SETH G. S. MEDICAL COLLEGE, PAREL, MUMBAI - 12

M. B. B. S. ADMISSION 2019 – 2020

MUHS Eligibility Section, Nashik UR NO_____

Shri/Smt. ___________________________________________, Selected

under category _______Sub Caste____________ has submitted following

ORIGINAL certificates with FOUR (04) sets of Attested photo copies with

admission form duly filled in the file.

(A) Group

01) Admission Form /Allotment Letter

02) Nationality Certificate/ Valid Passport/ Domicile Certificate

03) S. S. C. Passing Certificate (10th

Std.)

04) 12th

H.S.C. Mark sheet

05) NEET Exam Mark sheet (2019)

06) NEET Admit Card

07) NEET Application Form

08) Cast Certificate /EWS Certificate

09) Caste Validity Certificate (If your state do not issue CVC, you have to

submit the letter from Competent Authority as per attached proforma)

10) Non Creamy Layer Certificate (For NT – 1,2,3 VJ, OBC& SEBC)

11) College Leaving OR Transfer Certificate

12) Physical Handicap Certificates

13) Defence Certificate

14) Hilly Area Certificate

(B) Group

01) Report of Blood (Hemogram) 02) Physical Fitness Certificate

03) Migration Certificate 04) Self Educational Gap certificate (Affidavit from students) 05) Aadhar Card Copy Date : Student’s Signature________________

Clerk (GUG) H.C. (GUG)

UNDERTAKING

Name ___________________________ SML /UR No.______ Category _____ To, The Dean Seth G. S. Medical College Parel, Mumbai – 400012 Subject: M.B.B.S. admission at Seth G. S. Medical College during the academic year 2019-

20 Sir/Madam, I hereby agree to confirm the rules and regulations at present in force or hereafter be made for the Administration of the College, I will do nothing unworthy of the student of the college either inside or outside or anything that will interfere with its orderly working and I have carefully read and understood criteria for eligibility for University Examination i.e. i) 75% attendance in Lectures & 80% attendance in non-Lecture teaching programme, ii) Minimum of 50% score in the internal assessment in theory and practical taken together. I do hereby undertake to comply with the above-mentioned criteria and have noted that if I fail to fulfill the requirements as above, my form of application for admission to the University Examinations will not be accepted and I will not be sent up for the University Examinations. I will submit the Service agreement and surety bond as per rule for his/her admission year 2019-20 within one month from the date of issuing the form. Subsequent to admission & payment of fees for First term, I have to pay fees and other dues every term per notification. I have noted that, I have to keep valid Identity Card with me during College hours including examination time and should be produced whenever required by college authority. I have noted that, I will not allow filling the University examination form if I fail to pay the fees as per notification. I undertake that, I will fill up B.C. freeship/scholarship form every year i.e. June/July or immediately after result as the case may be. I have noted that I will be required to pay college tuition fees and other charges as per schedule with fine. I have noted that no individual intimation/letter will be send in this regard. I have kept sufficient number of certified copies of all original certificates for my use for 5 & 1/2 years, as original certificates are kept in the Nashik University office till completion of the Internship. The present fees are under revision and I have noted that I will have to pay the fees and other charges as per revised rate from the academic year 2019-20subsequent to revision. I am completely aware that if I will cancel my admission after the Cut-off date, I have to pay the Bond Amount (Rs.10, 00,000/-), entire course fees, and the amount of Security Deposit of Rs. 4000/- shall be forfeited by the Corporation. Name of the Father/Mother/Guardian _____________________________ Signature _____________________ Address ______________________ Signature of the candidate _____________________________ Mobile No_____________________

SETH G. S. MEDICAL COLLEGE, PAREL, MUMBAI-12.

GUIDELINES FOR THE STUDENTS, WHO HAVE SEEKING THE ADMISSION AT

SETH G.S.M. COLLEGE FOR FIRST YEAR M.B.B.S. FOR THE ACADEMIC YEAR

2019-20

Please follow the steps in order to complete admission procedure.

