PG_Medical 2012 Form & Prospectus

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    POST-GRADUATE (MEDICAL) SELECTION 2012, ODISHA

    PROSPECTUSFOR

    SELECTION OF CANDIDATES

    FORPOST-GRADUATE (MEDICAL) COURSES

    IN THE GOVERNMENT MEDICAL COLLEGES OFODISHA

    APPROVED BY THEDEPARTMENT OF HEALTH & FAMILY WELFARE,

    GOVERNMENT OF ODISHA(Vide Letter No -26524 / H & F.W. Dt. 13.12.2011)

    Along with the application form candid ate is to enclose A/c payee Bank Draft of 1500/- (Rupees One thousand five hundred only) (in original) drawn in favour

    of ENTRANCE EXAMINATION FEES Payable at State Bank of India, HOD Branch, Bhubaneswar (Code No. 10249)

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    IMPORTANT INFORMATION

    1. The Prospectus & Application Forms will be available in Govt. Website i.e.

    www.dmetorissa.gov.in (Click ALL EXAMINA TIONS) from 14.12.2011. No printedProspectus & Application Forms will be sold in the counter of the Me dical College.

    2. Last date & hour of receipt of Application Forms 31.12.2011, by 5 P.M

    3. Date of Entrance Examination:.. 22.01.2012

    4. Dates of Counselling : 17.02.2012 & 18.02.2012

    5. Last date up to which studen ts can be admitted ... 31.05.2012against vacancies arising due to any reasons.

    As per direction of Honourable Supreme Court of India dated 16.5.2007 passed in SLP( C) No.24295/2004, SLP No. 14356/2005, WP (C) No.173/2006 and SLP (C) No. 24296 -24299/2004 If any incident of ragging comes to the notice of the authority, the concerned student shall be given liberty to explain and if his/her explanation is not found satisfactory, the authority would expel him/her from the institution as well as criminal proceedings will be instituted as per law .

    Contact address: Convenor, PG (Medical) Selection Committee -2012 &Dean & Principal, MKCG Medical College, Berhampur, 760004 e-mail: pgm [email protected] ,

    PROGRAMME OF COUNSELLING

    Day Morning from 10.00AM onwardsFirst Day17.02.2012 (Friday)

    A. Reserve Categories of In-servicecandidates in the order:ST, SC, P.H, Green Card

    B. In-service Common list

    C. Reserve Categories of Directcandidates in the order:ST, SC, P.H, Defence, Green Card

    Second Day18.02.2012 (Saturday)

    A. Direct Common list

    NB: The above schedule is provis ional and can be changed as per the requirement of administration with due intimation to the candidates.

    http://www.dmetorissa.gov.in/http://[email protected]/http://[email protected]/http://[email protected]/http://www.dmetorissa.gov.in/
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    PROSPECTUS FOR SELECTION OF CANDIDATES FOR POST -GRADUATE COURSESIN THE GOVERNMENT MEDICAL COLLEGES OF O DISHA 2012

    (PLEASE READ THESE INFORMATION CA REFULLY)(INCOMPLETE, ILLEGIBLE AND INCORRECT APPLICATIONS WILL BE SUMMARILY REJECTED)

    1. GENERAL INFORMATION :

    1.1. Selection of candidates for Post-Graduate (Medical) Courses in three GovernmentMedical Colleges of Odisha, affiliated to three different Universities of Odisha shall beconducted by the P.G. (Medical) Selection Committee.

    1.2. The P.G. (Medical) Selection Committee 2012 shall consist of:Director, Medical Education & Training, Odisha. - ChairmanDean & Principal, M.K.C.G. Medical College, Berhampur. - Convenor

    Dean & Principal, V.S.S Medical College, Burla. - MemberDean & Principal, S.C.B. Medical College, Cuttack. - MemberDirector, AHRCC, Cuttack. - Member

    1.3. Applications in the prescribed form are invited for selection of candidates for theP.G. (Medical) Courses available at S.C.B. Medical College, Cuttack (UtkalUniversity), V.S.S. Medical College, Burla (Sambalpur University), M.K.C.G. MedicalCollege, Berhampur (Berhampur University) & Hitech Medical College, Bhubaneswar,(Utkal University) for the year 2012.

    2. COMMENCEMENT OF SESSION :

    The admission will be made once a year. The academic session commences from1st May 2012 , unless otherwise notified.

    3. DURATION OF THE COURSE :

    3.1. The Post-Graduate (Medical) courses usually are of 3 years duration from the dateof commencement of the course i.e. 1st May 2012 subject to joining of thecandidate in the course.

    3.2. Candidates having recognized P.G. Diploma shall be exempted one year from the

    total duration of P.G. (Medical) Course provided they undergo P.G. (Medical)Course in the same subject.

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    4. AVAILABILITY OF SEATS :

    4.1 Category wise availability of seats for P.G. (Medical) Courses in the threeGovernment Medical Colleges of Odisha for the academic session 2012 :

    Category wise distribution of seatsCategoryM.D./M.S.Course

    UnreservedCategory

    Reservation categoryTotal

    ST (12%) SC (8%) PH (3%) Defence(3%)

    GreenCard5%

    In-service 62 10 7 3 0 5 87

    Direct 59 11 7 2 3 4 86

    Total 121 21 14 5 3 9 173

    See Appendix I for subject wise distribution of seats .

    4.2 PG Medical seats of HITECH Medical College, Bhubaneswar , are also to be filled up asper the clauses of this prospectus. But the fee s tructure fixed by Govt. for private Medicalinstitution will be applicable. There will be no reservation for this private institution.

    Subject wise distribution of seat in HITECH MC

    Name of discipline No. of seatsAnatomy 2Physiology 2Bio-chemistry 2

    5. ELIGIBILITY CRITERIA OF CANDIDATES :

    The Candidate Must have passed M.B.B.S. Degree Examination from anInstitution recognized by Medical Council of India and must be any one of the following:

    5.1. A permanent resident of Odisha (Fresh Certificate of Permanent Residence ofOdisha from a Revenue Officer not below the rank of Tahasildar of the areaconcerned ( in Form No.III, in Appendix II - B )

    OR5.2 The Son/Daughter/Spouse of any one of the following category :

    o Employees of Government of Odisha.o All India Services belonging to Odisha Cadre serving within or outside Odisha.o Public Sector undertaking of either State of Odisha or Govt. of India located

    In Odisha.o Defence Service personnel served for 5 years by 31.12.2011

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    5.3 Must have completed one year of Compulsory Rotatory Internship/ Houseman ship by31 st March 2012 (Direct Candidates).

