brochure for 2019-20 mbbs admission

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Government of Karnataka GADAG INSTITUTE OF MEDICAL SCIENCES, GADAG Mallasamudra, Gadag582103 E-mailID:[email protected] web:www.karnataka.gov.in/gimsgadag BROCHURE FOR 2019-20 MBBS ADMISSION Admission officer:[KEA]. Mr. Ramesh- Phone: 7676097137 Admission officer [AIQ-NEET Seats] Dr.Roopadevi: 8951127808 Principal office:-08372- 297274 www.Karnataka.gov.in/gimsgadag College fee to be paid at Corporation Bank, Puttaraj Statue circle, Gadag or online money transfer is accepted only from students account. TOTAL COLLEGE FEES; 74350/- (Excluding Hostel Fees) Account name: THE PRINCIPAL GIMS GADAG Account number: 006200101035910 IFSC code: CORP0000062 IMPORTANT 1. No forms/proforma will be issued at GIMS office as they are made available in GIMSwebsite. 2. NO MANAGEMENT SEATS AVALIABLE IN THIS GOVERNMENTCOLLEGE. 3. The mobile contact number that will be furnished to the Principal office the same will be submitted to the University. During examination time, the OTP from University will be sent to the same number for filing the examination forms. Therefore, STUDENTS ARE HEREBY INSTRUCTED TO RETAIN THE SAME MOBILE NUMBER THROUGH OUT THE COURSE. 4. Please call in office Timings [Holiday list and Map for CollegeEnclosed.] 5. An Induction programme for all I MBBS students will be held in first week of August 2019. Kindly contact Dr.Roopa B (Ph.9742118485) and Dr.Chandrashekhar(Ph.9164500454) 6. Bonds are available at Cooperative Banks, Mulgund Naka, Gadag or elsewhere. 7. Kindlyconfirmif thereisanybandh or harthalandplan accordingly. Second Saturdayisinstitute holiday .bank holidays are on 2 nd and 4 th Saturdays. There is no accommodation available for Parents in girls and boyshostel. 8. Kindly get all the documents required for admission. If any documents are missing your admission will be delayed as well as you will be responsible forconsequences.

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Page 1: BROCHURE FOR 2019-20 MBBS ADMISSION

Government of Karnataka

GADAG INSTITUTE OF MEDICAL SCIENCES, GADAG Mallasamudra, Gadag– 582103

E-mailID:[email protected] web:www.karnataka.gov.in/gimsgadag

BROCHURE FOR 2019-20

MBBS ADMISSION

Admission officer:[KEA]. Mr. Ramesh- Phone: 7676097137

Admission officer [AIQ-NEET Seats] Dr.Roopadevi: 8951127808

Principal office:-08372- 297274 www.Karnataka.gov.in/gimsgadag

College fee to be paid at Corporation Bank, Puttaraj Statue circle, Gadag or online money transfer is accepted only

from students account.

TOTAL COLLEGE FEES; 74350/- (Excluding Hostel Fees)

Account name: THE PRINCIPAL GIMS GADAG

Account number: 006200101035910

IFSC code: CORP0000062

IMPORTANT

1. No forms/proforma will be issued at GIMS office as they are made available in GIMSwebsite.

2. NO MANAGEMENT SEATS AVALIABLE IN THIS GOVERNMENTCOLLEGE.

3. The mobile contact number that will be furnished to the Principal office the same will be

submitted to the University. During examination time, the OTP from University will be sent to

the same number for filing the examination forms. Therefore, STUDENTS ARE HEREBY

INSTRUCTED TO RETAIN THE SAME MOBILE NUMBER THROUGH OUT THE

COURSE.

4. Please call in office Timings [Holiday list and Map for CollegeEnclosed.]

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

Kindly contact Dr.Roopa B (Ph.9742118485) and Dr.Chandrashekhar(Ph.9164500454)

6. Bonds are available at Cooperative Banks, Mulgund Naka, Gadag or elsewhere.

7. Kindlyconfirmif thereisanybandh or harthalandplan accordingly. Second Saturdayisinstitute

holiday .bank holidays are on 2ndand 4thSaturdays. There is no accommodation available for

Parents in girls and boyshostel.

8. Kindly get all the documents required for admission. If any documents are missing

your admission will be delayed as well as you will be responsible forconsequences.

