latest pg brouchure 04.06.2013 finaldehradun, chander nagar dehradun from 10.00 am onwards.) •...

Information Bulletin

for

Counselling for Uttarakhand state Quota seats in

MD/MS/MDS/ PG Diploma Courses in

Medical/Dental Colleges of Uttarakhand through

NEET PG-2013/NEET (MDS)-2013.

(Academic Session 2013-2014)

Department Of Medical Education,

Medical Education Section-01

04, Subhash Road, Uttarakhand Secretariat,

Dehradun

1

IMPORTANT INSTRUCTIONS FOR CANDIDATES (For MD/MS/MDS/PG Diploma courses of Uttarakhand State Quota Only)

(For Academic Session 2013-2014)

Introduction: - As per MCI Notifications No. MCI.18 (1)/2010-Med./49070

Dated 21.12.2010 (published in the Gazette of India dated 27.12.2010) &

Notifications No. MCI.18 (1)/2010-Med./62052 Dated 15.02.2012(published

in the Gazette of India dated 27.02.2012) and as per the DCI Notification No.

DE-22-2012 Dated 31.05.2012(published in the Gazette of India dated

01.06.2012) It has been provided that:

• There shall be a single eligibility cum entrance examination namely

‘National Eligibility-cum-Entrance Test for admission to Postgraduate

Medical Courses’ in each academic year.

• The reservation of seats in medical colleges/institutions for respective

categories shall be as per applicable laws prevailing in State/Union

Territories. An all India Merit list as well as State-wise merit list of the

eligible candidates shall be prepared on the basis of marks obtained in

National Eligibility-cum-Entrance Examination Test and candidates

shall be admitted to post Graduate courses from the said merit lists

only.

A- Eligibility Criteria:-

The counseling for admission shall be open to such candidates who:

1. Have passed the M.B.B.S/B.D.S Examination from Uttarakhand viz

Government Medical College, Haldwani, Shri Guru Ram Rai Institute of

Medical Sciences, Patel Nagar Dehradun, Himalayan Institute of Medical

Sciences, Jolly Grant, Dehradun, Uttaranchal Dental College, Maajri

Grant, Dehradun & Seema Dental College, Rishikesh and were admitted

through competitive examination (Uttarakhand state PMT) and not through

NRI/Management/Institute Quota.

2

2. Are Domicile of Uttarakhand and have passed M.B.B.S./B.D.S.

examination from Medical/Dental Colleges of other States, recognized by

MCI/DCI, and were admitted through 15% All India Quota (allotted by

Government of India).

3. Are Domicile of Uttarakhand and have passed M.B.B.S./B.D.S.

examination from Medical/Dental Colleges of other States in India,

recognized by MCI/DCI, and were admitted through Pre Medical Entrance

Test conducted by the Concerned State Government.

4. Have completed Compulsory Rotatory Internship training on or before

31.03.2013.

5. The eligible candidates who get selected through NEET-PG 2013/NEET

(MDS)-2013 will be given admission on available seats in post graduate

courses by Counseling Board according to their rank in State merit list,

made available by NBE/MCI/DCI/AIIMS and the seat available at that

time.

6. Having name in the state merit list of eligible candidates provided by

MCI/DCI/NBE/AIIMS will not be the right of the candidate for getting PG

seats unless he/she fulfill all the eligibility criteria regarding Domicile,

reservation policy, provisions of bond etc. mentioned in the information

bulletin and/or amendments made thereafter till the time of counseling.

B- Reservation Policy: -

1. Reservation policy will be applicable on sanctioned seats for state quota

only, as per prevailing rules of Govt. of Uttarakhand, applicable at the time

of counseling.

2. If seats of SC,ST and OBC category remain vacant due to non availability

of eligible candidates of their respective categories , after last round of

counseling ,than these vacant seats will filled as follows:

3

a. In case of non availability of eligible OBC category candidates the vacant

seats of the OBC category will be filled by eligible candidates from general

category.

b. In case of non availability of eligible candidates of ST category the vacant

seats will be filled by eligible candidates from scheduled caste category

and if In case of non availability of eligible candidates of SC category the

vacant seats will be filled by eligible candidates from scheduled Tribes

category. If eligible candidates of SC and ST category are not available

than these vacant seats will be filled by eligible candidates from general

category.

3. Regarding reservation, Government Orders issued time to time, by the

Government of Uttarakhand, will be applicable for reservation and the

certificate issued by the competent authority of Uttarakhand Government

will only be valid. The OBC certificate should be valid upto 31.07.2013 or

at the time of admission in the concerned college.

4. 10% seats of MD/MS/MDS courses in Government Medical/Dental

colleges will be reserved for PMHS, Uttarakhand (Provincial Medical and

Health Services, Uttarakhand) doctors in clinical subjects only and these

PMHS (Provincial Medical and Health Services) candidates should be

qualified in NEET-PG 2013/NEET (MDS)-2013. Weightage in the marks

shall be given as an incentive at the rate of 10% of the marks obtained for

each year of service in remote and/or difficult areas upto the maximum of

30% of the marks obtained in National Eligibility-cum-Entrance Test PG -

2013/ NEET (MDS)-2013, the remote and difficult areas as defined by

Uttarakhand State Government. Service duration certificate in remote

and/or difficult areas issued by the Director General, Medical, Health &

family welfare, Uttarakhand is required for this.

4

a. All those candidates (Domicile of Uttarakhand or Domicile of other states)

serving in PMHS, Uttarakhand , having qualified NEET PG/NEET MDS-

2013 and have their name in All India/State merit list provided by the

examination conducting agencies are eligible for 10% reserved seat for

PMHS, Uttarakhand Doctors.

b. “No Objection Certificate” along with Service duration certificate in

remote and/or difficult areas of Uttarakhand state from the Director

General, Medical, Health & family welfare, Uttarakhand is required for

PMHS Uttarakhand doctors opting for the above mentioned PG state quota

seats.

c. A Separate merit list of PMHS, Uttarakhand doctors will be prepare by the

counseling board for these above mentioned 10% reserved seats for

PMHS, Uttarakhand Doctors only.

d. The matter of selected PMHS, Uttarakhand Doctors for the above category

related with Leave, Pay/stipend and execution of bond will be dealt by

Medical, Health & Family welfare department of Uttarakhand.

