brochure for 2019-20 mbbs admission 2019-20 mbbs...instructions for students seeking admission to...

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Government of Karnataka Karwar Institute of Medical Sciences, Karwar (An Autonomous Institution) M G Road, Karwar, Uttara Kannada District Website: www.kimskarwar.kar.nic.in Email id: [email protected] Phone No. 08382 -226650 Fax No. 08382-220364 BROCHURE FOR 2019-20 MBBS ADMISSION 1. Office Telephone number : 08382-223901 (Contact For Hostel details working hours 9am to 4pm only) 2. Enquiry about Boy Hostel Supervisor - Mr. Arun 8861982515 (Working hours 9am to 4pm only) 3. Enquiry about Girls Hostel Supervisor - Ms. Nurjahan 8861982515 (Working hours 9am to 4pm only) Information Regarding Admission Only - Dr. Prakash H. M Mobile No: 7899187047 Website: www.kimskarwar.kar.nic.in Email id: [email protected] College fee to be paid by DD or NEFT/ RTGS transfer only Account name for DD: Dean & Director, Karwar Institute of Medical Sciences, Karwar SBI Account details: Account No : 35886153551 Branch : Karwar Main Branch IFSC Code : SBIN0000857 Branch code : 000857 A/c Type : Current account Foundation course will commence from 5 th August 2019 for 1 st year MBBS students (2019-20 Batch). (75% attendance is compulsory towards one month foundation course)

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Page 1: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

Government of Karnataka

Karwar Institute of Medical Sciences, Karwar (An Autonomous Institution)

M G Road, Karwar, Uttara Kannada District

Website: www.kimskarwar.kar.nic.in Email id: [email protected] Phone No. 08382 -226650 Fax No. 08382-220364

BROCHURE FOR 2019-20 MBBS ADMISSION

1. Office Telephone number : 08382-223901 (Contact For Hostel details working hours 9am to 4pm only)

2. Enquiry about Boy Hostel Supervisor - Mr. Arun 8861982515 (Working hours 9am to 4pm only)

3. Enquiry about Girls Hostel Supervisor - Ms. Nurjahan 8861982515 (Working hours 9am to 4pm only)

Information Regarding Admission Only - Dr. Prakash H. M Mobile No: 7899187047

Website: www.kimskarwar.kar.nic.in

Email id: [email protected]

College fee to be paid by DD or NEFT/ RTGS transfer only

Account name for DD: Dean & Director, Karwar Institute of Medical Sciences, Karwar

SBI Account details:

Account No : 35886153551

Branch : Karwar Main Branch

IFSC Code : SBIN0000857

Branch code : 000857

A/c Type : Current account

Foundation course will commence from 5th

August 2019 for 1st year MBBS students

(2019-20 Batch).

(75% attendance is compulsory towards

one month foundation course)

Page 2: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

IMPORTANT

1. No forms/proforma will be issued at KRIMS office as they are made available in KRIMS website. Students

are instructed to get a printout of the same, fill it and be ready with all the documents and report to the

institute before 9.30 am. 2. MANAGEMENT SEATS ARE NOT AVAILABLE, AS THIS IS A GOVERNMENT COLLEGE.

3. The mobile number and email id of the candidate that is furnished to the Principal office will be submitted to

the University. During examination time, the OTP from University will be sent to the same number/ email id

for filling the examination forms. Therefore, students are hereby instructed to retain the same mobile number

through-out the course. 4. Please call only during office hours. Direction map of the College is enclosed.

5. An induction programme for all the I MBBS students will be held in the first week of August 2019. Keep

checking the website for further details. 6. E Stamp papers are available at Cooperative Banks, Karwar or elsewhere. Without E stamp papers,

no bond will be accepted. E-stamp papers to be done in Karnataka State only.

Sl. No. Details Timing

1 Registration and Data Entry 9.30 am to 10.30 am

2 Document Verification 10.00 am to 1.00 pm

3 Online update and confirmation 2.00pm to 4.00 pm

NOTE: 1. PLEASE BRING A COPY OF THE BROCHURE DURING THE ADMISSION PROCESS

2. PLEASE FOLLOW THE ABOVE TIMING STRICTLY

3. THE COMPLETION OF ADMISSION PROCESS IS LIKELY TO TAKE 2

WORKING DAYS. THE CANDIDATES ARE INSTRUCTED TO COME

PREPARED ACCORDINGLY.