    5.4 Must have registered himself/herself with State/Central Council of Medical Registration.

    5.5 Candidates who have completed or undergoing P.G. (Medical) Course in anysubject or have taken admission in P.G.(Medical) Course in any of the threeGo vt. Medical Colleges of Odisha, but have not joined/discontinued after joiningwithin last 3(three) years, shall not be eligible to apply for P.G. (Medical) course.

    6 CATEGORY OF CANDIDATES :

    6.1 A Direct Candidate is one who at the time of application:

    6.1.1 Is son/daughter/ spouse of a person who has served in Defence Service for minimum of

    5 years by 31 st December 2011.

    6.1.2 Is either unemployed or in the employment of Government of Odisha, but not completedfive years of service which includes all categories of employment like contractual / temporary / ad-hoc/ regular by 31 st December, 2011

    6.1.3 Is in the employment of Govt. of Orissa Public Sector Undertakings/ Govt. of IndiaPublic Sector Undertakings located in Odisha. The employer has to sponsor thecandidates for entire period of course & must submit the sponsorship certificate as inAppendix III.

    6.2 An In-service candidate is one who at the time of application:

    6.2.1 Is in the employment in Government of Odisha and has completed a length of 5years of service which includes all categories of employment like contractual / temporary / ad-hoc/ regular by 31 st December, 2011, excluding at-a-stretch leave ofany kind, of 30 days or more. However the maternity leave is exempted from thisexclusion and shall be counted towards the length of five years of service.

    Note: In-service and Direct candidates in employment under Government of Odisha at the time of application are advised to submit their applications along with the required documents directly to the Convenor, P.G. (Medical) Selection Committee 2012, under intimation to

    their Employer. Copy of such intimation is to be attached.

    6.3 Seats reserved for S.T. and S.C. candidates are to be filed up by the applicantsbelonging to the community as per the Odisha Caste Certificate (for S.C. and S.T.)Rules 1980 and as amended from time to time by Government of Odisha.(Form No. V, in Appendix II - C).

    Note: Schedules Caste/Scheduled Tribe persons who have migrated from their State of Origin to some other State for the purpose of seeking education, employment etc. will be deemed to be scheduled Caste/Tribe of the State of their Origin and will get privilege from the State of origin and not from the State to which they have migrated. (Vide Govt. of India Letter No.BC/16014/1/82-SC & BCD/Dated: 22nd February 1985).

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    6.4 Seats reserved for Children or Spouse of Service / Ex-service personnel (Defence) areto be filled up by such candidates under the Direct category only .(Appendix II -D).

    6.5 Seats reserved for physically handicapped will be filled up by the candidate havinglocomotory disorders of lower limbs between 50% to 70%. Provided that in case anyseat in this 3% Quota remain unfilled on account of unavailability of candidates thensuch unfilled seat/s shall be filled up by candidates with locomotory disability oflower limbs between 40% to 50% .If still they are unfilled then such unfilled seatswill be included in the unreserved category. ( vide Notification No-MCI-18(1)/2008-Med./54470 dt. 25.03.2009 )

    6.6 Candidates claiming under Green Card category must produce the Green Card inoriginal of their parents , and must not have taken the privilege of reservation using thesame card before. The facts & figures mentioned in the Green C ard must tally with

    other relevant certificates submitted. In case of any discrepancy the claim under Greencard reservation will not be considered. However he will be treated under unreservedcategory.

    7. DOCUMENT TO BE SUBMITTED ALONG WITH APPLICATION DULY SIGNED:

    An applicant for P.G. (Medical) admission must submit self-attestedphotocopies of following documents.

    7.1 Original and a xerox copy of the Bank Draft of 1500 /-(Rupees one thousand fivehundred only) drawn in favour of Entrance Examination Fees payable at StateBank of India, HOD Branch (Code No-10249).

    7.2 Certificate of Board of Secondary Education / Matriculation / 10 th Class PassCertificate or equivalent in support of date of birth of the candidate.

    7.3 M.B.B.S. Degree or Provisional MBBS Pass Certificate issued by the concernedUniversity.

    7.4 Completion Certificate of Compulsory Rotatory Internship (Houseman ship), issuedby the Principal / Superintendent of the Medical College / Hospital concerned,showing that he / she has completed or would complete the same by 31 st March, 2012 .

    7.5 Permanent Medical Registration Certificate State / Central Medical Council.

    7.6 Adequate postage stamps to be affixed in the space provided for in theApplication Form i.e. in Acknowledgement Card and Admit card.

    7.7 Four attested recent colour photographs of size 40x50mm should be attached to thespace provided in the Application Form, Admit Card, Attendance Card and MedicalCertificate ( Appendix-IV ).

    7.8 Certificate from competent authorities in support of eligibility criteria claimed under

    Clause No.5 ( Appendix II-A to D as applicable ).

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    7.9 In-service & Direct candidates who at the time of application are in employment underState Govt. of Odisha / Govt. of Odisha undertaking, must submit a certificate from theconcerned C.D.M.O. (s) or appropriate authorities in support of his / her claim, stating

    therein chronologically as per the format of Appendix II (A).

    7.10 Tribe / Caste Certificate (for ST/SC Candidates) from a Revenue Officer notbelow the rank of Tahasildar of the concerned area (in the Form No.V inAppendix II-C ).

    7.11 In case of candidate claiming to be Physically Handicapped (PH), Certificate issuedby Panchayat Raj Department, Government of Odisha / District Social WelfareOfficer authorized by Government / Women and Child Welfare Department, Govt. ofOdisha.

    7.12 Certificate in support of children or spouse of service personnel / ex-servicepersonnel ( Appendix II-D )

    7.13 Candidates claiming eligibility under Clause No. 6.1.3 are required to furnishSponsorship Certificate (in original) in the prescribed proforma in Appendix-III .

    7.14 Xerox copy of the Green Card. They are to produce the Original Green card at the time ofCounselling.

    7.15 Copy of letter of intimation to the employer as per Clause.6.2.1(note).

    7.16 College Leaving Certificate from the institutio n last attended.

    8. PROCEDURE FOR SUBMISSION OF APPLICATION:

    8.1 Application form and the relevant formats in appendices in prospectus are to beobtained from the website i.e. www.dmetorissa.gov.in . (Click ALL EXAMINATIONS )and complete application in prescribed form along with relevant documents is to be sentto Convenor, P.G. (Medical) Selection Committee-2012, & Dean & Principal,M.K.C.G. Medical College, Berhampur, Odisha, Pin 760004 by Registered Post/ Speed Post only . Application received by any other mode shall be rejected.