5. 50% of seats in Post Graduate Diploma Courses shall be reserved for

Medical Officers in the PMHS Uttarakhand Government services, who

have served for at least three years in remote and/or difficult areas of

Uttarakhand. After acquiring the PG Diploma, the Medical Officers shall

serve for two more year in remote and/or difficult areas as defined by State

Government.

a. All those candidates (Domicile of Uttarakhand or Domicile of other

states) serving in PMHS, Uttarakhand , having qualified NEET PG/NEET

MDS-2013 and have their name in All India/State merit list provided by

the examination conducting agencies are eligible for 50% Post graduate

Diploma Courses reserved seat for PMHS, Uttarakhand Doctors.

5

b. “No Objection Certificate” from the Director General, Medical, Health &

family welfare, Uttarakhand is required for PMHS Uttarakhand doctors

opting for the above mentioned 50% PG Diploma state quota seats,

showing that the candidate served in remote or difficult areas of

Uttarakhand state for atleast three years.”

c. The matter of selected PMHS, Uttarakhand Doctors for the above

category related with Leave, Pay/stipend and execution of bond will be

dealt by Medical, Health & Family welfare department of Uttarakhand.

6. 3%seats of the annual sanctioned state quota shall be filled up according to

the state merit list of the eligible candidates under physically handicapped

category which will be considered candidates with locomotory disability of

lower limbs between 50% to 70%.Provided that in case any seat in this 3%

quota remains unfilled on account of unavailability of candidates with

locomotory disability of lower limbs between 50% to 70% then any such

unfilled seat in this 3% quota shall be filled up by persons with locomotory

disability of lower limbs between 40% to 50% - before they are included in

the annual sanctioned seats for General Category candidates.

a. The Locomotory disabilities candidates are advised to obtain prescribed

certificate before the date of counselling .For this:

• Locomotory disability certificate issued by one of the Medical board

constituted by the conducting body of NEET PG-2013/NEET

(MDS)-2013) for this purpose.

Or

• Locomotory disability certificate issued by the Medical board,

constituted by the Director General, Medical, Health & family

welfare, Uttarakhand for this purpose. They will have to submit an

affidavit on Rs. 10/- stamp paper duly notarized mentioning the

declaration that they have not previously appeared in the above

Medical Board constituted by the conducting body of NEET PG-

6

2013/NEET (MDS)-2013) or any other medical board constituted

for the said purpose. (Medical Board constituted for this purpose

by the DG Medical, Health & Family Welfare, Uttarakhand is

scheduled on 13.06.2013 at Office of The Chief Medical Officer,

Dehradun, Chander Nagar Dehradun from 10.00 am onwards.)

• Locomotory disability certificate issued by any other authority/board

other than above mentioned Medical boards shall not be entertained.

C- Detail of Seats : Seats may be allocated in the following Colleges:

i) Government Medical College, Haldwani. ii) Himalayan Institute of Medical Sciences, Jolly Grant,Dehradun.

iii) Shri Guru Ram Rai, Medical College, Patel Nagar, Dehradun.

iv) Seema Dental College, Rishikesh.

Note: Availability of Seats is subject to letters of Permission of Govt.

of India/ Medical Council of India/Dental Council of India. Hence

number of seats, subjects and detailed roaster will be displayed at the

time of counseling.

D-Provision of Bond:-

In spite of the best efforts of the state government the medical services are

not improving due to difficult topography and undulated terrain of the

state. Most of the Medical Officers have resigned from these remote hilly

areas that were selected for these particular areas and rest of them did not

join the Government Hospital. At present most of these posts are vacant in

remote hilly areas. The State Government is bound by Constitution to

provide high quality medical facilities to mitigate infant mortality rate and

maternal mortality rate. The State Government is trying to strengthen the

Medical Facilities in these areas.

In this context the selected candidates desirous to avail the reduced fees structure have the option to execute a bond at the time of admission for compulsory service in remote hilly areas of Uttarakhand state, as per the

7

Government Order No. 1145/XXVIII (1)/2013-U.O.-03/2008 dated 23.05.2013, details of the terms and conditions are detailed in (Appendix…B.)

E-Counseling: - In any urgent circumstances counseling board may send

email/phone/fax on the IDs/numbers provided by the candidate in the CRF.

Hence candidates are advised to regularly check their email/fax/phone and

keep them on.

1. Registration for Counseling:-

The candidate will have to deposit a bank draft of Rs.1500/-(rupees One

thousand five hundred only) in favour of “Director General, Medical

health & Family welfare” Payable at Dehradun as registration fee at

the time of registration for counseling. The registration fees once deposited

will not be refunded. Hence Candidates are advised to go through the

information bulletin thoroughly before appearing in counseling and fill the

Counseling Registration Form (CRF) carefully. Candidates should know

that the personal information provided by them is genuine, authentic &

nothing is concealed.

2. Candidates are advised to make sure that they have signed the attendance

sheet at the registration counter.

3. Registration for MS/MD/MDS/PG diploma courses for the academic

session 2013-2014 will be done only once i.e. on the first day of the first

counseling, and only those candidates who have registered themselves on

that day will be considered for the present and further counseling sessions.

Hence the candidates are advised to register themselves on that day to get

considered for MS/MD/MDS/PG diploma courses for the academic

session 2013-2014.If candidates wants to participate in the next counseling

sessions/seat allotment through waiting list than he/she must report in the

counseling venue on the scheduled date and time .If he/she fails to report

8

within time his/her candidature for that particular counseling session will

not be considered by the Board.

4. The seat once allotted by the counseling board cannot be altered under any

circumstances in the particular counseling sessions.

5. The candidate who has been issued allotment letter in the counseling, held

for academic session 2013-2014, wants to participate in the successive

counseling, held for academic session 2013-2014; he/she will be eligible

for successive counseling only on providing Admission Letter issued by

the Principal/Dean of the concerned Medical/Dental college/institute.

6. If a candidate is absent when his/her name is called for counseling and

comes at a later time, he/she shall only be considered for a seat from

among the seats available at the time of his/her appearance in the

counseling. Hence candidates are advised to be present at the counseling

venue.

7. The candidate has to appear in person for counselling but in case ,a

candidate is unable to appear for counselling in person, he/she can send

his/her representative with an authority letter on the prescribed format

(Appendix…A..) as given in the information bulletin. It will be necessary

for the authorized person to fulfil all requirements as detailed in the

Information bulletin. One person can represent only one candidate.

Acceptance of the authority letter and the grounds produce for non

appearing of the candidate will be at the sole discretion of the counseling

board.

