Pget 2009 Brochure

Rajiv Gandhi University of Health Sciences, Karnataka 4th T Block, Jayanagar, Bangalore – 560 041 PH – 26961940, website- www.rguhs.ac.in

PG ENTRANCE TEST - 2009 Brochure containing the details of Post Graduate Entrance Test for admission to Medical and Dental Courses for the academic year 2009-10

IMPORTANT:

Please note that the candidate will not become eligible for attending the entrance test only by online registration. The candidate must ensure that print out of his/her application with all enclosures mentioned in the brochure reaches the RGUHS on or before 01.01.2009, 5.00 PM. RGUHS is not responsible for any postal delay. The print-out of the applications received after 01.01.2009 shall be strictly rejected.

NOTE:

The instructions are based on the existing selection rules. Amendments made by Government of Karnataka from time to time and any other law that will be in force at the appropriate stage will apply.

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CONTENTS Calendar of Events …………………………………………………………………………. 1. Introduction …..................................................................................................…....………. 2. Eligibility .....................................................................................................….......………… 3. Registration Fee ……………………………………………………………………………. 4. Application Form ......................................................................................….........…….…… a) Guide lines to fill the online application form…………………………………… b) How to submit? .….............................................................................….….……. c) Certificates to be enclosed. .........................…...................................………….. d) Instructions to Candidate .......................................................………..………… 5. Reservation in favour of certain categories ..........................................................……. 6. Conduct of Entrance Test: .....................................................................…...........……… a) Syllabus ...........................................................................................……………. b) Duration, Nature of Question Paper and Answer sheet .............……..…… ...… c) Notification of answers, self assessment ...........................................….……… d) Challenging of Key answers……………………………………………………. e) Determination of Merit and publication of results and provision for retotalling 7. Spot selection of seats ......................................................................………………….… 8. Availability of seats in different courses and colleges ........................…………………. 9. General Information ............................................................….……………………….. 10. Government of Karnataka in-service candidates ..............…..…………………………

3 4 4 5 5 5 7 7 8 8 9 9 9 9 9 9 9 9 10 10

11. Forfeiture of seats selected during counseling………………………………………….

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LIST OF APPENDICES Appendix I : Code of Native District................................................................................ Appendix II : List of Medical Colleges.............................................................................. Appendix III : List of Dental Colleges ............................................................................... Appendix IV : List of Universities ..................................................................................... Appendix V : Subject wise distribution of marks: Medical/Dental. ................................. Appendix VI : Specimen copy of the OMR Answer Sheet.................................................. Appendix VII : Residential / Domicile certificate................................................................. Appendix VIII : Authorization letter............................................................……………… Appendix IX : Provisional Internship Completion Certificate............................................ Appendix X : Checklist......................................................................................................

12 12 13 14 15 16 17 18 19 20

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Calendar of Events 1.

Date of Notification

05.11.2008

Hosting the Application form & Brochure on the website for online registration Last date for receipt of printout of application form filled online for registration in the university

01.01.2009 5.00 PM

4.

Last date of dispatch of hall tickets by the university

22.01.2009

5.

Date of Entrance Test

01.02.2009

6.

Display of Key answers on the website

01.02.2009 5.00 PM

7.

Last date for challenging the key answers

06.02.2009

8.

Verification of challenged key answers by subject experts

10.02.2009

9.

Announcement of result and display of revised key answers

12.02.2009

10.

Last date for applying for Retotalling of marks

17.02.2009

11.

Announcement of Merit list and revised marks list

20.02.2009

2. 3.

10.11.2008

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1. Introduction: The Post Graduate Entrance Test 2009 is being conducted for the purpose of determining the eligibility for admission of students to PG Degree and Diploma courses in Medical subjects and PG Degree courses in Dental subjects in Government colleges and Government seats in Private Medical and Dental Colleges and Deemed University within the State of Karnataka, in respect of Government seats for the academic year 2009-10. The seats available in the different colleges in the State of Karnataka have been divided into State Government seats and Management seats. The Post Graduate Entrance Test is being conducted in accordance with the “Ordinances governing conduct of Entrance Test for Admission to Post-Graduate Degree and Diploma (Medical and Dental) courses 2002” which have been framed under the RGUHS Act, 1994 and subsequent amendments and Government Orders. Therefore the details and instructions contained in this Brochure are subject to the said Ordinances.