Page 2: BROCHURE FOR 2019-20 MBBS ADMISSION

DOCUMENTS TO BE PRODUCED AT ADMISSION

Sl no

PARTICULARS

1 Requisition letter addressed to the Principal, GIMS Gadag requesting for MBBS admission (proforma enclosed)

2 Form-I and Form-II (proforma enclosed )

3 KEA-NEET allotment order

4 KEA-NEET marks card

5 Admit card/ counseling letter results sheet (for All India Quota Students)

6 Original challan for having paid college fee

7 10thmarks card / 10thpassing certificate

8 12thmarks card / 12thpassing certificate

9 Students claiming reservation under Hyderabad- Karnataka region (article- 371J) shall submit Eligibility certificate

10 Transfer certificate

11 Study certificate from the Institute last attended

12 Character and conduct certificates from the Institute last attended

13 Caste certificate

14 Income certificate

15 Domicile certificate (other than Karnataka students ).

16 Eligibility certificate from RGUHS (for students other than Karnataka PU board)

17 Migration certificate from the University last attended (if Applicable)

18 Migration certificate from the board if passed 12thstandard from board other than Karnataka PU board

19 Physical fitness certificate (Medical certificate) from GIMS teaching Hospital /District surgeon

20 Regional Language and English translated caste certificates from eligible KEA-NEET students to be submitted during admission by SC/ST/CAT-1,2a,2b,3a,and 3b students who scored less than 50% and more than 40% marks in 10+2 (PCB) examination required for submission to MCI, New Delhi.

21 Regional Language and English translated caste certificates from the eligible KEA-NEET/KEA- 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 entrance examination required for submission to MCI,New Delhi

22 Annexure –I, Part-I:-Undertaking by the student to be typed in Rs.200/- E-stamp paper and duly attested by notary (proforma enclosed).

23 Annexure I. Part-II:- Undertaking by parent /guardian-to be typed in Rs.200/- E-stamp paper and duly attested by notary (proforma enclosed)

24 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)

25 Rural service bond by candidates who select MBBS seats in GIMS, Gadag-to be typed in Rs.200/- E-stamp paper and attested by a notary (proforma enclosed)

26 Four (04) recent color digital passport size photographs. The photographs must indicate clearly the name of the candidate along with the date of taking the photograph. Candidates must Keep 8-10 identical photographs ready in reserve for further use.

27 1 Quality zipped files with latest photographs affixed on it including name and address of the candidate. Please provide good quality thick folder for safe keeping of your ORIGINAL certificates voluntarily deposited with college. 1 folder file is required to keep the Xerox copies.

28 5 self addressed Rs.30/-stamps for 5 envelopes individually.

29 All the documents soft copy in pdf format to be mailed to [email protected]

*16. Eligibility certificate available online www.ecms.online *19. Physical fitness certificate can be issued from GIMS, District Hospital.

Page 3: BROCHURE FOR 2019-20 MBBS ADMISSION

OFFICE MEMORANDUM

Sub: MBBS Phase-I admission through KEA Bangalore-2019 and voluntary deposition of original

certificates /testimonials - reg

Ref: KEA Bangalore online generated admissions order No: dt 2019

Mr./Miss KEA-NEETNo. RankNo: ,Category

Who has been selected and allotted to Gadag Institute of Medical Sciences, Gadag has

Reported and provisionally admitted to MBBSPhase-Ion 2019 subject to the approvalof

concerned authorities. He/she has submitted all relevant original certificates and testimonials to this

college on own will on the condition that admission are subject to approval rules and of MCI, RGUHS ,

Government of Karnataka and Ministry of health and family welfare, Government of India. The said

student and parents have been informed that seat surrender if any will be directly to KEA, Bangalore.

I understand that college authorities will make maximum efforts to accommodate students in hostel yet

we understand their compulsions, and sharing of rooms maybe needed and voluntarily students will be

taking rooms as per availability. Students are also at liberty to quit hostels and stay outside anytime

during course, and its also responsibility of parents to check the wellbeing, food served ,and ragging

issues which can also be assigned by concerned parents to local guardian, as warden of colleges will have

to look after other regular responsibilities.