8. All admissions shall be provisional in the first instance and the Counseling

Board /Uttarakhand Government reserves the right to cancel the admission

granted to a candidate without assigning any reason.

9. Candidates willing to opt for a course will have to deposit a bank draft of

Rs.2000/-(rupees Two thousand only) in favour of “Director General,

Medical health & Family welfare” Payable at Dehradun as security

9

money and the same will be refunded to the candidate after course

completion .The security money will be forfeited in case a candidate do

not join or leave the course after allotment /admission.

(F) Essential Documents for Counselling:-

Candidates are required to bring the following valid original documents

along with one set of attested copies (attested by the principal of the

concerned college or gazetted officer) at the time of Counseling without

which his/her candidature will not be considered:-

i) High School certificate as proof of date of birth.

ii) High School Marksheet.

iii) Intermediate Marksheet/Certificate.

iv) Mark sheets of all professional Examinations.

v) M.B.B.S. passing out certificate or degree.

vi) Compulsory Rotatory Internship Training completion certificate.

vii) Provisional/Permanent Registration Certificate of MCI/DCI/State

Medical Council/ State Dental Council.

viii) Two passport size photographs as pasted in the NEET PG-2013NEET

(MDS)-2013 application form.

ix) One Photo ID proof (Driving license/PAN card/ passport/ Voters’ ID

card/Aadhar card/MCI/State Medical Council registration certificate).

x) Employer’s “No Objection Certificate”, if employed.

xi) “No Objection Certificate” along with Service duration certificate in

remote and/or difficult areas of Uttarakhand state from the Director

General, Medical, Health & family welfare, Uttarakhand is required for

PMHS Uttarakhand doctors opting for the 10% MD/MS/MDS & 50% PG

diploma state quota seats.

xii) In case of PMHS Uttarakhand doctors, relieving certificate from the

appropriate authority is must for joining the concerned college.

10

xiii) Domicile /S.C. /S.T/O.B.C. Certificate (The OBC certificate should be

valid upto 31.07.2013 or at the time of admission in the concerned

college.), if applicable.

xiv) Sub category certificate, if applicable.

xv) Admit Card of NEET-PG 2013/NEET (MDS)-2013.

xvi) NEET PG 2013/NEET (MDS)-2013 Score card (showing State

rank,Percentile,marks obtained,category).

xvii) Candidates who are applying for “physically handicapped category” are

required to submit certificate issued to him/her for this purpose by the

authorized medical board as mentioned under the title Reservation

Policy in the information bulletin.

xviii) Proof of Admission in MBBS/BDS through 15% All India Quota

(Government of India), if applicable.viz:

• Allotment letter of AIPMT(Government of India)

or

• A certificate by the Principal indicating that the admission in the

MBBS/BDS course was through 15% All India Quota

(Government of India) & not by NRI/ Management/Institute

Quota.

xviii) Proof of admission in MBBS/BDS Course through State Entrance

examination, if applicable, viz:

• Allotment letter of Uttarakhand PMT/other concern state PMT

or

• A certificate by the Principal indicating that the admission in the

MBBS/BDS course was through competitive examination held

by Concern State Government & not by NRI/

Management/Institute Quota.

11

G-ADMISSION:

1. Admission of the candidates to various MS/MD/MDS/PG Diploma courses

will be given by the Principal/Dean of the respective Medical/Dental

college/Institute.

2. A candidate who has been allotted a PG Degree/Diploma course in a

particular Medical/Dental college shall have to complete all the admission

formalities and join the course within the specified date. In case fail to join

the allotted college with in specified date his/her claim for PG seat will

summarily be cancelled.

3. Thumb impression, Signature and photograph will be taken by college

concern at the time of admission.

(H) Refund of admission fees:

1. A candidate, if wants to quit the college allotted to him in Ist counselling,

has to inform the counselling Board through the Principal concerned,

before IInd counselling, that he has vacated the seat allotted to him in Ist

counselling & than only he will be entitled to get refund of the fees

deposited by him after deduction of 10% amount (administrative charges).

In addition charges for the services availed (e.g. Hostel, mess etc.) by the

candidate will also be deducted from the fees deposited, on actual

consumption/ rational basis, by the college administration.

2. A candidate if vacates the seat allotted to him in IInd counselling and joins

the college allotted to him in the state of Uttarakhand through

counselling/waiting list and joins the college ,the fee deposited will be

refunded to him after deduction of 10% amount (administrative charges).



consumption/ rational basis, by the college administration.

12

3. A candidate if vacates the seat allotted to him in IInd counselling, and did

not join the college allotted to him through counselling/waiting list and

such vacated seat is filled by a candidate , will get refund of the fees

deposited by him after deduction of 10% amount (administrative charges).



consumption/ rational basis, by the college administration & if the seat

remains vacant the fees deposited will be forfeited.

4. A candidate after joining the college allotted to him by the Counselling

Board changes the department/speciality allotted to him through

counselling/waiting list in the same college, no deductions will be done

from the fees deposited by him.

(I)- Any dispute concerning NEET PG 2013 counseling would be subject to

exclusive Jurisdiction of the competent courts within the territorial

jurisdiction of Uttarakhand only.

(J) Help Desk-

1. Candidates must clear all doubts and queries from competent authorities

present at help desk during counseling.

2. Regarding any queries candidates may contact on working days between

10.00Hrs. to 17.00 Hrs at :

Medical Education Unit, Directorate of Health

107, Chander Nagar, Dehradun.

Phone Number-0135-2723027/26

3. Any updates/amendments made thereafter will be uploaded in the

www.gmchld.org, www.ua.nic.in/smc.ac.in and www.uk.gov.in websites.

Hence candidates are advised in their own interest to check the above

websites regularly regarding counseling. No separate information will be

sent to candidates in this regard.

13

=Disclaimer=

• Instances of provision of incorrect information detected at any stage of

the selection process will automatically disqualify the candidate from the

selection process and he/she will not be allowed to appear for NEET in

future. If such instances go undetected during the current selection

process but are detected in subsequent years, such disqualification will

take place with retrospective effect and the Principal/Dean of the

concerned college/institute shall have the authority to cancel admission

of the candidate and to proceed legal action against him/her as all the

information/documents furnished by the candidate will be scrutinized

/verified by competent authorities.

