Instructio i ns n for o r F il i l l ing n t he h e Ap A pl p ica c t a i t on o n Form Name of the Applicant:

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Instructions for Filling the Application Form Forms must be filled in by the candidate in his / her own handwriting neatly and legibly in English using capital letters, except for signature. Overwriting, cutting, erasing in the form may lead to rejection and should be avoided. Any discrepancy in the statement and / or submission of incomplete forms will lead to rejection of application / cancellation of admission. Paste your recent photographh (not older than three months) at appropriate place on the application. The photograph must be signed by the candidate at the edge and should not be defaced. Name of the Applicant: Write name in capital letters as it appears in your mark sheet of the qualifying examination. Name of the Parent / Guardian: Write the name of parent / guardian (Any person, other than the parents of the candidate, can become guardian only if the parents are not alive or are insane). Date of Birth: Enter the date, month and year of birth as recorded in class 10th certificate. Address for Correspondence: Write the complete postal address including pin code on which the candidate is to be communicated. Also write the telephone number with STD / ISD code and Fax / E-mail address, if any. Declaration: Candidate and the Parent / guardian must sign with date the declaration to authenticate the information provided by them as per format on a non judicial stamp paper of Rs. 10/- duly stamped by the notary public. Details of passing qualifying examination i.e., MBBS- write the month and year, name of the Medical College and the University from where you have passed or appeared at MBBS examination. Marks obtained in MBBS: Write maximum marks, marks obtained and the percentage subject-wise in the appropriate column for first, second, third Professional examination including supplementary exams, if any and number of attempts in each professional examination separately. Acknowledgment card and Interview call letter: Write your communication

address correctly on the acknowledgment card and interview call letter. Affix postal stamp of Rs. 5/- separately at appropriate places on the acknowledgment card as well as the interview call letter. NRI Seats Students from other countries should possess passport, visa and exchange permits valid for the period of their course of study in this Institution and should also observe the regulations of both central and state governments regarding residential permits and obtain no-objection certificate. The candidate should have a provisional "Student Visa". If he comes on any other visa and is selected for admission, he will have to first obtain a student visa from his country and then only he will be allowed to join the course. Therefore it is imperative to obtain provisional student visa before coming for Counseling. (This clause is applicable to NRI / Foreign Students only). Enclosures to be attached with filled in application 1. An attested photocopy of class 10th certificate 2. An attested photocopy of (10+2) Board marks sheet 3. An attested photocopy of the College Leaving Certificate (Transfer Certificate) from the Principal of the Medical College last attended 4. Migration Certificate from the concerning university 5. An attested photocopy of the mark sheet of the 1st Professional Examination of the MBBS Course 6. An attested photocopy of the mark sheet of the 2nd Professional Examination of the MBBS Course 7. An attested photocopy of the mark sheet of the 3rd Professional Examination (Part I) of the MBBS Course 8. An attested photocopy of the mark sheet of the 3rd Professional Examination (Part II) of the MBBS Course 9. Attested photocopies of I, II, III MBBS (Part I & II) Attempt Certificate 10. Internship Completion Certificate 11. An attested photocopy of the MBBS Degree Certificate awarded by the University 12. An attested copy of permanent registration certificate from RMC or State Medical Council or Medical Council of India 13. 6 Passport Size photographs 14. Nationality and Domicile Certificate 15. Declaration from Candidates as per prescribed format on a non-judicial stamp paper of Rs.10/- duly attested by Notary Public 16. Declaration from Parent/Guardian as per prescribed format on a non-judicial stamp paper of Rs.10/- duly attested by Notary Public 17. P.G. Bond/Undertaking as per prescribed format on Non Judicial stamp paper of Rs.100/- 18. Bank Guarantee as per prescribed format on Non Judicial stamp paper of Rs.100/- 19. Marks & Category (Gen / SC / ST / OBC / SBC) obtained in Pre-PG examinations (CET organized by Central (NEET) / State / or University as applicable. Postgraduate Medical courses permitted by the Medical Council of India under section 10A of the IMC Act and Central Government are as under:-