In general I will ensure students don’t do combined study or any undue advances towards members of

other sex so as to sway away from original purpose of getting education of MBBS availing government

facilities and concessions

Principal

Gadag Institute of Medical Sciences Gadag

To: The Candidate.

CandidateName

Address and PhoneNumber

Page 4: BROCHURE FOR 2019-20 MBBS ADMISSION

OFFICE MEMORANDUM

Sub: MBBS Phase-I admission through AIQ-NEET-2019 and voluntary deposition of original certificate /testimonials - reg.

Reg: DGHS-ALL India Quota 2019 Medical Counseling Committee, New Delhi Online generatedfor provisional allotment letter with rank dt:

Mr./Miss category seat Allotted Category-

Merit/RankNo. RollNo. who has been allotted MBBS seat during first /Second /Third AlQ-

2019 counseling to Gadag Institute of Medical Sciences , Gadag has reported and provisionally

admittedtoMBBS Phase-Ion subject to the approval of concerned authorities. He/ She has

submitted all relevant originals certificates and testimonials to this college on own will with the condition

that MBBS admission are subject to approval and rules of MCI, RGUHS, Government of Karnataka and

Ministry of health and family welfare, Government of India. The said student and parents have been

informed that seat surrender if any will be directly to MCC, AIQ-NEET seat allotting cell ofDGHS.

I understand that college authorities will make maximum efforts to accommodate students in hostel yet

we understand their compulsions, and sharing of rooms maybe needed and voluntarily students will be

taking rooms as per availability. Students are also at liberty to quit hostels and stay outside anytime

during course, and its also responsibility of parents to check the wellbeing, food served ,and ragging

issues which can also be assigned by concerned parents to local guardian, as warden of colleges will have

to look after other regular responsibilities.

In general I will ensure students don’t do combined study or any undue advances towards members of

other sex so as to sway away from original purpose of getting education of MBBS availing government

facilities and concessions

To: The candidate,

Candidatename:

Address and phonenumber

Parent of candidate shall agree to give correct address and Email id and contact phone numbers of self

Parents address:

Phone number

Principal

Gadag institute of medical sciences

Gadag

Page 5: BROCHURE FOR 2019-20 MBBS ADMISSION

FORM-I

GADAG INSTITUTE OF MEDICAL SCIENCES,GADAG TO BE FILLED BY THE CANDIDATES FOR OFFICE USE

(TO BE FILLED IN BLOCK LETTERS ONLY)

Sl. NO

PARTICULARS INFORMATION TO BE FILLED

1 Name of the Candidates as per 10thMarks card.

2 Blood Group

3 Father Name : Parents permanent Address:

Phone No (of Student and parent/Guardian)

And Email Ids (of Students and Parent guardian)

4 Sex

5 Caste Religion : Caste :

Category :

6 Nationality

7

Allotment/Rank Details KEA-NEETNO: RANK: AIQ-NEET: RANK:

8 Marks Scored in KEA- NEET/AIQ-NEET (Enclosed Details )

Exam Passed

Max Marks Marks Obtained

% of Marks

KEA- NEET

AIQ-NEET

Qualification Exam

Register No in PUC/12thClass

PUC/12thClass Passed Year Date Month Year

Specify the name of the University / Board

where you have studied PUC / 12thSTD.

Total marks scored in optional subject in

PUC / 12thStandard Max Marks Marks

Obtained % of Marks

Physics

Chemistry

Biology

Total marks

Marks scored in English subject in PUC /

12TH Standard

Max Marks Marks Obtained

% of Marks

Total marks scored in all subject in PUC /

12TH Standard

9 Date of birth (as per 10thmarks card) DD/MM/YYYY:

10 Date of admission Date Month Year:

11 Documents Enclosed (yes/no)

Place: Signature of the Candidates:

Date: Signature oftheParent :

