hkkx&v ¼vh;fkhz }kjk hkjk tk,½ links/dmecounselling_public/dmeug... · hkkx&v ¼vh;fkhz...

15
1 QksVks izk:i&1 izek.k&i=@vfHkys[kksa dh LØwVuh] laca/kh izksQkekZ ¼fpfdRlk@nar fpfdRlk egkfo|ky;ksa esa izos’k gsrq½ Hkkx&v ¼vH;FkhZ }kjk Hkjk tk,½ eS ?kks"k.kk djrk gw ¡ fd eSus e/; izns 'k fpfdRlk @nar fpfdRlk ikB;dze esa izos 'k gsrq e/;izns'k jkti= ¼vlk/kkj.k½ esa izdkf'kr e/;izns 'k fpfdRlk f’k{kk izos ’k fu;e] 2018 dks HkyhHkka fr i<+ rFkk le> fy;k gSA eq>s e0iz0 ds fpfdRlk@nar fpfdRlk egkfo|ky;ksa esa lapkfyr ikB~;Øe dh tkudkjh gSA rRi'pkr gh fu;eksa es a fn;s x;s mica/kksa ds v/khu dkmaflfyax esa Hkkx ys jgk@jgh gw ¡A eSa vkoaVu ds vuqdze esa izos ’k gs rq ewy izek.ki=@ vfHkys[k izLrqr dj jgk@jgh gw A 1@ NEET----- ijh{kk dk Vs fLVax vkbZ-Mh-ua --------------------------------------------------------------- ------------------------------ --- 2@ vkYk bf.M;k esfjV lwph Øeka d ---------------------------------------------------------------------------------------- --- 3@ iwjk uke% ---------------------------------------------------------------------------------------- --- 4@ ekrk@firk@ifr@vfHkHkkod dk iwjk uke ,oa irk ---------------------------------------------------------------------------------------- --- 5@ Js .kh ¼vukjf{kr@vuqlwfpr tutkfr@vuqlwfpr tkfr@------------------------------------------------------------------------------- vU; fiNM+k oxZ½ 6@ izoxZ& ¼lSfud] Lora=rk laxzke lSukuh] fodykax] ,u-vkj-vkbZ- lsokjr½% ----------------------------------- 7@ vH;FkhZ dk eksckbZy Qksu ua- ,oa bZ&esy vkbZ-Mh-ua ------------------------------------------------------------------ 8@ vH;FkhZ dk cSad [kkrk ua----------------------------- vkbZ-,Q-,l-dks M ua ---------------------- iksVZy ij ntZ Qhl VªkUtsD’ku ua --------------------------------- ewy izek.k i=@vfHkys [k tks izLrqr dj jgs gSa muds lkeus lgh ¼ ½ dk fpUg yxk;sa 1- p;u ijh{kk gsrq vH;FkhZ ds iath;u dh Qks Vks ;qDr izfr vFkok izos'k i=A 2- vk;q izek.k ds fy;s lds.Mjh] gkW;j lsds .Mjh] 10$2 vFkok led{k ijh{kk mRrh.kZ djus ds izek.k i=@va d lwph dh ewy izfr ftlesa vk;q dk mYys [k gksA 3- ,e-ch-ch-,l-@ch-Mh-,l- ijh{kkvksa ds va fre izks Q ¼Proof½ dh va d lwph A Hkkjro"kZ ls vU;= vgZrk ijh{kk mRrh.kZ djus dh n’kk esa us’kuy cksMZ vkQ ,Dtkfeus’ku ls Ldzhfuax Vs LV mRrh.kZ djus ds izek.k i= dh ewy izfrA 4- vfuok;Z bUVuZf'ki dEiyh'ku lfVZfQdsV dh ewy izfr vFkok fnukad 31 ekpZ rd bUVuZf'ki iw.kZ djus laca /kh izkf/kd`r vf/kdkjh }kjk tkjh izek.k i=A 5- e/; izns ’k esfMdy dkmafly@ e/; izns’k MsaVy dkmafly esa thfor iath;u ds izek.k i= vFkok ia th;u gs rq vkos nu dh ikorhA 6- vH;FkhZ ds vk/kkj dkMZ dh Qks Vks dkWihA