M.D. (DOCTOR OF MEDICINE) for which candidates must possess recognised degree of MBBS (or its equivalent recognised degree) (1) Anatomy (2) Biochemistry (3) Microbiology (4) Pharmocology (5) Pathology (6) Community Medicine (7) Anaesthesiology (8) General Medicine (9) Tuberculosis & Respiratory Medicine or Pulmonary Medicine (10) Skin & VD (11) Psychiatry (12) Paediatrics (13) Radio-diagnosis M.S. (MASTER OF SURGERY) for which candidates must possess recognised degree of MBBS (or its equivalent recognised degree). (1) Otorhinolaryngology (2) General Surgery (3) Ophthalmology (4) Orthopaedics (5) Obstetrics & Gynaecology Number of Seats subject wise The details of all approved and available seats in various M.D & M.S., PG degree program in Mahatma Gandhi Medical College & Hospital, Jaipur and provisional seat sharing matrix is as follow. S.No. Subjects & its Unit system PG Degree (M.D / M.S) as approved / permitted by MCI / Central Govt. from the academic year 2009-10 onwards CET Seats NRI Seats Total no. of Annual Seats 1. Anatomy MS Anatomy 4 4 2. Biochemistry MD Biochemistry 1 1 3. Pathology MD Pathology 5 5 4. Microbiology MD Microbiology 2 2 5. Preventive & Social Medicine (Community Medicine) MD Preventive & Social Medicine 3 3 6. General Medicine MD General Medicine 4 2 6

7. Paediatric Medicine MD Paediatric 3 1 4 8. Pulmonary / MD Pulmonary / 2 2 Respiratory Medicine (T.B & Chest ) Respiratory Medicine (T.B & Chest ) 9. Anaesthesiology MD Anaesthesiology 5 5 10. General Surgery MS General Surgery 4 1 5 11. Otorhinolaryngology (ENT) MS ENT 2 2 12. Ophthalmology, Eye MS Ophthalmology, Eye 1 1 13. Orthopaedics MS Orthopaedics 1 1 2 14. Radio-diagnosis MS Radio-diagnosis 3 1 4 15. Obstetrics and MS/MD Obstetrics and 3 1 4 Gynaecology Gynaecology 16. Pharmocology MD Pharmocology 4 4 17. Skin & VD MD Skin & VD 1 1 2 18. Psychiatry MD Psychiatry 2 2 Total 49 9 58 * Seats are likely to be increased in a few subjects & shall be published as soon as permitted. Eligibility Every student, selected for admission to postgraduate medical course shall possess recognised MBBS degree or equivalent qualification and should have obtained permanent Registration with the Medical Council of India, or any of the State Medical Councils or should obtain the same within one month from the date of his admission, failing which the admission of the candidate shall be cancelled; Completed satisfactorily one year's rotatory internship or would be completing the same before 31.03.2012 after passing 3rd MBBS Exams. In the case of a foreign national, the Medical Council of India may, on payment of the prescribed fee for registration, grant temporary registration for the duration of the postgraduate training restricted to the medical college/institution to which he is admitted for the time being exclusively for postgraduate studies; however temporary registration to such foreign national shall be subject to the condition that such person is duly registered as medical practitioner in his own country from which he has obtained his basic medical qualification and that his degree is recognised by the corresponding Medical Council or concerned authority. Students undergoing postgraduate courses shall be exposed to the following: A basics of statistics to understand and critically evaluate published research paper. Few lectures or other type of exposure to human behavior studies. Basic understanding of pharmaco-economics. Introduction to the non-linear mathematics. Selection of postgraduate students

NRI Quota 15% of the total seats are earmarked for Foreign National / PIO / NRI / Ward of NRI / NRI sponsored candidates and the remaining 85% seats will be filled by the management of the institution on the basis of merit. For the year 2013-14 academic merit shall be assessed as per P.G. regulation 2000 (amended 2008) by MCI, as under. (I. On the basis of the individual's cumulative performance at the first, second and third MBBS examination. or II. On the basis of merit as determined by the competitive Entrance test conducted by the University or III. (Combination of (i) and (ii) Please note: - The admission policy may be changed according to the law prevailing at the time of admission in that academic year. *Note : University shall be free to take decision about above methods of determining merit on the basis of number of applications received and / or law prevailing at the time of admission. Counseling / Interview I. Candidates in order of merit will be called for Counseling/Interview and for verification of original documents and identity by personal appearance. Counseling will be performed and the placement will be done on merit-cum-choice basis. No change in the choice will be allowed later on. Candidates coming late during Counseling may be considered but placement will be done only on the existing vacancy at that time. II. Dates and venue of counseling / Interview by personal appearance will be notified on the notice board of the Mahatma Gandhi Medical College & Hospital's office. The same will also be available on MGUMST website www.mgumst.org Period of Training The period of training for the award of various postgraduate degrees or diplomas shall be as follows: Doctor of Medicine (M.D.) / Master of Surgery (M.S.) The period of training for obtaining these degrees shall be three completed years including the period of examination. Provided that in the case of students having a recognized two year postgraduate diploma course in the same subject, the period of training, including the period of examination, shall be two years. University Enrolment All the selected candidates admitted to the MD / MS / M Sc Medical Courses at MGMCH under any category are required to apply to the Mahatma Gandhi University of Medical Sciences & Technology, Jaipur on a prescribed proforma with the required fee for enrolment as per rules and regulations of the MGUMST, Jaipur. The admitted students must apply for enrolment as per the notification of the MGUMST.