Affix recent

photograph

Page 6: BROCHURE FOR 2019-20 MBBS ADMISSION

FORM-II

GADAG INSTITUTE OF MEDICAL SCIENCES, GADAG TO BE FILLED BY THE CANDIDATES FOR OFFICE USE

(TO BE FILLED IN BLOCK LETTERS ONLY) Particulars Information to be filled up

1 Allotment No. KEA-NEET AIQ-NEET

2 Date of admission

3 Name of the candidate

4 Father name (specify name of the guardian, if father is not alive)

5 Occupation

6 Permanent address of Parent

7 Correspondence address of Parent

8 Income of the Parent / guardian

9 Place of birth

10 Date of birth

11 Religion caste category (sc/st/other category-please specify)

12 Native district

13 Karnataka/ non Karnataka

14 Name of the former school/college studied

15 Qualifying exam passed

16 Whether vaccinated

17 College fees paid at the time of admission

18 Bank receipt no.& date : Transection ID & Reference number:

1. IherewithgiveanundertakingthatIwilladheretotherulesofgoodconduct.And willbeingeneralobedientto

the teachers and will not any way disturb the harmony of the college anddepartments.

2. I will not myself indulge in any union activities or such activities undesirous of a medicalstudent.

3. Astheparent, will notallowmychildormyselfinstigatemyward to putacasein courtsandwilltryto

amicablysettle all such disputes firstly within collegeauthorities.

4. I will agree voluntarily to deposit all my certificate and testimonials as prescribed by RGUHS

forverification and admissionapproval.

Full address of parent:

Mobile number of the candidate: Email ID of Candidate:

Place:

Date:

Mobile number and Email ID of Parent:

(DO NOT PROVIDE EMAIL ID OFSTUDENT)

Signature of the candidate

Signature of the parents

Page 7: BROCHURE FOR 2019-20 MBBS ADMISSION

ANNEXURE l – PART l

UNDERTAKING BY THE STUDENT

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

Mr./Ms. , have carefully read andfully

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 inHigher

Educational Institutions, 2009 and read it fully and explained to myward.

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 a undertaking again yearly to the Principal GIMS 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 ornotice.

Signedthis dayof monthof 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 GIMS Gadag

TO BE TYPED IN RS-200 E-STAMP PAPER

Page 8: BROCHURE FOR 2019-20 MBBS ADMISSION

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 ofragging.

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

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

inforce.

4. I understand that college authorities will make maximum efforts to accommodate students in

hostel yet we understand their compulsions and sharing of rooms maybe needed and voluntarily

students will be taking rooms as per availability. Students are also at liberty to quit hostels and stay

outside anytime during course, and its also responsibility of parents to check the regular wellbeing,

food served ,and ragging issues which may arise, and this can also be assigned by concerned

parents to local guardian, or themselves help the warden, as warden of colleges will have to look

after other regular responsibilities of large number of students.

5. In general I will ensure students don’t do combined study or any undue advances towards

members of other sex so as to sway away from original purpose of getting education of MBBS

availing government facilities and concessions

6.

7. I agree to submit such as undertaking yearly to the Principal,GIMS.

Signedthis dayof monthof year

1. Witness (Signature&Address) ( )

Signature & address:

2. Witness (Signature & Address)

SEAL & SIGNATURE OF

THE GOVERNMENT NOTARY

l. Party-Parent/Guardian

II. Party- Direction GIMS Gadag

TO BE TYPED IN RS.200/-E-STAMP PAPER

Page 9: BROCHURE FOR 2019-20 MBBS ADMISSION

UNDERTAKING ABOUT

MBBSDEGREEPROGRAMMEASPERRGUHS CURRICULUM

I, Son / Daughterof

(herein after called the Natural Guardian of the Student) hereby give an undertaking that on admission to I

MBBS at Gadag Institute of Medical Sciences, Gadag , 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 RGUHSregulations.

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 parent also give undertaking that my parent shall visit college every 6 monthly to

enquire my progress w.r.t attendance andassessments.

Witness:

1.

2.

Signature of the student with full Address and phone number .

Signature of parent

I Party – Candidate

II Party – Director

Rs 50/- E-STAMP

Page 10: BROCHURE FOR 2019-20 MBBS ADMISSION

EXECUTION OF RURAL SERVICE BOND BY CANDIDATES WHO SELECT MBBS SEATS IN GIMS, GADAG.

l Mr./Ms. , S/o. /D/o. a

candidate with KEA-NEET–2019AdmissionTicket/RollNo. Residing at

have been allotted an MBBS

seaton in

vide admission order number

dated and do hereby undertake on my own volition asfollows.