    8.2 All relevant documents should be tagged (not stapled) together withthe Application Form securely and serially as mentioned in Clause 7.

    8.3 Not more than one application should be sent in one envelope. In case, more than oneapplication is received in one envelope, all shall be rejected .

    8.4 Application received incomplete in any respect or after the prescribed last date / houror addressed to any agency other than the Convenor shall be rejected.

    8.5 Request for any alteration, addition, correction or modification etc. of entries in theapplication already submitted will not be entertained.

    http://www.dmetorissa.gov.in/http://www.dmetorissa.gov.in/
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    9. METHOD OF SELECTION OF CANDIDATES :

    9.1 Candidates belonging to both direct and in-service category shall be selected throughan Entrance Examination. The Entrance Examination shall be conducted at the centreas to be decided by the Selection Committee. No. TA/DA will be paid for attendingthe said Examination.

    9.2 There shall be one paper of three and half hours duration containing 300multiple-choice questions in English divided into two parts. Part-I shall consistof Non-clinical (Anatomy, Physiology, Biochemistry) and Para-clinical(Pharmacology,FMT, Pathology, Microbiology, Community Medicine) and Part-II shall consist ofClinical (Gen. Medicine, Paediatrics, Psychiatry, TB & CD, Skin & VD, Gen. Surgery,Orthopaedic Surgery, O & G, Ophthalmology, ENT, Anaesthesi ology, Radiodiagnosis,Radiotherapy) subjects.

    9.3 The questions in both parts shall be of MBBS standard and shall cover all thesubjects of MBBS Course.

    9.4 All questions will be of multiple choice type(MCQ) & there shall be four different c hoicesfor each question out of which only one is correct . Candidates should choose the correctchoice amongst them.

    10.CONDUCT OF EXAMINATION :

    10.1 The Entrance Examination will be conducted at centres as would be decided by thePG (Medical) Selection Committee 2012 on the date and time as will beindicated in the Admit Card.

    10.2 Request for change of Examination Centre is not permissible.

    10.3 A candidate, who does not possess either the Original or the duplicate Admit Card issued bythe Convenor, shall not be allowed to the Exam ination Hall under any circumstances.

    10.4 Candidates are to occupy their seats 30 minutes before the commencement of theExamination.

    10.5 No candidate shall be allowed to enter the Examination Hall after commencement ofthe Examination. Similarly, no candidate will be allowed to leave theExamination Hall before the examination is over.

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    10.6 No candidate shall be allowed to carry any textual material printed or written, exceptAdmit Card (without envelope) into the Hall.

    10.7 Shifting or change of seats shall be counted as an act of misconduct andcandidate shall forfeit the right to continue writing further in the Examination.

    10.8 The candidate shall maintain silence and attend to his / her paper only. Any onecausing disturbance in the Examination Hall shall forfeit the right to continuewriting further in the Examination.

    10.9 Separate sealed packets of Question and Answer Booklets (Q & A Booklet)shall be opened and given to the candidates 5 minutes before the commencement of the

    Examination.

    10.10 Candidates are to count the number of pages of the Q & A Booklets and examinefor any defect before writing and report the discrepancy, to the Invigilator with in10 minutes of receiving the Q & A booklet for rectification and thereafter no furthercomplain will be entertained.

    10.11 Except putting the relevant entries in the Q & A Booklets as instructed, anyadditional writing, overwriting or any other marks in any form, disfiguring, folding,mutilating, soiling of the Q & A Booklet shall deemed to be an act of misconduct andshall be liable for cancellation of his / her Booklet.

    10.12 In case the candidate finished answering earlier, he / she shall hand over theQ & A Booklet personally to the concerned invigilator of the hall and remainseated in the allotted seat ti ll the examination is over.

    10.13 Any other instruction issued to the candidates in the Examination hall shall betreated as part of the Prospectus.

    10.14 The decision of the Centre Superintendent shall be FINAL AND CONCLUSIVEregarding the conduct of candidate in the Examination Hall / Centre.

    10.15 C a r r y i n g of Cellular Phones, Pagers, Calculators and any other electroniccommunication equipment are strictly prohibited. Anyone found to have any electronicgadget in the hall will forfeit the right to continue in the examination. The gadget and the Q& A booklet will be seized . The gadget will be returned after the decision of the Boardmembers. Hence the candidates should not bring any such prohibited items to the venueof examination as there is no provision to keep them at the venue.

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    11. EVALUATION OF ANSWERS OF ENTRANCE EXAMINATION :

    11.1 All questions will be single response objective type (Multiple Choice) only. The markswill be awarded as follows :

    Response MarksCorrect 4 (Four)Incorrect, more than one response, blankanswer box. -1 (Minus One)

    Answer box marked X or, cutting, erasing,overwriting or writing with pencil 0 (Zero)

    Note: During the process of evaluation if any question or its choice answers are found to be ambiguous then the same question(s) shal l be evaluated by pro-rata basis as per the Judgment of Honble Supreme Court, passed in the case of Pankaj Sharma & others vs. State of Jammu Kashmir &others .

    11.2 ADDITIONAL WEIGHTAGE:

    Those candidates who a re i n e mp lo ym en t i n G ov t. o f O di sh a / G ov t o fO di sh a u nd er ta ki ng ( Bo th di re ct & i n - se rv ic e) , a nd , have qualified in theEntrance Examination and have worked in Rural/ Tribal / Backward areas (as per thelist vide G.O. No. 325/H Dt.03.01.1997) shall be awarded an additional weightage of10% of the marks secured in the P.G. Entrance Examination per year of completion ofservice (in Rural / Tribal / Backward areas), subject to maximum of 30% of markssecured in entrance examination. vide MCI Notification No. 51210/ dt. 17.11.2009 .

    12. RESULTS :12.1 Candidates securing 40% or more in case of SC/ST candidates, 45% or more for

    candidates with locomotory disabilities of lower limbs and 50% of total marks or more incase of all other candidates in the Entrance Examination shall be eligible for selectionand provisional merit lists (one for in-service and one for direct) shall be prepared of all

    the eligible candidates only, category wise after adding the credit marks as per Clause11.2 .

    12.2 The Merit lists shall be published in the website i.e. www.dmetorissa.gov.in(Click ALL EXAMI NATIO NS ). The result of the individual candidate will not beintimated by post .