Migration No application for migration to other Medical Colleges will be entertained from the students admitted to the MD / MS course at this Institute. Fee Structure for MD / MS Course NRI Students Clinical Subjects Tuition Fee: USD 60,000.00 (US Dollar sixty thousand per annum or its equivalent in other currencies) per annum. In addition students will deposit cash security / Bank guarantee of 2 years of balance course duration amounting USD 1,20,000.00, (or its equivalent in other currencies) at the time of admission. Caution Money: USD 2500.00 (Interest free Refundable on completion of Course) Non Clinical Subjects (Pathology and Microbiology) Tuition Fee: USD 22,000.00 (US Dollar Twenty two thousand per annum or its equivalent in other currencies) per annum. In addition students will give cash security / Bank guarantee of 2 years of balance course duration amounting USD 44,000.00 (or its equivalent in other currencies) at the time of admission. Caution Money: USD 2500.00 (Interest free Refundable on completion of Course) Other Non Clinical Subjects Tuition Fee: USD 14,000.00 (US Dollar Fourteen thousand per annum or its equivalent in other currencies) per annum. In addition students will give cash security / Bank guarantee of 2 years of balance course duration amounting USD 28,000.00 (or its equivalent in other currencies) at the time of admission. Caution Money: USD 2500.00 (Interest free Refundable on completion of Course) Common Entrance Test (CET) Clinical Subjects Tuition Fee: Rs. 10,00,000.00 per annum. In addition students will deposit cash security / Bank guarantee of 2 years of balance course duration amounting Rs. 20,00,000.00, at the time of admission. Non Clinical Subjects Pathology Tuition Fee: Rs. 8,00,000.00 per annum. In addition students will deposit cash security / Bank guarantee of 2 years of balance course duration amounting Rs. 16,00,000.00, at the time of admission. Microbiology Tuition Fee: Rs. 6,00,000.00 per annum. In addition students will deposit cash

security / Bank guarantee of 2 years of balance course duration amounting Rs. 12,00,000.00, at the time of admission. Community Medicine & Pharmacology Tuition Fee: Rs. 5,00,000.00 per annum. In addition students will deposit cash security / Bank guarantee of 2 years of balance course duration amounting Rs. 10,00,000.00, at the time of admission. Other Non Clinical Subjects Tuition Fee: Rs. 4,00,000.00 per annum. In addition students will deposit cash security / Bank guarantee of 2 years of balance course duration amounting Rs. 8,00,000.00, at the time of admission. Note: fee will be deposited by a Demand Draft in the name of Mahatma Gandhi Medical University of Medical Sciences & Technology, payable at Jaipur Cancellation and Refund If a student withdraws / gets cancelled his admission after joining the course but before the last date of admission prescribed in this regard and if such vacant seat is filled by another candidate by the last date of admission then the fees paid shall be proportionately deducted (which will be approximately 10% of the tuition fees) for the period the student has attended the college along with proportionate deduction of hostel fees and the balance fees along with original certificate will be returned to the student. However, if no other candidate is available and student leaves the course, entire fee of course will be confiscated. Hostel Facilities P.G. training is a full time residency program as per MCI Regulations and it is mandatory for all the PG residents to stay in the campus. There is a separate hostel for PG Residents available in the campus. accommodation for Married students is allowed in the Hostel. Hostel accommodation to all the residents admitted to the Post Graduate Medical Course in the Institution is compulsory so as to maintain regularity, standard of medical education and discipline. Hostel fee per student per academic year for different categories is given below: Hostel Fee and Security Deposit Particular Single Double Hostel Fee Per annum MD / MS Rs. 100000.00 Rs. 70000.00 Mess Charges: Mess charges as applicable. Residents can cook their own food also in the room.

Hostel fee for total course duration shall be payable at the time of counseling / admission through a crossed demand draft drawn in favour of Mahatma Gandhi University of Medical Sciences & Technology payable at Jaipur. Subsequent payment must be made on the dates notified. * Every room is self contained with twin beds, attached toilet & bath and kitchen. All rooms have a separate sub-meter for electricity readings. AC facility is optional and available on charged basis. A few rooms without AC on single occupancy basis are also available. For these rooms, the hostel fee is Rs. 70000.00 per annum and electricity charges will be collected as per separate meter readings for the room. (Subject to availability) * Note: Only split AC is allowed to be installed by the candidate.