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    A PP LI CA TI ON F OR

    I SSUE O F EL I G IB I L IT Y CE R TI FI CAT E

    (FOR PURSUING GRADUATE DEGREE COURSES)

    F OR F OR EI GN / S AA RC / N RI S TU DE NT S

    R AJ IV G AN DH I U NI VE RS IT Y

    O F H EA LT H SC IE NC ES

    KARNATAKA, BANGALORE - 560 041.

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    Sl.No. of the Pr ice Rs. 100/-

    Application

    R A JI V G A ND H I U N IV E RS I TY O F H E ALT H S C IE N CE S

    KARNATAKA, BANGALORE - 560 041.

    F O R F O RE I GN / S A AR C / N R I S T UD E NT S

    A P P L IC A T IO N F O R IS S U E O F E L IG I BI L I TY C E RT I F IC A T E

    (FOR PURSUING GRADUATE DEGREE COURSES)

    N o te : A PP LI C AT I ON R EC E IV ED A FT ER T HE L AS T DA TE F O R A DM I SS IO N W IL L

    N O T B E E N T ER T AI N E D

    ( F IL L ED I N A P PL I CA T IO N F O RM W I TH N E CE S SA R Y D O CU M EN T S M A Y P L EA S E B E S U BM I TT E D T O

    T HE RE GI ST RA R, R AJ IV GA ND HI U NI VE RS IT Y O F H EA LT H S CI EN CE S, B AN GA LO RE - 5 60 04 1.

    I N C O MP L E T E A P P L I CA T I O N W I L L N O T B E C O N S I D E R ED . )

    N A ME O F T H E C O UR S E : _ _ _ __ _ __ _ __ _ __ _ _ __ _ __ _ _ Y E AR O F A D MI S SI O N : 2 0 0 - 2 0 0

    N A M E O F T H E C O L L EG E T H E C A N D ID A T E W I S H ES T O J O I N : . . . . .. . . . .. . . . .. . . . .. . . . .. . . . .. . . . .. . . . ..

    . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . .

    1. Name of the Candida te

    ( in bl oc k l et te rs a s i n t he m ark s

    c a rd o f t he q ua l if yi ng

    Examination)

    2. Name of the Parents

    1 ) F at he r

    2 ) M ot he r

    3. Gender (Se x)

    4. Age & Date of Birth

    ( in C hr is ti an E ra )

    5. (a) Address for Com munication

    ( b) P er ma n en t A dd re s s

    P a st e S t am ps i ze P h ot o

    duly signedby the

    Candidate

    1

    0001

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    6 . N at io na li ty ( Ce rt if ic a te t o b e

    e nc lo se d if t he N at io na li st i s n ot

    m e n ti o ne d i n t h e P a s sp o rt )

    7. Passport Details :

    ( w h e r e ev e r a p p l i ca b l e )

    a ) P as sp or t N o.

    b ) I s s ui n g a u t ho r it y

    c ) D at e o f e xp iry o f P as spo rt

    d) Na ture of Visa he ld

    e ) Date of expiry o f VI SA

    8. QUALIFICATION :

    a ) Na me of the Qua lifying

    e x am i na t io n p a ss e d

    b ) R eg is te r No .

    c ) Month & Yea r of e xa mination

    held

    d) Na me of the Boa rd /

    U n i v e rs i t y w h i c h c o n d uc t e dt h e e x a mi n at i on

    e ) Pa tt er n of E du ca ti on p ur su ed

    f o r p a s si n g t h e q u al i fy i ng

    e xa mi na ti on . i .e . w he th er i t i s

    1 0 +2 o r a n y o t he r p a tt e rn .

    ( f ur n is h s u pp o rt i ng / r e le v a nt

    documents)

    f) Details of Education d uring the past 6 years beginning with t he parent qualifyingexamination

    Sl.No.

    Year

    Name of theC la ss /

    C ou rs e a ndi ts d ur at io n

    P at te rn o f Education

    A ddr es s o f t heS ch oo l or Co ll eg e &

    B o ar d / U n iv e rs i ty

    M on th &Y ea r of

    passing theexamination

    1

    2

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    2

    3

    4

    5

    6

    9. a) Details of the subjects passed & marks

    s ec ur ed i n t h e + 2 o r q ua li fy in g e xa mi na ti on :

    L a ng ua g e & O pt io na l

    s u bj e ct s p a ss e d

    Maximum

    Marks

    Minimum

    M ar ks t o pa s s

    Marks

    Obtained

    D i st i nc t io n /

    Aw ard s i f a ny

    L an gu ag e :

    1 . E ng li sh

    O pt io na ls :

    2 . P hy si cs ( P)

    3 . C h em i s tr y ( C)

    4 . B i ol o gy (B )

    5 . M at he ma ti cs ( M)

    6 . C om pu te r S c ie nc e

    (C.Sc.)