    12.3 In case of tie the ranking shall be decided in order of preference as under:Candidate securing higher marks in Part-II portion of Entrance Examination are placedhigher. If again there is a tie , the elder, according to the date of birth, will getpreference over the younger.

    http://www.dmetorissa.gov.in/http://www.dmetorissa.gov.in/
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    13.COUNSELLING FOR ALLOTMENT OF SUBJECT AND COLLEGE :The candidate will be selected for admission by Counselling from the provisional Meritlists prepared.

    13.1 The merit list along with details of counselling shall be made available through anoticepublished along with themerit list published in web site.

    13.2 No TA / DA shall be paid for attending the Counselling.

    13.3 Allotment of subject and College shall be made to the candidates on theirpersonal appearance at Counsel ling.

    13.3.1The candidate shall exercise his / her option in writing while choosing the Subject and

    College. Option once exercised is FIRM and FINAL and cannot be changedunder any circumstances during that Counselling.

    13.4 During Counselling the candidates must produce the original Admit Card along withthe original documents (Copies of which they have already submitted with theApplication Form) failing which allotment of seats will not be considered.

    13.5 If a candidate fails to turn-up for Counselling in the stipulated time, he / she shall begiven an opportunity at the end of the scheduled Counselling of that day. He / She shallbe allotted out of the unfilled available seats, if any, but he / she shall not have the rightto claim a seat as per his / her position in the merit list.

    13.6 If a candidate fails to turn-up on the scheduled date for Counselling, he / she wouldforfeit his / her claim.

    13.7 The Selection Committee may go for second round of Counselling for filling up of t hevacant seats arising from any reasons on another date during which no reservation willbe followed. The seats will be filled up as per the merit only. N o admission will beallowed beyond the cut-off date i.e. 31 st May 2012.

    Note: Subject wise unfilled All India Seats, re turne d to State if any, will be equal ly distributed among In-service and Direct candidates as far as practicable, and will be filled up in the 2 nd counselling in merit basis from the Common list. No reservation will be considered for these seats. In the event of surrender of any category of seat, during 2 nd counselling, that will merge in the Common category only. For example if a ST category seat is surrendered during 2 nd

    counselling, it will merge in Common category seats and will be available to the r emaining candidates of the Common merit list at that point of time. No ST candidate of the Common list shall claim the same seat under reserved category .

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    14.SELECTION OF CANDIDATES :

    14.1 Candidates shall be selected in order of merit from each category for admission byCounselling(1 st round) and the order of Counselling shall be ST (in-service), SC

    (in service), PH (in-service), Green Card (in-service), Common (in service), ST (Direct),SC (Direct), PH (Direct), Children for Service /Ex-service Personnel (Direct), GreenCard (Direct),Common (Direct) candidates.

    14.2 Selection of ST / SC candidates:

    14.2.1In case of non-availability of eligible ST (in-service) candidates, the unfilledSeats of their quota will be merged with SC (In-service) seats and the total seats thusderived shall be filled up by SC (In-service) candidates.

    14.2.2 The unfilled SC (in-service) seats if any shall be merged with the In-Service(Common

    list). In case of non availability of candidates in In -Service (Common) category the seatswill merge with Direct Category, in the respective reserve category.

    14.2.3 In case of non-availability of ST (Direct) candidates, the unfilled seats will bemerged with SC (Direct) seats and the total seats thus derived shall be filled up by SC(Direct) candidates. In case of non availability of seats in SC category the seats willmerge in Direct Common category.

    14.3 Selection of Physically Handicapped Candidates:

    14.3.1 If e l igible physical ly handicapped candidates (in-service) are not available, the

    seats shall be filled up by Common (in-service). If again remain unfilled it will merge inPH (direct) and if still remain unfilled it will merge in Common (Direct) category.

    14.4 If eligible candidates under quota of Children / Spouse of Service / Ex-servicepersonnel are not available, the seats shall be filled up by Common (Direct)candidates.

    14.5 In-case of non-availability of in-service Green Card candidates, the seats will merge in t hein-service Common category. If still remain unfilled it will merge in GC (direct). If again notfilled then it will merge in Common (direct) category.

    14.6 Selection of Unreserved Candidates :

    14.6.1 In case of non-availability of candidates against Unreserved (in-service) seats, theseats will be filled up by Unreserved (Direct) candidates.

    15. ADMISSION AND JOINING:

    15.1 Candidates will be admitted to the respective Colleges as per their choice throughtheir personal appearance at the Counselling centre. Their declaration for choice ofsubject / college will be firm & final during that Counselling.

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    15.2 A candidate selected for admission in Govt. Medical Colleges, shall have to depositthe following fees payable at the time of admission.a. Admission fees (one time) 300/-b. Consolidated tuition fees per term (Per annum) 6000/-c. Library fees (per annum) 200/-d. Journal fees (per annum) 1000/-e. Fees for issue of Identity card (one time 20/-f. College Security Deposit (one time & refundable) 5000/-g. PG Students Union fees (one time) 400/-h. Students Dramatic Society fees (one time) 200/-i. Students Academic Society fees (one time) 300/-

    j. Odisha Red Cross Society fees (one time) 10/-

    k. University Registration Fee (one time)as applicable-------------------

    13,430/-15.2.1 The candidates seeking admission in HITECH Medical C ollege & Hospital, Bhubaneswar,

    are to pay a sum of Rs. 4,50,000/- (Rupees four lacs & fifty thousand only) per anum withan additional amount of 15,000/- towards admission process for General quota and

    5,00,000/-(Rupees five lacs only) per anum for management quota . Apart from these theoptional costs as approved by Govt. are as under: (vide GO No. I-TTI-102/2011/ 9456 to9458 Dt. 15.07.2011)

    a) Hostel Cost 18,000/- per year per student (own hostel)10,000/- per year per student ( rented hostel)

    b) Transportation cost 8,000/- up to 20 km and 12,000 for more than thatfor full year.

    c) Pre-placement training 8,000/- for total course subject to maximum of4,000/- per year.

    d) Uniform & Blazer The cost of uniform provided by the Colleges shall notexceed 1,500/- and for blazer and uniform together

    provided by the college shall not exceed 4,000/-e) Caution money 2,500/-

    (one time & refundable)

    15.3 The courses of study and the registration of candidates for post-graduate study atthe respective colleges in the subjects concerned will be regulated by theUniversity to which the Medical College is affiliated.

    15.4 The Medical Fitness Certificate ( Appendix No. IV ) must be produced by thecandidate at the time of joining.

    15.5 If any candidate does not join or leaves after joining the PG Course, then the candidateconcerned shall not be considered for selection in the next three academic sessionsof the PG Course and the stipend / salary already received by him/her will have to be

    refunded.

