SETH G. S. MEDICAL COLLEGE, PAREL, MUMBAI
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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 Copy6) 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 Reserve S.C.Category
Open Category
(Other than
SC)
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 7434SETH 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 CertificateSeth 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 Reserve S.C.Catego
Open Category ry
(Other than
SC)
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
PHOTOGRAPH
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___________________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 AuthorityANNEXURE – “M”
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 Signature
Name
Registration No.
Seal of Registered Medical Practitioner
Date
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.You can also read