    7 . E le c tr on ic s ( El ec .)

    b) Per cen ta ge of m arks i n Agg re gat e o f :

    i) PCB :

    ii) PCM :

    iii) PCMB :

    iv) PC Com . Sc. :v) PC Elec . :

    3

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    c) In case of examinations where Grades are awarded in the subjects at the

    q u al i fy i ng e xa m in a ti o n, t h e e q ui v al en t m ar k s f o r e a ch g r ad e s h ou ld b e f ur n is h ed .

    Note :

    Candidate should furnish the

    table showing the equivalent

    marks for each grade issued by t h e e x a m i n a t i o n c o n d u c t i n g

    authority.

    E xa mp le :

    GradeEquivalent

    MarksAverage

    A

    B

    91-100

    81-90

    95

    85

    O pt io na ls :

    1 . E ng li sh

    O pt io na ls :

    2 . P hy si cs ( P)

    3 . C h em i s tr y ( C)

    4 . B i ol o gy (B )

    5 . M at he ma ti cs ( M)

    6 . C om pu te r S c ie nc e

    (C.Sc.)

    7 . E le c tr on ic s ( El ec .)

    L an gu ag e & O pt io na l

    s u bj e c ts p a s se dGrade

    Awarded

    Equivalent

    m arks of the

    Grade

    Mea n /

    averagem ar ks o f t he G ra de

    d) Percentage of marks in Aggregate of :

    i) PCB .....................

    ii) PCM .....................

    iii) PCMB .....................

    iv ) PC Com. Sc . .....................

    v ) PC E le c. .....................

    10. Details of fee paid :

    Challan No. & Date :

    Amount :

    N am e o f t he B an k an d B ra nc h :

    4

    (Download Challan from www.rguhs.ac.in > Finance Section)

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    5

    11. List of documents required :

    ( S u bm i t X e r ox c o pi e s , at t e st e d by c o mp e t en t a u t ho r i ti e s )

    1 . M ar ks c ar d/ s o f t he q ua li fy in g e xa mi na ti on pa ss ed

    2. Degree / Diploma Certifica te

    3. Tra nsfer Certific ate

    4. Conduct Certific ate

    5 . N at io na li ty Ce rt if ic at e

    6. Date of Birth Certific ate

    7. Pass port

    8. Dema nd Dra ft

    9. Accrediation Certific ate of the Sc hool

    1 0. T ab le s ho wi ng t he e qui va le nt m ar ks fo r t he G ra de s

    awarded

    1 1. T hr ee s ta mp si ze p ho to s d ul y s ig ne d b y t he c an di da te

    O th er d oc um en ts s ub mi tt ed i f a ny

    12.

    13.

    14.

    Total No. of documents enclosed

    12. CERTIFICATE :

    I, Mr./Ms. ........................................................................................................ certify that

    the information furnished a b ov e i s c o rr e ct t o t h e b e s t o f m y k n ow l e dg e a n d b e li e f.

    Pl ac e :

    Da te : S IG N AT U RE O F T HE C A ND I DA TE

    Ple ase ti ck (3) i n t he

    b ox f or t he d oc um en ts

    enclosed

    In figures In words

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    S A LI E NT GU I DE L IN E S F O R S T UD E NT S W H O W I SH T O A P PL Y F O R I S SU E O F

    T H E E L IG I BI L IT Y C ER T IF I CA TE S

    1 . A l l F o re i gn Na t io n al s / S A AR C / I n di a n s t ud e nt s w h o h a ve st u di e d a b ro a d s h al l o b ta i n

    admission to any Health Science Course in the colleges affiliated to this University.

    2 . T h ey s h al l a p pl y i n t h e p r es c ri b ed a p pl i ca t io n f o rm t o t h e R e gi s tr a r, R GU H S, B an g al o re a n d

    obtain the eligibility certificate to the course concerned and produce the same to the Principal of

    the college to seek admission.

    3 . A p p l ic a t io n s i n th e p r e sc r i b ed f o r ma t a n d co m p l et e i n a ll r e s p ec t s o n ly s h a l l b e c o n s id e r e d.