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    16. ATTENDANCE :16.1 PG Students are to perform the duties as assigned to them by the Professor

    concerned and attend required theory and practical classes and departmentalseminars regularly.

    16.2 PG Students are entitled to avail 15 days leave during each year of study with thepermission of the Head of the Institution, but such leave should not exceed 10 days at astretch. However the maternity leave if taken is allowed but the candidate has to repeatthe leave period in excess of 15 days.

    16.3 Absence beyond the total per iod of 15 days without prior permission of theProfessor & Head of the concerned Department and Dean & Principal of the Collegeconcerned shall be seriously viewed and the candidate may forfeit the right tocontinue.

    16.4 All candidates on joining the PG Course shall work full time during the period oftraining attending not less than 80% of the training during each calendar year.

    17. SALARY AND STIPEND (FOR GOVT. INSTITUTIONS):17.1 PG Students admitted against direct quota seats will be paid stipend at rates

    prescribed by the Government of Odisha from time to time subject to satisfactoryperformance of duties and maintenance of discipline and decorum.

    17.2 Stipend /Leave Salary of in-service PG students under employment of Government ofOdisha will be governed by the Resolution No.20385/H, Dt: 05-07-1976 & No.38447/F,Dt: 29-07-1980 and such other Government orders as may be issued from time to time.

    17.3 The period of PG study of In-service category of candidates under regularemployment of Government of Odisha (not on ad-hoc or contractual basis)admitted into PG Courses shall be governed as per the existing service rules andexecutive instructions thereon.

    18. HOSTEL (FOR GOVT. INSTITUTIONS ONLY) :

    18.1 Hostel accommodation being limited in all Colleges, cannot be guaranteed forall and allotment of seats in the Hostel will be made by the Dean & Principal of

    the concerned College to the needy and deserving students according to availability.

    18.2 Fees to be paid for hostel accommodation:(As per Government Resolution No.16956 / H, dated: 08 -05-02)

    1 Hostel Fees Per annum 1500/-2 Hostel Fund Per annum 600/-3 Common Room Fees Per annum 500/-4 Hostel Caution Money One time 1000/-

    (refundable)5 Electricity and Water Charges) Per annum 5000/-

    -------------TOTAL 8600/-

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    19. MISCELLANEOUS :19.1 No correspondence of any kind w ill be entertained.

    19.2 All PG Degree holders when appointed to the post of specialist in the relevantdisciplines and opt not to join the same shall be liable to refund the leave salary/payand allowances actually paid to him/her during the period of study besides anydisciplinary action as may be decided by the Government.

    19.3 Without prejudice to the conditions stipulated for submission of application/ selection/admission in the foregoing paragraphs of this prospectus, a candidatewho is suffering/has suffered from mental disease, drug addiction or has been convictedfor any criminal offence shall not be selected/admitted and will bedisqualified for prosecuting the course further even though he/she may have beeneligible for selection/admission under the provision of this prospectus.Concealment/misrepresentation about mental illness, drug addiction and criminalconviction shall be liable for disqualification.

    19.4 A selected candidate shall be required to produce all original documents including theOriginal College Leaving Certificate/Transfer Certificate at the time of Counselling.He/She has to appear before a Medical Board(s) constituted for the purpose todecide his/her Medical Fitness.

    19.5 In all matters relating to eligibility or otherwise of a candidate for registration,sitting in entrance examination, selection and admission into PG courses, thedecision of PG (Medical) Selection Committee shall be final.

    19.6 If any candidate does not receive his/her Admit Card, he/she can contactpersonally to the Convenor, PG (Medical) Selection Committee 2012, two daysbefore the commencement of the Entrance Examination for issue of a duplicate AdmitCard. Such candidates are required to submit an application on plain paper along withtwo attested colour 40x50mm size photographs and the Acknowledgement Card.

    19.7 All admissions are subject to production of Medical Fitness Certificate in the form as inAppendix IV.

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    APPENDIX I

    Subject wise distribution of seats (UR / ST / SC / PH / DF / GC) for admission to PG (Medical) Courses for the year

    2012.SL.No. SUBJECT

    IN SERVICE DIRECTSCB VSS MKCG TOTAL SCB VSS MKCG TOTAL

    NON CLINICAL1. Anatomy 1(ST) - 1(PH) 2 1(UR) 1(UR) 1(UR) 32. Physiology 1(UR) 1(UR) 2 1(GC) 1(DF) 1(UR) 33. Bio-Chemistry 1(GC) 1(UR) 2 1(ST) 1(UR) 2

    PARA CLINICAL4. Pharmacology 1(UR) 1(GC) 1 (ST) 3 1(UR) 1(UR) 1(DF) 3

    5. Pathology 1(UR) 1(UR)1(ST)1(UR)1(GC) 5 2(UR) 1(UR)

    1(UR)1(ST) 5

    6. Microbiology 1(UR) 1(PH) 2 1(ST) - 1(SC) 27. F.M.T. 1(UR) - 1(UR) 2 1(SC) - 1(PH) 28. S.P.M. 1(UR) 1(SC) 1(UR) 3 1(GC) 1

    CLINICAL

    9. Gen. Medicine3(UR)1(ST)1(SC)

    2(UR)1(ST)

    2 (UR)1(ST)1(GC)

    12 4(UR) 4(UR)1(ST)2(UR)1(ST) 12

    10. Pediatrics 3(UR)1(ST)2(UR) 1(UR) 7

    3 (UR)1(SC)1(DF)

    1(UR) 2(UR) 8

    11. Psychiatry 1(UR) - - 1 1(UR) - - 112. TB & Resp. Disease 1(PH) 1(UR) - 2 1(UR) 1(SC) - 213. Skin & VD 2(UR) - 2 1(PH) 1(UR) - 2

    14. Gen. Surgery3(UR)1(ST)1(GC)

    3(UR)1(ST)

    3(UR)1(SC) 13

    3(UR)1(ST)1(SC)

    3(UR)1(ST)

    1(UR)1(SC)1(ST)

    12

    15. Ortho. Surgery 2(UR) 1 (UR) 1(UR) 4 1(UR) 1(ST) 1(UR) 3

    16. Obst. & Gynaecology 4(UR)1(SC)2(UR)1(SC)

    1(UR)1(SC) 10

    3(UR)1(ST)1(GC)