• The statement made in information bulletin and all information contained

herein are believed to be correct at the time of publication /uploading in

the website.However, the Uttarakhand Government reserve the right to

make any change without notice, changes and additions to the

regulations, conditions governing the admission procedure, conduct of

students, requirements for degree, fees and any other information, or

statements contained in this information bulletin at any time. Uttarakhand

Government will not be responsible for hardship or expense incurred by

the candidates or any other person or persons for such changes, additions,

omissions or errors, no matter how they are caused.

14

Counseling Registration Form (CRF) (To be submitted at the time of registration for counseling)

(For admission in MS/MD/MDS/PG Diploma Courses under Uttarakhand state quota through NEET PG-2013/NEET (MDS)-2013)

(Academic session 2013-2014) (Note: Form should be filled by candidate’s own hand writing with ball point pen in capital letters & eraser/whitener/cutting/overwriting is not allowed in the form)

1. Candidate’s Full Name ……………………..………….. 2. Course Opted (tick applicable)

1. MDS 2. MS/MD/PG Diploma 3. Father’s Name………………. 4. Mother’s Name……………… 5. Nationality………………… 6. Date of Birth……………….. 7. Domicile (Name of state)……………… 8. Mark of Identification ……………… 9. Full Mailing address (with pin code for correspondence)

……………………………………………………………………………………………………………………………………………………………………………….. (Mobile No.)……………… (LL Number)…………….Email ……………(Fax)..……..

10. Permanent address (with pin code for correspondence) ……………………………………………………………………………………………………………………………………………………………………………….. (Mobile No.)……………… (LL Number)…………….Email ………………(Fax)….…..

11. Present Job/service (if any)………………………..

12. Details of High School+ Intermediate Examination passed (attach attested photocopy of mark sheet & Certificate)

Examination

Institution Subjects Roll Number Year Of passing

High School Intermediate

13. Details of Professional Examination Passed (attach attested photocopy of mark sheets of all the professional examination along with MBBS passing out certificate & provisional/final degree ) Class Institution/University year of passing

MBBS/BDS Ist Professional MBBS/BDS 2nd Professional MBBS/BDS IIIrd Professional MBBS/BDS Ivth Professional Any Other

14. Date of completion of Compulsory Rotatory Internship Training (attach attested Copy of Internship completion certificate)………………………………………….. …….………

15. Details of the MBBS/BDS Entrance examination (attach attested photocopy of Allotment letter or certificate by the Principal):- (a) Name Of the Entrance examination conducted through Concerned State /Government

Of India…………………………………………..

Passport size photograph as pasted in NEET PG/NEET (MDS)-2013 Application form. Attested by the Principal or Gazetted Officer

15

(b) Year Of Entrance examination……………… (c ) Conducting body………………………………

16. Provisional/Permanent Registration (attach attested photocopy) Name of Medical/Dental council Registration Number

17. Category (tick applicable) (attach attested photocopy of certificate, issued by the competent authority of Uttarakhand Government )

……General……..ST……. SC…….OBC

18. Sub-Category (tick applicable) (attach attested photocopy of certificate , issued by the competent authority of Uttarakhand Government )

………..Women………….FF……………PMHS………PH………DPW

19. Details of PMHS Doctors/present employment, if any: (attach attested photocopy of certificate issued by DG Medical health & Family welfare, Uttrakhand, for PMHS, Uttarakhnad Doctors & by the competent authority for others.) Name and full address of the Employer

Post held From To Service duration

Place of posting (remote or difficult areas of Uttarakhand state only)

20. NEET PG-2013 /NEET (MDS)-2013 Roll No/Registration No/Testing ID…...……… (Attach attested photocopy) 21. NEET PG 2013/NEET (MDS)-2013 – Marks obtained …………..Percentile………….. (Attach attested photocopy)

22. My option for allotment of course in this counselling, in order of preferences as given below: Please write 1,2,3 & so on as per your preference Preference order

College Course

1 2 3 23. Counselling registration fee receipt No…………………………………………………. Time……………Date………. Signature of Candidate (Note- FF: Freedom Fighter, PH: Physically Handicapped, SC: Sscheduled Caste, ST: Scheduled Tribe, OBC: Other Backward Caste, DPW: Defence Personal Wards, PMHS: Provincial Medical Health Services, Uttarakhand))

16

I,……………………………….,S/D/o………………………………bearing Roll No……… am depositing the attested photocopies of the following certificates/photographs/documents at the time of counselling. (Please YES for documents submitted and NO, if not submitted) S.No. Documents Yes/No 1 10th class certificate showing date of D.O.B. 2 10th class Marksheet 3 12th class marksheet & certificate 4 All MBBS professional Marks sheets 5 MBBS Passing out certificate/Degree 6 Proof of getting admission in MBBS/BDS course through

AIPMT/Concerned state competitive Examination (please refer to the information bulletin)

7 Permanent/Provisional registration certificate 8 Internship completion certificate 9 Two Photographs (as pasted in the NEET PG/NEET(MDS)2013

allotment card)

10 Category/Sub Category certificate issued by the competent authority of Uttarakhand Government, if applicable.

11 Domicile Certificate issued by the competent authority of Uttarakhand Government.

12 No objection certificate, issued by the appropriate authority (Only for in service candidates other than PMHS Uttarakhand Doctors)

13 “No Objection Certificate” along with Service duration certificate in remote and/or difficult areas of Uttarakhand state from the Director General, Medical, Health & family welfare, Uttarakhand, for PMHS Uttarakhand doctors opting for the 10% MD/MS/MDS & 50% PG diploma state quota seats.

14 NEET PG-2013 /NEET (MDS)-2013 Roll No/Registration No/Admit card 15 NEET PG 2013/NEET (MDS)-2013 – Marks obtained /Percentile/Score card 16 Demand Draft Number……………………Dated…………of Rs 2000/-

towards allotment of seat in favour of DG, Medical Health & family welfare, Uttarakhand , payable at Dehradun

17 Any other

Date………. Signature of candidate

(Full Name of the candidate)

For Official Use Only: Date of Registration for counselling…………….. Counseling Registration No………………..

Signature of the Members of the counselling board:

Member: 1….signature………… Member: 2….signature……………



Remarks by the Counselling Board………………………………………

Dated………..

Seat Allotted/Not Allotted

Chairman

17

Declaration By the Applicant

(a) That I ……………………S/D/of ……………………..……..……………….resident of (permanent address)………………………………………………………..hereby declare that I am not studying in MD/MS/MDs/PG diploma course in any Medical college of Uttarakhand State through Uttarakhand PGMEE or AIPGMEE.

