SETH G. S. MEDICAL COLLEGE, PAREL, MUMBAI

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

                    M. B. B. S. ADMISSION 2020-2021
MUHS Eligibility Section, Nashik                          AIR 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) Selection Letter /Allotment Letter
 02) Nationality Certificate OR Valid Passport
 03) Domicile Certificate
 04) S. S. C. Passing Certificate (10th Std.)
 05) 12th H.S.C. Mark sheet
 06) NEET Exam Mark sheet (2020)
 07) NEET Admit Card
 08) NEET Application Form
 09) Cast Certificate OR EWS Certificate
 10) Caste Validity Certificate (If your state do not issue CVC, you have to
     submit the letter from Competent Authority as per attached proforma)
 11) Non Creamy Layer Certificate (For NT – 1,2,3 VJ & OBC)
 12) College Leaving OR Transfer Certificate
 13) Physical Handicap Certificates
 14) Defense Certificate
 15) Hilly Area Certificate

 (B) Group
 01) Report of Blood (Hemogram)
 02) Physical Fitness Certificate
 03) Migration Certificate (If HSC Board is other than Maharashtra Board)
 04) Self Educational Gap certificate (Affidavit from students)
05) Aadhar Card Copy

Date :                                    Student’s Signature________________

                                 Clerk (GUG)                    H.C. (GUG)
UNDERTAKING

                                                        Name ___________________________
                                                        AIR 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 2020-2021

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 2020-2021 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 2020-2021
subsequent 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
                             2020-2021

   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 Friday except
   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 attested Xerox copies of four set (Self
   attested will not be accepted) of each certificates/documents in following
   sequences in the College file.
 (A) Group

 01) Selection Letter /Allotment Letter
 02) Nationality Certificate/ OR Valid Passport
 03) Domicile Certificate
 04) S. S. C. Passing Certificate (10th Std.)
 05) 12th H.S.C. Mark sheet
 06) NEET Exam Mark sheet (2020)
 07) NEET Admit Card
 08) NEET Application Form
 09) Cast Certificate OR EWS Certificate
 10) Caste Validity Certificate (If your state do not issue CVC, you have to
     submit the letter from Competent Authority as per attached proforma)
 11) Non Creamy Layer Certificate (For NT – 1,2,3 VJ & OBC)
 12) College Leaving OR Transfer Certificate
 13) Physical Handicap Certificates
 14) Defense Certificate
 15) Hilly Area Certificate
(B)Group

 01) Report of Blood (Hemogram)
 02) Physical Fitness Certificate
 03) Migration Certificate (If HSC Board is other than Maharashtra Board)
 04) Self Educational Gap certificate (Affidavit from students)
 05) Aadhar Card Copy

 Submit College file and get the same verified from UG Section.

 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 Fitness,
      Hemogram, Voter ID Form(Annex C) & Demand Draft
      of MBBS TOTAL Fees, in separate folder with student
      name. Each document should be labeled separately
      like Allotment Letter, Nationality certificate, Xth
      Passing , 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. for
                  the year 2020-2021
Sr. No.    Particular   Category      Reserve   S.C. EWS
                          Open       Category Category
                                    (ST,OBC,VJ
                                       & NT)
  1        Tuition Fees     103300/-    6, 400/-    1, 400/-   56,100/-

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

  3       Gymkhana Fees     2,715/-     2, 715/-    2, 715/-   2, 715/-

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

                            112615/-   **15,715/- **10,715/ **65,415/-
             Total                                    -

 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 the 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. The EWS Students must have to fill Form of Rajarshi Chatrapati Shahu
Maharaj Scholarship otherwise they have to pay the full fees.

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

   2) Collect the service Agreement & Surety Bond from UG Section
3) Submit NTS & NMS forms after admission along with sanction letter to at
     GTR Section. All reserve category& SEBC students 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 NOT AVAILABLE FOR THE YEAR 2020-2021

1.      There is no Particular mess fee for the students

2.      Six passport size colour photographs and two copies of
Admission fee Demand Draft is required at the time of admission.

3. Due to COVID PANDEMIC Only One Parent (Mother or Father) is
allowed to come in the College along with the candidate, at the
time of admission.
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 2020-2021, 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 2019-20 and Assessment year 2020-21)

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.