2. Eligibility: Candidates who fulfill the following criteria shall be eligible to appear for the Entrance Test, namely:(a) He/She is a citizen of India. (b) He/She must have studied and passed the courses leading to the award of MBBS/BDS Degrees in colleges recognized by Medical Council of India/Dental Council of India and Government of India established by law and located in Karnataka State; or (c) Candidate must be of Karnataka origin who has studied MBBS/BDS degrees in colleges outside Karnataka recognized by Medical Council of India/Dental Council of India and Government of India and affiliated to any University established by law in India Explanation:- “Candidates of Karnataka origin” means who or his/her parents(father or mother) has been a resident of Karnataka State for a period of not less than ten years, and who produces a certificates from the Concerned Tahsildar to that effect in the prescribed form (Appendix VII) (d) He/She has completed or is completing compulsory rotatory internship on or before 30th April of the year in which application for entrance test is called for subject to completion of internship course. (e) A candidate, who is already holding a Post-Graduate degree in any speciality, shall not be eligible to appear for test for admission to any Post Graduate Degree /Diploma course. (f) Must be less than 45 years of age as on the last date for receipt of application for the entrance test. Provided that the requirements mentioned under rule 2 (c) shall not be applicable in the case of:(a) The children of serving or retired employees of All India Services, Karnataka cadre of the State Government who had served or are serving outside the State during the period the candidate had been studying from the first standard till the commencement of the first year of the course leading to the degree in the qualifying examination, to the extent of the period of such service outside the state. (b) Children of Central Government employees and employees of Central or State Government undertaking or Joint Sector working continuously in Karnataka for at least three years as on the 30th April of that year.

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(c) Children of Central Government employees and employees of Central State Government undertakings or Joint Sector undertaking working as on the 30th April of that year outside the state where such employee had:(i) declared to the respective Government Organisation a place in Karnataka as his home town, and (ii)studied for not less than five years between the First Standard and SSLC or equivalent examination in any educational institution in Karnataka run or recognized by the State Government. (d) The children of Members of Parliament elected from the Karnataka to the extent of the period of being a Member of Parliament during the period of the child’s study in New Delhi from the First Standard to the qualifying examination during his tenure as Member of Parliament. (e) The children of serving Defence Personnel or Ex-servicemen whose address at the time of joining the Defence Service is in Karnataka. Note: (i) (ii)

Children for the purpose of the rule means natural born son or daughter and not adopted son Or daughter and not grandson or grand daughter. The candidates claiming any of the exemption specified above shall produce such certificate as specified by the committee for claiming such exemption

“Last date for receipt of printout of application filled online is 1st January 2009, 5.00 PM”.

Applications are liable for rejection A. If Incomplete B. If photographs are found mismatched C. If The applicant not signed in the application D. If photographs snapped before 01.09.2008 are pasted (i.e., without proof of date & name)

3. Registration Fee The candidates are required to pay the prescribed fee through Demand Draft in favour of ‘Registrar, RGUHS, Bangalore’. SC, ST and Category - I Others

Rs. 375/Rs. 1500/-

4. Application Form (a) Guidelines to fill the online Application form 1. 2. 3. 4. 5. 6. 7. 8. 9. 10

Preferred PGET Examination Center: Entrance Test will be conducted at Bangalore, Mysore, Hubli and Bellary. Select region of your choice from the drop down list Subject: Select either Medical or Dental from the drop down list Name of Candidate: Fill the name in BLOCK LETTERS, as per MBBS/BDS degree certificate Mother’s Name: Mother’s name in full should be filled Father’s Name: Father’s Name should correspond to the form and spelling in the 10th standard Marks Card. Spouse’s /Husband’s Name: If married Spouse’s /Husband’s name in full should be filled. Date of Birth: The Date of Birth should correspond to the entry in the 10th standard Marks Card. Ex: if the Date of Birth is 15th January 1965 it should be filled in the format 15/01/1965 only. Sex: Select form the drop down list Female /Male Place of Birth: Select district in which you were born from the drop down list. If the district is not listed, select ‘Other’ from the drop down list and then enter the district name in the field provided. Nationality: Select from the drop down list Indian / Other

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11 . 12 . 13 . 14 . 15 . 16 . 17 . 18 . 19 .

