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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.
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.100/- 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.
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
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
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
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
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
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
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
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
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
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
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
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.100/- 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
34 Aadhar card Xerox
35 Birth Certificate original for AIQ
Place: Gadag Signature of Candidate
Signature of Parents
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.
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.
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
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.
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
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.
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.
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
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
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