H.C.- GUG Section

Contact No.: 2410 7434
SETH G. S. MEDICAL COLLEGE, PAREL, MUMBAI – 12

                                  NOTICE
      Ist M.B.B.S. students have to fill and submit the Service Agreement and
Surety Bond of Rs.10 lakh at U.G. Section, for the academic year 2020-
2021.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 2019-20
         and Assessment year 2020-21.
      5) Original Service Certificate
DETAILS OF THE FEES.

              Seth G. S. Medical College Parel Mumbai 12

             Fee Structure of I st M.B.B.S. for
                  the year 2020-2021
Sr. No.    Particular   Category      Reserve   S.C.             EWS
                          Open       Category Category
                                    (ST,OBC,VJ
                                       & NT)
     1     Tuition Fees     103300/-    6, 400/-    1, 400/-   56,100/-

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

     3    Gymkhana Fees     2,715/-     2, 715/-    2, 715/-   2, 715/-

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

                            112615/-   **15,715/- **10,715/ **65,415/-
             Total                                    -

    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 the 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. The EWS Students must have to fill Form of Rajarshi Chatrapati Shahu
Maharaj Scholarship otherwise they have to pay the full fees.

.
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_____________________________________________________
___________________________________________________PIN:_____________________
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 ________PERCENTAGE_______BOARD NAME__________
SCHOOL NAME____________________________MONTH &YEAR OF PASSING____________
H.S. C, PASSING MARKS/OUT OF ________PERCENTAGE_______BOARD NAME__________
COLLEGE NAME______________________________MONTH & YEAR OF PASSING_________
MARKS : PHYSICS :________ CHEM:__________ BIO:____________ ENG:__________
PCB TOTAL:______PCBE TOTAL :________PCB PERCENTAGE________HSC SEAT NO_______
NEET MARKS__________NEET PERCENTAGE____________NEET PERCENTILE ___________
ADMITTED CATEGORY/QUOTA____________STUDENT’S CATEGORY______________
SUB CASTE______________(ALSO FOR OPEN CANDIDATES), SPL RESERVATION___________
ANNUAL INCOME: FATHER__________________ MOTHER________________
SIGNATURE:: CANDIDATE____________________FATHER___________________
EMAIL ID : (IN CAPITAL)_____________________________MOTHER NAME____________
KINDLY ATTACHED COPY OF HSC MARKSHEET, SELECTION LETTER AND CC & CVC
OFFICE THE __________________________________

_________________________________

Outward No:-       Date :-

                                       TO WHOME IT MAY CONCERN

                                                CERTIFICATE

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

Dated _________________________ issued to Mr./ Miss. _____________________________

By the Tahsildar / Magistrate / ______________________________________________ is Valid.

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

Certificate in ____________________________________________ State.

Office Seal / Stamp                          Signature of Tahsildar/ Magistrate/ Issuing Authority
ANNEXURE – “M”

                                          CERTIFICATE OF MEDICAL FITNESS

                   This is       to    certify      that     I   have       conducted          clinical     examination   of Dr.
.................................................................................................. who is desirous of
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 2020 ).
   (1) Absence of any incapacitating and /or progressive systematic disease/disorder / condition,
   (2) Absence of any disability of upper limb/s,

   (3) Absence of any major visual/auditory disability,

   (4) Absence of psychosis/neurosis/mental retardation,

   (5) Ability to maintain erect posture,

   (6) Reasonable manual dexterity.

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.
DETAILS OF THE FEES.

              Seth G. S. Medical College Parel Mumbai 12

             Fee Structure of I st M.B.B.S. for
                  the year 2020-2021
Sr. No.    Particular   Category      Reserve   S.C.            EWS
                          Open       Category Category
                                    (ST,OBC,VJ
                                       & NT)
  1        Tuition Fees     103300/-    6, 400/-    1, 400/-   56,100/-

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

  3       Gymkhana Fees     2,715/-     2, 715/-    2, 715/-   2, 715/-

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

                            112615/-   **15,715/- **10,715/ **65,415/-
             Total                                    -

 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 the 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)
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