(b) That I have read the instruction and registration form, and all the information above application has been filled in my own hand-writing and the information given by me in the application form is correct and nothing has been concealed. In case, at any stage it is found that information furnished by me is false, I shall have no claim to admission and if already admitted, my admission shall be cancelled and I may be debarred permanently from the admission and disciplinary action may be taken against me.

(c) That I am an Indian National, have not taken part in any activity subversive of law and

have not been debarred by any University/Institution for seeking admission.

(d) That I fulfil the minimum eligibility criteria required to appear at the counselling.

(e) That I further declare that, I shall abide by the rules governing the course as laid down by the Govt. of Uttarakhand and the Institution providing the course.

(f) I am aware that the admission fees etc. deposited by me will not be refunded.

(g) That the information regarding courses and the available seats has been provided to me.

(h) That I will deposit admission fees and other related documents and complete other formalities relating to admission in the allotted college, as indicated in allotment letter, latest by……….2013. Failing which my seat may be treated cancelled. No separate call letter/information will be sent to me.

(i) The offer of admission for the available seat/course is valid only for this counselling, for seats at…………………………………….. (College) where admission process shall be completed in all respect, latest by ………..2013, after verification of documents, with deposition of fee, as prescribed by Principal………………………………….. (College).

(j) The decision regarding allotment of seat/course/NEET PG/NEET (MDS)-2013 Counseling board shall be final and binding on me.

(k) I accept to sign the bond agreement for serving the state for the period as decided by Uttarakhand government.

(l) That I am presently not employed/employed with ……………………..It is further known to me that in case of any dispute the decision of the appropriate authorities shall be final and binding on me and shall also submit NOC from competent authority.

(m) That I am domicile of Uttarakhand and was admitted (MBBS/BDS) in…………………. college)…………(city)………(state)through 15% ALL India Quota the year…….

(n) That I am Domicile of Uttarakhand and was admitted (MBBS/BDS) in………………. (College)….......… (City)……….. (State) through ……………….. (State Competitive entrance Examination) in the year……..

(o) That I am PMHS Uttarakhand cadre Doctor posted at …………..Uttarakhand.

Place……..Time…….

Date……………… Signature of Candidate

18

Appendix…B.

PERFORMA OF THE AUTHORITY LETTER

I,……………………………son/daughter of Shri……………………………………… aged

…………………………..Years………………………...months, bearing Roll

No………………….placed at Uttarakhand State Merit Rank ……………Percentile…….…in

NEET(MDS)-2013/NEET-PG-2013 for admission to MD/MS/MDS/PG Diploma Courses, 2013

do here by solemnly affirm and undertake that the decision taken by my authorized representative

Shri/Mrs……………....……….aged………………years………………..months, whose signature

& photograph are given below, regarding selection/rejection of seat on the date of personal

appearance(………………….) shall be binding on me and I shall not have any claim whatsoever,

other than the decision taken by my authorized representative on my behalf on……………..…

(Date of Counseling)

Signature of Candidate……………………….. Signature of Authorized Representative ………………………

Name…………………………………………. Name…………………………………………………………

Roll No……………………………………… Address……………………………………………………….

Address………………………………………. ……………………………………………………………….

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

Mobile No……………………………………. Mobile No…………………………………………………

Relation of Authorized signatory With the Candidate: ………………………………………………………………

NEET PG/NEET (MDS)2013Uttarakhnad State Merit Rank…………..

Photograph & Signature

of Authorized Representative Attested

Signature of Candidate……………………………..

(Full Name)………………………………………

Note-This letter will be valid for particular date of counseling only.

Photograph of the Authorized

Representative

Photograph of the candidate attested

by a Gazetted Officer with seal

19

fofHkUu izek.k i= ,oa muds izk:i

Lora=rk laxzke ds vkfJr dk izek.k&i=

izekf.kr fd;k tkrk gS fd Jh@dq0@Jherh------------------------------------------------------------------------------------------------ iq=@lqiq=h

Jh----------------------------------------------fuoklh xzke----------------------------------------------rglhy----------------------------------uxj---------------------------------ftyk---------------------

-----------------------------mRrj izns'k yksd lsok ¼'kkjhfjd :Ik ls fodykax Lora=rk laxzke lsukfu;ksa ds vkfJr vkSj HkwriwoZ lSfud ds

fy, vkj{k.k vf/kfu;e 1993½ ds vuqlkj Lora=rk laxzke lsukuh gaSa vkSj Jh@Jherh@dqekjh¼vkfJr½ -------------------------------------------

iq=@iq=h@ikS=@vfookfg ikS= mijkafdr vf/kfu;e 1993 ds gh izkOk/kkuksa ds vuqlkj mDr Jh@Jherh¼Lora=rk laxzke lsukuh

dk uke½-------------------------------------------------------ds vkfJr gSA

LFkku% gLrk{kj-------------------------------------------

fnukad iwjk uke-------------------------------------------

in uke-------------------------------------

eqgj--------------------------------------------------------

vH;kFkhZ ds gLrk{kj------------------------------------ ftykf/kdkjh

¼lhy½ &&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&&

mRrjk[k.M ds vH;fFkZ;ksa ds fy, lwpuk ladsr%&

mRrjk[k.M ds vH;fFkZ;ksa gsrq mijksDr vkfJr ds izek.k i= mRrjk[k.M 'kklu }kjk fuxZr 'kklukns'k ds vuqlkj gh izLrqr djuk gksxkA ;fn dksbZ izk:Ik mRrjk[k.M 'kklu }kjk fuxZr ugha fd;k x;k gS rks ,slh ifjfLFkfr esa mijksDr izk:Ik gh ekU; gksxkA

fVIi.kh%& dsoy ftykf/kdkjh }kjk tkjh fd;k x;k izek.k i= gh mijksDr vkj{k.k ds fy, ekU; gksxkA

20

mRrjk[k.M ds fuoklh lsokjr lSfudksa ds vkfJrksa]

HkwriwoZ lSfudksa ds vkfJrks ,oa HkwriwoZ lSfudksa ds fy, izek.k&i=

1- izekf.kr fd;k tkrk gS fd Jh-----------*------------------------------------------------------fuoklh **-----------------------------------us---