Page 3: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested
Page 4: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

Instructions for students seeking Admission to First MBBS (Academic Year 2019-20)

Original documents along with Three Sets of Attested true Photocopies and a Soft Copy of all the

documents along with Photograph on a CD to be submitted in the following order.

1. NEET UG Admit card. 2. NEET UG Score card and Rank Card 3. NEET /KEA Allotment Order. 4. SSLC Marks Card / Birth Certificate. 5. II PUC/12th Standard Marks card. 6. Study Certificate. 7. Transfer Certificate. 8. Domicile Certificate. (For students not studied SSLC or +2(PUC) in Karnataka) 9. Caste Certificate. (For candidates claiming Reservation - Regional Language & English translated

caste certificates from eligible NEET students to be submitted during admission by

SC/ST/CAT-1, 2a, 2b, 3a & 3b students who scored less than 50% and more than 40% marks in

10+2 (PCB) examination/ entrance examination required for submission to MCI, New Delhi. 10. Income Certificate of Parent. (For candidates claiming Reservation) 11. Migration Certificate. (For CBSE/ICSE/AIQ Students) 12. Eligibility Certificate issued by RGUHS. (For CBSE/ICSE/AIQ Students) www.rguhs.ac.in –

available under downloads – link: www.ecms.online 13. Physical Fitness Certificate. (Issued by authorized Government Medical Officer) 14. Annexure –I, Part-I:-Undertaking by the student to be typed in Rs. 50/- E-stamp paper and duly

attested by notary (proforma enclosed).

15. Annexure I. Part-II:- Undertaking by parent /guardian-to be typed in Rs. 50/- E-stamp paper and

duly attested by notary (proforma enclosed)

16. Undertaking -MBBS degree programme as per RGUHS curriculum- to be typed in Rs.50/- E-stamp

paper and duly attested by a notary (proforma enclosed)

17. Rural service bond by candidates who select MBBS seats in KRIMS, Karwar-to be typed in Rs.100/-

E-stamp paper and attested by a notary (proforma enclosed)

18. Environmental Pledge (proforma enclosed) 19. Photograph. (3 Pass Port Size and Soft copy in JPG less than 45KB)

20. Aadhar card. (Photo copy)

21. Physical Disability Certificate. (For differently abled candidates)

22. Self addressed Rs.30/- Stamped Envelopes (3 Nos) Medium Size

23. 2 plastic folders/file. Please provide good quality thick folders for safe keeping of your ORIGINAL

certificates voluntarily deposited with college. (Image attached in brochure) (Available in Karwar)

24. Original challan for having paid college fee in KEA

25. Original DD for college fee / Account transfer details.

26. Rural / Kannada certificate / HK Quota certificate.

27. CD

NOTE: 1. WITHOUT ALL ORIGINAL DOCUMENTS, ADMISSION PROCESS IS INCOMPLETE.

2. If seat is lost due to fake or color Xerox of original documents submitted, candidate/ parent/

Guardian himself/ herself is responsible.

3. All Students are advised to keep several (5-6) attested copies of all documents, as original

documents won’t be returned for any reason till the end of the course.

4. Check the CD twice before submitting if the CD is blank/ Documents not opening your

documents won’t be submitted to Medical Council of India & your seat maybe cancelled as the

admission process is incomplete. Label each document separately. Do not merge documents into

single file. Label each document in the same order.

5. All documents in PDF single unmerged file.

6. All photos in JPG formats.

Page 5: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

KARWAR INSTITUTE OF MEDICAL SCIENCES, KARWAR

(TO BE FILLED BY OFFICE)

REGISTRATION NO. ____/UG/2019-20

DATED: _____________________

THE FOLLOWING DOCUMENTS TO BE FILLED UP IN CAPITAL LETTERS ONLY

Page 6: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

(Format provided to be downloaded)

OFFICE NOTE.

PARTICULARS OF UNDER GRADUATE STUDENT.

DECLARATION.

FORMAT FOR OBTAINING TRANSFER CERTIFICATE.

ENVELOPE WITH STAMP AND ADDRESS

OFFICE NOTE

Sub: - Admission to Under Graduate Course for the Academic Year 2019-20 – reg. *****

TO BE FILLED IN CAPITAL LETTERS ONLY

DEGREE MBBS 2019-20 AIQ SEQ Counseling session( Round) I II III MOP UP Mr./Miss

Page 7: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

Mother’s Name

Father’s Name

UG NEET Roll No.

