prospectus 2017 1 - baba farid university of health...
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PROSPECTUS
For Admission to Certificate, Diploma, Postgraduate diploma and
Postgraduate courses of Medical and Paramedical Sciences- 2017
at University Institute of Paramedical Sciences, Faridkot
&
University Centre of Excellence in Research, Faridkot.
University Institute of Paramedical Sciences
&
University Center of Excellence in Research Baba Farid University of Health Sciences,
Faridkot -151 203, Punjab, India
01639-256252(O) 01639-256253(Fax)
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IMPORTANT DATES
1.
Availability of Prospectus and application form (On the University Website) Baba Farid University of Health Sciences, Faridkot
September 26, 2017 onwards
2. Last date of applying for Certificate, Diploma, Postgraduate Diploma and Postgraduate courses of Medical and Paramedical Sciences- 2017
October 09, 2017
3 Date of counseling October 24, 2017
Note: No separate intimation regarding counseling will be announced. If any change in the schedule it will be intimated through university website i.e. www.bfuhs.ac.in
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1. Please visit our website www.bfuhs.ac.in for all regular and updated information and
admissions/Date of counseling from time to time. 2. All necessary information regarding allocation of merit and seeking admission to
Certificate, Diploma, Postgraduate diploma and Postgraduate courses of Medical and Paramedical courses in the University Centre of Excellence in Research, GGS Medical College and University Institute of Paramedical Sciences, Baba Farid University of Health Sciences, Faridkot and all applicable rules and regulations, etc., are contained in this booklet called PROSPECTUS ( available on the University Website) for admission to Medical and Paramedical courses. This Prospectus is subject to alteration(s) or modification(s) at any time without notice.
3. Application forms may be downloaded from the official website www.bfuhs.ac.in and the forms complete in all aspects, may be submitted to Registrar, Baba Farid University of Health Sciences, Faridkot with the caption on envelope ''for Admission Branch'' and the ''name of the course'' applied for. Application form received after 09 October, 2017 for any reason including postal delays will be rejected. The University will not be responsible for any delay or loss in transit caused by Postal Dept. /Courier Services or anyone else.
4. The fee will only be accepted through Demand Draft in favor of Registrar, Baba Farid University of Health Sciences, and Payable at Faridkot.
5. Fee once deposited will not be refunded /adjusted in any case 6. Admission Application Fee: The prospectus and admission application form available on University website, can
be downloaded and duly filled form submitted along with admission application fees as given below.
Certificate Course : Rs 500/- Diploma Course : Rs 500/- P.G. Diploma Course: Rs 1500/- MSc Courses : Rs 2000 /- The admission application fee must be submitted in the form of Demand Draft in
favor Registrar, Baba Farid University of Health Sciences, Payable at Faridkot. 7. Fee once deposited in the University account shall not be Refunded/Adjusted in any
case. 8 Notwithstanding the submission of application form, only eligible candidates, as per
Government notification/s, shall be considered for admission. 9. In case of any discrepancy or contradiction between the Government notification(s) and the University instructions contained in the prospectus, the letter and the spirit of the notification(s) shall be prevailing, however in academic matters the University shall be the final authority.
PLEASE NOTE – Read carefully
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1. Before applying, candidate should carefully read PROSPECTUS for eligibility conditions and other important instructions.
2. The last date for applying is 09 October , 2017.
3. Reservation of seats shall be as per the policy of the Government of Punjab. 4. The eligibility for admission of the candidates shall be determined by the
Selection Committee at the time of counseling. 5. The student will have to pay the fee for entire course, if he/she leaves the
course/vacates the seat after the cutoff date for admission.