-------------------------------Lora=rk izkfIr ds ckn Hkkjrh;+------------------------------------lsuk dh lfdz; lsokdky esa

gS@FksA

2- lsokfuo`Rr ls igys@orZeku esa Jh * -------------------------------------------------- Hkkjrh;+-----------------------------------------lsuk

;qfuV(***½------------------------------------------------ esa fu;qDr Fks@gSA

fnukad+++++++++---------------------------------------------------------lsuk ds lEcfU/kr ;wfuV ds vf/kdkjh ds gLrk{kj rFkk lhy

vH;FkhZ ds iw.kZ gLrk{kj----------------------------------------------

izekf.kr fd;k tkrk gS fd Jh@dq0$$----------------------------------------------------

fuoklh-------------------------------------------------------------------------

vH;FkhZ ds iw.kZ gLrk{kj---------------------------------------- l{ke vf/kdkjh ds gLrk{kj------------------------------------------

fnukad-------------------------------------------- l{ke vf/kdkjh dk uke----------------------------------------------

l{ke vf/kdkjh dk in-----------------------------------------------

lhy

** HkwriwoZ@dk;Zjr lSfud dk uke ** HkwriwoZ@dk;Zjr lSfud dk Li"V irk

** Hkwry@uHk@ty tks mi;qDr gks

** vH;FkhZ dk uke ** ;wfuV dh la[;k o irk

21

Certificate Of Locomotor Disability (For admission to MS/MD/MDS/PG Diploma courses-2013 in Uttarakhand state quota) Certificate No. …………………………. Dated…………… This is to certify that Dr./Mr./Ms._____________________________Aged_______________years son/daughter of Mr.____________________________R/o________________________________

State Rank __________________is suffering from ____________________________________

(Name of disease) And has permanent Physical Impairment (PPI) of left/right/Both Lower Limb. He/She is Locomotor disabled and has the percentage of _____in words ___________________

(in figure) of (40%-70%) disability of lower limbs.

He/She is Eligible /NOT Eligible for admission in medical/dental courses as per the MCI/DCI guidelines subject to his being otherwise medically fit.

Recent passport size photograph of the

candidate duly attested by the issuing authority

Signature Signature Signature Full Name Full Name Full Name (Member No.1 of the Board) (Member No.2 of the Board) (Member No.3 of the Board) Countersigned By the Chairman Board

22

Appendix…A. BOND SIGNED/EXECUTED BY

POST GRADUATE MEDICAL STUDENT SELECTED FOR ADMISSION AT ……………….. GOVERNMENT MEDICAL COLLEGES UTTARAKHAND,

HIS/HER FATHER/PARENT/GUARDIAN, AND THE OTHER SURETY.

THIS BOND is executed on the.............. day of .............................. by ............................at present student of MD/MS course at ……………………………….(hereinafter called ‘ PG medical student’), his/her father/parent/guardian......................s/o/w/o....................r/o…………(hereinafter called ‘the first surety’) and ……......................s/o/w/o .............................r/o……………..(hereinafter called ‘the second surety’) the expressions which include their heirs, executors, administrators and representatives who hereby bind themselves jointly and severally to the Government of Uttarakhand (hereinafter called ‘the Government’ which expression shall include its successors and assignees) that after successful completion of the MD/MS course, the medical student shall serve the State of Uttarakhand as Medical Officer/Specialist on contract basis atleast for a minimum period of 2 years in any of the Government Hospital or Health Centre situated in hilly region of the State failing which they shall be liable severally or jointly to pay the Government full tuition fees of the entire MD/MS course calculated at prevailing rate along with such interest as may be determined by the Government, as described in clause no. 3 of this Bond. WHEREAS, Medical Facilities in the State have to be strengthened,

WHEREAS, the State of Uttarakhand is facing an acute shortage of MBBS & Specialist doctors and a large number of posts of Government Doctors are lying vacant in the hilly areas affecting the delivery of health services,

Self Attested

Photograph of the PG Medical

Student

23

WHEREAS, in such circumstances, the Government has decided that all the PG students enrolling in Government Medical Colleges, Uttarakhand against the State Quota and also the students of Central quota shall have an option to complete the MD/MS course on payment of subsidized tuition fees of Rupees 60,000 (Sixty Thousand) per annum as against the full tuition fees of Rupees 5,00,000 (Five Lakh) per annum.

WHEREAS, the present PG medical student of this bond has opted for the subsidized fees and in consideration there of agrees to serve the State as a Medical Officer/Specialist Doctor on contract basis for minimum of two years in any of the Government Hospital/Health Centre situated in hilly region of the State after completion of the MD/MS Course.

AND WHEREAS, the Medical Student and his/her first and second sureties have agreed to pay the Government jointly and severally the Bond Amount (Full fees of the MD/MS Course minus the fees already paid with compound interest thereon at prevailing Bank lending rate), if the PG Medical Student does not or refuses to serve the State as above,

NOW, THEREFORE, the conditions of the present Bond/Service Contract executed by the PG Medical Student, his/her First Surety and Second Surety on one part and by ………………Principal of the ……………………………..on behalf of the Government of Uttarakhand on another are as follow-

1. That as part of the present bond, the Government will charge subsidized tuition fees of Rs. 60,000/- (Rs. Sixty Thousand) per year from the students executing the bond under this scheme. This is a subsidized tuition fees as compared to full annual tuition fees of Rs. 5,00,000 (Five Lakh) per annum.

2. (1) That the PG medical student will undergo all such courses and training as the Government may prescribe from time to time at Government Medical Colleges, Uttarakhand and associated Institutions. Attendance at all prescribed course and training course is compulsory and absence from which without prior permission from the Appropriate Authority will attract disciplinary and other action as per rules laid down by the Uttarakhand Government.

2. (2) That the PG medical student during his/her study at the Government Medical Colleges of Uttarakhand shall be governed by the prescribed standing orders, code of conduct and any other instructions in this regard and violation of these orders/instructions shall attract penalties awarded by the Government of Uttarakhand/Competent Authority and other action as per rules laid down by the Government/Competent Authority whose decision shall be final.

2. (3) That the PG medical student after successful completion of MD/MS Degree Course/Training unless he/she is prevented from doing so by death or on account of ill health or by being removed from the college roll on the grounds that he/she is considered by the Appropriate Authority to be unfit to continue as a PG medical student (of which the decision of Government of Uttarakhand/Appropriate Authority shall be final), if offered position as a medical officer/Specialist on contractual basis in any of the Government

24

Hospital/Health Centre in hilly areas of Uttarakhand, shall serve as such for a minimum of two years.

