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GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL & RESEARCH CENTRE Mirzapur Pole, Saharanpur PROSPECTUS 2018 www.glocalmedicalcollege.in

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Page 1: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

GLOCAL MEDICAL COLLEGE,SUPER SPECIALITY HOSPITAL& RESEARCH CENTREMirzapur Pole, Saharanpur

PROSPECTUS

2018 www.glocalmedicalcollege.in

Page 2: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL
Page 3: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

CREATING A NEWGENERATION OF

HEALERS

At the Glocal Medical College Super Specialty Hospital & Research Center, we strongly believe in harnessing the power of knowledge by combining learning with extensive application-based study and medical ethics, thus maximizing one's overall potential and nurturing a winning mentality in each of our students. We believe in a radical approach towards education with in-depth study and international teaching techniques that encourage a practical application of knowledge along with a code of ethics, hence developing one's inner self and providing the perfect edge.

Highly Esteemed And Qualied FacultyWith Years of Rich Experience In The Fieldof Medical Education & Medical Practice.

Sprawling Campus and world-class Infrastructure.

State-of-the Art Facilities, Fully FurnishedHostels and Recreation Centres.

Page 4: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

VISION

Global canvas, local colours—that is what we, at Glocal, simply believe in. It is the prism that refracts all our endeavours — whether it is our architecture, curriculum design, pedagogy, hostel life, laboratories, café or the library. In short, we simply celebrate the liminal space where the 'global' meets the 'local'. We are traditional, yet we are not. We are modern, yet we are not really so. We understand the hybrid nature of the global workplace and that is why no barriers constrain us. To ourish in the world today, one cannot afford substantive and rigid visions of the good life. One has to appreciate the negotiated nature of the contemporary. That is why we emphasize reexivity, exibility, diversity and accommodation as key values. While that is the ethos of critical engagement, we aspire to craft, we are equally keen to develop top quality doctors for dedicated patient care.

MISSION

At the Glocal Medical College Super Specialty Hospital &Research Center, we are committed to producing top-notch doctors who have a zeal for perpetual learning and are capable of performing well in diverse professional and cultural settings. While we provide the students with all the tools required to successfully take on the world, we also endeavour to instil in them a healthy cultural rooted ness that combines the best of traditional values with modern and progressive sensibilities.

OUR VISSION& MISSION

Page 5: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

MODERN

The 'global' is mediated by the 'local' in our times. That has led to a crisis of modern universals, which were so far by default Eurocentric/Anglo centric in nature. Now there is an increasing realization that there is a 'South in the North' and a 'North in the South'. Hence, there is no singular modernity; rather, there are much modernity shaped by diverse locations. Therefore, while we celebrate the spirit of critical enquiry entailed by the modern, we also give importance to local cultures/values/knowledge systems in arriving at our own version of modernity. We, at Glocal, are clear that the future is open- It ended and in perpetual construction. Hence, no categories, ideals or visions are sacrosanct or should go uncontested. Therefore, we instil a questioning and critical attitude in our students. As Robert F Kennedy said famously, "Some men see things as they are and say, 'Why?' 'I dream of things that never were and say, 'Why not?

HOLISTIC

Education, in the true sense, is about honing every facet of a student. Hence, apart from the emphasis .on rationality and logical reasoning, we also make certain that each student is developed in the aesthetic, affective and spiritual domains as well. We ensure that the students learn to appreciate the best in world literature and art, develop keen sensitivity towards environment and acquire a sense of social responsibility towards the downtrodden sections of the society. Also, since we aspire to produce doctors who could perform in diverse settings, we not only tolerate cultural diversity, but we also celebrate it. Overall, we foster a multi- and interdisciplinary approach to education

MORAL

Our understanding of morality is multidimensional. The rst level of meaning simply refers to basic etiquette, healthy interpersonal relationships, respect for parents, teachers, the elderly, and so on. The second level means complementarities between 'skills' and values'. However, there is a third level of meaning wherein morality refers to the art of taking quality decisions in the face of dilemma emerging from a world in perpetual ux. At Glocal we take all these three levels of meaning seriously. We ensure that our students have a nuanced understanding of power and the capability to make judgements and take timely decisions in order to excel as doctors at the global level.