Check List for Admission Application Form
The following self attested photocopies of documents are to be submitted with the ADMISSION APPLICATION FORM i) Passport size colour photograph, self signed by the candidate. ii) Self attested photocopy of Matric or equivalent certificate for Date of Birth. iii) Self attested photocopy of character certificate from Institution last attended. iv) Self attested photocopy of Detail Marks card and Degree of Qualifying exam. v) Self attested photocopy of certificate in support of claim under reserved
category as per the specimen given in Prospectus. vi) Undertaking by the candidate for Gap year in original, if any. vii) Undertaking from parent/Guardian
IMPORTANT INSTRUCTIONS/ INFORMATION FOR APPLYING FOR ADDMISSION TO
Medical and Paramedical courses
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1. INTRODUCTION
BRIEF HISTORY:
The University was established at Faridkot under an Act of Punjab State Legislature (Punjab Act No. 18 of 1998) in the name of great Sufi Saint Sheikh Farid Ganj-E-Shakar, (1173 1265 A.D.) in 1998 for purposes of affiliating, teaching and ensuring proper and systematic instruction, training and research in Modern Systems of Medicine and Indian Systems of Medicine. It is not only affiliating and examining body but also a teaching and research centre in health sciences. It is expected to play a vital role in improving the standards of medical and health education in the state and in conducting relevant research in all aspects of health sciences, basic as well as applied, which ultimately will ameliorate the health standards of the people of Punjab. It is believed that the university will be a trend setter in developing appropriate modes and models of health care to ensure quality health care to the people.
The University has been recognized by MCI vide letter no. V/11015/3/2000-ME (UG) dated 9th June, 2000. The UGC has also included the University in the list of recognized universities maintained by the University Grants Commission, under section 2(1) of the UGC Act. 1956 vide letter no. F.9-3/97 (CPP-I) dated 4 July. 2002. The Regional Director. World Health Organization, Regional Office for South-East Asia, World Health House, New Delhi has also forwarded the name of the University for inclusion in the World Directory of Medical Schools vide letter No. M12/6212 dated 6 May 2002. The University is also included in the list of Commonwealth Universities and their yearbook 2001 at page No. 692 (Vol. l).
Established with a mission to create an intellectual, academic and physical environment conducive to free flow of ideas and exchange of information between various faculties of the university, between this university and other universities of health sciences in the country and abroad, thereby opening a window to the world for the health professionals, health planners, health managers. biomedical and social scientists and educationalists in health sciences of the country. Efforts are on to establish contact with various institutions towards achieving this goal.
The university is now primarily focusing on strengthening graduate and postgraduate medical education and research and evolving as a centre of excellence in a rural backdrop.
UNIVERSITY'S PRESENT STATUS: All the new buildings of the University and its constituent college, GGS
Medical College & Hospital were completed in the year 2011. The university was shifted to its new building situated at Sadiq Road, Faridkot in July 2011. Hon'ble Chief Minister, Punjab. Inaugurated two new University buildings (Senate Block and Academic Block) on 22-09-2011. Hon'ble Deputy Chief Minister inaugurated the Radiotherapy Unit, and other buildings of GGS Medical College & Hospital, on 23-09-2011. The GGS Medical College & Hospital, a constituent college of the University is also shifted to its new building.
The University Campus comprises of GGS Medical College along with Auditorium of 800 capacity, Senate Block, Academic Block, University College of Physiotherapy, University College of Nursing, Drug De-addiction Centre, Telemedicine, Edusat and a well equipped state-of-the-art 500 bedded hospital. Coveted projects to set up Trauma Centre, Regional Cancer Centre are all in process. The University has added to its academic convoy University Library & Informatics Division, Department of Health Sciences Library & Information System,
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University Centre of Excellence in Research, University Institute of Paramedical Sciences, Rose Garden and Herbal Garden.
UNIVERSITY'S NEW PROJECTS: University is on the way to establish 1) Advanced Cancer Diagnostic, Treatment & Research Centre at Bathinda, inaugurated by Hon'ble Chief Minister of Punjab. 2) University Regional Centre for Public Health & Paramedical Sciences at Goindwal Sahib. University has acquired 20 Acres of land for its Regional Center at Goindwal Sahib. Hon'ble Chief Minister, Punjab has already inaugurated both the projects in October 2011. The University has planned to run a number of employment-oriented diploma courses and certificate programmes in health sciences.
The University is also in process of developing the following five study centre's: 1. Centre for Distance Learning (Medical) and Educational Technology miscellaneous. 2. Centre for Health Systems and Health Services Management. 3. Centre for Bio-information Technology. 4. Centre for Human Resources Development and Health Management. 5. Centre for Population Sciences.