20 . 21 . 22 . 23 . 24 . 25 . 26 . 27 . 28 . 29 . 30 . 31 . 32 . 33

College: Select college in which you have studied MBBS/BDS from the drop down list .If the college is not listed ,select ‘Others’ from the drop down list and then enter the college name in the field provided. University: Select University in which you have studied MBBS/BDS from the drop down list. If the university is not listed, select ‘Others’ from the drop down list and then enter the university name in the field provided. Permanent / Provisional Medical/Dental Registration Number : Enter Permanent /Provisional Registration Number, if you have already completed the course (Not applicable to candidates who are still undergoing internship training) Name of State /Central Council Where registered: Enter Name of the State/Central Council where registered. Compulsory Rotatory Internship: Enter the date of completion of compulsory rotatory internship. If you have not yet completed the compulsory rotatory internship as on the date of filling the application, mention the date on which you are likely to complete the internship supported by a certificate issued by the Principal/Dean of your college to the effect. Select Marks or Grade System: Accordingly enter Marks or Grade awarded to you in each year. Total No. of attempts will get calculated by the system itself. Whether you have done/undergoing PG Degree course: Select yes or No from the dropdown list. Do you claim reservation under PH quota: Select Yes or No Category: Select from the drop down list the category you belong to The candidates claiming reservation under SC, ST, Category –I, IIA, IIB, IIIA and IIIB should furnish latest Income and Caste certificates issued by the Tahasildar in the forms valid as on the last date for submission of application. If the certificates are not furnished along with the print out of filled application, the reservation claimed will be rejected and he/she will be considered under General Category only. “Requests for change of category after the submission of application will not be entertained”. Religion: Enter Religion you belong to Caste:Enter Caste you belong to (Once Mentioned it cannot be edited or changed) Sub Caste: Enter Sub Caste you belong to DD Amount: Enter fee payable as given in the brochure DD Number: Enter 6 digits DD Number DD Date: Enter DD Amount in dd/mm/yyyy format only DD Bank Drawn: Enter DD drawn bank Full Postal Address: Enter Full Postal Address with pincode for future correspondences Email: Enter Valid Email ID Phone: Enter phone Number with STD code Mobile: Enter Mobile Number In service Status: If you are a Karnataka State Government in-service candidate select YES or NO from the drop down list Department: Select department where working from the drop down list. Place of working: Mention the present place where you are working

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34 . 35 . 36 . 37 . 38 . 39 . 40 . 41 . 42 . 43 . 44 . 45 . 46 .

Date of Entry in to service: Enter Date of entry into service Whether Probationary Period has been declared: Select status from drop down list. If Probationary Period declared mention the date of declaration Are you doing PG Degree or PG Diploma: Select status from drop down list If doing/done PG Degree mention PG Degree Course If doing/done PG Degree furnish date of completion If doing/done PG Diploma mention PG Diploma Course If doing/done PG Diploma furnish date of completion Speciality in which he/she is working Whether any enquiry is pending: Select status from drop down list Whether he/she is under suspension: Select status from drop down list Whether he/she is under unauthorized absence: Select status from drop down list Enter Remarks if any

After filling the online application form press Submit button, if you are sure that all the data entered by you is correct. An Application Number will get generated. Please record it for your future usage. Take the printout of the filled-in application and paste the recent passport size photograph in the space provided. The print out of the filled-in application duly signed by the candidate be sent to university along with the required documents within the stipulated time. b) How to submit: I) IN PERSON: Printout of Application form filled online, along with attested copies of all required certificates and two extra photos, may be submitted for registration, in person, at RGUHS, 4th ‘T’ Block, Jayanagar, Bangalore – 560 041, and the Hall Ticket for the Entrance Test may be collected at the same time in the University after a minimum of 6 hours needed for verification. II) IN ABSENTIA: Any person authorized by the candidate duly signed by him (Appendix – VIII), can submit the printout of application form filled in all respects along with attested copies of all required certificates and two extra photos. The Hall ticket for the Entrance Test may be collected at the same time in the University after a minimum of 6 hours needed for verification. III) BY POST: Print out of application filled online, along with attested copies of all required certificates and two extra photos may be sent by post for registration to “The Registrar, RGUHS, 4th ‘T’ Block, Jayanagar, 7