APPLIED

Of what use is an education that nds no application in the world outside? That is why we insist on practical application of every subject. As Tagore said, 'You can't cross the sea by merely standing and staring at the water'. However, we are aware that superior application can only emerge from a sound conceptual understanding. Hence, we encourage our students to learn the basics properly and spend quality time in appreciating the fundamentals of medical practice. It is only from the vantage point & of such an applied approach, deeply intermeshed with the conceptual, that we can ensure that our students learn to innovate and experiment.

WE HAVE CONCEIVED FOUR PILLARS THATENCAPSULATE OUR VISION AND THAT ACT ASA GUIDING LIGHT TO FURTHER OUR IDEASPRACTICES OF EDUCATIONAL EXCELLENCE:

OUR

PILLARS

Page 6: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

It is indeed a great opportunity for me to serve as the Principal of the prestigious institute, Glocal medical college and Super Speciality Hospital and Research Center, Mirzapur Pole, Saharanpur. As a Principal, I am proud to lead our institution's commitment to improve the healthcare of society through excellence in medical education, biomedical research and patient care and fully committed to provide teaching and health care of the highest standard.

There are two objects of medical education: to heal the sick, and to advance the science. Our Medical College leverages the scientic capabilities, expertise and resources to provide medical education focused on preparing physicians for the medicine of tomorrow.

It is a big challenge before us to build competence and professionalism with appropriate condence in medical students and to make them a capable, competent and compassionate doctor. We will maintain the highest standards of discipline and inculcate the excellent qualities of noble profession.

My dear students, the Nation is waiting for your reputable and noble services in the coming years. Do plan to spend some of your experience in rural parts of India and take part in the National Rural Health Mission for better health of the people of India as well as in Swaccha Bharat Mission.

And last but not the least, be the good doctors that we know you will be – true to be 'God' as the people say the patient hands you over his/her body to use your wisdom, intellect, knowledge and vision.

With warm greetings and best wishes.

MESSAGE FORM PRINCIPAL DESK

Prof. (Dr.) Punam Verma(MBBS, MD, Faimer Fellow)

Page 7: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL
Page 8: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

STUDENT FACILITIESAt Glocal, our primary focus always remains on learning whether inside or outside the classroom. A Slew offacilities are being provided to the student to make learning more conducive some of which includes the followings.

Hygienic anddelectable foodprepared by top

chefs

High speedWi-Fi Connectivity

throughout thecampus

Highly equippedlabs

Ample greenplaygrounds

Centralcomputer

lab

Transport forday scholars

In house300 bedHospital

Page 9: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

12

Page 10: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

RULES FOR STUDENTS

Ÿ Students can only enter the campus by showing their identity cards.Ÿ Leaving campus before the scheduled timings will only be allowed with prior approval of the Principal.Ÿ Ragging is strictly banned.Ÿ Consumption of alcohol, tobacco or any narcotic substance is prohibited. N0 shop or establishment is allowed to sell

these items within 5 km of the campus and purchase of such items is punishable bylaw.Ÿ Carrying of lethal weapons and explosive materials in the campus premises is strictly prohibited. Keeping such items in

the hostel rooms is not allowed.Ÿ Students cheating or using unfair means in university examination or class tests will be penalized. In addition, they will

have to pay any penalty which the university authorities decide to impose.Ÿ Glocal campus is an eco-friendly place and is a plastic free zone. Students must comply with the garbage disposal

system of the campus.Ÿ Any kind of indiscipline, including ghting in the hostel and campus premises, will be punishable.Ÿ All students must follow the dress code as prescribed.Ÿ All the above conditions will be enforced strictly and those students who do not follow the above rules will be punished,

even expelled.Ÿ Save Water: All students are requested to use water judiciously and preserve it. Leakage in theŸ bathrooms should be immediately reported to administration.