UNIVERSITY'S CONSTITUENT COLLEGES: The Government of Punjab incorporated the three institutions as constituent
colleges of the Baba Farid University of Health Sciences, Faridkot viz. School of Nursing (upgraded to University College of Nursing) vide notification no. 11/299/01-5SS3/4770 dated 14.10.2002, Guru Gobind Singh Medical College & 500 bedded Hospital. Faridkot vide notification no. 8/02/2005-1HB-I11/6308 dated 31.10.2006 and State Institute of Nursing & Paramedical Sciences, Badal vide notification no. 1/46/07-1HBIV/1163 dated 28.11.2007. In addition to above, the Board of Management of University also accepted the proposal for starting of Physiotherapy College in the University campus in its meeting held on dated 03.04.2007 and fourth constituent college was established viz. University College of Physiotherapy. University has also established University Institute of Pharmacy and University Institute of Paramedical Sciences. Recently, Govt. of Punjab has transferred 100 bedded Civil Hospital, Badal to University for strengthening and expanding the connection between rural medical services and the education and research carried on by the Baba Farid University of Health Sciences. The GGS Medical College & Hospital, a constituent college of the University has 29 departments and 20 post graduate departments and is recognized by MCI. The University Centre of Excellence in Research was started in 2010 for promoting research in medical sciences.
COLLEGES AFFILIATED WITH UNIVERSITY: At present the University is having 144 affiliated colleges comprising 137
affiliated and 7 constituent Colleges (with approximately 35,000 students). The admission to all the Institutions including the Minority institutions in the State of Punjab shall be done as per the notifications/ instructions/ guidelines/ rules/ executive orders passed by the State Government as per provisions of The Punjab Private Health Sciences Educational Institutions (Regulation of Admission, Fixation of Fee and Making of Reservation) Act 2006, and amended from time to time.
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2. DEFINITIONS: (i) "BFUHS" means Baba Farid University of Health Science, Faridkot. (ii) "Eligible Candidate" means a candidate who satisfies the requirements
of eligibility as per provisions of this prospectus and University regulations and the criteria of Baba Farid University of Health Sciences, Faridkot.
(iii) "University" means Baba Farid University of Health Sciences, Sadiq Road, Faridkot.
3. NO OF SEATS, ELIGIBILITY AND QUALIFICATION:
I. CERTIFICATE COURSES
S.No. Name of the
Course
Eligibility
Criteria
Duration
of
Course
Course
Fee to
be paid
by the
students
No. of
Seats
No. of Seats
In
SINPMS,Badal(Only
for Girls)
1 Certificate
Course in
Home Based
Care Helper
10th
6 months 7000/- ----- 5
2 Certificate
Course in
Hospital &
Home Based
Care Attendant
10th
01 year 10000/-
-----
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3 Certificate
Course in
Orthopaedic
Techniques
12th
(Any Stream
01 year 10,000 20 -----
4 Dental Chair
Side Assistant
12th
(Any Stream)
01 year 10,000 08 -----
5 Dental Hygiene
& Oral
Prophylaxis
12th
(Any Stream)
01 year 10,000 05 -----
In case of two or more candidates having equal marks then there inter-se merit will be
determined as under:-
a) Candidates having higher marks in English
b) Candidate older in age
Note:- 1) The other fee/charges to be payable is as under
i) Registration Fee
As fixed by the University (to be paid by the student for
registration with the University)
ii) Examination Fee
As fixed by the University (to be paid by the student along with
examination form at the time of appearing in the examination
(annual/supplementary)
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II. DIPLOMA COURSES
S.No. Name of the Course Eligibility
Criteria
Duration
of
Course
Course Fee to be
paid by the
students
(per annum)
No. of
Seats
1 Diploma in Burns and
Plastic Surgery
Techniques
12th
(with Medical)
02 years 18,500/- 04
2 Diploma in Medical
Radiography & Imaging
Technology
12th
(with Medical)
02 years 18,500/- 05
3 Diploma in Blood Bank
Techniques
12th
(with Medical)
02 years 18,500/- 10
4 Diploma in Operation
Theatre Techniques
12th
(with Medical)
02 years 18,500/- 05
In case of two or more candidates having equal marks then there inter-se merit will be
determined as under:-
a) Candidates having higher marks in the subject of Biology
b) Candidate older in age
Note:- 1) The other fee/charges to be payable is as under
i) Registration Fee
As fixed by the University (to be paid by the student for
registration with the University)
ii) Examination Fee
As fixed by the University (to be paid by the student along with
examination form at the time of appearing in the examination
(annual/supplementary)
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III. POST GRADUATE DIPLOMA COURSES
Sr.
no.