    1(UR)1(SC) 2(UR) 9

    17. Ophthalmology 2(UR) 1(UR) 1(UR) 4 1(UR) 1(UR) 2(UR) 418. E.N.T 1(UR) 1(UR) 2 1(UR) 1(UR) 1(UR) 3

    19. Anesthesiology2(UR)1(ST)1(SC)

    1(UR) 1(UR) 6 3(UR)1(ST) 1(GC) 1(UR) 6

    20. Radio-diagnosis 1(UR) 1(UR) - 2 1(UR) 1(UR) - 221. Radio-therapy 1(UR) - - 1 1(UR) - 1

    TOTAL 40 24 23 87 39 24 23 86UN-RESERVED 29 17 16 62 27 17 15 59

    RESERVED 11 07 07 25 12 07 08 27ST (12%) 05 03 02 10 05 03 03 11SC (8%) 03 02 02 07 03 02 02 07PH (3%) 01 01 01 03 01 00 01 02DF (3%) 00 00 00 00 01 01 01 03GC (5%) 02 01 02 05 02 01 01 04

    Note: This distribution of seat is strictly provisional and prepared after taking the last years distribution into considera tion. If any enhancementor decrease in number of seats in any subject is done by GOI or appropriate authority then necessary change in the above dist ribution will bedone and notified .

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    APPENDIX I (A)Distribution of 3% reserved quota seats for children / spouse of Service Personnel and Ex-service Personnel (for Direct category only).

    Category Non-clinical & ParaClinical (1 seat from each)

    Clinical (1 Seat)

    Subject BiochemistryPhysiologyAnatomyPharmacologyPathologyMicro-biologyForensic MedicineCommunity Medicine

    Gen. MedicinePaediatricsGen. SurgeryOrtho. SurgeryOphthalmologyENTAnaesthesiologyRadio-diagnosis

    For the session2012-13

    Physiology(VSS)Pharmacology(MKCG)

    Paediatrics(SCB)

    Note: Distribution of reserve seats for above category will be one each in Non-clinical / Para -clinical& one in clinical group in Medical Colleges as fixed above. The Selection Committee shalldecide the distribution of subject from each of the above two groups for a particular academicyear on rotation basis with reference to the subject (S) already distributed in previous academicyear.

    .

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    APPENDIX 1 (B)Distribution of reserve seats for Physically Handicapped (PH) Candidates

    (Both for In-Service and Direct Category)For In-service PH Candidates (3 Seats)

    Category Non-clinical & ParaClinical (1 seat from each)

    Clinical (1 Seat)

    Subject MicrobiologyPathologyAnatomyPharmacology

    Gen.MedicinePaediatricsPsychiatryTB & CDGen. SurgeryObst. & Gynae.OphthalmologyENTAnaesthesiology

    Radio-diagnosisRadio-therapy

    For the session2012-13

    Microbiology(VSS )Anatomy(MKCG)

    TB & CD(SCB)

    For Direct PH Candidates (2 Seats)Category Non-clinical & Para

    Clinical (1 seat)Clinical (1 Seat)

    Subject PhysiologyBiochemistryPharmacologyPathologyMicrobiologyFMTCommunityMedicine

    Gen. MedicinePaediatricsTB & Chest Dis.Skin & VDGen. SurgeryOrthopaedicsObst. & Gynae.OphthalmologyAnaesthesiologyRadio-diagnosis

    For the session2012-13

    FMT(MKCG) Skin & VD(SCB)

    Note: Distribution of reserve seats for above category will be one each in Non-clinical / Para -clinical& one in clinical group in Medical Colleges as fixed above (as defined by MCI Regulation,1977). The Selection Committee shall decide the distribution of subject from each of the above twogroups for a particular academic year on rotation basis with reference to the subject (S) alreadydistributed in previous academic year which should not overlap with the distribution/allot ment forreserved category of children of service personnel and Ex-service personnel.

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    APPENDIX I (C)

    Distribution of 5% reserved quota seats for Green Card holders (Total 9 seats)For the academic session 2012-13(Subjects in bold letter)

    In-Service(5 Seats) Direct(4 Seats)

    Non Clinical

    AnatomyPhysiologyBiochemistry(SCB)

    Non Clinical

    AnatomyPhysiology(SCB)Biochemistry

    Para Clinical

    Pharmacology(VSS)Pathology(MKCG)MicrobiologyFMTCommunity Medicine

    Para Clinical

    PharmacologyPathologyMicrobiologyFMTCommunity Medicine(MKCG)

    Clinical

    Surgery(SCB)Medicine (MKCG)

    Clinical

    O & G (SCB)Anaesthesia (VSS)

    Note: The Selection Committee shall decide the distribution of subject from each of the above twogroups for a particular academic year on rotation basis with reference to the subject (S) alreadydistributed in previous academic year.

    .

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    RTB Yrs.( to be filled up by office )..APPENDIX II (A)

    SERVICE CERTIFICATE

    Certified that Dr. ________________________________ __________ is now working as

    ______________ and has actually worked in the Medical Institution(s) detailed below (as perthe entry in service book).

    A. Details of Institution Served as per the service record:Name of the

    MedicalInstitution(s)

    Block & District Nature ofService

    (Ad-hoc Temporary/Contractual/Regular)

    Date ofJoining

    Date ofRelief

    Total Durationof Service

    Y M D

    B. Details of Leave Particulars of at a stretch 30 days or more excluding maternity leave.

    Name of theMedical

    Institution(s)

    Block&

    District

    Nature of Service(Ad-hoc Temporary/ Contractual/

    Regular) )

    Date ofRelief to

    proceed onleave

    Date ofJoiningafteravailingleave

    TotalDuration

    Y M D

    Place: Signature of the CDMO / Head of OfficeDate (Name & Seal)Memo No_________/ Dated the__________________________________/ Copy to person concerned for information with reference to his application dated__________

    Signature of the CDMO / Head of Office

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    APPENDIX II (B)

    FORM NO.III(The Odisha Miscellaneous Certificate Rules, 1984)

    Office of the

    Miscellaneous Certificate Case No. ____________of ______________.

    RESIDENT / NATIVITY CERTIFICATE

    This is to certify that Shri/Smt./Miss

    son/daughter/wife of Shri

    is a native of the

    in the Dist of in the State of ODISHA . and he/she /

    his/her family ordinarily resides in Village/Town: .......................................................

    PS:.Tehsil..in the District of

    in the state of ODISHA for the period from ..to

    The certificate is granted only for the purpose of higher study.

    Full Signature of the Applicant Signature of the Revenue OfficerDate: Date:

    Round Seal of the Office Designation(With Seal of the Office)

    Note: 1. Revenue Officer means the Chief Officer-in-charge of Revenue Administration

    in the District, Sub-division or Tehsil and includes and Additional District Magistrateand Additional Tahasildar.