RULES REGULATIONS &

Page 11: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

RULES FOR HOSTEL

Ÿ Students are not allowed to change rooms except with the written permission of the warden/chief warden.Ÿ Students will be asked to vacate the hostel if they fail to clear their dues of the hostel by the appointed day.Ÿ Conserve Electricity: Residents should switch off the lights, fan, ACs, etc., when not in use. Use of heaters, electric rods,

etc., in the hostel is not allowed.Ÿ Students are allotted rooms in the hostels for a period of one year and will pay for the entire period. No refunds are

permitted. Students may be required to shift to other blocks/rooms as and when informed by hostel authorities. This shifting maybe necessitated due to administrative reasons.

Ÿ Proxy or dummy roommates are forbidden. Residents are not permitted to allow their rooms to be used by others. Visitors are not allowed to stay overnight.

Ÿ If a resident wishes to vacate the hostel, prior information must be given to the warden. Permission of the student's parents and principal along with certain documentation is necessary. All hostel dues must be paid by the resident at the time of vacating the hostel.

Ÿ Pets are not allowed inside the hostel. Feeding stray animals is not permitted.Ÿ Cooking is not allowed in the hostel rooms.Ÿ Playing of loud music, partying and shouting is not permitted.Ÿ All maintenance complaints/requirements will be attended to by attendant on duty. Complaint(s) must be entered in the

register(s) available with security guard at the hostels. The complaints will be attended and monitored by the wardens/chief warden. Residents are not permitted to employ any outsiders for any such job without the permission of chief warden.

Ÿ The rooms have been painted as per schedule and will be maintained regularly by the management as per the maintenance schedule. Residents are not permitted to re-paint or do any alteration of any nature without the written permission of the warden.

Ÿ The students shall be responsible for the college & hostel property issued or provided to them in the hostel. Damage of any hostel property shall be recovered from the concerned student.

Ÿ Principal or the chief warden /wardens or any person in authority can inspect any room at any time.Ÿ Entry in the hostels will not be allowed beyond 9.00 pm.Ÿ Attendance of hostel residents will be taken daily within 15 minutes of the hostel closing time.Ÿ Absence from hostel without prior permission from the hostel warden is an act of serious misconduct.Ÿ No meeting or gathering is permitted in the hostels/ dining room.Ÿ Students must dine in their respective hostel messes. Carrying food items from dining hall to hostel rooms is strictly

prohibited.Ÿ Removal of hostel property (that is, bed, chairs, etc.) from the room is not allowed.Ÿ Students are required to come in the hostel mess and common room in proper clothing.Ÿ All complaints and suggestions shall be made to the respective hostel committee.Ÿ Students are not permitted to spend weekend/ holidays with their relatives outside the campus,Ÿ unless specic permission is taken. In the request, parents / guardians will give an authorization with the name and

address of the local guardian.Ÿ Parents / guardians/ guests / friends of students can visit only during the stipulated timings.Ÿ In case of any electricity failure, residents must bring to the notice of the caretaker/warden. The service of an electrician is

available round the clock for attending to any defect in the electric system or ttings.Ÿ The rooms and surroundings must be kept clean. The service of the cleaners must be obtained to ensure that the rooms

are swept and toilets cleaned while the residents are in the room. All wastepaper and refuse must be placed in garbage bags provided for that purpose.

Ÿ Fire Hazards and Safety: Candles and incense are a re hazard and are not permitted in the hostels. Combustible materials such as gasoline, paint thinner and oil lamps are not permitted in the hostels. Burning/bursting of crackers, carrying of crackers to the rooms and lighting of lamps / candles are banned strictly in and around the hostel premise.

Ÿ If a resident falls sick, he / she or roommate / friend must immediately inform the caretakers /warden, who will take necessary action.

Page 12: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

WHAT CONSTITUTES RAGGINGth

Vide clause 3 of UGC regulations on curbing the menace of ragging dated 17 June, 2009Ragging constitutes one or more of any of the following acts.