Bangalore – 560 041”. Candidates should super scribe on the cover as “Application for PGET 2009”. Hall Ticket for the Entrance Test will be sent by post to the address furnished by the candidate. NOTE : Please note that the candidate will not become eligible for attending the entrance test only by online registration. The candidate must ensure that print out of his/her application with all enclosures mentioned in the brochure reaches the RGUHS on or before 01.01.2009, 5.00 PM. RGUHS is not responsible for any postal delay. The print-out of the applications received after 01.01.2009 shall be strictly rejected. c) Certificates to be enclosed: The attested copies of the following certificates are to be attached along with the application form. The Checklist given in Appendix – X should be used to tick the certificates attached and the checklist be sent along with the application. 1. S.S.L.C. Marks Card (for date of birth proof and parent’s name) 2. MBBS/BDS Marks Card of all Phases/Years 3. Compulsory Rotatory Internship completion certificate or certificate indicating the probable date of completion, issued by the Principal of the College. (Appendix – IX) 4. Attempts Certificate issued by the Principal 5. Degree Certificate/Provisional Degree Certificate issued by the University 6. Medical/ Dental Registration Certificate 7. If claimed under Reservation Category, Caste & Income Certificate for SC, ST, Category I, IIA, IIB, IIIA , IIIB issued by Tahasildhar (Applicable only to Karnataka candidates) 8. If claimed under Domicile status documentary proof in support of the candidate being a resident of Karnataka or his/her parents [Father/Mother) for a period not less than 10 years issued by the competent authority i.e, Tahasildhar. 9. Disability Certificate if claimed under Physically Handicapped quota

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d) Instructions to Candidates:1. The candidates shall be present at the centre 30 minutes before the commencement of the test 2. Only the candidates who possess the Hall Ticket shall be allowed to sit for the Entrance Test. In case of loss of Hall Ticket the candidates should contact the Chief Superintendent of the centre two hour earlier for assistance. 3. No Candidate shall copy from the paper of any other candidate or permit his / her own papers to be copied or attempt to give or seek any illegal assistance. 4. No candidate will be admitted to the examination hall after the commencement of the Entrance Test. 5. No candidate will be allowed to leave the examination hall before the end of the first thirty minutes. Candidates leaving the hall prior to the end of the Entrance Test, will have to hand over the question paper and OMR sheet to the room invigilator and collect the same at the end of the test. 6. No candidate should leave the room without handing over his / her OMR sheet. 7. Candidate should sign the attendance sheet as per the instructions of the invigilator 8. Silence must be observed in the examination hall. Any candidate guilty of disorderly or improper conduct will be liable for expulsion from the examination hall and will be debarred from the Entrance test by the Chief Superintendent of the centre 9. Candidates are not permitted to carry any Electronic gadgets like Pager, Cell Phone, Bluetooth etc., into the examination hall 10. Even a minute, inadvertent touch or drop of ink on other oval makes the answer invalid. Think before ink. 11. Candidates defacing the OMR sheet or erasing the marked oval by eraser/blade/any sharp object are liable for disqualification

5. Reservation in favour of certain categories: Orders issued by Government of Karnataka from time to time for reservation in seats for constitutionally permissible classes of Karnataka candidates such as SC and ST and Category I, IIA, IIB, IIIA and IIIB and Physically Handicapped are applicable. In the In-service quota, there will be distribution of seats among SC, ST and General Merit categories only. Therefore, in-service candidates are eligible to apply under SC, ST and General Merit categories only. •

Failure to produce income and caste certificates issued by Tahasildhar will result in forfeiture of his/ her claim for reservation and he/she will be considered as a candidate belonging to General Category only. OBC categories are applicable to Karnataka candidates only.