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1

QksVks

izk:i&1 izek.k&i=@vfHkys[kksa dh LØwVuh] laca/kh izksQkekZ

¼fpfdRlk@nar fpfdRlk egkfo|ky;ksa esa izos’k gsrq½

Hkkx&v ¼vH;FkhZ }kjk Hkjk tk,½

eS ?kks"k.kk djrk gw¡ fd eSus e/; izns'k fpfdRlk @nar fpfdRlk ikB;dze esa izos'k gsrq e/;izns'k

jkti= ¼vlk/kkj.k½ esa izdkf'kr e/;izns'k fpfdRlk f’k{kk izos’k fu;e] 2018 dks HkyhHkkafr i<+ rFkk le>

fy;k gSA eq>s e0iz0 ds fpfdRlk@nar fpfdRlk egkfo|ky;ksa esa lapkfyr ikB~;Øe dh tkudkjh gSA

rRi'pkr gh fu;eksa esa fn;s x;s mica/kksa ds v/khu dkmaflfyax esa Hkkx ys jgk@jgh gw¡A

eSa vkoaVu ds vuqdze esa izos’k gsrq ewy izek.ki=@ vfHkys[k izLrqr dj jgk@jgh gwA

1@ NEET----- ijh{kk dk VsfLVax vkbZ-Mh-ua ---------------------------------------------------------------------------------------------

---

2@ vkYk bf.M;k esfjV lwph Øekad ----------------------------------------------------------------------------------------

---

3@ iwjk uke% ----------------------------------------------------------------------------------------

---

4@ ekrk@firk@ifr@vfHkHkkod dk iwjk uke ,oa irk ----------------------------------------------------------------------------------------

---

5@ Js.kh ¼vukjf{kr@vuqlwfpr tutkfr@vuqlwfpr tkfr@-------------------------------------------------------------------------------

vU; fiNM+k oxZ½

6@ izoxZ& ¼lSfud] Lora=rk laxzke lSukuh] fodykax] ,u-vkj-vkbZ- lsokjr½% -----------------------------------

7@ vH;FkhZ dk eksckbZy Qksu ua- ,oa bZ&esy vkbZ-Mh-ua------------------------------------------------------------------

8@ vH;FkhZ dk cSad [kkrk ua----------------------------- vkbZ-,Q-,l-dksM ua---------------------- iksVZy ij ntZ Qhl

VªkUtsD’ku ua---------------------------------

ewy izek.k i=@vfHkys[k tks izLrqr dj jgs gSa muds lkeus lgh ¼√½ dk fpUg yxk;sa

1- p;u ijh{kk gsrq vH;FkhZ ds iath;u dh QksVks ;qDr izfr vFkok izos'k i=A

2- vk;q izek.k ds fy;s lds.Mjh] gkW;j lsds.Mjh] 10$2 vFkok led{k ijh{kk mRrh.kZ djus

ds izek.k i=@vad lwph dh ewy izfr ftlesa vk;q dk mYys[k gksA

3- ,e-ch-ch-,l-@ch-Mh-,l- ijh{kkvksa ds vafre izksQ ¼Proof½ dh vad lwph A Hkkjro"kZ ls

vU;= vgZrk ijh{kk mRrh.kZ djus dh n’kk esa us’kuy cksMZ vkQ ,Dtkfeus’ku ls Ldzhfuax

