed envelope ( )

14. Any other (Please specify the document):

(a) _________________________________________________ ( )

(b) _________________________________________________ ( )

(c) _________________________________________________ ( ) Date: _____________________

(Signature of Candidate)

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FORMAT OF UNDERTAKING FOR NRI/NRI CHILDREN/WARDS CATEGORY (MBBS) (TO BE NOTARIZED BY NOTARY PUBLIC)

FROM:

1. PARENT/LEGAL GUARDIAN

[Name & Address]

2. STUDENT [Name & Address]

Date:

Sub: Undertaking in regard for the fees to be paid to the college

Dear Sir,

(1) I, Mr./Ms.__________________________________________________ (Name of the student) residing at_________________________________________________________________________

(2) We, Mr./Ms._________________________________________(Name of the Parent/Guardian) residing at ______________________________________ the former having been admitted to the 1

st year

M.B.B.S Course at your institute under NRI seat quota hereby agree, affirm and declare jointly and severally

that the fees of US$ 72,000/- (US Dollars Seventy two Thousand Only) for entire M.B.B.S. course will be paid

by us to the said Institute for the entire course by installments as specified by the institute and the said fee

shall be neither negotiable nor refundable in full or part thereof under any circumstances except as provided

under the rules of admission and that thereof we will not raise the issue of refunding to us the said amount

at any time or under any circumstance.

We also agree and undertake to pay the additional fee as per clause 8(iii) of admission rules for

each term if the period of study is prolonged beyond the normal prescribed period of 4 1/2 years of

study and one year of internship due to any reason whatsoever. We also understand that if all the dues

are not cleared, the student may not be sent up for the examination.

Yours faithfully,

_________________________ ____________________________

PARENT/GUARDIAN STUDENT

The above declarations duly notarized by me. Mr./Ms. ________________________________________________________Notary Public.

Place: _______________ Date: _______________ Seal/stamp of Signature of the

Notary Public Notary Public

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FORMAT OF UNDERTAKING LETTER FOR NRI SPONSER [MBBS] (TO BE NOTARIZED BY NOTARY PUBLIC)

[SPONSOR Name & Address]

Date: ________________

To, The Chairman, Gujarat Medical Education and Research Society, Ahmedabad.

Sub: Undertaking by the NRI SPONSOR Sir,

I, _________________________________________________________ (Sponsor)

residing at____________________________________ (Abroad) hereby undertake the

responsibility of Mr./Ms.____________________________________________ (candidate)

residing at___________________________________ (hereinafter called the “Student”) for

admission to the first year MBBS Course in GMERS MEDICAL COLLEGE under the NRI seat

quota.

I hereby agree, affirm and declare that if the said student is granted admission, I agree and

undertake to pay the fees of US$ 72,000/- (US Dollar Seventy two Thousand Only) for entire

M.B.B.S. course and for the purpose of due compliance by me with fees structure and other

associated rules and regulations of the said institute. I also agree undertake to pay the additional

fees as per clause 8(iii) of admission rules for each term if the study is prolonged beyond the

normal prescribed period due to any reason whatsoever.

I will also be fully responsible for the total financial support including all expenses on academic, living and traveling of the student and I will bear the same. Date: Yours faithfully, Place:

Signature of the Sponsor

The above declaration is duly notarized by Mr./Ms._____________________________________________

Notary Public Signature of the Notary Public [Stamp of the Notary Public]

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AFFIXED REQUIRED STAMP (Rs. 100/-)

FORMAT FOR AFFIDAVIT by PARENTS

We................................................................................... [Name of the parents] residing

at [address]................................................................................................................................. Parents

of student [name]......................................................................................... ........................ who has

applied for under graduate admission in NRI dependent category.

We hereby declare that the sponsor [name] ................................................................................... ........

is our [relation] ................................................................................................ and residing at [address] ………………………….…………………………… and we know him for past ………..…...years. We hereby declare that

we do not have economic means to provide for necessary fees and other expenditure for the under

graduate course in question of our son/daughter.

________________________ Student’s signature with date ________________________ _______________________

Mother’s signature with date Father’s signature with date Attested before Executive Magistrate / Notary Public