All India Rank No.

State Rank No.

UG NEET Score /720

UG NEET Percentage %

UG NEET Percentile

has submitted the following Original certificates voluntarily

Sl No Particulars Submitted Not Submitted

1. NEET UG Admit card

2. NEET UG Score card and Rank Card

3. NEET /KEA Allotment Order

4. SSLC/ 10th Marks Card

5. II PUC/12th Standard Marks card

6. Study Certificate

7. Transfer Certificate

8. Domicile Certificate

9. Caste Certificate (For candidates claiming Reservation)

10. Income Certificate of Parent (For candidates claiming Reservation)

11. Migration Certificate (For CBSE/ICSE/AIQ Students)

12. Eligibility Certificate issued by RGUHS (For CBSE/ICSE/AIQ Students)

13. Physical Fitness Certificate ( Issued by authorized Government Medical Officer)

14. Annexure –I, Part-I:-Anti ragging Undertaking by the student

15. Annexure I. Part-II:- Anti ragging Undertaking by parent /guardian

16. Undertaking -MBBS degree programme as per RGUHS curriculum

17. Rural service bond

18. Environmental Pledge

19. Photograph (3 Pass Port Size and Soft copy in JPG less than 45KB)

20. Aadhar Card (Photo copy) No:

21. Physical Disability Certificate No:

(for differently abled candidates) Issued by:

22. Original challan for having paid college fee in KEA

23. Original DD for college fee

24. HK certificate

25. Rural Certificate

26. Kannada Certificate

27. Scanned Document in CD (Unmerged)

Note: Original and true photocopies to be submitted in same above order

Signature of Candidate Signature of Parent/Guardian

Signature of the Scrutinizing Officer

TO BE FILLED IN CAPITAL LETTERS ONLY

DECLARATION

To,

Affix recent photograph

Page 8: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

The Director and Dean, Karwar Institute of Medical Sciences, Karwar.

Sir/Madam,

I___________________________S/o./D/o._______________________________________

UG NEET Roll No ___________AIQ Rank No.________ KEA Rank No. ________________ AIQ/KEA admission order No. ______________________ Dated _________________________ Category Claimed _______________ Category Allotted______________ have joined the I MBBS Course at

Karwar Institute of Medical Sciences, Karwar at my own risk.

Place: Karwar Date:

Signature of Candidate Signature of Parent/Guardian

Page 9: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

PARTICULARS OF UNDER GRADUATE STUDENT (MBBS) ACADEMIC YEAR 2019-20

MBBS 2019-20 AIQ SEQ Counseling session

(Round) I II III MOP UP

Sl.

No.

Particulars TO BE FILLED IN CAPITAL LETTERS ONLY

1 Name of the Candidate

2 Gender

3 Native Place

4 Mother tongue 5 Nationality 6 State 7 Urban / Rural 8 Karnataka / Non Karnataka 9 Date of Birth with Age

10 Mother’s Name 11 Father’s Name

12 Father’s Occupation

13 Mother’s Occupation 14 Father email id and mobile no. 15 Mother email id and mobile no.

16 Parents Income per Annum

17 Religion

18 Caste

19 Sub-caste

20 Permanent Address

21 Correspondence Address

22 Landline Phone No( With STD Code )

23 Mobile No

24 Email ID

25 Aadhar No

26 Blood Group & Rh typing

27 Institution last studied

28 Highest examination passed

II PUC/12th Standard

Page 10: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

29 Qualifying Examination passed date

30 University

31 State Studied

32 Registration No.( II PUC/12th Standard)

33 Total Marks Scored ( II PUC/12th Standard) / %

34 English /100 %

35 Physics /100 %

36 Chemistry /100 %

37 Biology /100 %

38 Total in PCB /300 %

39 UG NEET Roll No.

40 UG NEET Score /720

41 UG NEET Percentage %

42 UG NEET Percentile

43 All India UG NEET Rank

44 KEA / CET number

45 AIQ/KEA Admission Order No.& Date

46 Reservation Quota Claimed

47 Reservation Quota Allotted

48 Hyderabad Karnataka Quota Yes / No

49 Physical Handicap Quota Yes / No

50 Date of Admission

51 Fee paid - KEA 52

Fee paid - College

DD no.: / Account transfer details

53 Transfer certificate number

If any of the information above is wrong, and if I lose admission, I will not hold the University or the

college responsible.