Ÿ Any conduct by any student or students whether by words spoken or written or by an act which has the effect of

teasing, treating of handling with rudeness a fresher or any other student.

Ÿ Indulging in rowdy or indisciplined activities by student or students which causes or is likely to cause annoyance,

hardship, physical or psychological harm or to raise fear or apprehension thereof in any fresher or any other

student.

Ÿ Asking any student to do any act which such student will not in the ordinary course do and which has the effect of

causing of generating a sense of shame, or torment of embarrassment so as to adversely effect of physique or

psyche or such fresher or any other student.

Ÿ Any act by the senior student that prevents, disrupts or disturbs the regular academic activity of any other student

or a fresher.

Ÿ Exploiting the services of a fresher or any other student for completing the academic tasks assigned to an

individual or group students.

Ÿ Any act of nancial extortion or forceful expenditure burden put on a fresher or any other student.

Ÿ Any act of physical abuse including all variants of it: sexual abuse, homosexual assaults, stripping, forcing

obscene and lewd acts, gestures, causing bodily harm or any other danger to health or person.

Ÿ Any act of abuse by spoken words, emails, post, public insults which would also include deriving perverted

pleasure, vicarious or sadistic from activity or passively participating in the discomture to fresher or any other

student.

Ÿ Any act that affects the mental health and self-condence of a fresher or any other student.

Ÿ With or without an intent to derive a sadistic pleasure or showing off power, authority or superiority by a student

over any fresher of any other student.

(vide clause 7 of UGC regulations on curbing the menace of ragging dated 17th June 2009).

On receipt of recommendation of the Anti-Ragging Squad or on receipt of any information concerning any reported

incident of ragging, the Head of Institution shall immediately determine if a case under the penal laws is made out and

if so, either on his own or through a member of the Anti-Ragging Committee authorized by him in this behalf, proceed

to le a First Information Report (FIR), within twenty four hours of receipt of such information or recommendation, with

the police and local authorities, under the appropriate penal provisions relating to one or more of the following,

Action to be taken by the Head of the Institution

Ÿ Abetment to ragging

Ÿ Criminal conspiracy to rag

Ÿ Unlawful assembly and rioting while ragging

Ÿ Public nuisance created during ragging

Ÿ Violation of decency and morals through ragging

Ÿ Injury to body, causing hurt or grievous hurt

Ÿ Wrongful restraint

Ÿ Wrongful connement

Ÿ Use of criminal force

Ÿ Assault as well as sexual offences or unnatural offences

Ÿ Extortion

Ÿ Criminal trespass

Ÿ Offences against property

Ÿ Criminal intimidation

Ÿ Attempts to commit any or all of the above mentioned offences against the victim(s)

Ÿ Threat to commit any or all of the above mentioned offences against the victim(s)

Ÿ Physical or psychological humiliation

Ÿ All other offences following from the denition of “Ragging”

Page 13: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

Those found guilty of ragging may be awarded one or more of the

following punishment, namely: (wide clause 9 of UGC regulations

on curbing the menace of ragging dated 17th June, 2009)

Ÿ Suspension from attending classes and academic privileges.

Ÿ Withholding/withdrawing scholarship/fellowship and other

benets.

Ÿ Debarring from appearing in any test/examination or other

evaluation process.

Ÿ Withholding results.

Ÿ Debarring from representing the institution in any regional,

national or International meet, tournament, youth festival etc.

Ÿ Suspension/expulsion from the hostel.

Ÿ Cancellation of admission.

Ÿ Rustication from the institution for period ranging from one to

four semesters.

Ÿ Expulsion from the institution and consequent debarring from

admission to any other institution for a specied period.