    4 . C a n di d a te s s e e k i ng a d m i s si o n t o 1 s t y e a r H ea l t h S ci e n c e c o ur s e s s h o ul d h a v e p a s se d t h e t w o

    y e ar P r e- U ni v er s it y C o ur s e e xa m in a ti o n c on d uc t ed b y P r e - U ni v er s it y E d uc a ti o n B oa r d of

    K a r na t a ka w i t h E ng l i sh a n d P h y si c s , C h e mi s t ry a n d B io l o g y a s o p t i on a l s u bj e c ts o r a n y o t h e r

    e q u i va l e nt e x a mi n a ti o n r ec o g n iz e d b y R H U HS . T h e c a nd i d at e s s h ou l d ha v e s e cu r e d th e

    following minimum percentage of marks in the optional subject groups in their qualifying

    examination.

    % o f ma rk s in

    Course Subject / the optional subjects

    n ot l es s t ha n

    1. MBBS, BAMS, BHMS, BUMS PCB 50%

    2. B.D.S. PCB, English 50% Pass

    3. (a) B. Pharm PCB / PCM / PCMB /

    PC Comp. Sc. / PC Electroncis 50%

    (b) II B. Pharm D. Pharm (approved by 50% Pharmacy Council of India, (aggregate in

    New Delhi) D. Pharm)

    4. BNYS PCB 45%

    5. B.Sc Nursing (Basic) PCBE 45%

    6. BPT PCB 40%

    7. B.Sc. Radiography PCB / PCM / PCMB 40%

    8. B.Sc. MLT PCB, DMLT Pass

    9 . A l li e d H e al t h S c ie n ce A n y c o mb i na t io n w i th a n y t w o

    Courses of the following subjects :

    P h ys i cs , C h em is t ry , B io l og y ,

    B o ta n y, Z o ol o gy ,

    Bio-Chemistry, M icrobiology Pass

    6

    Legend : P = Physics

    C = Chemistry

    B = Biology M = Mathematics

    * S u b j e ct t o t h e c h a n g e s m a d e fr o m t i m e t o t i m e

    b y t h e a u t h o ri s e d o f R GU H S .

    Which is hosted on visit website : www. rhuhs. ac. in

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    5 . T h e c an d i da t e s s h o u ld h a ve c o m pl e t e d 1 7 y e ar s o f a g e , a s o n 31 s t D ec e m b er o f th e y e ar o f

    admission.

    6 . C a n di d a te s s h o ul d h av e p a s se d t he i r q ua l i fy i n g ex a m in a t io n u n de r 1 0 +2 p a t te r n , o r a n y o t h e r

    pattern of 12 year schooling duration. ( C a nd i d a te s w h o h a v e p a ss e d 1 0 + 1 e xa m o f 1 1 y e a r

    d u r a ti o n a r e n o t e l i g ib l e )

    7 . T h er e s ho u ld b e a s p e ci f ic m e nt i on o f t h e s ub j ec t 'English' i n t he m a rk s s h e et . J u s t "Foreign

    Language" mentioned in the marks sheet, will be a disqualification for eligibility.

    8 . T h e ca n di d at e s wh o h av e p as s ed t he s u bj e ct " P hy s ic a l S c ie n ce " comprising the subjects

    Physics and Chemistry, cannot be accepted as equivalent to the individual subjects viz. Physics

    and Chemistry [Except south Africa Countries)

    9 . I n c a s e o f c a n d id a t e s wh o h a v e p as s e d t he 1 1 t h & 1 2 t h Gr a d e e xa m i na t i on s a n d d ec l a re d t h e ir

    result on the basis of marks obtained in the 11th & 12th Grades put together such students

    s ho ul d h av e s tu di ed an d p as se d t he su bj ec ts En gl is h, P hy si cs , C he mi st ry & B io lo gy /M a t he m a t ic s / C o m pu t e r Sc i e n ce / E l e c tr o n ic s b o t h i n t he 1 1 t h Gr a d e & 1 2 t h Gr a d es t o b e

    eligible for issue of 'eligibility certificates'.

    10. All foreign national students shall produce along with their applications, the conduct certificate

    issued by the Head of the School from which they passed the qualifying examination for issue of

    eligibility certificate.

    1 1 . T h e c a n di d a te s s h a l l su b m i t th e m a r k s s he e t s i n t he f o r m at p r e s c ri b e d d ul y b e a r in g

    authenticated signature of the examination conducting authority. The marks sheets such as

    " P r ov i s i o na l M a r ks Sh e e t" or " St at em en t o f R e s ul t S he et " s ub mi tt ed b y t he m a s ma rk s sheets are not acceptable for issue of eligibility certificate.