Place: Karwar Date:

Signature of Candidate Signature of Parent/Guardian

Page 11: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

FORMAT FOR OBTAINING TRANSFER CERTIFICATE

SL.NO. PARTICULARS TO BE FILLED IN CAPITAL LETTERS ONLY 1 Name of the Candidate

2 Gender

3 Date of Birth with Age

4 Father’s Name

5 Nationality

6 Religion

7 Caste

8 Sub-caste

9 Category 10 Institution last studied

11 Highest examination passed II PUC/12th

Standard 12 Registration No.( II PUC/12

th Standard)

13 Month & Year Of Passing

14

Date of joining Karwar Institute of Medical Sciences

Place: Karwar

Date:

Signature of Candidate Signature of Parent/Guardian

OFFICE NOTE (For office use only)

The above candidate has been admitted to I MBBS Course at Karwar Institute of Medical

Sciences, Karwar on _____________. The Transfer certificate of the candidate to be sent to the

below mentioned address

O/o. The Principal,

M.G. Road, Karwar Institute of Medical Sciences,

Karwar-581301, UttaraKannada District, Karnataka.

Principal

Karwar Institute of Medical Sciences

Karwar

Page 12: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

(On E-stamp paper of Karnataka state only)

ANNEXURE l – PART l

UNDERTAKING BY THE STUDENT

1. I, ___________________________________________________________ S/o / D/o. of

Mr./Ms.______________________________________________, have carefully read

and fully understood the law prohibiting ragging and the directions of the Supreme Court

and the Central/State Government in this regard.

2. I have received a copy of the MCI Regulations on Curbing the Menace of Ragging in

Higher Educational Institutions, 2009 and have read it and understood fully.

3. I hereby under take that –

I will not indulge in any behavior or act that may come under the definition of

ragging I will not participate in or abet or propagate ragging in any form,

I will not hurt anyone physically or psychologically or cause any other harm.

I will resubmit such an undertaking again yearly to the Principal KRIMS and reiterate

my commitment

4. I hereby agree that if I found guilty of any aspect of ragging, I may be punished as per

the provisions of the MCI Regulations mentioned above and/or as per the law in force

without any warning or notice.

Signed this _________ day of _____________________________ month of

______________year

1. Witness (signature & address) Signature:-

Address:__________________________

_________________________________

_________________________________

Mobile Number:

2. Witness (Signature & Address)

SEAL & SIGNATURE OF

THE GOVERNMENT NOTARY

l. Party-Student

ll. Party- Director Karwar Institute of Medical Sciences, Karwar

TO BE TYPED IN RS-50 E-STAMP PAPER

Page 13: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

(On E-stamp paper of Karnataka state only)

ANNEXURE l, PART ll

UNDERTAKING BY PARENT/GUARDIAN

1. I _________________________________________________________ F/O /M/o / G/o

______________________________________________________ aged ________ years,

Working as__________________________________(occupations), Resident of

________________________________________________________________________

________________________________________________________________________

(correspondence address) have carefully read and fully understood the law prohibiting

ragging and the directions of the Honorable Supreme Court and the Central/State

Government in this regard as well as the MCI Regulations on Curbing the Menace of

Ragging in Higher Educational Institutions, 2009.

2. I assure you that my son /daughter will not indulge in any act of ragging.

3. I hereby agree that if he/she is found guilty of indulging in ragging, he/she may be

punished as per the provisions of the MCI Regulations mentioned above and/or as per the

law in force.

4. I agree to submit such an undertaking yearly to the Principal, KRIMS.

Signed this _________ day of _________________________ month of ___________

year

1. Witness (Signature & Address) ( )

Signature & address :

2. Witness (Signature & Address)

SEAL & SIGNATURE OF

THE GOVERNMENT NOTARY

l. Party-Parent/Guardian

II. Party- Director, Karwar Institute of Medical Sciences, Karwar

TO BE TYPED IN RS. 50/-E-STAMP PAPER

Page 14: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

(On E-stamp paper of Karnataka state only)

Annexure II

UNDERTAKING ABOUT MBBS DEGREE PROGRAMME AS PER RGUHS

CURRICULUM

I, ___________________________________________________________ Son / Daughter

of ______________________________________ (herein after called the Natural Guardian of

the Student ) hereby give an undertaking that on admission to I MBBS at Karwar Institute of

Medical Sciences, Karwar during the year 2019-20 have read the rule No.11 of the ordinance of

Governing M.B.B.S Degree Programme of Rajiv Gandhi University of Health Sciences,

Bangalore, vide Notification No.ACA/BOS-27/97-98, dated: 24.03.1998, and I shall abide / by

the RGUHS regulations.