    2. No part of the form should be mutilated in any manner. In case of mutilation the

    candidate is liable to be rejected.

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    APPENDIX II (C)

    FORM NO.VForm of Caste Certificate to be produced by a candidate belonging to Scheduled Caste or Scheduled Tribe in

    support of his / her claim, as per Odisha Caste Certificate (for SC & ST) Rules, 1980.

    Office of the

    Miscellaneous Certificate Case No. of .

    TRIBE / CASTE CERTIFICATE

    This is to certify that Shri/Smt/Miss

    son/daughter/wife of Shri of

    Village/Town , P.S.:

    Tahsil: in the District of of the State of

    Odisha belongs to the ________________________________________________ cast /tribes

    as Scheduled Caste / Scheduled Tribe under the Constitution (Scheduled Castes)

    Order, 1950 / the Constitution (Scheduled Tribes) order, 1950 as amended by the

    Scheduled and Scheduled Tribes (Amendment) Order Act 1976.

    Shri/Smt./Miss and his/her familyordinarily reside in Village/Town: P.S.: ,

    Tehsil: in the District of .

    Full Signature of the Applican t Signature of the Revenue OfficerDate: Date :

    Round Seal of the Office Designation(With Seal of the Office)

    Note: This Certificate should be issued by the Tahasildar. No part of the form should be mutilated in any manner. In case of mutila tion the certificate is liable to be rejected.

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    APPENDIX II (D)

    CERTIFICATE OF DEFENCE SERVICE(OF CANDIDATES PARENT / SPOUSE)

    1. Full Name of Employee / Person :

    2. Permanent Address as per service records :

    3. Whether serving/ retired / deceased / permanently disabled / killed in war / hostilities

    4. Rank in Defence Service :

    5. Full Name of the Candidate :

    6. Relationship of the employee / person with the candidate :

    7. Present place of posting including details of unit (in case of serving personnel) :

    8. Last place of posting including details of Unit (in case of retired / killed in war / hostilities /deceased personnel)

    9. Duration of defence services: Yrs (From.................................. to....................... ......)

    Full Signature of Candidates Parent / SpouseDate:

    Full Signatureof Station Commander/Office Commanding/

    Officer-in-charge/Secretary Zilla/Rajya SainikBoard

    Date:

    Designation(With Office Seal)

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    APPENDIX III

    SPONSORSHIP CERTIFICATE

    This is to certify that Dr.. whose appointing authority is

    and who

    at present posted as (Designation) _________________at _________________________

    has been sponsored by (employing organization) ________________________________

    to take the PG(Medical) Degree course in the Government Medical Colleges of Odisha for a

    period of three years, subject to his/her eligibility for admission into the course.

    Place : Signature of the Appointing AuthorityDate : Designation

    Seal of the Office

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    APPENDIX IVPOST-GRADUATE (MEDICAL) SELECTION 2012, ODISHA

    MEDICAL CERTIFICATE

    Certified that this day of I have examinedDr..

    For Physical fitness for PG (Medical) Studies. The detail findings are as below.

    1. Height (Not less than 150cm for male & less than 140 cm for female) ...Cm

    2. Weight (not less than 40 Kg) .Kg

    3. a. Chest measurement(not less than 70 cm) .Cm

    b. Chest expansion (not less than 4.5 cm) .Cm

    4. Condition of heart (abnormality if any) ..

    5. Condition of lungs (abnormality if any) ..

    6. a. Vision: In case of any defect it must be corrected to 6/9 ..

    b. Colour blindness ..

    7. Hearing (weather normal or corrected to normal) ..

    8. Blood group ..

    9. Any hernia, hydrocele and piles (if any to be corrected )

    10. Any history or symptom of epileptic fit. .

    11. Any history of mental disease .

    12. Any orthopaedic defects .

    Remarks : The Candidate has fulfilled (fit) / not fulfilled (unfit) the prescribed standards asstipulated in this form for Post Graduate (Medical) studies.

    Full signature of t he candidate Signature of the Govt. Medical OfficerDate. (Not below the rank of Sub-Divisional Medical Officer)

    With Regn. No & Seal & Date.

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    P.G. (M) 2012 ROLL No./CAT/RTB . ..

    APPLICATION FORM

    FOR

    SELECTION INTO THEPOST-GRADUATE (MEDICAL) COURSES OF ODISHA - 2012

    ATS.C.B. MEDICAL CO LLEGE, CUTTACK

    V.S.S. MEDICAL COLLEGE, BURLAM.K.C.G. MEDICAL CO LLEGE, BERHAMPUR

    CATEGORY APPLIED FOR (tick the requisite cell and cross whichever is not applicable)

    GENERAL ST SC PH DEFENCE GREENCARD

    IN-SERVICE XXXXXXX

    DIRECT

    NAME OF THE CANDIDATE IN FULL

    (To be filled up by the Candidate in BLOCK LETTERS)

    Mobile No............................................Land Phone No...........................................

    E-mail id..................................................................................................................

    ------------------------------------------------------------------------------ --------------------------------------------------------------

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    FORM OF APPLICATION FOR SELECTIONIN TO THE POST-GRADUATE (MEDICAL)COURSES, ODISHA-2012

    AT: S.C.B. MEDICAL COLLEGE, CUTTACK,V.S.S. MEDICAL COLLEGE, BURLA,M.K.C.G. MEDICAL COLLEGE, BERHAMPUR.

    1. Full Name:

    Paste (do not pin) a recent photograph (size 40 x 50 mm duly signed by applicant on the top and must be attested by a Gazetted Officer with seal after pasting.

    (Write your name in capital letters as given in the records of Board of Secondary Education or equivalent examining body.One box should be left blank between two parts of the name. In case the name is long and cannot be accommodated within the boxes provided, you should abbreviate the middle name.)

    2. Address of Correspondence:

    PIN

    3. Date of Birth

    Day Month Year

    4. Name of the Father:

    5. Name of the Husband:(in case of married female applican t only)

    6. Permanent Address of Father/Husband:

    Village Post OfficeBlock Police Station

    District State & Pin code

    7. Permanent Address of the Applicant:Village Post Office

    Block Police Station

    District State & Pin code

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    Days Months Years

    8. Category (Put tick mark in the appropriate box):

    In-service Direct SexIn Govt Service Others Male Female

    9. Reserved Category:ST SC PH DEF GC

    10. Type of Service:

    Odisha Govt. Central Govt. Private Sector Any other

    11. High School/10 th Class Pass details:

    Block District State Year of Passing Division/Class

    12. M.B.B.S. from which State: Native of which State:

    13. M.B.B.S. particulars:

    Name of College/Institution District State University Year ofpassing

    14. Compulsory Rotating Houseman ship/Internship details:Sl. No. Department/Discipline Period of Training

    From To

    15. Expected date of Completion of Internship / Houseman ship

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    Days Months Years

    16. Previous Post-graduation (Medical) / Diploma / DPH status:

    Year ofselection

    State/ Central

    Discipline Institution/ CollegeAnd State

    Taken admission/ Refused

    Continuing/ Discontinued fromDt.