•

Candidates with Physical Disability ranging above 40% should produce a Medical Certificate issued by Chairman, State Disability Board or any equivalent authority of State of Karnataka in the field of concerned disability along with the application form for the entrance test. Candidates suffering from hearing disability should compulsorily obtain and produce a BSER (Brain Stem Evoked Response) Audiometry Report from NIMHANS/Manipal Hospital/Government Speech and Hearing Institute, Lingarajapuram, Bangalore. At the time of counseling, the candidates required to appear for medical examination before a Committee comprising of the Registrar, RGUHS, Bangalore, as Chairman and three specialists from the department of Orthopaedics, Ophthalmology and ENT. The Medical Board shall examine the candidate and certify regarding the percentage of disability and the decision of the Medical Board will be final. For the purpose of this proviso, persons with the disability shall have the same meaning assigned to it in the ‘Persons with Disabilities (Equal Opportunities, Protection of Rights and Participation) Act 1995 (Central Act 1/1995). The candidates with disability less than 40% will not be eligible for claiming a seat under Physically Disabled Category. The candidates selecting seat under PH quota are ineligible to select a seat in the first round of counseling. NOTE: The Physically Disabled candidates who fail to appear before the committee on the day fixed for medical examination will not be eligible for selection of a seat under Physically Disabled quota.

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6. Conduct of Entrance Test: Date of Entrance Test: 01.02.2009 Time: 10 am to 1 pm Places: Bangalore, Mysore, Hubli and Bellary a) Syllabus: The Syllabus content will, ordinarily, be equal to the syllabus prescribed for MBBS / BDS under MCI/DCI regulations of RGUHS Ordinances. The distribution of marks, subject-wise, for the Entrance Test is given in Appendix-V b) Duration, Nature of Question Paper and Answer Sheet: i) The Entrance Test will be conducted in English. ii) There will be one Question Paper (booklet) of three hours duration consisting of 200 Multiple Choice Questions. There will be eight versions of the question paper booklet and therefore Serial Number of question differs from version to version. iii) Questions will be multiple choice types, each having one best response out of four alternatives. iv) Answer sheet is of “Optical Mark Reader” (OMR) type with carbonless copy. OMR sheet is required to be marked as per instructions on it, using a black or blue Ball point Pen. Copy of the OMR sheet is allowed to be taken by the candidate. Specimen copy of the OMR Answer Sheet is in Appendix-VI. Evaluation is by Optical scanning of OMR Sheet. v) Each question carries one mark. Correct answer will be awarded -one mark. No Negative valuation. c) Notification of answers and self assessment i) Key Answers of test questions will be notified on the website (http://www.rguhs.ac.in) of the University same day after the entrance Test on 01.02.2009, 5.00 PM. ii) Since the candidates will have the copy of OMR sheet, self assessment is possible by comparing with the key answers notified on the website. d) Challenging of Key answers The candidate may challenge the notified keys/answers. The candidate willing to challenge the keys should remit a prescribed fee of Rs.1000/- through Demand Draft in favour of “Registrar, RGUHS, Bangalore” preferably in person. No authorized representative are entertained. Proforma for challenging the keys available on the RGUHS website may be used for this purpose. Anonymous or pseudo-anonymous representations and those received after the last date or without the prescribed fee, are liable to be rejected. All challenges will be scrutinized by subject experts, whose decision in the matter shall be final. Rs.500/- will be refunded, only to candidates whose challenge succeeds.

A sum of

e) Determination of Merit, Publication of Results and Provision of retotalling: Merit lists are in both Medical and Dental faculties are prepared on the basis of marks obtained in Entrance Test. The minimum percentage of marks for eligibility for admission is 50% for General Merit candidates and 40% for candidates belonging to SC, ST and OBC categories.

7. Spot Selection of Seats: The seat matrix, the calendar of events and all other details of spot selection process will be notified by Government of Karnataka through Government Order/Gazette also published in RGUHS website. No individual intimation will be sent to the candidates. The candidate should personally appear for the seat selection.

8. Availability of Seats in different courses and colleges:

Details of the precise number of seats in different courses and colleges, their classification and category wise reservation will be announced as soon as the University receives the communication from the Government.

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9.

General: i) ii)

iii) iv)

v)

vi)

The candidates shall appear for the Entrance Test at their own cost, in any one of the four cities as per the choice indicated by them in their Application Form. The center in the city chosen, will be allotted by the University. No change of center is permissible. Each candidate is given a Register Number consisting of two alphabets followed by five numbers. The first alphabet will be M or D. (i.e., M for Medical and D for Dental) The second alphabet will indicate the city of Entrance Test. B for Bangalore, K for Hubli, M for Mysore, and V for Bellary. The five numerical numbers will be the actual Register Number of the candidate. Request for change of category after the submission of application will not be entertained. All the marks cards and certificates submitted along with the application are subjected to verification at the initial stage for Registration and issue of Hall Tickets for the Entrance Test. Detailed verification will be made before the candidate is allowed for seat selection. It is the responsibility of the candidate to furnish all original marks cards and certificates for verification at that time. Failure to produce the originals for any reason, will result in forfeiture of his /her claim for selection of seat. Duplicate hall ticket may be obtained by furnishing following documents. 1. Representation of the candidate 2. D.D. for Rs. 750/- in favour of Registrar, RGUHS 3. Copy of confirmation report 4. Two recent passport size photographs 5. Identity proof Refund of application fee is impermissible for any reasons