VsLV mRrh.kZ djus ds izek.k i= dh ewy izfrA

4- vfuok;Z bUVuZf'ki dEiyh'ku lfVZfQdsV dh ewy izfr vFkok fnukad 31 ekpZ rd

bUVuZf'ki iw.kZ djus laca/kh izkf/kd`r vf/kdkjh }kjk tkjh izek.k i=A

5- e/; izns’k esfMdy dkmafly@ e/; izns’k MsaVy dkmafly esa thfor iath;u ds izek.k

i= vFkok iath;u gsrq vkosnu dh ikorhA

6- vH;FkhZ ds vk/kkj dkMZ dh QksVks dkWihA

2

7- e/;izns'k dk ewy fuoklh@LFkkuh; fuoklh gksus laca/kh l{ke vf/kdkjh }kjk tkjh

izek.k&i=

8- l{ke vf/kdkjh }kjk tkjh e/;izns'k jkT; esa vkjf{kr Js.kh ¼tkfr izek.k&i=½ dk LFkk;h

tkfr izek.k&i=

9- orZeku o"kZ dk rglhynkj@uk;c rglhynkj }kjk tkjh vk; izek.k&i= vFkok vH;FkhZ

}kjk LogLrk{kfjr ?kks"k.kk i= ¼vU; fiNMk oxZ ds vH;fFkZ;ksa dh dhzeh@ukWudhzeh ys;j ds

fu/kkZj.k gsrq½ ¼;fn ykxw gks½A

10- lsokjr vH;FkhZ dks ewy foHkkx }kjk tkjh fd;k x;k vukifRr izek.k i=A

11- izk;ksftr ¼Likaljf'ki½ izek.k i=] ¼lsokjr vH;fFkZ;ksa ds fy, ykxw½A

12- fodykax izoxZ gsrq ftyk esfMdy cksMZ }kjk tkjh izek.k&i= ,oa fodykax iquZokl

dsUnz]usfi;j Vkmu] tcyiqj ls tkjh ik=rk izek.k&i= tks fd rhu ekg ls vf/kd iqjkuk

u gks ¼;fn ykxw gks½A

13- lSfud izoxZ ds vH;FkhZ dks dekUMsaV ¼lsokjr lSfud dh n’kk esa½ vFkok ftyk lSfud

dY;k.k cksMZ ¼lsokfuo`Rr vFkok e`r lSfud dh n’kk esa½ }kjk tkjh fd;k x;k izek.k i=A

14- Lora=rk laxzke lSukuh vH;FkhZ dks lacaf/kr ftyk dysDVªsV }kjk tkjh fd;k x;k izek.k

i=A

15- vfuoklh Hkkjrh; gksus laca/kh lacaf/kr nwrkokl ¼embassy½@dkmaflysV tujy }kjk izos’k

o"kZ esa tkjh fd;k x;k izek.k i=A

16- vfuoklh Hkkjrh; vH;FkhZ }kjk layXu izk:Ik esa ’kiFk i=A

17- vfuoklh Hkkjrh; dk layXu izk:Ik esa vH;FkhZ ds ml ij vkfJr gksus laca/kh uksVjh }kjk

'kiFk i=A

18- lhV fyfoax ckW.MA

19- xzkeh.k lsok@es?kkoh Nk= ca/k i=A

20- e/; izns’k ds vU;= fdlh jkT; ls ewy fuoklh ¼LFkkuh; fuoklh izek.k i=½ izkIr ugha

djus laaca/kh ’kiFk i=A

21- e-iz- 'kklu dhs xzkeh.k lsok ds fy, ckaMsM vH;fFkZ;ksa dks ;FkkfLFkfr yksd LokLF; ,oa

ifjokj dY;k.k foHkkx@ fpfdRlk f'k{kk foHkkx] e-iz- 'kklu }kjk tkjh vukifRr

izek.k&i= A

vH;FkhZ ds gLrk{kj ds lkFk iwjk uke rFkk irk

3

QksVks

izek.k&i=@vfHkys[kksa dh LØwVuh] laca/kh izksQkekZ

Hkkx&c ¼LdzwVuh ¼Nkuchu½ lfefr }kjk Hkjk tk,½

izekf.kr fd;k tkrk gS fd LdzwVuh ds le; mifLFkr vH;FkhZ dk QksVks ,oa gLrk{kj dk lh-

ch-,l-bZ-@,u-ch-bZ- ubZ fnYyh }kjk izsf"kr NEET esa lfEefyr ijh{kkfFkZ;ksa ds QksVks ,oa gLrk{kj