    12. The documents such as Marks Sheets, Passports, Date of Birth which are submitted for the first

    time with their applications shall be considered and based on these documents their eligibility

    w i l l b e d e te r m in e d a nd c o m mu n i ca t e d . T h e d oc u m e nt s e f fe c t i ng c o r re c t io n s / c h a n ge o f

    particulars, received thereafter will not be considered.

    1 3 . T h e c a n d id a t es w h o h a v e p a s s e d t h e 3 y e a r p r o f i c ie n c y C e r ti f i ca t e i n N u r s in g f r o m T r i bh u v a n

    University, Nepal and having not less than 3 years Professional Experience as a Nurse only are

    e l ig i bl e f o r B .S c . N u rs i ng ( Po st C er ti fi ca te ) c o u r se i n R a j iv G a n dh i U n iv e r s it y o f H e a lt h

    Sciences.

    14. In respect of students to whom certain grades are awarded for the subjects passed in the

    qualifying examination by the examining body and, if the range of marks has been indicated for

    those grades, the mean (average) shall be taken into consideration for assessing eligibility.

    Example : If a students' grade in the subject is "B" and Grade "B" is explained as being in

    range of 60 to 70 marks, the mean marks will be 65, which shall be taken for the purpose of

    calculation and to determine the eligibility.

    1 5 . T h e d o cu m e nt s l i k e Ma r k s S he e t s , T r a n sf e r C er t i fi c a te s , D e g r ee / D i p l om a C e rt i f ic a t e s, D a t e o f

    Birth etc., which are in the languages other than English shall be translated into English and certified by a competent authority, shall be furnished to the University to consider the eligibility.

    7

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    1 7 . a . T h e Un i v e rs i t y s h a l l n o t pr o c e ss t h e a p p l ic a t io n o f t h e ca n d id a t e w h o ha s n o t p a i d t h e

    r e q u is i t e e l i g i bi l i ty f e e .

    b . O n ce t h e e l ig i bi l it y c e rt if i ca t e is i s s ue d , t h e c an d id a te c a n no t c l ai m r e fu n d o f fe e u n de r

    a n y c i r cu m s t an c e s .

    c . I f fo u n d i n e l ig i b le a ft e r p r o c es s i n g t h e a p p l ic a t i on , 2 / 3 r d o f e li g i b il i t y c e r t if i c at e fe e wi l l

    be refunded to the candidate.

    d . O n ce t h e el i gi b il i ty c e rt if i ca t e is i s su e d, t h e el ig i bi l it y f e e pa i d b y t h e ca n di d at e fo r t ha t course shall not be adjusted to another course.

    e . T h e el i g ib i l it y c e r t if i c at e is s u e d t o th e ca n d id a t e w i l l b e v al i d o n l y f o r t h e a c a de m i c y e a r

    concerned. The said certificate shall be renewed for another academic year on payment

    o f r e n ew a l fe e o f R s . 5 0 0 / -. S u b je c t t o th e c h a ng e s m ad e b y t h e a p ex b o d ie s o r o t he r

    such authorities.

    18. The candidate shall fulfill the eligibility criteria as prescribed in the Ordinance of the course

    concerned.

    1 9 . T h e C a n di d a te s h a l l e n c lo s e t h r ee s e l f - s i g ne d s t a m p s i z e p h ot o s w i t h t he a p p l i ca t i on .

    - - - - - - - - X X X - - - - - - - -

    1. Medical, Dental, Ayurveda,

    U n a ni , N a t ur o p a th y a n d Y og i c

    S c i e n c e s , H o m o e o p a t h y

    Courses (Both UG and PG)

    2 . F o r P a ra M e d ic a l C o ur s e s l ik e

    P h a r m a c y , N u r s i n g

    P h y s i o t h e r a p y , M e d i c a l

    L a bo r at o ry , R a di o gr a ph y a n d

    Allied Health Science Courses

    (UG and PG if any)

    1 . F o r F o re i gn S tu d en t s : $ 6 00

    ( o r e qu i v a le n t m on e y i n

    Indian Currency)

    2 . Fo r NRI / SAA RC c ou nt ry

    s t u de n t s R s . 1 0 , 0 00 / -

    1 . F o r Fo r e i gn s t ud e n t s $ 3 0 0

    2 . NRI / SAA RCH c oun tr y

    s t u de n t s R s . 5 , 0 0 0/ -

    8

    1 6. E li gi bi li ty F ee :