In accordance with the Amendment to rule 11 of the Karnataka Selection of Candidates for

Admission to Government 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 06-07-2017, I

am prepared on completion of the course to serve in any Primary Health Center or Primary Health Unit

situated in Rural Areas in the State of Karnataka for a minimum period of ONE year, allotted to me,

failing which I render myself liable to pay a penalty of rupees ten lakhs or any amount on decided by

GIMS Governing Council or DME of Karnataka to Government of Karnataka and the institute as per rules

of the government in force.

What is stated above is true and correct as per present rules in forceas decided by the

Government of Karnataka and I hereby undertake to act accordingly. I also understand that if such rules

are changed or notified by Government I and my ward are duty bound to follow such rules also. I have

read and understood the above statement made by my son/daughter on oath-& I have my un-equivocal

consent to the same.I also understand that I /my ward will not claim any job in this regard.

1. Signature of theCandidate

2. Signature of the Parent

(Father/Mother)

Date:

Place:

SEAL & SIGNATURE OF

THE GOVERNMENT NOTARY

l. PARTY - Student

II. Party_ Government ofKarnataka

TO BE TYPED IN RS.100/- E-STAMP PAPER

Page 11: BROCHURE FOR 2019-20 MBBS ADMISSION

REQUISITION LETTER FOR KEA STUDENTS

To Date:

The Principal,

GIMS, Gadag.

Sir,

Sub: - Request for admission to I year MBBS course at GIMS, Gadag allotted through Karnataka Common Entrance Test – reg.

Reg:-LetterNo. dated: of Executive DirectorKEA,

Bangalore.

As per the letter cited under reference, I, Mr/Ms.

S/o,D/o. , bearing AdmissionOrderNo. ,

KEA-NEET No. RankNo. who belongto category have been

allotted MBBS seat at Gadag Institute of Medical Sciences,Gadagunder category.

I am herewith voluntarily enclosing the original fee challan for having paid college fees along

with necessary original documents. For due verification by RGUHS. Hence, I request your kind self to

admit me in your institute for I MBBS course on my request and risk and I am aware that my admission is

subject to the approval of the concerned competent authorities, for which GIMS, Gadag will not be held

responsible for any consequences / objections those may arise in future with regard to my admission. Also

the address provided to GIMS, Along With Phone Numbers, E-mail id are permanent as on date, and any

changes will be intimated to GIMS.

Yours faithfully,

(Signature of the candidate)

(Signature of the parent / Guardian)

Place: Gadag Date:

Permanent address of Parent

With E-mail id or phonenumbers

Page 12: BROCHURE FOR 2019-20 MBBS ADMISSION

REQUISITION LETTER FOR AIQ-NEETSTUDENTS

To Date:

The Principal,

GIMS, Gadag.

Sir,

Sub:- Request for admission to I Year MBBS course at GIMS, Gadag allotted through All India Quota -reg.

Sub:-ProvisionalAllotmentLetterofAIQ-NEET-UGMedicalOnlineAllotmentProcess

Counseling- 2019Dated:

As per the letter cited under reference, I, Ms./Mr. S/o,

D/o. , bearingNEETNO

RankNo. whobelongto category have beenallotted

MBBS seat at Gadag Institute of Medical Sciences, Gadag under category.

I am herewith voluntarily enclosing the original fee challan for having paid college fees along

with necessary original documents.Hence, I request your kind self to admit me in your institute for I MBBS course on my request and risk and I am aware that my admission is subject to the approval of the concerned competent authorities. will not be held responsible for any consequences / objection those may arise in future with regard to my admission. Address provided by me, phone numbers, E-mail id of parent are accurate, permanent as on date and any charges if will be intimated to GIMS.

Yours faithfully,

(Signature of the candidate)

(Signature of the parent / Guardian)

Place: Gadag

Permanent Adress of parent with

Phone number and E-mail id

Page 13: BROCHURE FOR 2019-20 MBBS ADMISSION

INFORMATION TO BE FILLED UP BY KARNATAKA KEA-NEET /

ALL INDIA QUOTA STUDENTS (STRIKE

WHICHEVER IS NOT APPLICABLE)

1. Mr./Ms. have been selected to MBBS Coursethrough

KARNATAKA KEA-NEET-2019 / ALL INDIA QUOTA and allotted to GIMS. Gadag. I am herewith submitting a requisition letter seeking for admission. My admission details are as follows:-

KEA-NEET / AIQ-NEET Allotment No. and Date:

a. KEA-NEET / AIQ-NEET RankNo.:

b. Category:

c. Allotted Category: d. Last Date for admission:

LIST OF DOCUMENTS SUBMITTED BY Mr. / Ms……………………………………………………………..