Ÿ Fine of Rs. 25000/-

POSSIBLE PUNISHMENTS

IMPORTANTPHONE NUMBERS

Toll Free No. for reporting ragging activity

DR. PUNAM VERMAPRINCIPAL

+91- 8392939353

MR. AMIT TYAGI HOSTEL WARDEN (BOYS)

+91- 9761503139

MS. SHIKHA MALIKHOSTEL WARDEN (GIRLS)

+91- 9719681502

DR. RAYEES AFZAL MIRHOSTEL WARDEN (BOYS)

+91- 8392939357

MRS. KUSUMI JAGURI HOSTEL WARDEN (GIRLS)

+91- 9634938057

Page 14: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

Ÿ I, ( f u l l name o f s tuden t w i th admiss ion / reg is t ra t ion /en ro lmen t number ) . S /o D /o Mr.

/Mrs./Ms.______________________________________________, having been admitted to(name of the Institution), have

received a copy of the UGC Regulations on curbing the menace of ragging in Higher Educational Institutions, 2009,

(hereinafter called “Regulations”) carefully read and fully understood the provisions contained in the said Regulations.

Ÿ I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.

Ÿ I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and

administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging, actively or

passively, or being part of a conspiracy to promote ragging.

Ÿ I hereby solemnly aver and undertake that

a) I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of Regulations.

b) I will not participate in or abet or propagate through any act of commission of omission that may be constituted as

ragging under clause 3 of the Regulations.

Ÿ I hereby afrm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the Regulations,

without prejudice to any other criminal action that may be taken against me under any penal law or any law for the time

being in force.

Ÿ I hereby declare that I have not been expelled or debarred from admission in any institution in the country on account of

being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further afrm that, in case the

declaration is found to be untrue, I am aware that my admission is liable to be cancelled.

Signature of deponent

Name:

AFFIDAVIT BY THE STUDENT

Ÿ Veried that the contents of this afdavit are true to the best of my knowledge and no part of the afdavit is false and

nothing has been concealed or misstated therein.

Ÿ Veried at.................................. on this the............................... of .........................., .......................

Ÿ Solemnly afrmed and signed in my presence on this the day of month, year after reading the contents of this afdavit.

Declared this................................day of..............................month of...................year........................

Place Day Month Year

On Rs. 100/- Stamp Paper

Ÿ I, ( f u l l name o f s tuden t w i th admiss ion / reg is t ra t ion /en ro lmen t number ) . S /o D /o Mr.

/Mrs./Ms.______________________________________________, having been admitted to(name of the Institution), have

received a copy of the UGC Regulations on curbing the menace of ragging in Higher Educational Institutions, 2009,

(hereinafter called “Regulations”) carefully read and fully understood the provisions contained in the said Regulations.

Ÿ I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.

Ÿ I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and

administrative action that is liable to be taken against me in case I am found guilty of or abetting ragging, actively or

passively, or being part of a conspiracy to promote ragging.

Ÿ I hereby solemnly aver and undertake that

a) I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of Regulations.

b) I will not participate in or abet or propagate through any act of commission of omission that may be constituted as

ragging under clause 3 of the Regulations.

Ÿ I hereby afrm that, if found guilty of ragging, I am liable for punishment according to clause 9.1 of the Regulations,

without prejudice to any other criminal action that may be taken against me under any penal law or any law for the time

being in force.

Ÿ I hereby declare that I have not been expelled or debarred from admission in any institution in the country on account of

being found guilty of, abetting or being part of a conspiracy to promote, ragging; and further afrm that, in case the

declaration is found to be untrue, I am aware that my admission is liable to be cancelled.

Signature of deponent

Name:

Declared this................................day of..............................month of...................year........................

Place Day Month Year

OATH COMMISSIONER

On Rs. 100/- Stamp Paper

Signature of deponent

Page 15: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

Ÿ Mr. /Mrs./Ms. Full name of parent/guardian ...........................................Father/mother/guardian offull name of student

with admission/registration/enrolment number , have been admitted to name of the institution

, have receiveda copy of the UGC Regulations on curbing the Menace of Ragging in Higher Educational Institutions,

2009, (hereinafter called the “Regulations”), carefully read and fully understood the provisions contained in the said

Regulations.

Ÿ I have, in particular, perused clause 3 of the Regulations and am aware as to what constitutes ragging.