10. Government of Karnataka in-service candidates The in-service doctors have to fulfill the following conditions stipulated under Rule 10 of Karnataka conduct of Entrance Test for admission to Post-Graduate Medical and Dental Degree and Diploma Courses Rules 2006. It is mandatory for the in-service candidates to appear for the entrance test. The applications should be verified and forwarded by the concerned Heads of Departments i.e. Director of Medical Education/Director of Health and Family Welfare Services/Director, ESI/Heads of Autonomous Institutions/Heads of Boards and Corporations. The Head of the Departments should forward the applications of only such candidates who fulfill all the criteria mentioned in the application form. Advance copies from candidates will not be entertained. 1.

No in-service candidate shall be eligible for admission under these rules:-

a. Unless he/she has put in not less than Three years of regular service in the concerned department

2. 3.

4. 5. 6.

(subject to provisions of the Government Order issued by the Government from time to time for the academic year 2009-10) b. Unless he has satisfactorily completed the prescribed period of probation The candidates should fulfill the above conditions as on the last date of receipt of applications for the entrance test. No in-service candidate shall be eligible for admission to Post Graduate Degree and Diploma courses in any subject other than the Speciality in which he is working. An in-service candidate who is already holding a Post Graduate Degree in any speciality shall not be eligible for admission to any other Post Graduate Degree or Diploma. An in-service candidate who is already holding a Post Graduate Diploma in any speciality through government deputation shall be eligible for admission to Post Graduate Degree course in the same specialty and shall not be eligible for any other Post-Graduate Degree or Diploma courses. An in-service candidate who is studying in any Post-Graduate Degree or Diploma course shall not be eligible for admission under these rules. No candidate who is above forty eight years as on the last date fixed for receipt of application shall be eligible for admission.

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7. In addition to the above, in-service doctors should furnish the information sought in the application form and heads of the departments should verify and forward the applications to the Registrar, Rajiv Gandhi University of Health Sciences, 4th T Block, Jayanagar, Bangalore - 5600041. 8. Incomplete and incorrect applications are liable for rejection. No changes will be entertained after the submission of application. 9. Advance copies from in-service candidates will not be entertained. 10. The Government In-service candidates should produce a declaration as given below along with the application form i.e., I solemnly and sincerely affirm that the information furnished by me in this form are true and correct.

11. Forfeiture of seats selected during counselling:(1) (2)

(3)

(4) (5)

(6) (7)

Every candidate including in-service candidate shall pay a sum of Rs.10,000/- for Degree and Rs.5,000/- for Diploma to the Government in case he/she takes allotment orders during counseling and fails to join the course. All the selected candidates except in-service candidates at the time of admission shall furnish a bond on a stamped paper of Rs. 100/- binding himself to pay a sum Rs.50,000/- in case of Degree and Rs. 25,000/- in case of Diploma along with the stipendary amount received by him/her in the event of leaving the course before its completion. All the selected in-service candidates at the time of admission shall furnish a bond in the form specified by the committee on stamp paper of value of Rs.100/- binding himself to pay a sum of Rs.50,000/- for Degree and Rs.25,000/- for Diploma courses as penalty in the event of his/her leaving the course before its completion and also debarred for three years from appearing entrance test. All the selected in-service candidates at the time of admission shall furnish a bond to the effect that they will be rendering service in the Government for a minimum period of Ten years or till the attainment of superannuation, whichever is earlier. In addition to the prescribed fine, every candidate shall pay the remaining period course fee on his own to the Government/ Private colleges in the event he/she leaving the course before its completion Candidates selecting Government Colleges & Government seats in Private colleges (under concession fee) for Post Graduate courses shall furnish an undertaking that he/she will serve the Government for a minimum period of 3 years after completion of the course, if Government desires. Candidates who avail 100% tuition fee reimbursement from the Government shall furnish an undertaking that he/she will serve the Government for a minimum period of 5 years, if Government desires. A penalty of Rs. 5,00,000/- for degree and Rs. 3,00,000/- for diploma shall be levied incase the candidates fail to serve the Government after completion of the course as per the undertaking