Name of the
Course
Eligibility Criteria Duration
of
Course
Course
Fee to
be paid
by the
students
No.
of
Seats
1 Post Graduate
Diploma in
Health
Promotion &
Education
A person who has passed
MBBS/BDS/BAMS/BHMS/BPT/Bsc.
(N) from a recognized institution
approved by the respective Central
Council OR Master’s degree in arts or
Science or Education from a
recognized Indian University with at
least two years experience in
Community Work shall be eligible to
join the Postgraduate (PG) Diploma
Course in Health Promotion &
Education.
OR
Any other examination recognized by
the Board of Management of this
University as an equivalent course /
examination thereto, from time to
time.
01 year
25,000/- 10
2 Post Graduate
Diploma in
Neurophysiology
A person who has passed the B.Sc.
Medical (Anatomy, Physiology &
Biochemistry)/B.Sc.(N)/BPT
Examination with at least 50% marks
in the qualifying examination as a
regular student from any of the
recognized institution / college /
university shall be eligible to join the
Postgraduate Diploma Course in
Neurophysiology.
OR
Any other examination recognized by
the Board of Management of this
University as an equivalent course /
examination thereto, from time to
time.
01 year
25,000/- 03
In case of two or more candidates having equal marks then there inter-se merit will be
determined as under:-
Candidate older in age
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Note:- 1) The other fee/charges to be payable is as under
i) Registration Fee
As fixed by the University (to be paid by the student for
registration with the University)
ii) Examination Fee
As fixed by the University (to be paid by the student along with
examination form at the time of appearing in the examination
(annual/supplementary)
IV. POST GRADUATE DEGREE COURSES
S.No. Name of the
Course
Eligibility Criteria Duration of
Course
Course
Fee to be
paid by
the
students
(per
annum)
No. of Seats
GGSMC,
Faridkot
GMC,
Patiala
1
M.Sc.
Pharmacology
This course shall be open to a
candidate who has passed regular
MBBS / BDS / B.V.Sc. /
B.Pharmacy degree with 50% or
above marks from any
College/Institution/University
recognized by Baba Farid
University of Health Sciences,
Faridkot
OR
Any other examination recognized
by the Board of Management of
this University as an equivalent
course / examination thereto, from
time to time.
02 years 40,000/- 05 --
2 M.Sc.
Histopathology
This course shall be open to a
candidate who has passed regular
B.Sc.(MLT) degree with 50% or
above marks from any recognized
College/Institution affiliated to
Baba Farid University of Health
Sciences, Faridkot
OR
Any other examination recognized
by the Board of Management of
this University as an equivalent
course / examination thereto, from
time to time.
02 years 40,000/- 05 --
3 M.Sc. Medical
Physiology
This course shall be open to a
candidate who has passed regular
02 years 40,000/- 02 --
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MBBS / BDS/ B.P.T.
/BAMS/BHMS/ B.Sc. Allied
Health Sciences B.Sc. APB/
Emergency and Trauma Care
Technology / Zoology / Nutrition
awarded by any recognized
University.
OR
Any other examination recognized
by the Board of Management of
this University as an equivalent
course / examination thereto, from
time to time.
4 M.Sc. Medical
Laboratory
Technology
(Medical
Biochemistry)
This course shall be open to a
candidate who has passed regular
B.Sc. Medical Laboratory
Technology (Biochemistry) degree
with 50% or above marks from any
recognized College/Institution
affiliated to Baba Farid University
of Health Sciences, Faridkot
OR Any other examination recognized by
the Board of Management of this
University as an equivalent course /
examination thereto, from time to
time.
02 years 40,000/- 03 05
5 M.Sc. Medical
Laboratory
Technology
(Medical
Microbiology)
This course shall be open to a
candidate who has passed regular
B.Sc.(MLT) degree with 50% or
above marks from any recognized
College/Institution affiliated to
Baba Farid University of Health
Sciences, Faridkot
OR
Any other examination recognized
by the Board of Management of
this University as an equivalent
course / examination thereto, from
time to time.
02 years 40,000/- 05 --
6 M.Sc. Clinical
Research
This course shall be open to a
candidate who has passed B.
Pharmacy/MBBS/BDS/BAMS/B.S
c.(Nursing) or equivalent
examination from a Statutory
Institution/University.
OR
Any other examination recognized
by the Board of Management of
this University as an equivalent
02 years 40,000/- 05
--
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course / examination thereto, from
time to time.