1) Submit one photocopy of the selection letter at UG Section. 2) Register your details in the register at UG Section 3) Collect photocopy of the selection letter from UG Section duly stamped for

collection of Admission form which is available on Cash Counter of College Office between 11.00 a.m. to 3.30 p.m. on Monday to Saturday except second and fourth Saturday and holidays.

4) Fill up the B.C. free ship form at Counter No.1 of GTR Section (For reserve category students only)

5) Arrange following original and attestedXerox copies of four set (Self attested will not be accepted) of each certificates/documents in following sequences in the College file.

(A) Group

01) Admission Form /Allotment Letter

02) Nationality Certificate/ Valid Passport/ Domicile Certificate

03) S. S. C. Passing Certificate (10th

Std.)

04) 12th

H.S.C. Mark sheet

05) NEET Exam Mark sheet (2019)

06) NEET Admit Card

07) NEET Application Form

08) Cast Certificate /EWS Certificate

09) Caste Validity Certificate (If your state do not issue CVC, you have to

submit the letter from Competent Authority as per attached proforma)

10) Non Creamy Layer Certificate (For NT – 1,2,3 VJ, OBC& SEBC)

11) College Leaving OR Transfer Certificate

12) Physical Handicap Certificates

13) Defence Certificate

14) Hilly Area Certificate

(B)Group

01) Report of Blood (Hemogram) 02) Physical Fitness Certificate

03) Migration Certificate 04) Self Educational Gap certificate (Affidavit from students) 05) Aadhar Card Copy

6) Submit College file and get the same verified from UG Section. 7) Please collect the payment slip for payment of fees from UG Section Notice : Fees will be accepted at cash section of the college office subject to

provisional eligibility from the Registrar, Maharashtra University Of Health

Sciences Nashik and without prejudice to final court order in case admission is

related to writ petition where in interim court order are issued and subject to

submission of agreement bond within One Month from the date of issue.

Students have to submit scanned copies of all the

Original documents mentioned above including

Demand Draft of MBBS Tuition Fees, in separate folder

with student name. Each document should be labeled

separately like Allotment Letter, Nationality certificate,

XthPassing, XIIth Mark sheet etc. (file size of

documents should be 50 kb To 150 kb in PDF format)

on pen drive

Late fees of Rs. 500/- per day will be charged from the

candidate towards the late submission of Registration and

Eligibility form. (As per MUHS Rules)

DETAILS OF THE FEES.

Seth G. S. Medical College Parel Mumbai 12

Fee Structure of I st M.B.B.S. Student for the

year 2019-2020

Sr. No. Particular Category

Open

Reserve

Category

(Other than

SC)

S.C.Category

1 Tuition Fees 94,700/- 6, 400/- 1, 400/-

2 Deposit 4,000/- 4, 000/- 4, 000/-

3 Gymkhana Fees 2,705/- 2, 705/- 2, 705/-

4 University Fees 2,600/- 2,600/- 2,600/-

Total 104005/- **15,705/- **10,705/-

Total Fees are paid in Single D.D. only in favour of Dean, Seth G.

S. Medical College Payable at Mumbai

**The Condition for availing Freeship is the student should be a domicile of

Maharashtra State only, and he/she has to produce caste certificate & caste

validity certificate issued by The Government of Maharashtra. For the

students from other states they can avail the Freeship from those particular

states.

1) Submit 2 photocopies of payment receipt at UG Section.

2) Collect the service Agreement Bond from UG Section

3) Submit NTS & NMS forms after admission along with sanction letter to at

GTR Section. All reserve category student shall meet at GTR Section for

Scholarship/Freeship. (Student can apply only for one Scholarship in a

year. If any student found guilty for applying more than one scholarship,

strictly action will be taken against him/her)

TEACHINGPROGRAMME

For further details on teaching programme/registration no. candidates are

directed to report to the Anatomy department, 2ndfloor of this college. And for

SHIDORI contact to Mr.Shripad, DJST department, 1st floor.