SL.N

O

PARTICULARS

SUBMIT

TED

NOT

SUBMITT ED

NOT

APPLICABLE

1

Requisition letter addressed to the Principal, GIMS , Gadag

requesting for MBBS Admission

2

Form & Form-II

3 KEA-NEET/ AIQ-NEET allotment order

4 KEA-NEET/ AIQ-NEET marks card

5 KEA-NEET/ AIQ-NEET Rank letter

6

Admit card / counseling letter / KEA-NEET results sheet (for AIQ-

NEET Students)

7

Original challan for having paid college fee

8 KEA Payment receipt

9 10thmarks card / 10thpassing certificate

10 12thmarks card

11

Students claiming reservation under Hyderabad-Karnataka region

(article-371J) Shall submit eligibility certificate

12

Transfer certificate

13 Study certificate from the institute last attended

14 Character and conduct certificates from the institute last attended

15 Caste certificate

Page 14: BROCHURE FOR 2019-20 MBBS ADMISSION

16

Income certificate

17 Domicile certificate

18

Eligibility certificate from RGUHS (for students other than Karnataka

PU board)

19

Migration certificate from the university last attended (if applicable)

20 Migration certificate from the board if passed 12thstandard from the

board other than Karnataka PU board

21

Physical fitness certificate (Medical certificate from GIMS teaching

hospital)

22

Regional language and English translated caste certificates to be

submitted by SC/ST/CAT-l, 2a,2b,3a & 3b students who are eligible

for admission with less than 50% and more than 40% marks in 10+2

(PCB) Examination Required For Submission To MCI.

23

Regional language and English translated caste certificates to be

submitted by SC/ST/CAT-l, 2a,2b,3a & 3b students who are eligible

for admission with less than 50% and more than 40% marks in entrance examination required for submission to MCI

24

Annexure I, part I:- undertaking by the candidate/ student – to be

typed in Rs.200/- E-stamp paper.

25

Annexure I, part II:- undertaking by the parent/ guardian– to be typed

in Rs.200/- E-stamp paper.

26

Undertaking. MBBS degree programme as per RGUHS curriculum-

to be typed in Rs.50/- E-stamp paper.

27

Execution of rural service bond by candidates who select MBBS seats

in GIMS, Gadag- to be typed in Rs.200/- E-stamp paper.

28

Four (04) recent colour digital passport size photographs and one

single file with latest photograph affixed on it, including name and

address of the candidates.

29

Vehicle Driving related affidavit incase of parents allowing children

to ride vehicle.

30

05 self addressed Rs 30/- stamped Envelopes for Correspondence.

31 Environmental Pledge

32 2 attested Xerox copies of all documents

33 1 zipped quality file+ 1 folder file

Place: Gadag Signature of Candidate

Signature of Parents

Page 15: BROCHURE FOR 2019-20 MBBS ADMISSION

GENERAL INSTRUCTIONS FOR THE STUDENTS WHO ARE TAKING ADMISSION

FOR

l-MBBS COURSE AT GADAG INSTITUTE OF MEDICAL SCIENCES,

GADAG ALLOTTED THROUGH KARNATAKA KEA-NEET/

ALL INDIA QUOTA

1. Students must report in principal’s office at GIMS for MBBS admission on or before date

indicated on their selection letter issued by K-KEA-NEET / KEA-NEET AIQ-NEET 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 below 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 and submit

the same at the time ofadmission. 3. One of the parent / guardian must accompany students at the time of admissionor

demitting seats as certain documents are to be signed bythem.

4. The admission process is likely to make two days. Outstation

candidatesare requested to not cause hurry in admission or demittingseats. 5. The admission offered to a candidate will be only provisional. DME & RGUHS arefinal

authorities.

6. The students are instructed to keep the 5 set Xerox copies with themselves of their

original documents until they are returned from Rajiv Gandhi University of Health Sciences, Bangalore. Once submitted no original will be returned, pleaseco-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

concernedforms.