7 M.Sc. Herbal
Drug
Technology
This course shall be open to a
candidate who has passed B.Sc.
with Botany/ Chemistry or B.
Pharmacy or BAMS or equivalent
examination from a Statutory
Institution/University.
OR
Any other examination recognized
by the Board of Management of
this University as an equivalent
course / examination thereto, from
time to time.
02 years 40,000/- 05 --
8 M.Sc (Nuclear
Medicine
Technology)
(For Guru Gobind Singh Medical
College, Faridkot) As per approved
ordinance
02 years 40,000/- 03 --
Note:- 1) The other fee/charges to be payable is as under
i) Registration Fee
As fixed by the University (to be paid by the student for
registration with the University)
ii) Examination Fee
As fixed by the University (to be paid by the student along with
examination form at the time of appearing in the examination
(annual/supplementary)
2) The Fee for thesis shall be payable by the students as applicable.
RESERVATION: The reservation will be made as per Reservation Policy of Govt. of
Punjab.
4. COUNSELLING PROCEDURE: 1. General category counseling shall be held on the first day. The reserved category
candidates selected shall have the right to be selected in the General category as per his / her merit. The reserve category candidates selected in the General category shall not be counted towards reserve category.
5. MEDICAL EXAMINATION: 1. The selected candidates at the time of counseling(s) will report to the Principal,
University Institute of Paramedical Sciences, for admission, medical examination and fee deposition on the dates fixed by the counseling board.
2. Selected physically handicapped candidate (if a seat reserved as per reservation policy of Govt. of Punjab) will also have to appear before the Medical Board for assessment whether he/she is fit to carry out the duties despite being handicapped. The decision of the Medical Board of Guru Gobind Singh Medical College & Hospital, Faridkot, will be final.
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6. SELECTION COMMITTEE: The selection committee is constituted for conducting the counseling and finalizing the admissions by Registrar, BFUHS, Faridkot.
7. FEE STRUCTURE
Note 1 The fee will be payable on annual basis in advance and for reserve category, fee, as per Punjab Govt. policy.
Note 2 Successful candidates shall deposit the fee in form of Demand Draft In favour of the Registrar, Baba Farid University of Health Sciences, payable at Faridkot, which will be deposited at the time of counselling.
Note 3 The fee deposited shall not be refundable in any case. Note 4 The fee structure is subject to change as per requirements of the year of
admission. Each and every student has to furnish an undertaking to the effect to deposit the enhanced fee as per revised rates fixed by Baba Farid University of Health Sciences, Faridkot from time to time keeping in view the year of admission.
8. GENERAL CONDITIONS (a) The students shall pay the fees and other charges, for all types of seats, as
per the rates of fees and other charges fixed by the University from time to time.
(b) The exact seats available in various categories for admission to Medical and
Paramedical Courses will be displayed on the notice board of the University, website of the University at the time of counseling.
(c) Waiting list of all successful candidates will be prepared by the Chairman,
Selection Committee and the details of vacant seats shall be displayed on the notice board. The waiting list shall be operated by the Chairman calling the candidates for Counseling.
(d) Number of seats may be increased or decreased by the University and
final category wise seats will be calculated and displayed at the time of counseling.
For any dispute arising out of this prospectus or of the admissions, the jurisdiction shall be Faridkot only.
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Certificates of Reserved categories:-
CERTIFICATE OF SCHEDULED CASTE/TRIBE
As per letter No.1/41/96-RCI/110001-17, dated 5.12.1996 of Govt. of Punjab, Department of Welfare (Reservation Cell)
It is certified that Shri/Shrimati/ Kumari ___________________________
son/daughter of Sh.___________________________________ of village/town _______________________District/Division __________________________ state of Punjab belongs to ________________________ caste which has been recognised as Scheduled caste as per “The Constitution (Scheduled Castes) Order, 1950” 2. Shri/Shrimati/Kumari____________________________ and his/ her family lives in village/ town____________________ District/ Division ________________ of Punjab State Date______________ Signature Place_____________ Designation
Seal of office
Competent authority to issue Caste Certificate I. District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/
Additional Deputy Commissioner/ Deputy Collector/First Class Stipendiary Magistrate/City Magistrate/Sub Divisional Magistrate/Talika Magistrate/Executive Magistrate/ Extra Assistant Commissioner (Not below the rank of first class Stipendiary Magistrate).
II. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency
Magistrate. III. Revenue Officer not below the rank of Tehsildar. IV. Sub-Divisional Officer of the area where the candidate and/or his family normally resides. V. Administrator/Secretary to Administrator/Development Officer Lakshadweep Islands.
(circulated vide no.2/223/79-SWI/4337, dated 8.6.90) OR The certificate for this purpose issued by any other competent authority declared by
Government of Punjab in any other prescribed proforma.
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FORM OF CERTIFICAE TO BE PRODUCED BY A CANDIDATE BELONGING TO A BACKWARD CLASS IN SUPPORT OF HIS CLAIM.
FORM OF CERTIFICATE OF BACKWARD CLASS.
This is to certify that Shri/Shrimati/ Kumari__________________________
son/daughter of__________________________ village/town _______________ in district/division __________________________ of the state of Punjab belongs to the _______________ caste which is recognised as a Backward Class in terms of Punjab Govt. letter No.___________ dated _______________. 2. This is also verified that income of the family from all sources does not exceed Rs. 4,50,000/- (Rs. Four lakh and fifty thousand) per annum in terms of letter No. 1/41/93-RC1/209 dated 24.02.2009 from the joint Secretary Welfare to Govt. of Punjab, welfare Deptt., Chandigarh. 3. Shri/Shrimati/Kumari__________________________ and/or/his/her family ordinarily reside (s) in village/town____________________ of District/ Division ________________ of the state of Punjab. Place:______________ Signature _______________ State:______________ Designation______________ Date:______________ (with office seal of the officer
concerned) Competent authority to issue Backward Class Certificate: i) Sub-Divisional Magistrate ii) Executive Magistrate iii) Tehsildar iv) Naib Tehsildar v) Block Officer vi) District Revenue Officer (circulated vide No.2/223/79-SWI/4337, dated 8.6.1990)
• The certificate must not be dated one year before the first day of counseling for admission. A certificate issued more than one year before the counseling date shall not be valid.
• In case the certificate is found to be false or incorrect, the candidate will render himself/herself liable for criminial prosecution.
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SPECIMEN FORMS OF SOME CERTIFICATES TO BE ATTACHED WHICHEVER APPLICABLE WITH EACH APPLICATION FORM
UNDERTAKING FROM THE PARENT/GUARDIAN
I…………………………………….……………………………….……………… father/mother/guardian of Miss/Mr……………………………………………………..………..…………………………………resident of…………………………………………………………………………………………...…………………………………………………………………………………………………………………(full address to be given) do, hereby, solemnly state and affirm as under: 1. That I am a citizen of India. 2. That the child/ward of deponent have not obtained the benefit of Residence in any other state for admission to Medical and Paramedical courses. Dated: DEPONENT
Verification: Verified that the contents of my above undertaking are true and correct to the best of my knowledge and belief and nothing has been concealed there from. Dated: DEPONENT * Compulsory for all candidates
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Undertaking by candidate if Gap in Study
I ____________________ S/o, D/o Shri ____________________ resident of ____________________ (full address to be given) do hereby solemnly state and affirm as under:-
1. That I have passed ______________examination held in ____________________ from ____________________ (name of the college/school)
2. That I have not joined any college/institution OR
That I have joined the course of ________________________________ at ___________________________ (name of the institution) from ____________________ and will leave the same before joining the _________________ whichever applicable. Dated : ________________ Candidate Signature
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FormFormFormForm---- IIII
BABA FARID UNIVERSITY OF HEALTH
SCIENCES University Institute of Paramedical sciences
A constituent college of
Baba Farid University of Health Sciences Faridkot Punjab
Common Admission Application Form for Admission to
Certificate, Diploma, Post Graduate Diploma and Post
Graduate courses of Medical and Paramedical Sciences
Session 2017
• Please read Prospectus carefully before filling this form • Form must be filled in BLOCK Letters only. • Please tick (√ ) the appropriate box. • Filled Application Form along with requisite fee in shape of Demand Draft must reach in the office of
Registrar BFUHS, Faridkot by 09-10-2017. Counseling will be held on 24-10-17,09:30 am , at GGS Medical College, Faridkot
Course applied for
1. Certificate( Specify Name)
2. Diploma ( Specify Name)
3. PG Diploma (Specify Name)
4. M.Sc. (Specify Name)
To be filled in BLOCK Letters only
1. Category applied under :………………………………………………………….…………………..(General, SC, BC, Handicapped, etc ) 2. Name 3. Father's Name 4. Mother's Name
5. Date of Birth: 6. Sex ( √ ) Male Female
7. Correspondence Address ………………………………………………………………………………………………………..
…………………………………………………………………………………………………………… Pin Code 8. Permanent Address………………………………………………………………………………………………………..............