MkVk ls feyku djus ds ckn lgh ik;k x;k gS vFkok fHkUurk ikbZ xbZ gS A

fHkUurk dh fLFkfr esa fVIi.kh &---------------------------------------------------------------------------------

izekf.kr fd;k tkrk gS fd vH;FkhZ }kjk izLrqr fd, x, vfHkys[[email protected] i=ksa dh tkap dh xbZ

rFkk vfHkys[[email protected] i=ksa dh Lo izekf.kr Nk;kizfr;ksa ds nks lsV fjdkMZ gsrq tek dj fy;s x;s gSaA

lR;kiu ds i'pkr~] vH;FkhZ vkoafVr lhV ij izos'k ds fy;s ik= gS

vFkok

fuEu vfHkys[[email protected]&i= izLrqr ugha djus ds dkj.k@;k vU; dkj.kksa ls vkoafVr lhV ij izos'k ds fy;s

vik= gSa %&

1-----------------------------------------------------------------------------------------------------

2------------------------------------------------------------------------------------------------------

3------------------------------------------------------------------------------------------------------

izos’k lfefr ds v/;{k ds

gLrk{kj e; fnukad] uke] inuke

izos’k lfefr ds lnL; ds

gLrk{kj e; fnukad] uke] inuke

izos’k lfefr ds lnL; ds

gLrk{kj e; fnukad] uke] inuke

4

izk:i&2 ¼v½

¼vuqlwph&3 ¼12½ Lukrd ikB;dze gsrq½

feysVªh ilZu laoxZ ¼,e-ih-½ gsrq izek.k i=

HkwriwoZ lSfud

lanHkZ Øekad--------------------- fnukad---------------------

;g izekf.kr fd;k tkrk gS fd Jh@Jherh-------------------------------------------------------------------------------------------

-----------tks izos’k ijh{kk NEET UG o"kZ --------------------------------------------------------------------------------------------------------------------

ds vk/kkj ij ------------------------------------------------------ikB~;Øe esa izos'k ds fy;s vH;FkhZ Jh@dqekjh ---------------------

---------------------------------------- ds firk@ekrk gSa

Fky lsuk@ok;qlsuk@ukSlsuk ds@dh ,d HkwriwoZ lSfud gSaA lsokfuo`fRr@lsokeqfDr ds

le; og-----------------------------------------in ij Fks@Fkh A mudk lfoZl Øekad-----------------------------------

------------------------------FkkA lsok ds nkSjku og LFkk;h :i ls fodykax gks x;s gaS@lsok ds nkSjku

mudh e`R;q o"kZ------------------------ esa gks pqdh gSA og e/;izns’k ds LFkkuh; fuoklh

gSa@ugh gSa ¼tks ykxw u gks mls dkV nsa ½

LFkku---------------------- ftyk lSfud dY;k.k vf/kdkjh ds

gLrk{kj

fnukad---------------- -----------------------------------------------------------------

-----

¼dk;kZy; lhy½

5

izk:i & 2 ¼c½

¼vuqlwph&3 ¼12½ Lukrd ikB;dze gsrq½

e/;izns'k esa@e/;izns'k ds ckgj vU; jkT; esa dk;Zjr lSfud

lanHkZ Øekad------------------------- fnukad-------------------------

;g izekf.kr fd;k tkrk gS fd Jh@Jherh---------------------------------------------------------------

--------------tks izos’k ijh{kk NEET UG o"kZ ------------------- ---------------------------------------------------------------------------

--ds vk/kkj ij ------------------------------------------------------ikB~;Øe esa izos'k ds fy;s vH;FkhZ Jh@dqekjh -

-------------------------------------------------------------------------------------------------------- ds firk@ekrk gSa

v& Fkylsuk@ok;qlsuk@ukSlsuk esa---------------------------------------------------------------in ij lfoZl Øekad--------------