8. Important: No forms / proforma will be issued at GIMS office as they are madeavailable in GIMS website.www.Karnataka.gov.in/gimsgadag

9. Institute working hours: 10.00 am to 1.30 pm and 2.15 pm to 5.30pm.

10. Each candidate must submit the following original certificates shown below along with

three sets of attested true copies. The originals and Xerox must be produced in the

following sequence, failing to which there admission will be withheld and for that GIMS

will not be heldresponsible.

11. In case of AIQ-NEET/KEA-NEET seats-seat surrender procedure be duty followed.

Kindly generate the online seat surrender receipt and contact the AIQ-NEET officer of

GIMS Dr.Anand Hugar on 8971282391, message him. Please try to come on GIMS

working day and remember Karnataka holiday schedules will be different working days are Monday to Saturday, SUNDAY WILL BE HOLIDAY. SECOND SATYRDAY AND

GOVERNMENT OF KARNATAKA HOLIDAYS will BE HOLIDAYS AS WELL AS

NATIONAL HOLIDAYS. KINDLY CALL ON OFFICE NUMBERS Mr.Ramesh

08372-297173/ 274/224 and speak in Hindi orKannada.

12. Learning Kannada for a medical student may be necessary since MBBS studentsare interacting withpatients.

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NOTE

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

indicated by college authorities, university, andgovernment.

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

prohibited. Misbehavior with girl students / women / patients will be dealt as perlaw.

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 fiveaffidavits)

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 practical’s and theory is a

must. Nonadherence 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. Awhatsapp group will be created for this batch

of students and maintained for the purpose of smooth conveyance of information

Dr.Roopa. (9742118485) be sent a SMS to include parents name in the whatsapp group.

Don’t include students nameplease.

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

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

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

towarden.

7. Dress code – Decent formal dressing with shoes and socks is expected from both boys

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

in campus also kindly wear decentclothes.

8. Library rules and regulations must befollowed.

9. Any Incidents of Ragging please report to Dr.Myageri (9986028269) or Dr.Raju(Vice

Principal9844480528.

CONTACT DETAILS

PHONE : 08372 297213, 297214 (office)297274

FAX : 08372-297214

WEBSITE : www.Karnataka.gov.in/gimsgadag

E MAIL ID :[email protected]

ADDRESS : Gadag Institute of Medical Sciences, Mulagund Road, Mallasamudra, Gadag. Distr:

Gadag State: Karnataka Pin code-582103.

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Check up will be done in first floor of GIMS Teaching Hospital/District Surgeon room

The Karnataka Service Regulations (Act.32) KARNATAKA MEDICAL DEPARTMENT

PHYSICAL FITNESS CERTIFICATE

1) In do hereby certify that I haveexamined…………………………………………………

……………………………………………………………………………………………..

a candidate for ……………………………………………………………………………..

And that I cannot discover that she/he has any disease constitution affection or bodily

infirmity except…………………………………………………………………………….

I do not consider this disqualification for employment in the office of …………………….

2) I am also satisfied by personal examination/from certificate produced by that the

He/She was vaccinated/re-vaccinated within one week prior to the date of

thecertificate.

3) ……………………………..’s age is according to His/her ownstatement……………….

years and byappearance about ......................................... year.

Other Particular’s

1. Height

2. Weight

3. Chest

4. Vision

MedicalSuperintendent,GIMS District Surgeon

District Hospital, Gadag

Page 18: BROCHURE FOR 2019-20 MBBS ADMISSION

GENERAL RULES & REGULATIONS OF GIMS HOSTELS

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

2) Students should strictly follow the timings of thehostel.

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

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 thehostel.

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

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

themselves to warden office inworking.

7) Use of tobacco in any form is strictlyprohibited.

8) Consumption of alcohol is strictlyprohibited.

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

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

anti-national and anti-social or undesirable activity inside or outside thecampus.

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 theprior

permission from thewarden/Principal.

13) Student once admitted to the hostel, cannot vacate it without a written requestfrom

their parents which must be authorized by the Warden/Principal.

14) Meetings/gathering within the hostel are not permitted. Functions of anykind

should have the prior permission of theWarden.

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

other electrical appliances is notallowed.