HOSTEL FACILITIES FOR BOYS AND GIRLS

Hostel facility is available for all the students in all Categories. The condition for availing the Hostel facility is the Residence of the student should not be in the range of Local Train facility. Please contact Mr. Dr. YuvarajBhosale (Warden Main Boys Hostel) 9322111713, Dr. Sunil Kuyare (WardanNaigaon Boys Hostel) 9322111714 and Dr. DivyaBajpai (Warden Main Girls Hostel) 8454024014/7977337839 and Mr. Shripad, Pharmacology Dept. 1stFlr.

BOND

Students are requested to go through the instruction carefully before filling the

SURETY BOND AND THE SERVICE AGREEMENT. The students seeking the

admission for the year 2019-20, have to execute the Service Agreement /

Surety Bond of Rs.10,00,000/- (Rs.Ten Lakh only).

Submit the Following documents along with agreement bond in respect of

sureties.

1) Copy of Income Tax Returns stating that income is more than Five

Lakh.(Financial Year 2018-19 and Assessment year 2019-20)

2) Original Service Certificate.

3) Copy of Pan Card.

4) Photocopy of the Telephone Bill/Electricity Bill/Aadhar Card etc. for

residential proof.

5) Recent passport size Photograph of the Sureties.

IDENTITY CARD

Identity card will be issued only after completion of all admission formalities

including submission of Service Agreement Bond & Surety Bond with all

requisite documents and payment of fees.

DEAN SETH G.

S. MEDICAL COLLEGE

H.C.- GUG Section

Contact No.: 2410 7434

SETH G. S. MEDICAL COLLEGE, PAREL, MUMBAI – 12

NOTICE

Ist M.B.B.S. students have to fill and submit the Service Agreement and

Surety Bond of Rs.10 lakh at U.G. Section, for the academic year 2019-

20.The Service Agreement and Surety Bond will be available at UG Section

The students have to fill and submit the same on UG Section on or before

one month from seeking the Ist M.B.B.S. admission without fail. Please

may be noted by the students and guardians, if the student had failed to

do so, he/she will not be allowed to attend the examination.

INFORMATION FOR FILLING THE S.A.B. FORM

1) Before filling the Service Agreement and Surety Bond Franking should be done from any Nationalized Bank within Mumbai Jurisdiction

2) Surety : - Agreement Bond should be filled by 2 sureties, whose yearly

income is more than Five lakh rupees. The details of 2 sureties :- (a) At least single parent (either father or mother) will have to give the

surety to the student/s and other surety may be a relative, family friend or neighbor or any else whose income is more than Five lakh.

(b) If both parents (father and mother both) income is less than Rs.5,00,000/- in that case, two other persons (may be relative, family friend or neighbor) whose yearly income is Rs.5,00,000/- are only liable to give the surety to the student/s.

(c) Witness can be any person knowing the student/s.

The attested Xerox copies of the following documents of the sureties

are required to submit with Service Agreement and Surety Bond.

1) PAN Card 2) One Recent Photograph 3) Aadhar Card/Electricity Bill/Telephone Bill 4) Income Tax Return Form (16 Number) for the income year 2018-19

and Assessment year 2019-20. 5) Original Service Certificate

Seth G. S. Medical College Parel Mumbai 12

Fee Structure of I st M.B.B.S. Student for the

year 2019-20

Sr. No. Particular Category

Open

Reserve

Category

(Other than

SC)

S.C.Catego

ry

1 Tuition Fees 94,700/- 6, 400/- 1, 400/-

2 Deposit 4,000/- 4, 000/- 4, 000/-

3 Gymkhana Fees 2,705/- 2, 705/- 2, 705/-

4 University Fees 2,600/- 2,600/- 2,600/-

Total 104005/- **15,705/- **10,705/-

Total Fees are paid in Single D.D. onlyin favour of Dean, Seth G.