-------------- ds v/khu dk;Zjr lSfud gSa vkSj e/;izns'k esa fLFkr izfrj{kk bdkbZ esa inLFk gSaaSA

og e/;izns’k ds LFkkuh; fuoklh gSaA

vFkok

c& Fkylsuk@ok;qlsuk@ukSlsuk esa-----------------------------------------------in ij lfoZl Øekad------------------------------

ds v/khu dk;Zjr lSfud gSa vkSj og e/;izns'k jkT; ds ckgj fLFkr izfrj{kk bdkbZ esa

inLFk gaSA og e/;izns’k ds LFkkuh; fuoklh gSaA

vFkok

l& Fkylsuk@ok;qlsuk@ukSlsuk esa-----------------------------------------------in ij lfoZl Øekad------------------------------

ds v/khu dk;Zjr lSfud gSaA og e/;izns'k jkT; ds LFkkuh; fuoklh ugha gS ijUrq

e/;izns’k esa fLFkr izfrj{kk bdkbZ esa fnukad------------------------------------ ls lsokjr gSaA

LFkku---------------------- gLrk{kj % vkfQlj dekafMax---------------------------

fnukad---------------- ---------------------------------------------------------------------

¼dk;kZy; lhy½

6

izk:i&2 ¼l½

¼vuqlwph&3 ¼12½ Lukrd ikB;dze gsrq½

HkwriwoZ lSfud }kjk LFkk;h :i ls e/;izns'k esa vf/kokflr gksus laca/kh izek.k i=

lanHkZ Øekad---------------------- fnukad----------------------

esjs le{k izLrqr fd;s x;s izek.k ds vk/kkj ij izekf.kr fd;k tkrk gS fd

Jh@Jherh@dqekjh ¼mEehnokj dk uke½------------------------------------------------------------------------------------------ tks izos’k

ijh{kk NEET UG-o"kZ-------------------------- ds vk/kkj ij ¼ikB;dze dk uke½----------------------------ikB;dze esa

izos’k ds fy, mEehnokj gSa] Jh@Jherh ¼firk@ekrk½-------------------------------------------------------------------------------------

-ds@dh iq=@iq=h gSa] tks Fkylsuk@ok;qlsuk@ukSlsuk esa -------------------in]lfoZl dzekad-------------------------- ds

v/khu lsokjr jgdj lsokfuo`Rr gq, gSa vFkok lsokfuo`fRr ds Ik’pkr@mudh e`R;q ds Ik’pkr ~ muds

ifjokjtu -----------------------------------¼LFkku½]rglhy-----------------------ftyk----------------------esa vf/kokflr gks x, gSaA

LFkku&&&&&&&&&&&&& ftyk lSfud dY;k.k vf/kdkjh ds gLrk{kj

fnukad&&&&&&&&&&&& &&&&&&&&&&&&&&&&

¼dk;kZy; lhy½

7

izk:i& 3

¼vuqlwph&3 ¼13½ Lukrd ikB;dze gsrq½

Lora=rk laxzke lsukuh izoxZ gsrq izek.k i=

lanHkZ Øekad---------------------- fnukad-----------------------

;g izekf.kr fd;k tkrk gS fd Jh@Jherh----------------------------------------------------------------tks izos’k ijh{kk

NEET UG o"kZ ------------------- -----------------------------------------------------------------------------ds vk/kkj ij -----------------------------------

-------------------ikB~;Øe esa izos'k ds fy;s vH;FkhZ Jh@dqekjh ----------------------------------------------------------------------------------

----------------------- ds firk@ekrk gSa A

rFkk

Jh@Jherh ¼vH;FkhZ ds firk@ekrk dk uke½-----------------------------------------------------------------------------------