That no student shall be permitted to join Phase-II (Para Clinical & Clinical) Group of

subjects until he / she Passes in the Phase-I (Pre-clinical) subjects for which he / she will be

permitted not more than four chances (Actual Examination) provided four chances are completed

within three years from the date of enrollment. My parents shall also give undertaking that they

will visit college every 6 months to enquire my progress w.r.t attendance and assessments.

Signature of the student with full

Address and phone number.

Witness:

1.

2.

Signature of parent

I Party – Candidate

II Party – Director, Karwar Institute of Medical Sciences, Karwar

TO BE TYPED IN RS. 50/-E-STAMP PAPER

SEAL AND SIGNATURE OF THE

GOVERNMENT NOTARY

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(On E-stamp paper of Karnataka state only)

Annexure III (Execution Bond)

EXECUTION OF BOND BY CANDIDATES WHO SELECTS MBBS SEAT IN

MEDICAL COLLEGES OF KARNATAKA

(On Rs. 100/-e-Stamp Paper)

I, Mr./Kum……………………………...……….……………S/o./D/o…..……………………

……………………….. a candidate with NEET 2019 Admission Ticket No ……………

……………… ………………….residing at ………………………… ……… ………

………………………………………………………………………………………………………

………………………………………………………………………………………………………

…………………………………………………………………………………………………

have on my own volition allotted a MBBS seat on ……………………………. In

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

………………..……...…vide admission order number ………………………

……………………………dated……………………………and do hereby undertake as follows:

In accordance with the Amendment to Rule 11 of the Karnataka Selection of Candidates

for Admission to MBBS seats in Professional Educational Institutions Rules, 2006, vide

Government Notification - 1. No. HFW 79 RGU 2011 dated 17-07-2017 and Amendment act

2017 dated 6-7-2017 I am prepared on completion of the course to serve in any Primary Health

centre or Primary Health unit situated in Rural Areas in the state of Karnataka for a minimum

period of ONE year and I will abide to rules and regulation of Government of Karnataka.

What is stated above is true and correct and I and my parent/Guardian hereby undertake

to act accordingly.

Signature of the candidate Signature of the Parent

Date………………………………… (Father/Mother)

Place………………………………

Witness:

1. 2.

1st Party – Candidate

2nd Party – Govt. of Karnataka

Seal & Signatory

Of Government attorney

Page 16: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

GENERAL INSTRUCTIONS FOR THE STUDENTS WHO ARE TAKING ADMISSION

FOR I- MBBS COURSE AT KARWAR INSTITUTE OF MEDICAL SCIENCES,

KARWAR

1. Students must report in KRIMS office for MBBS admission on or before last date

indicated on their selection letter issued by KEA /AIQ at 10-00 am. If any student fails to

report before last date indicated in the office letter, his / her admission will stand

cancelled and the same will be intimated to concerned authorities. 2. The students are instructed to download all the mentioned forms and must be filled

in by his / her own handwriting with blue or black point pen neatly and legibly in English or computer typed in capital letters only, except for signature. Submit the same at the time of admission.

3. One of the parent / guardian must accompany students at the time of admission or demitting seats as certain documents are to be signed by them.

4. The admission/demitting process is likely to take two working days. Outstation candidates are requested to not cause hurry in admission or demitting seats.

5. The admission offered to a candidate will be only provisional. DME & RGUHS are final authorities.

6. The students are instructed to keep the 5-6 attested true copies with themselves of their original documents until the documents are returned from Rajiv Gandhi University of Health Sciences, Bangalore at the end of the course. Once submitted no original will be returned, please co-operate.

7. Overwriting, cutting, erasing in the form may lead to rejection and should be avoided. Check thoroughly whether you have filled all your relevant details correctly in the concerned forms.