Ÿ I have also, in particular, perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal and

administrative action that is liable to be taken against my ward in case he/she is found guilty of or abetting ragging,

actively or passively, or being part of a conspiracy to promote ragging.

Ÿ I hereby solemnly aver and undertake that

a) My ward will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the Regulations.

b) My ward will not participate in or abet or propagate through any act of commission or omission that may be constituted

as ragging under clause 3 of the Regulations.

Ÿ I hereby afrm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of the Regulations,

without prejudice to any other criminal action that may be taken against my ward under any penal law or any law for the

time being in force.

Ÿ I hereby declare that my war has not been expelled or debated from admission in any institution in the country on

account of being found guilty of, abetting or being part of conspiracy to promote, ragging; and further afrm that, in case

the declaration is found to be untrue, the admission of my ward is liable to be cancelled.

Signature of deponent

Name:

AFFIDAVIT BY PARENT/GUARDIAN

Declared this................................day of..............................month of...................year........................

On Rs. 100/- Stamp Paper

Ÿ Veried that the contents of this afdavit are true to the best of my knowledge and no part of the afdavit is false and

nothing has been concealed or misstated therein.

Ÿ Veried at.................................. on this the............................... of .........................., .......................

Ÿ Solemnly afrmed and signed in my presence on this the day of month, year after reading the contents of this afdavit.

Place Day Month YearPlace Day Month Year

OATH COMMISSIONER

Signature of deponent

Page 16: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

Ÿ I, ________________________________________________________________________

Ÿ S/o, D/o __________________________________________________________________

Ÿ Resident of ________________________________________________________________ Have been admitted

to MBBS course in Glocal Medical College Super Specialty Hospital & Research Center, Mirzapur Pole,

Saharanpur.

Ÿ I understand that as per MCI regulations, I will be permitted to appear in Professional University Examination

only if I have minimum (i) 75% attendance in theory and 80% attendance in non-theory teaching

classes/practical and (ii) I have obtained at least 35% marks in Internal Assessment both in Theory as well as

in Practical separately. If I fall short of any of these above criteria i.e. no (i) and (ii), I shall be detained from

appearing in that University Examination.

Ÿ I undertake that I shall abide by all the rules and regulations as may be laid down by the Institute from time to

time.

Ÿ I undertake that I shall maintain discipline both inside and outside the Hostel and College Campus. I shall

not do any act which would bring bad name to my College/Institution.

Ÿ I shall not involve myself in any sort of collective insubordination strike, agitation and ragging during my

study period in this Institute. I am ready to accept any decision (e.g. ne, suspension from the

Hostel/College and rustication from the college etc.) taken by the management, if I am found to be involved

in the same.

Ÿ I understand that if college fee is increased by the authorities during the course, I shall pay the balance of

increased fees.

Ÿ I undertake that if I violate the above undertakings, I shall render myself for disciplinary action including the

permanent expulsion from the college and/ or other punishments at my risk and responsibility.

UNDERTAKING

WITNESS

Name of Parent

Full Name & Signature of Student

Signature

Date

Place

(To be submitted by the student in Rs. 100/- Stamp Paper duly notarized)

Page 17: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

Ÿ I, _____________________________________________S/o, D/o _______________________________________

Ÿ Resident of ______________________________________________________________________

Ÿ Parent/Guardian of __________________________________________assure the Management of the Institute

that my ward _______________________________________shall abide by the Rules and Regulations as may

be laid down by the Institute from time to time and he/she will also maintain discipline inside and outside the

Hostel and College Campus. He/she will not do any act which would bring bad name of the Institute. I

understand that in case of any indiscipline like involvement in any sort of strike collective insubordination or

agitation by my ward __________________he/she liable for any action including the ne and permanent

expulsion from the College and/or any other punishments.