2. (4) That the medical student who have already got subsidized medical education in his/her MBBS course by the Uttarakhand State Government and got selected in MD/MS courses of Government Colleges of Uttarakhand and opt again for subsidized medical education for his/her post graduation education shall also be bound to serve the state of Uttarakhand as medical officers/Specialist on contract basis atleast for a period of two years in addition to the number of years laid down for compulsory service in his/her MBBS bond in any of the Government Hospital or Health centre situated in hilly region of the state failing which he/she shall be liable severally or jointly to pay the Government the total bond amount for both the bonds (executed by him/her) along with compound interest thereupon on prevailing Bank lending rate, as may be determined by the Government of Uttarakhand. 2. (5) That the sureties shall be liable severally and jointly to fulfill the conditions of this bond provided the student is declared a Non-Service Liability under Para 5 and 6 herein below. This bond shall subsist throughout the period until the PG student serve the State as a medical officer/ Specialist on contractual basis in the any of the Government Hospital/Health Centre in hilly areas of Uttarakhand for a minimum of two years after completion of MD/MS course, as the case may be, and shall only be discharged from service liability under the Bond when the State Government/ Appropriate Authority (Directorate, Medical, Health & Family Welfare/Medical Education, Uttarakhand) has issued a certificate to this effect. 2. (6) That if PG medical student does not or refuses to serve the State as a medical officer/Specialist on contractual basis in any of the Government Hospital/Health Centre in hilly areas of Uttarakhand for a minimum of two years after completion of MD/MS course, as the case may be, under the present service bond, the Bond Amount shall be paid by the sureties severally and jointly to the Government along with compound interest thereupon on prevailing Bank lending rate, as may be determined by the Government of Uttarakhand. 2. (7) That both the sureties agree that the Bond Amount or any other amount which they under the present bond are liable to pay the Government severally or jointly, shall be recoverable from them as arrears of land revenue under the Uttar Pradesh Public Moneys (Recovery of Dues) Act, 1972 (as applicable in the State of Uttarakhand) or any other law relating to recovery of money as arrears of land revenue. 2. (8) That the PG medical student and his/her father/mother/legal guardian as first surety

agree that the original degree of MD/MS course awarded to the student would be kept in the safe custody of the Principal, ……………………………Medical college till the conditions of this bond are fulfilled by the student and his/her sureties and the State Government/Appropriate Authority (Directorate, Medical, Health & Family Welfare Medical Education, Uttarakhand) has issued a certificate to that effect under the sub-para (5) above.

25

3. That the PG medical student once having joined the college will not be permitted to withdraw from the college after admission without payment or recovery as the case may be, of the Bond Amount calculated at the rate of Rs. 5, 00,000/-(Rupees Five Lakh) per year or part thereof limited to the maximum of Rs 15 lakh along with compound interest thereupon on prevailing Bank lending rate, as may be determined by the Government of Uttarakhand, minus the subsidized fees already paid. It is agreed that the PG medical student shall be withdrawn/removed from the roll of the Government Medical Colleges, Uttarakhand by the Appropriate Authority on any of the following grounds:-

(i) Unsatisfactory/disciplinary conduct during the course or training at the College and till the date of the course completion as determined by the college authorities and approved by the Director General, Medical Health & Family Welfare/Director, Medical Education, Uttarakhand whose decision shall be final and binding on the student (ii) Unsatisfactory academic progress as reported by the college authorities and approved by the Government of Uttarakhand whose decision shall be final and binding on the student.

(iii) Knowingly furnishing false particulars for admission to the said college.

(iv) Failing to give correct medical history as required at the time of pre-admission Medical Board. (v) Any other condition which may be imposed by Government /Appropriate Authority from time to time.

4. That it is agreed that admission to Government Medical Colleges of Uttarakhand under the present bond implies service liability as Medical Officer/Specialist on contract basis for minimum of two years in any of the Government Hospital/Health Centre in hilly areas of Uttarakhand. If PG medical student decides not to continue as a service liability or intends to withdraw from the college at his/her own volition, he/she shall be allowed to continue his/her studies or withdraw from the college as a Non-Service Liability after payment of full fees of the course minus the subsidized fees already paid calculated from beginning of the course along with compound interest thereupon on prevailing Bank lending rate, as may be determined by the Government of Uttarakhand. 5. Conditions of Non-Service Liability because of Medical reasons :

That the PG medical student will be declared to have become Non-Service Liability on being declared medically unfit by a Medical Board for service in hilly areas of Uttarakhand due to any disease/disability detected at any stage during the course, as under:-

(i) The Medical Board headed by Director General, Medical Health and Family Welfare, Uttarakhand will express their opinion on the circumstances under which the Student acquired the disease/disability and whether or not he/she had

26

any control over those circumstances. On recommendations of the Medical Board, the PG Medical Student may be declared a Non-Service Liability.

If on the recommendations of the Medical Board headed by Director General,

Medical Health and Family Welfare, Uttarakhand, the PG medical Student is found permanently unfit for service in hilly areas of Uttarakhand during his/her course of studies, he/she would be removed from Service Liability and shall be liable to pay the Bond Amount along with compound interest thereupon on prevailing Bank lending rate, as may be determined by the Government of Uttarakhand.

(ii) The Bond Amount will be paid within one month of being declared Non-Service

Liability failing which the amount shall be recovered from PG medical student and his/her sureties of the Student severally or jointly in the manner as provided in sub-para (7) of Para 2 of this Bond .

(iii) The quantum of Bond Amount to be recovered in each case shall be decided

taking into account the following factors:-

(a) Time elapsed between joining the MD/MS course and date of becoming Non-Service Liability.

(b) Severity of the disease/disability. (c) Nature of the disease/disability whether constitutional for example as

result of any accident on land, sea or air.

(iv) Based on the above factors, the Bond Amount to be recovered from the PG medical student and his/her sureties shall be computed as under:-

(a) The Bond Amount shall be calculated at the rate of Rs. 5,00,000/-(Rupees Five Lakh) per year or part thereof limited to the maximum of Rs 15 lakh along with compound interest thereupon on prevailing Bank lending rate, as may be determined by the Government of Uttarakhand minus the subsidized fees already paid in Government Medical Colleges, Uttarakhand.