Jh@Jherh ¼Lora=rk laxzke lsukuh dk uke½ ------------------------------------------------- ds iq=@iq=h gSaA

rFkk

Jh@Jherh ¼Lora=rk laxzke lSukuh dk uke½ --------------------------------------------------------------- dk uke e/;izns'k

ds ftyk --------------------------------------------- ¼ftys dk uke½ esa la/kkfjr Lora=rk laxzke lSukuh dh iath esa

Øekad--------------------------------------------- ij iathd`r gSaA

LFkku&&&&&&&&&&&& gLrk{kj %

fnukad&&&&&&&&&&& ¼ftyk dysDVj@ftyk dysDVj }kjk vf/kdr̀ vf/kdkjh½

dk;kZy; dh Li"V eksgj

8

Ikzk:i&4

¼vuqlwph&3&11 (i) (ii) Lukrd ikB;dze gsrq½

¼fpfdRlk@nar fpfdRlk egkfo|ky; esa LVsV dksVk vFkok vkWy bf.M;k dksVs ls Lukrd ikB;dze esas

izosf'kr vH;FkhZ ds fy;s½

ca/k&i=

¼ lE;d :Ik ls LVkafir fd;k tkos,oa tks ykxw u gks mls dkV ns½

1& eSa] --------------------------------------------------------------------- iq=@iq=h@iRuh Jh ----------------------------------------------------------

----- fuoklh ----------------------- ------------------------ e/;izns'k ds fpfdRlk @nar fpfdRlk egkfo|ky; esa

LUkkrd ikB~;dze esa ’kS{kf.kd l=-------------------esa izos'k gsrq vH;FkhZ gwa A

2& eSus e/;izns'k 'kklu fpfdRlk f'k{kk foHkkx ds e/; izns’k fpfdRlk f’k{kk izos’k fu;e] 2018

dks HkyhHkkafr i<dj le> fy;k gS A

3& eSa ,rn~}kjk ;g ca/k i= fuEu'krksZ ij fu"ikfnr djrh@djrk gwa fd %&

i½ lhV fyfoax ckW.M&

v eSa fpfdRlk@ nar fpfdRlk Lukrd ikB~;dze esa izos'k izkIr djus ds mijkar v/;;ujr

jgdj ikB;dze iw.kZ d:axk@d:axh A

c ;g fd] esjs }kjk jkT; Lrjh; dkmaflfyax ds f}Rkh; pj.k ds vafre fnu ds i'pkr~ ,oa

ikB;dze iw.kZ gksus ls iwoZ fdlh Hkh ifjfLFkfr esa lhV ls R;kxi= fn, tkus vFkok esjk

fu"dklu fd;s tkus dh fLFkfr esa] eSa lacaf/kr 'kkldh; fpfdRlk@’kkldh; nar fpfdRlk

egkfo|ky; dh Lo'kklh lfefr dks lhV fyfoax ckaM jkf'k ,echch,l ikB~;dze ds fy;s

:0 10]00]000@& ¼ :0 nl yk[k ½ vFkok chMh,l ds fy;s :0 5]00]000@& ¼ :0

ikWap yk[k ½ Hkqxrku djus dk opu nsrk gWa @nsrh gwa vFkok futh fpfdRlk @nar fpfdRlk

egkfo|ky; esa izos’k ysus ij ikB;dze dh 'ks"k vof/k dk iw.kZ ’kS{kf.kd 'kqYd dk Hkqxrku

djus dk opu nsrk@nsrh gWwaA

ii½ xzkeh.k lsok ckW.M&

v& eSa fpfdRlk Lukrd ikB~;dze iw.kZ djus ds mijkar 'kklu }kjk fufnZ"V LFkkuksa ij fofgr

vof/k rd vfuok;Z :i ls fpfdRlk lsok iznku d:axh@d:axk A

9

c& fofgr vof/k tks fd 'kkldh; Lukrd ikB~;dze esa izos’k ysus ij ,d o"kZ vFkok eq[; ea=h

es/kkoh fon~;kFkhZ ;kstuk@eq[; ea=h tudY;k.k ;kstuk dk ykHk ysus ij nks Ok"kZ dh gksxh A