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APPENDIX – I Code of the Native Districts Code

District

Code

District

01

Bagalkot

16

Hassan

02 03 04 05 06 07 08 09 10 11 12 13 14

Bangalore Urban Bangalore Rural Belgaum Bellary Bidar Bijapur Chamarajanagar Chickamagalur Chitradurga Davanagere Dharwad Dakshina Kannaka (D.K) Gadag

15

Gulbarga

17 18 19 20 21 22 23 24 25 26 27 28 29 99

Haveri Kodagu Kolar Koppal Mandya Mysore Raichur Shimoga Tumkur Udupi Uttara Kannada (U.K) Ramanagara Chikkaballapura Other than the listed, Specify

APPENDIX – II List of Medical Colleges Code

Name of the Medical Colleges

Place

01

Government Medical College

Mysore

02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 47 48

Bangalore Medical College Karnataka Institute of Medical Sciences Vijayanagar Institute of Medical Sciences Jawharlal Nehru Medical College Mahadevappa Rampure Medical College Jaya Jagadguru Murugarajendra Medical College M.S.Ramaiah Medical College Kempegowda Institute of Medical Sciences B.R.Ambedkar Medical College Al-Ameen Medical College Jagadguru Sri Shivarathreeswara Medical College Adichunchanagiri Institute of Medical Sciences Sri B.M.Patil Medical College Sri Devaraj Urs Medical College Sri Siddartha Medical College Fr.Muller’s Medical College St. John's Medical College Yenepaya Medical College K S Hegde Medical Academy M V J Medical College Vydehi Medical College Basaveshwara Medical College A.J.Institute of Medical Sciences S Nijalingappa Medical College Navodaya Medical College Kasturba Medical College Kasturba Medical College

Bangalore Hubli Bellary Belgaum Gulbarga Davanagere Bangalore Bangalore Bangalore Bijapur Mysore Bellur Bijapur Kolar Tumkur Mangalore Bangalore Mangalore Mangalore Bangalore Bangalore Chitradurga Mangalore Bagalkot Raichur Mangalore Manipal

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99

Other than the listed, specify

APPENDIX – III List of Dental Colleges Code

Name of the Dental Colleges

Place

51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 97 98

Government Dental College Bapuji Dental College KLE Society’s Institute of Dental Sciences, AB Shetty Memorial Institute of Dental Sciences MR Ambedkar Dental College Vokkaligara Sangha Dental College Sri Dharmasthala Manjunatheswara College of Dental Sciences HKE Society’s Nijalingappa Institute of Dental Sciences Jagadguru Sri Shivarathreeswara Dental College PM Nadagauda Memorial Dental College College of Dental Sciences Bangalore Institute of Dental Sciences MS Ramaiah Dental College KVG Dental College Yenopoya Dental College SJM Dental College Academy of Medical Education Dental College Al-Ameen Dental College Dayananda Sagar College of Dental Sciences Dr. Shymala Reddy Dental College KGF College of Dental Sciences S B Patil Institute for Dental Sciences Sri Hasanamba Dental College AECS Maruthi College of Dental Sciences Al-Badar Rural Dental College Farooqia Dental College HKDET’s Dental College KLE Society’s Institute of Dental Sciences Sri Krishnadevaraya College of Dental Sciences Maratha Mandal Dental College NSVK Sri Venkateshwara Dental College Rashtreeya Vidyalaya Dental College Raja Rajeshwari Dental College Sri Rajiv Gandhi College of Dental Sciences Sharavathi Dental College Sri Siddartha Dental College Oxford Dental College College of Dental Surgery College of Dental Surgery

99

Other than the listed, specify

Bangalore Davanagere Belgaum Mangalore Bangalore Bangalore Dharwad Gulbarga Mysore Bagalkot Davanagere Bangalore Bangalore Sullia Mangalore Chitradurga Raichur Bijapur Bangalore Bangalore KGF Bidar Hassan Bangalore Gulbarga Mysore Humnabad Bangalore Bangalore Belgaum Bangalore Bangalore Bangalore Bangalore Shimoga Tumkur Bangalore Manipal Mangalore -