Ÿ I have no objection if my ward is detained from appearing in the University Examination, if he/she fails

to fulll MCI eligibility criteria regarding attendance and Internal Assessment for allowing students to appear

in University Examination. I undertake that if College fee is increased by the authorities during the course, I

shall pay the balance of increased fees. In no case; I shall have any claim for the refund of fees or dues paid

by me in respect of my son/daughter/ward, even if he/she leaves this Institute in midsession except the

hostel and mess charges after adjusting the outstanding dues against his/her name.

UNDERTAKING

Signature Parents & Guardian

(Submitted by Parents/Guardian of student)(To be submitted by Parents/Guardian of the student in Rs. 100/- Stamp Paper duly notarized)

Date

Place

Relationship with Students

Name

Address

Tel. No.

Page 18: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

CONSENT(To be submitted by the student in Rs. 100/- Stamp Paper duly notarized)

I,_____________ _________________________________________________________________________________

aged ______________years, son/daughter of ________________________________________________________,

NEET Roll No ___________________________, R/o ______________________________________________ do

hereby give my consent and willingness to pay the college fees of Glocal Medical College Super Specialty

Hospital & Research Center, Saharanpur as given in their prospectus and as notied by DGHS/DGME of Uttar

Pradesh Government from time to time.

VERIFICATION

Veried that the contents of this consent are true to the best of my knowledge and no part of the consent is false

and nothing has been concealed or misstated therein.

Veried at...................................... on this the................................of....................,................................................

Page 19: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL
Page 20: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

Ladna

Kumkohehe

Smalkha

Chhutmulpur

Roorkee

Nainigarh

Muzaffarnagar

Page 21: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

2. DATE OF BIRTH

13. SIGNATURE OF APPLICANT AND THUMB IMPRESSION (LEFT FOR FEMALE/RIGHT FOR MALE)

CITY

STATE

11.2 EMAIL ADDRESS (STUDENT)

GMC NO: (To be allotted by College )

APPLICATION FOR ADMISSION TO MBBS COURSE FOR 2018

10.2 MOBILE NO. (STUDENT)

Page 22: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

18. BLOOD GROUP

19. HOSTELLER DAY SCHOLAR

20. LOCAL ADDRESS

Cash (Amount)..........................................................Receipt No..................................................................Date...............................................

RTGS/NEFT Amount...............................................Date.............................Bank.......................................UTR No. .......................................

ADMISSION ACCEPTED

PRINCIPAL

Page 23: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

Glocal University,

Delhi-Yamunotri Marg

(State Highway 57),

Mirzapur Pole,

Dist - Saharanpur,

U.P. - 247121, India

Enquiries:+91-8392924062

CAMPUSGlocal University,

Parsvnath Eleganza

Mall(Amity Complex),

Unit No- FF-A-3,

103, Rajpur Road

Dehradun,

Uttarakhand - 248001

Enquiries: +91-9258058043

9917720074, 8126921346

DEHRADUN Glocal University,

4407/3, New Bhagat Singh

Colony, Behind DM

Residence,

Bajoria Road, Saharanpur,

UP-247001

Enquiries:+91- 8881243701,

9045734000, 9045738000

SAHARANPURGlocal University,

St. Mary's School Road,

Near Hotal City Palace,

Vikasnagar, 248198

Enquiries: +91-9410555055

VIKASNAGAR

Glocal University,

Near Rajdhani Masjid

Hatigaon Main Road, Dispur

Guwahati, Assam-781006

GuwahatiGlocal University,

New Airport Road,

Paray Pora, Chinar Colony,

Srinagar, J & K

Enquiries:

+91-9596007786,

9469522501

SRINAGAR (J&K)Glocal University,

Nexgen Career,

201, Steel House,

Above Union Bank,Boring

Road Police Check-Post,

Boring Road, Patna, Bihar-

800001

Enquiries:+91- 8207323232

8207343434, 0612-2540770

PATNA

Page 24: GLOCAL MEDICAL COLLEGE, SUPER SPECIALITY HOSPITAL

Campus Location:Glocal University, Delhi-Yamunotri Marg

(State Highway 57) Mirzapur PoleDistt.-Saharanpur, U.P.-247121

Contact Us:+91-8392920247, +91-8392920255