    17. Medical Registration : Name of the Board Registration no.

    Central / State

    18. Service Status ( for both in-service and direct candidates who are in Govt. of Odisha employment at the time of application)

    (A): Service particulars in Odisha (up to 31st December 2011)

    Name of the MedicalInstitution

    Block/NAC/ Munici ality/Dist

    Date ofJoining

    Date ofRelief

    Duration ofService

    (B): All Leave particulars of at a stretch 30 days or more excluding maternity leave if any (up to 31 st

    December 2011)

    Name of the MedicalInstitution

    Block/NAC/ Municipality/Dis

    From To Duration

    19. Total Period of service (excluding leave ata stretch of 30 days or more).

    20. Details of Bank Draft:

    Amount Bank Draft. No. Date Issuing Branch

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    21. List of documents attached with Application Form (Enclosures to be numbered by the candidate)Sl.

    No.Documents Type

    EnclosureNo.

    1. Bank Draft of 1500/- Original & Xerox

    2. H.S.C or equivalent Exam. Pass Certificate Attested True Copy3. M.B.B.S. Degree / Provisional MBBS Certificate Attested True Copy

    4. Compulsory Rotating Internship/ Houseman ship Attested True Copy

    5. Expected da te of completion of Internship/Houseman ship Original

    6. Medical Registration Certificate Attested True Copy

    7. Service Certificate (Ap. II-A) Original

    8. Resident/Nativity Certificate (Ap. II-B) Original/ AttestedTrue Copy

    9. Scheduled Tribe /Caste Certificate (Ap. II-C) Attested True Copy

    10. Certificate of Children of Service/Ex-service personnel (Ap. II-D) Attested True Copy11. Physically Handicapped Certificate Attested True Copy

    12. Green Card Attested True Copy

    13. Certificate of Employment of Parents/S pouse Original/ AttestedTrue Copy

    14. Sponsor ing Letter (Ap. III) Original/ AttestedTrue Copy

    15. Intimation letter to authority Attested True Copy

    16. College Leaving Certificate Attested True Copy

    DECLARATION1. I declare that the statements furnished by me in the Application and the attached documents are true

    in all respects to the best of my knowledge and belief and I undertake that if subsequent to myselection / admission, I am found to have given wrong information with regardto any document produced by me in connection with my selection / admission, then my name shall beimmediately removed from the Institution and whatsoever legal action due shall be taken agains t me.

    2. I submit myself to the jurisdiction o f the P.G. Selection Committee, Odisha - 2012 and declare that Ishall abide by its rules and regulations as laid down in the P.G (Medical) Prospectus 2012 and that thedecision o f the committee about my position in the merit list shall be binding on me.

    3. In the event of my being found ineligible at a later date, I understand that I shall be denied theopportunity of selection / admission and my selection / admission shall be cancelled even if, I amselected and admitted.

    4. I agree to abide by the rules and regulations of the Institution I am admitted to and pay all fees andother dues as laid down by the Institution or would become due under these rules and I agree towithdraw myse lf from the Institution should the Authority decide that such withdrawal is necessary in theinterest of the Institution.

    I hereby certify that I have completed the Application Form in all respects with requisitedocuments as per details given above and my application contains .enclosures excludingthe Application Form.

    Signature of the attesting Signature of the Applicant in fullGazetted Officer Date.(Full name , d esignation & seal) (In presence of the attesting officer)

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    POST-GRADUATE (MEDICAL) SELECTION 2012

    ACKNOWLEDGEMENT CARD

    Your Application Form for Post-Graduate (Medical) Selection has been Received

    on . You have been assigned

    Index No .. Please quote this number for future reference.

    This card does not confirm the right to admission to examination hall.

    Convenor,PG (Medical) Selection Committee-2012,M.K.C.G. Medical College, Berhampur.

    Note: This card with your address for correspondence properly written on the reverse andduly stamped should be sent along with the application.

    AffixPostageStamps of

    5.00To

    -----------------------------------------------------------------------

    ----------------------------------------------------------------------

    ----------------------------------------------------------------------

    ------------------------------------------------------ ----------------

    Mobile No.......................................

    From:Convenor ,

    (Write your name and address on this card)

    PG (Medical) Selection Committee-2012,MKCG Medical College, Berhampur

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    ENTRANCE EXAMINATION FOR POST-GRADUATE (MEDICAL) SELECTION 2012ADMIT CARD

    Name of the Candidate: Dr. (The applicant has to write his/her name in BLOCK letter in full)

    Roll No

    Examination Centre

    Time: 10:00 AM Date -NOTE:

    1. Issue of this card does not necessarily meanacceptance of eligibility.

    2. Please do not detach the Attendance Card.

    Full signature of the Candidate(Not in Capital Letters)

    Paste (do not pin)A recent Photograph(size 40 x 50 mm).

    Convenor,PG (Medical) Selection Committee-2012,MKCG Medical College, Berhampur.

    ENTRANCE EXAMINATION FOR POST-GRADUATE (MEDICAL) SELECTION 2012

    ATTENDANCE CARD

    Name of the Candidate Dr . .

    (The applicant has to write his/her name)

    Roll No

    Examination Centre

    Q & A Bookle t No.

    Hall No.

    Paste (do not pin) aRecent Photograph(size 40 50 mm).

    Seat No

    Signature of the invigilatorFull signature of the Candidate ...Centre

    (Do not sign now, to be signed in presence of Invigilator) Hall No.If the admit card is not received by post you are requested to contact and collect the same from the office of the Convenor with in two days prior to the date of examination.

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    (To be printed on back of Admit Card)

    INSTRUCTION TO THE CANDIDATES1.

    -------------------------------------------------------------------------- fold here----------------------------------------------------------------

    BY REGISTERED POST/SPEED POST

    To

    PIN

    Mobile No:......................................

    From: (Write your name and address on this card in BLOCK LETTRS)

    Convenor,PG (Medical) Selection Committee-2012,& Dean & Principal, MKCG Medical College,Berhampur