'kklu }kjk fufnZ"V LFkku ij lsok,a u nsus dh fLFkfr esa eSa 'kklu dks :0 10 yk[k

¼vukjf{kr oxZ gsrq ½ :0 5 yk[k ¼vkjf{kr oxZ gsrq ½ Hkqxrku djus dk opu nsrh@nsrk

gwaA

vFkok

eq[;ea=h es/kkoh fon;kFkhZ ;kstuk@eq[; ea=h tudY;k.k ;kstuk dk ykHk futh

fpfdRlk esa izos’k ysus ij ’kklu }kjk fufnZ"V LFkku ij 5 o"kZ dh lsok nsus vFkok :0 25

yk[k ¼vukjf{kr oxZ gsrq ½@:0 5 yk[k ¼vkjf{kr oxZ gsrq½ Hkqxrku djus dk opu

nsrk@nsrh gWwaA

gLrk{kj vkosnd

xokg %&

1-------------------------------------

2-------------------------------------

10

PROFORMA-5 (izk:i&5)

[As per Schedule 3 item 11(iv) (v) ] NOTARIZED AFFIDAVIT BY NRI CANDIDATE

(to be executed on rupees 1,000/- non judicial stamp paper)

(For admission in the NRI quota seats in Private Medical and Dental Colleges of MP State) 1) I, (Name of candidate) _______________________ Son of

Shri/Smt._______________________ aged ________ years, who is seeking admission in _____________________________ course through NEET _______________, NEET Testing ID ____________ under NRI quota seats in ______________________ private college, holding ___________________________ passport and residing at ___________________________________, mobile number ________ email id_________ , am an NRI. Proof of being NRI:- (any one)

i) OCI Card

ii) NRI Status certificate issued by embassy/consulate general in the admission year

iii) Copy of passport

OR

2) I am being sponsored by ____________ Son of /Daughter of___________ who is an NRI and

is my _____________ by relation as indicated below :-

S.no Relationship with candidates Tick Mark

1 Parents

2 Grandparents, (paternal/maternal )

3 Real Uncle / Aunt (paternal/maternal )

4 Real Brother/ Sister

OR

3) I am taken as a ward by_____________________S/o,/ D/o, _________________ who is an NRI and i am related to him in the following manner…………… (describe the relationship).

Sponsor will bear the entire fee to be paid for my education for the entire tenure of the programme.

Date Place Signature of Candidate

Name _____________ Address_____________

Note :- 1. choose any one of the three alternatives applicable. 2. in case the candidate is a minor on 01/04/2018 the affidavit has to be signed by a

parent or legal guardian of the candidate in the proforma given.

11

PROFORMA-6 (izk:i&6)

[As per Schedule 3 item 11(iv) (v) ] NOTARIZED AFFIDAVIT BY GUARDIAN / SPONSOR

(to be executed on rupees 1,000/- non judicial stamp paper)

(For admission in the NRI quota seats in Private Medical and Dental Colleges of MP State) 1) I, (Name of guardian/ Sponsor) _____________________hereby, declare that Mr/ Ms -----------

------------(Name of candidate) Son of Shri/Smt_____._______________________ aged ________ years, who is seeking admission in _____________________________ course through NEET _______________, NEET Testing ID ____________ under NRI quota seats in ______________________ private college, holding _____________________________________ passport and residing at ___________________________________, mobile number ________ email id_________ , is an NRI. Proof of being NRI:- (any one)

i) OCI Card

ii) NRI Status certificate issued by embassy/consulate general in the admission year

iii) Copy of passport

OR

2) He is being sponsored by ____________ Son of /Daughter of___________ who is an NRI and is related to the candidate by relation as indicated below :-

S.no Relationship with candidates Tick Mark

1 Parents

2 Grandparents, (paternal/maternal )

3 Real Uncle / Aunt (paternal/maternal )

4 Real Brother/ Sister

OR

3) He is taken as a ward by_____________________S/o,/ D/o, _________________ who is an NRI and related to him in the following manner…………… (describe the relationship).