S. Medical College Payable at Mumbai

** The Condition for availing Freeship is the student should be a domicile of

Maharashtra State only, and he/she has to produce caste certificate & caste

validity certificate issued by The Government of Maharashtra. For the

students from other states they can avail the Freeship from those particular

states.

STUDENT’S PROFILE

(KINDLY FILL THE FORM IN THE CAPITAL LETTERS ONLY)

QUOTA: STATE/ALL INDIA____________

SML/UR NO.________SEX; M/F DATE OF ADMISSION___________

NEET ROLL NO.______________________ AIR NO______________

NAME OF THE STUDENT (in English)__________________________________________ (AS PER HSC MARKSHEET) NAME OF THE STUDENT (in Marathi)__________________________________________

LOCAL ADDRESS__________________________________________________________

___________________________________________________PIN:____________________

PERMANENT ADDRESS_____________________________________________________

___________________________________________________________________________

DATE OF BIRTH_________________PLACE OF BIRTH_______________

DOMICILE STATE_________________-

MOBILE NOS:- SELF_____________________FATHER/MOTHER__________________

LAND LINE NO___________________AADHAR CARD NO._______________________

BLODD GROUP___________MOTHER TOUNGE_________________

S.S.C.PASSING MARKS/OUT OF____________BOARD___________________________

SCHOOL NAME_______________________________YEAR OF PASSING____________

H, S, C, PASSING MARKS/OUT OF___________BOARD__________________________

COLLEGE NAME_________________________________YEAR OF PASSING_________

MARKS : PHYSICS :________ CHEM:__________ BIO:____________ ENG:__________

PCBE TOTAL:______PCB TOTAL :________PCB PERCENTAGE___________

NEET MARKS__________NEET PERCENTAGE____________NEET PERCENTILE ___________

ADMITTED CATEGORY____________STUDENT’S CATEGORY______________

SUB CASTE______________________(ALSO FOR OPEN CANDIDATES)

ANNUAL INCOME: FATHER__________________ MOTHER________________

SIGNATURE:: CANDIDATE____________________FATHER___________________

STUDENT’S

PHOTOGRAPH

1. There is no Particular mess fee for the students

2. Six passport sizecolour photographs and two copies of

Admission fee Demand Draft is required at the time of admission.

3. Hostel facility is available for all the students in all Categories. The

condition for availing the Hostel facility is the Residence of the student should

not be in the range of Local Train facility.

OFFICE THE __________________________________

_________________________________

Outward No:- Date :-

TO WHOME IT MAY CONCERN

CERTIFICATE

This is to certify that, the Caste Certificate No. _____________________________________

Dated _________________________ issued to Mr./ Miss. _____________________________

By the Tahsildar / Magistrate / ______________________________________________ is Valid.

Further, it is stated that there is no provision of issuing separate Caste Validity

Certificate in ____________________________________________ State.

Office Seal / Stamp Signature of Tahsildar/ Magistrate/ Issuing Authority

ANNEXURE – “M”

Note:

A candidate must be medically fit to undergo the Medical Postgraduate Courses (NEET-PG 2019)

applied for. The medical fitness must be certified by a Registered Medical Practitioner in the

prescribed Proforma, as given above on a Letterhead.

CERTIFICATE OF MEDICAL FITNESS

This is to certify that I have conducted clinical examination of Dr.

.................................................................................................. who is desirousof

admission to Medical Postgraduate Courses.

He/she has not given any personal history of any disease incapacitating him/her

to undergo the professional course. Also, on clinical examination it has been found that he/she

is medically fit to undergo the medical postgraduate course (NEET-PG 2019).

(1) Absence of any incapacitating and /or progressive systematic disease/disorder / condition,

(2) Absence of any disability of upperlimb/s,

(3) Absence of any major visual/auditorydisability,

(4) Absence of psychosis/neurosis/mentalretardation,

(5) Ability to maintain erectposture,

(6) Reasonable manualdexterity.

Address of the Registered Medical Practitioner

Date

Signature

Name

Registration No.

Seal of Registered Medical Practitioner