…………………………………………………………………………………………………………. Pin Code
D D M M Y Y
Affix Recent
Passport
Photograph
here
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BANK DRAFT NO.....................................................................in favour of Registrar, Baba Farid University of Health
Sciences, Payable at Faridkot Date of issue......................... …………………………..
Name/Branch................................................................................................... Amount ……………………………………
Tele/Fax No………………………………………………………………..Mobile Ph. No. ………………………………
EMail………………………………………………………
09. Annual Income of Parents from all sources:
10. Belongs to( √ ) Urban Rural Area
11. Detail of Marks in Qualifying Exam:
For Admission to Certificate, Diploma, Post Graduate Diploma and Post
Graduate courses of Medical and Paramedical Sciences
Max. Marks
Marks Obtained
Percentage
Marks Obtained in Matriculation
Marks Obtained in 10+2
Marks Obtained in 10+2 (Physics, Chemistry and Biology for Diploma Courses)
Marks Obtained in qualifying Exam for (PG Diploma/ M.Sc. Courses)
Character Certificate
Reserve Certificate
12. Residence Status ( √ ) Punjab State O Other State
13. Fee in shape of demand draft in favour of “ Registrar Baba Farid University of Health
Sciences”, payable at Faridkot along with admission form is as follows: 1. Certificate/ Diploma courses : Rs. 500/- 2. PG Diploma Courses : Rs. 1500/- 3. M.Sc. Courses : Rs. 2000/- 15. Details of Fee Paid
16. Undertaking and pledge by the candidate:-
a) I hereby certify that the entries made by me in this form are correct to the best of my
knowledge & belief and I have not concealed any information in any manner. b) I agree to observe and abide by all the rules and regulations of the Institution in which I
may be admitted, including those with regard to programme of studies, syllabus, scheme of examination, examination rules, and I will not associate myself with any activity prejudicial to the discipline of Institution.
c) I fully understand that for any violation or infringement of these rules and regulations,
disciplinary action can be taken against me by the authorities which may include cancellation of the candidature.
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d) I certify that I am not involved in any illegal activity and no criminal case is pending against me in any court of law.
e) I certify that I have not passed the qualifying examination from more than one
Board/University/any other examining body.
f) I undertake that if I am found to have indulged in ragging in the past or in future, my admission may be refused or I shall be expelled from the institution.
g) I understand that if at any stage, it is found that I have provided any wrong information
to seek admission, my admission shall stand cancelled automatically and I shall have no claim whatsoever, on the seat or the dues paid to the Institution.
h) I certify that in case I leave the course in between, I will deposit full course fee.
Male Left Thumb Impression ( __________________________ )
FULL Signature of the Candidate Female Right Thumb Impression
Date_________________
Undertaking by Parent/Guardian
(a) I certify that my son/daughter/ward Mr./Ms________________________________________ has submitted
this application with my knowledge and consent and that I hold myself responsible for his/her
good conduct and his/her maintenance and any payment of fee during the stay at Institution. The
entries made by him/her in the Admission Form are correct to the best of my knowledge and
belief.
(b) I certify that my son/daughter/ward Mr./Ms. ________________________________________ has not passed
the qualifying examination from more than one Board/University/any other examining body.
Date: Signature of Parent/Guardian ___________________ Name of Parent/Guardian ___________________
21
CHECK LIST (As applicable according to the course) (Attach Self Attested Copies Only)
Particulars By Candidate For Office use
1) Matric or equivalent certificate for Date of Birth
2) Detail Marks card of 10+1 and 10+2
3) Detail Marks card of Graduation or any other qualifying exam as
the case may be
4) Degree of Graduation or any other qualifying examination as the
case may be
5) Character Certificate
6) Reserve Category
7) Undertaking by the candidate for Gap year in original, if any.
8) Undertaking from parent/Guardian
Checked by (Sign) ___________________________
Name ( __________________________)