8. Important: No forms / proforma will be issued at KRIMS office as they are made

available in KRIMS website. www.kimskarwar.kar.nic.in

9. Institute working hours: 9.00 am to 1.00 pm and 2.00 pm to 4.30 pm. 10. In case of AIQ/NEET seats-seat surrender procedure be duly followed. Kindly generate

the online seat surrender receipt and contact in person to KRIMS OFFICE on any working day. SUNDAYS AND GOVERNMENT OF KARNATAKA HOLIDAYS ARE NOT WORKING DAYS. KINDLY CALL ON OFFICE NUMBERS 08382-223901/226650 and speak in Hindi, English or Kannada.

11. Learning Kannada for a medical student may be necessary since MBBS students will be interacting with patients.

Page 17: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

NOTE

1. Students admitted to this institute are expected to strictly follow the codes of discipline

indicated by college authorities, university, and government.

2. Drinking alcohol, smoking or consuming any intoxicants by students is strictly

prohibited. Misbehavior with other students / staff/ other personnel / patients will be dealt

as per law.

3. Ragging in any form is punishable by law. An undertaking to this effect signed by the

candidate and his/her parent /guardian must be submitted at the time of admission

compulsorily. (all five affidavits)

4. Candidates are advised to keep a printed copy of their completed application form along

with forms for their record and future reference. You can photograph your submission

too.

5. As per RGUHS syllabus regulation 75% attendance in both practicals and theory is a

must. Non adherence to such rules in force will invite disciplinary actions. It is also the

duty of parents/guardians to periodically ask for Internal marks and attendance of their

ward and participate in education process.

6. No vehicles are allowed to be kept by students or used in the college premises. All

parents must agree to not allow their ward to use any vehicles. If any parent wishes to

allow wards to use vehicles, they must submit a undertaking in Rs.100/- E-stamp bond

paper to warden.

7. Dress code – Decent formal dressing with formal dress code is expected from both boys

and girls during working hours. When visiting library similar rules apply. While roaming

in campus also kindly wear decent clothes.

8. Library rules and regulations must be followed.

9. Any Incidents of Ragging please report to Dr. Sadananda (9845082223) / Dr. Venkatesh

(9448020607/8310245494)

CONTACT DETAILS

PHONE : 08382 223903

WEBSITE : www.kimskarwar.kar.nic.in

EMAIL : [email protected] & [email protected] ADDRESS : Karwar Institute of Medical Sciences, Karwar, Dist: Uttara kannada, Karnataka,India.Pin Code:581301

Page 18: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

For E- Stamp Bond Purchase and Notarization Bank Name : Jai Shardamba Souhardha Credit Sahakari Niyamitha

Bank Address : Opp: Town Police station

Ist floor , Shan Complex

Green street , Karwar

For Notary P.N. KUVALEKAR

ADVOCATE & NOTARY

Ground floor, Krishna complex

Beside Sagar Textiles, Karwar

Mob No: 9972767795

BANK

Green street road, Karwar

Town Police station

Krinshna Complex

(FOR NOTARY)

NOTE:

Can be bought from above bank or elsewhere in Karnataka

Can be notarized from above notary or elsewhere in Karnataka

Page 19: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

ENVIRONMENTAL PLEDGE

(Each student must give this pledge)

I__________________________________S/D/O_____________________________

Hereby Pledge that I voluntarily agree to plant and maintain tree in my college campus, and I will also take

care of the plants/trees entrusted to me by the college authorities. I shall participate in all such environment

friendly activities assigned to me with full dedication.

Signature of Candidate Signature of Parents

Page 20: BROCHURE FOR 2019-20 MBBS ADMISSION 2019-20 MBBS...Instructions for students seeking Admission to First MBBS (Academic Year 2019-20) Original documents along with Three Sets of Attested

Karwar Institute of Medical Sciences, Karwar

REVISED FEES STRUCTURE Ref: Government Order no. DME/MCS/10/2018-19 dated 25-06-2018

Sl. no. Particulars

For Karnataka – KEA allotted students

AIQ allotted

students

GM/ OBC

Students

SC/ST CAT I

students with low

income certificate

(<2.5 Lakhs PA)

SC/ ST CAT I students

without low income

certificate (>2.5 Lakhs

PA)

1 University fees 9350 9350 9350 9350

2 Tuition fees (Updated) 50000 - 50000 50000

3 Cultural activities 1500 1500 1500 1500

4 Magazine fees 500 500 500 500

5 Alumni association fee (life time) 750 750 750 750

6 Sports fee 600 600 600 600

7 Association Fee 500 500 500 500

8 Kannada Sangha 200 200 200 200

9 Identity Card 100 100 100 100

10 Student Welfare fund (for College) 350 350 350 350

11 Application fee (Admission) 100 100 100 100

12 Literary activities 500 500 500 500

13 Medical Examination fee 200 200 200 200

14 Digital library 1500 1500 1500 1500

15 Research fees 200 200 200 200

16 KEA admission fees 500 500 500 -

66850 16850 66850 66350

A. FOR KARNATAKA QUOTA STUDENTS – Difference amount should be paid in single

DD/Account transfer.