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APPENDIX – IV List of Universities Code

Name of the University

01

Rajiv Gandhi University of Health Sciences, Karnataka

02

Bangalore University

03 04 05

University of Mysore Karnatak University Mangalore University

06

Gulbarga University

07

Kuvempu University

08 09

MAHE Deemed University Other than the listed, specify

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APPENDIX – V Subjectwise distribution of Marks Medical

Dental

Anatomy

05

General Human Anatomy including Embryology and Histology

05

Physiology

05

Human Physiology

05

Biochemistry

05

Human Biochemistry

05

Pharmacology

10

Dental Materials

10

Pathology

10

General Pathology

05

Microbiology

10

General Microbiology

05

Forensic Medicine

05

Oral Anatomy including Embryology

05

Community Medicine

20

General Pharmacology and Dental Therapeutics

05

General Medicine

30

General Medicine

10

Paediatrics

10

General Surgery

10

Psychiatry

05

Oral Pathology

10

Dermatology

05

Oral Microbiology

05

Radiology

05

Preventive and Social Dentistry

15

General Surgery Orthopaedics

30 10

Prosthetics

15

Conservative (Operative) Dentistry including Endodontics

15

Anaesthesiology

05

Paedodontics

15

Ophthalmology

05

Oral Surgery

15

Oto-Rhino-Laryngology

05

Periodontia

15

Obstetrics & Gynaecology

20

Orthodontia

15

Oral Medicine

05

Oral Diagnosis

05

Dental Radiology Total

200

Total

05 200

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APPENDIX – VI Specimen Copy of OMR Answer Sheet Rajiv Gandhi University of Health Sciences, Karnataka UNIVERSITY COPY P.G. ENTRANCE TEST – 2009 Serial No. 8079 OMR ANSWER SHEET 1. Name of the Candidate

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APPENDIX – VII No.

Date : .....................

Residential / Domicile Certificate This is to certify that Sri / Smt................................................................................................ Son / Daughter of Sri/Smt …….....…................................................................................................ residing at ..............................................………..........................................................................has Domiciled /Resided in the State of Karnataka for the last ……....................................................... (in figures and words) years and ................................... months. This Certificate is issued for ................................................. purpose. Tahasildar Taluk.......................... Place : Date :

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APPENDIX VIII

Authorization Letter I …….……………………………… Son/Daughter/Wife of Mr. …………………………...... Application No. …………………….…… of Post Graduate Entrance Test – 2009 for admission to PG Medical/Dental courses for the academic year 2009-10 do hereby authorize Mr/Mrs/Ms/………………………...……………..………………….. Son/Daughter/Wife of ….……………………..… Resident of ………………………….......

to represent me for

submission of application and to receive Hall Ticket only. The Signature and photograph of the above named Mr/Mrs/Ms/……….……………………... are attested below.

Photograph of the Candidate (Self Attested)

Photograph of the authorized representative attested by the candidate

Signature of the Candidate Name: Address:

Signature of the authorized representative Attested by me Signature of the candidate

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APPENDIX - IX PROVISIONAL INTERNSHIP COMPLETION To Whomsoever It May Concern This is to certified that Dr...................................................................………….............................. is a Bonafide Student of this Institute from .................…............... to ...................…….................. He is likely to complete his/her compulsory Rotatory Internship on .......……................................

Date: .......................

Signature of the Principal with college seal

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APPENDIX - X

CHECKLIST * Tick (√ ) the certificates attached and enclose the checklist along with the application 1.

S.S.L.C Marks Card (for date of birth proof and parent’s name)

2. 3. 4. 5.

MBBS / BDS Marks Cards of all Phases / Years Compulsory Rotatory Internship Completion certificate Attempt Certificate Degree Certificate/Provisional Degree Certificate

6. 7. 8.

Medical /Dental Registration Certificate. Caste & Income Certificate issued by the Tahasildar Domicile Certificate

9. 10. 11.

Disability Certificate, if reservation claimed under PH quota Demand Draft for Rs.1500/- / Rs. 375/Passport size recent photographs 2 Nos., to be pasted in the space provided below (snapped on or after 01.09.2008)

12.

Other documents ______________________________________

Photo 1

Photo 2

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