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

17) Students are not allowed to have meals in their rooms except under specialconditions

like illness etc. The permission of the warden is required in suchcases.

18) Cooking is not permitted in the hostelrooms.

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

theWarden.

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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

registrationdocuments.

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 theWarden.

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 disciplinaryaction.

23) Any in disciplinary or undesirable activities occurring in the hostel should be broughtto

the notice of theWarden/Principal.

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

incidents.

SD/-

Wardens of Boys Hostel

SD/-

Wardens of Girls Hostel

SD/-

Principal

Gadag Institute of Medical Sciences

Gadag

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GIRLS HOSTEL RULES

1. Follow the hostel timingsstrictly

a. During the month ofexamination

b. -timing to go out-morning after 7.00 am

c. -timing to come in evening before 8.00 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 becollected. 5. If the students want to go out of campus they have to takewritten

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. Messbill–2600Rspermonth–fixed,deductionwillbeconsideredif remain

absent for continuous fivedays.

8. No male relative is allowed to enter the room withoutpermission.

9. Singleladycompanionisallowedtostaywiththestudentwithwarden

permission.

10. No single rooms are available for what so ever reason and such

requests will not be entertained.

***

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

GIMS Gadag

Contact Number:

Dr.Sukanya:9448117524.

Hostel :8762488781.

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UNDERTAKING BY THE PARENT

Rs 100/- bond paper to Hostel Warden. Vehicle DL Xerox copy to be submitted

with this bond. Of the student who wishes to keep vehicle in the campus.

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 keptavehicle Model

Make

VehicleNo. at GIMS campus.He/shein legally eligible to drive

vehicle and His/her vehicle DL is valid DLNois 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 bedriver

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 peruse Helmets

for himself/herself and the pillion rider.

Signature of child wishing to

Usevehicle Signature ofparent

Mobile number Address

Witness (address with mobileno)

1.

2.

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ENVIRONMENTAL PLEDGE

(Each student must give this pledge)

I S/O,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.

SignatureofCandidate Signature ofParents

Page 23: BROCHURE FOR 2019-20 MBBS ADMISSION

RAJIV GANDHI UNIVERSITY OF HELTH SCIENCES BANGALORE

4TH T BLOCK JAYANAGAR BANGALORE

NORGU/EST/22/2011-12 DATE:04/01/2019

The following is the list of Government Holidays approved by Government of Karnataka.

SL.NO DATES GENERAL

HOLIDAYS DATES

1 09/08/2019 VARAMAHALAXMI HABBA

2 15/08/2019 INDEPENDENCE DAY

3 23/08/2019 SHRI KRISHNA JANAMASTAMI

4 11/09/2019 ONAM HABBA

5 12/09/2019 ANANTHAPADMANAM VRATHA

6 21/09/2019 MOHARAM LAST DAY

7 02/10/2019 GANDHI JAYANTI

Note :All second & fourth Saturday and Sundays are holidays

Principal

Gadag Institute of Medical Science

Gadag

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GADAG INSTITUTE OF MEDICAL SCIENCES, GADAG REVISED FEES STRUCTURE FOR MBBS COURSE FOR ACADEMIC YEAR 2019-20

Sl No Particulars

1st Year

GM/OBC SC/ST AIQ

1 Registration Fee (University) 3000 3000 3000

2 Admission Fee (University) 500 500 500

3 Sports Fee (University) 4 1/2 years 900 900 900

4 Student Welfare fund (to the University) 4 1/2

year 450 450 450

5 Helinet Fee (University) 4 1/2 year 4500 4500 4500

6 Tuition Fee 50000 50000 50000

7 Library Fee 2000 2000 2000

8 Sports Fee (college) 450 450 450

9 Laboratory Fee

10 Medical examination Fee 550 550 550

11 Caution Money Deposit (Refundable) 2000 2000 2000

12 Alumni Association Fee (life time) 800 800 800

13 IA Fees 350 350 350

14 Association Fees 550 550 550

15 Magazine Fee 550 550 550

16 Kannada Sanga 250 250 250

17 Identity Card 250 250 250

18 Research Fees 1250 1250 1250

19 Digital Library (College) 4000 4000 4000

20 Cultural activities (College) 1500 1500 1500

21 Literary activities (College) 500 500 500

GRAND TOTAL 74350 74350 74350

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