Sponsor will bear the entire fee to be paid for my education for the entire tenure of the programme.

Date Place Signature of Legal Guardian/ Sponsor

Name _____________ Address_____________

Note :- Choose any one of the three alternatives applicable..

12

PROFORMA-7 (izk:i&7)

[As per Schedule 3 item 11 (v) ] NRI/OCI SPONSORSHIP CERTIFICATE

(Applicable for candidates sponsored by NRI/OCI) The candidate is required to submit the following NRI/OCI sponsorship certificate from the sponsorer duly notarized in the country of residence of NRI/OCI at the time of admission.

I, ……………………………………………………………………Son/Daughter of Mr./Mrs.

………………….…….………........ aged about ……………years, do hereby declare that I am

a Non-Resident Indian (NRI)/ an Overseas Citizen of India (OCI) and I am herewith enclosing

photocopy of my valid passport/ OCI card duly counter signed by the Indian embassy/ high

commission.

That my present address is:………………………………………………………………...

……………………………………………………………………………………………………

…………….………………………………………………………………………….……………

………………………………………….……….PhoneNo.:……………………………….……

Country:…………………Email:…………………………………………………………………

…… ….....

That I have taken Mr. /Ms………………………………………………………………...........

Daughter/Son of……………………………………………………………………………...........

Address………………………………………………………………….......................…………

as my ward, who is taking admission in....................................................course through

NEET......................(Year)............................,NEET testing ID.....................................under NRI

Quota........................... and that I wish to sponsor him/her as a candidate in the NRI category for

admission in the private medical college in Madhya Pradesh.

That I undertake to bear the entire fee of Mr./Ms…………………………….to study in the

UG/PG

Programme till he/she successfully completes the program. That the candidate

Mr/Ms. ……………………….. is related to me as……………….. (describe relationship).

I am holding Passport No………………of country ……………………………………….. date

of issue……………………..……………....…………………Declared on this ……………….

day of …………….2018.

Signature of the Sponsor ………………………. Name……………………………………………… Email:- ……………………………..………………

Place of Residence……………….………………

……………………………………………………

Verification by notary Verified that the contents of this affidavit are true to the best of my knowledge and be verified at______________ (place) on this the ________(day) of ______(month), _________(year). Name _____________________ Solemnly affirmed and signed in my presence on this___________ day of_______________ Place : Date : Notary public

13

14

(प्रारूप-8)

नोटराइज् ड शपथ-पत्र

( रूपये 100 के नॉन जुडीशशयल स् टाम् प पेपर पर ननष् पादित )

मध् यप्रदेश के स् थानीय ननवासी / मलू ननवासी अभ् यथी के द्वारा ददया जाने वाला शपथ-पत्र

मैं..........................................पतु्र / पतु्री / पत् नी श्री........................................... ननवासी............................मध् यप्रदेश के चिककत् सा / दंत चिककत् सा महाववघालय में स् नातक / स् नातकोत् तर

पाठ्रयक्रम में शकै्षणिक सत्र ................... में प्रवेश हेतु अभ् यथी हंू। मैंने मध् यप्रदेश शासन चिककत् सा शशक्षा ववभाग के मध् यप्रदेश चिककत् सा शशक्षा प्रवेश ननयम 2018 को भलीभांनत पढ़कर समझ शलया है। मैं शपथ पवूवक यह कथन करता / करती हंू कक मनैें अन् यत्र राज् य से स् थानीय ननवासी / मलू ननवासी प्रमाि पत्र प्राप् त नहीं ककया हैA मनैें यह भली भांनत समझ शलया है कक मेरे द्वारा दी गयी जानकारी गलत पाये जाने पर मेरा प्रवेश स् वत: ननरस् त हो जायेगा।

हस् ताक्षर

नाम- ........................... पता- .............................. ददनांक- ..........................

15

(प्रारूप-9)

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