(Total Fees after deduction of fees paid in KEA)

B. FEE STRUCTURE DETAILS FOR ALL INDIA QUOTA STUDENTS ONLY (15% QUOTA)

TWO SEPARATE DEMAND DRAFTS TO BE PURCHASED

Sl. No. Category *First DD Amount ** Second DD Amount

1 SC/ST

59715 6635

2 Other Categories 59715 6635

Note:-

*First Demand Draft will be returned back to such of the students who surrender/upgrade/re-

allotment of MBBS seats during casual rounds at other colleges during the counseling period

only.

** Second Demand Draft will be forfeited by the institute toward 10% of processing fees as per the

guidelines of Government of India.

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Map of College location

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Note: Available at Siddivinayaka book centre, Near bus stand, Maruti galli, Karwar &

elsewhere.

Zip files for keeping documents safely – 2 nos.

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Government of Karnataka

Karwar Institute of Medical Sciences, Karwar (An Autonomous Institution)

M G Road, Karwar, Uttara kannada District

Website: www.kimskarwar.kar.nic.in Email id: [email protected] Phone No. 08382 -226650 Fax No. 08382-220364

BROCHURE FOR 2019-20 MBBS HOSTEL

ADMISSION

HOSTEL WILL BE ALLOTTED 1 -2 DAYS PRIOR TO

COURSE BEGINNING.

1. Office Telephone number : 08382-223901 (Contact For Hostel details working hours 9am to 4pm only)

2. Enquiry about Boy Hostel Supervisor - Mr. Arun 8861982515 (Working hours 9am to 4pm only)

3. Enquiry about Girls Hostel Supervisor - Ms. Noorjahan 8861982515 (Working hours 9am to 4pm only)

Website: www.kimskarwar.kar.nic.in

Email id: [email protected]

College fee to be paid by DD only

Account name: Director & Dean, Karwar Institute of Medical Sciences, Karwar

CONTACT OFFICE FOR HOSTEL DETAILS

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GENERAL RULES & REGULATIONS OF KRIMS HOSTELS

1) Ragging in any form is banned inside and outside the campus. and is punishable.

2) Students should strictly follow the timings of the hostel.

3) Extended hours for studying in the library will be granted on prior written permission.

4) Visitors including parents/guardians are allowed to meet the students in the visitors lounge

during visiting hours and not in their rooms. Overnight stay in the hostel is not allowed.

Entertaining unauthorized guests will lead to severe punishment including expulsion from the

hostel.

5) Students are not allowed to stay in rooms other than the ones allotted to them.

6) Students are responsible for the safety of their belongings.

7) Use of tobacco in any form is strictly prohibited.

8) Consumption of alcohol is strictly prohibited.

9) Possession of weapons or dangerous chemicals of any kind is strictly prohibited.

10) Students will not get involved in political activities of any sort or participate in any anti-

national and anti-social or undesirable activity inside or outside the campus.

11) Students are not permitted to stay in rooms during the college hours, unless they are ill.

Any illness and medication student uses should be reported to the Warden and Principal.

12) Students are not permitted to stay away from the hostel or leave station without the prior

permission from the Warden/Principal.

13) Student once admitted to the hostel, cannot vacate it without a written request from their parents

which must be authorized by the Warden/ Principal.

14) Meetings/gathering within the hostel is not permitted. Functions of any kind should have the

prior permission of the Warden.

15) Students are allowed to use table lamps, hair dryers, iron box and chargers. The use of other

electrical appliances is not allowed.

16) Students have to keep their room clean and neat, including bathroom and toilet.

17) Students are not allowed to have meals in their rooms except under special conditions like

illness etc. The permission of the warden is required in such cases.

18) Cooking is not permitted in the hostel rooms.

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19) Students are not allowed to use terrace for any purpose without the prior permission of

the Warden.