A basic minimum sum shall be recovered in all cases for the free medical education and allied facilities provided by the Government. Depending on the year in which the PG student has been admitted and the year of study in which the PG student is declared Non-Service Liability, minimum charges as under shall always be levied in addition- First year Rs. 60,000.00 Second year Rs. 1,20,000.00 Third year Rs. 1,80,000.00

(b) Bond Amount (in addition to a maximum of Rs 1,80,000.00 mentioned above) shall be decided based on severity of the diseases/disability suffered by the student (in instances of diseases/disability).

27

(v) However, full waiver of money may be granted by the Government of Uttarakhand in case of grave illness/severe disability necessitating withdrawal from the college or on death of the PG student on the basis of individual cases.

(vi) Provided that the PG student point (i) above, may be allowed to continue

his/her stay in the hostel on payment of the normal expenses of education including tuition fee and fees for boarding and lodging facilities as applicable from time to time if he/she has contracted the disease/disability in the circumstances over which he/she has no control and for which he/she has not refused treatment. The decision of the Government in this regard shall be final.

6. Conditions of Non-Service Liability because of non-medical reasons:

(1) That the PG medical student shall also be declared to have become Non-Service Liability in any of the following condition:-

(i) If he fails to attain attendance below 50% in any consecutive terms of the course for reasons other than medical.

(ii) If he fails to qualify final PG examination within a period of five years from

the date of admission in the college. (2) Where the PG medical student becomes Non-Service Liability under sub-para (1) above, Government shall have right to recover from the student and his/her sureties full tuition fees at the rate of Rs. 5,00,000 (Five Lakh) per year (minus tuition fees already paid) for each year of the student’s stay at the Medical college alongwith compound interest. 7. That where PG medical student is declared a Non-Service Liability under Para 5, 6 and any other provision of this Bond, the sureties shall jointly and severally be liable to pay forthwith to the Government full fees of the MD/MS course for the period from the date of admission to the date of becoming Non-Service liability or removal from the college rolls, limited to a maximum of Rupees Fifteen Lakh minus fee paid along with compound interest thereupon on prevailing Bank lending rate, as may be determined by the Government of Uttarakhand. Additional Simple interest shall be levied for late payment i.e. if payment is delayed beyond 45 days from the date of becoming Non-Service Liability or from the date of withdrawal from the college. In case of removal from the college, all dues will be settled before leaving the college. 8. That where PG medical student refusing two years service in hilly regions of Uttarakhand as offered by the Department under this Bond, offers to pay the Government the Bond Amount, he/she may be released from Service Liability by the administration of the medical college on payment of the Bond Amount along with compound interest thereupon on prevailing Bank lending rate, as may be determined by the Government of Uttarakhand in the account of medical college concerned.

28

9. That PG medical student while taking admission in Government Medical Colleges, Uttarakhand shall deposit a sum of Rupees 5000/- (Rupees five thousand only) as refundable security money. If the PG medical student withdraws from the college on his/her volition prematurely, the security money shall stand forfeited to the Government. 10. That liability of the sureties shall not be impaired or discharged by reason of time being granted, any forbearance of the Government or any other person authorized by it (whether with or without the knowledge or consent of the surety) nor shall it be necessary for the Government to sue the PG medical student and his/her first surety before suing the second surety. 11. That it is agreed that except in cases where any sum of money is recovered by the Government under the present Bond as arrears of land revenue, if there is any dispute to the effect, meaning of these presents, or otherwise, however, except as to matters for which specific provision has been made in these presents, the same shall be referred to the sole arbitration of the Principal Secretary/Secretary, Department of Medical Education, Government of Uttarakhand or any other person appointed by him as the sole arbitrator whose decision shall be final and binding on the parties. The provision of the Arbitration and Conciliation Act 1996, as amended from to time, shall apply to such arbitration. Having clearly understood and agreed with the terms and conditions herein above and in witness thereof the parties (PG Medical Student, First and Second Surety) do hereby affix their signatures on the day mentioned above. 1. ………………………………………… Signature of PG Student. Details of Student (Name etc. )…………………………………… 2. ………………………………………… Signature of parent/guardian/first surety of the PG medical student in the presence of:-

1) ………………………………………………………… 2) …………………………………………………………

3. …………………………………………………………………… Signature of second surety of the PG medical student in the presence of:-

1) …………………………………………………………

Self attested photograph of the Student

Self attested photograph of parent/ guardian/Ist Surety

Self attested photograph of 2nd Surety

29

2) ………………………………………………………… Note- Self attested photocopies of ID proof of First and Second Surety to be submitted.

DECLARATION BY FIRST SURETY I……………………………………..S/o / D/o………………………………… R/o…………………………………………….Occupation…………............…...whose signature is appended to in this bond as first surety, do hereby declare that:-

(a) I am in service of the ………………..Central/State Government/Local Authority/Corporation/Body/Enterprise owned or controlled by the Central/State Government or self employed. My present designation, details of the employer and office address is ………………………………………........................................................

(b) I ordinarily reside in India and that I possess means which will enable me to repay to the Government the sum of money referred to in the event of my being called upon to do so in accordance with the terms of this Bond.

(c) I possess immovable property details of which are as follows:- (photocopy enclosed)……………………………………………………

(Signature of First Surety) (Surety means able to discharge one’s debts and obligation in full) Signed of the above named surety in the presence of:- WITNESS

1) …………………………………………………………

2) …………………………………………………………

30

DECLARATION BY SECOND SURETY I……………………………………..S/o / D/o………………………………… R/o…………………………………………….Occupation…………............…...whose signature is appended to in this bond as second surety, do hereby declare that:-

(a) I am in service of the ………………..Central/State Government/Local Authority/Corporation/Body/Enterprise owned or controlled by the Central/State Government or self employed. My present designation, details of the employer and office address is ………………………………………............................................................

(b) I ordinarily reside in India and that I possess means which will enable me to

repay to the Government the sum of money referred to in the event of my being called upon to do so in accordance with the terms of this Bond.

(c) I possess immovable property details of which are as follows:- (photocopy enclosed)…………………………………………………....

(Signature of Second Surety) (Surety means able to discharge one’s debts and obligation in full) Signed of the above named surety in the presence of:- WITNESS

1) …………………………………………………………..

2) …………………………………………………………..

4. Signed by ……………………………………………………… Name and designation (To be signed by the Principal of ………………………….Government Medical Colleges for and on behalf of the Government of Uttarakhand) in the presence of:-

1) …………………………………………………………

2) …………………………………………………………