20) Students are not allowed to use motor vehicles like bikes or cars. Those who are

authorized to use vehicles are required to park in an orderly manner in the space

provided. The students using vehicles should possess the valid driving license/ vehicle

registration documents.

21) Any damage to the hostel property will attract a fine. The students residing in the room is

responsible for any damage to the property within the room and will bear the cost of

damage. In case of damage or loss of hostel property the cost will be recovered from the

students of the hostel as decided by the Warden.

22) All students are required to maintain high standards of discipline in the college campus

and hostel premises. In case of breach of discipline and failure to abide by the rules and

regulations, the hostel committee will render the students liable to disciplinary action.

23) Any indisciplinary or undesirable activities occurring in the hostel should be brought to

the notice of the Warden/Principal.

24) Warden/Principal / Director are the final authority to take up decisions in any untoward

incidents.

SD/-

Wardens of Boys Hostel

SD/-

Wardens of Girls Hostel

SD/-

Principal

Karwar Institute of Medical Sciences

Karwar

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GIRLS HOSTEL RULES

1. Follow the hostel timings strictly

a. Timing to go out in the morning after 7.00 am

b. Timing to come back in the evening before 8.00 pm

2. Fine for keeping tap open – 1000/-Rs per person. 3. Fine for keeping fan, bulbs and electrical items on Rs – 500 per head 4. Mess bill has to be Paid before 10th of every month, if delayed 50/-Rs fine

a. Per day will be collected. 5. If the students want to go out of campus they have to take written

permission of warden. 6. Mess timings:

a. Tiffin :7.30am-9.00am

b. Lunch :12.30pm-3.00pm

c. Dinner :7.30pm-9.00pm

7. Mess bill – deduction will be considered if remain absent for continuous five

days. 8. No male relative is allowed to enter the room without permission.

9. Single lady companion is allowed to stay with the student with warden permission. 10. NO SINGLE ROOMS ARE AVAILABLE FOR WHAT SO EVER REASON AND

SUCH REQUESTS WILL NOT BE ENTERTAINED ALL ROOM WILL BE 3 OCCUPANCY.

*** If students violate hostel rules and if any untoward incident happens, students are

responsible themselves & strict action will be taken.

SD/-

Chief Warden

Girls Hostel

KRIMS Karwar

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SEAL AND SIGNATURE OF THE

GOVERNMENT NOTARY

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SEAL AND SIGNATURE OF THE GOVERNMENT NOTARY

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HOSTEL BOND

UNDERTAKING BY THE PARENT (On Rs. 100 E-stamp paper)

Vehicle DL Xerox copy to be submitted with this bond. Of the student who wishes to keep

vehicle in the campus.

Party 1: Parent

Party 2: Hostel warden

I. ____________________ father of / guardian of _________________ / mother of

______________ student of I / II /III MBBS herewith give a undertaking to this effect that my

child / ward ______________ has kept a vehicle __________

Model ________ Make _________ ____________

Vehicle No.___________ at KRIMS campus. He/she in legally eligible to drive vehicle and

His/her vehicle DL is valid DL No is _______________ Any Mishaps/ accidents, any injuries to

self others an account of driving by my ward is solely the responsibility of my child and myself.

I will not allow such vehicle to be driven rashly or cause physical injury to other citizens. While

driving such a vehicle my child will ensure dignity of my family, college and such vehicle

permission will not be misused by letting or renting vehicle or flouting the MV act. Also such

vehicle driver shall display on vehicles the sign “L” for learner and per-se Helmets for

himself/herself and the pillion rider.

Signature of child wishing to

Use vehicle Signature of parent Mobile number Address

Witness (address with mobile no)

1.

2.

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MBBS STUDENTS HOSTEL FEES

1. Room Rent = 1000/M

(Rent + Water +

Electricity) Per Month.

2. Admission Fees = 500/-

3. Hostel Fund = 1000/-

4. Hostel Caution Deposit = 11,000

(Refundable 10,000)

5. Advance Mess Deposit = 9000

(Refundable)

Total = 22,500

DD in Favour Of “Director KRIMS, Karwar

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MBBS STUDENTS HOSTEL ROOM

RENT ADVANCE

Advance Room Rent (Rent +

Water + Electricity) for One

Year from the date of joining

the Hostel

Rs. 12000 /-

DD in Favour Of “Director, Karwar Institute of Medical Sciences , Karwar