ANNEXURE - III B
(Non-Judicial Stamped paper for Rs. 100/-)
(FOR NON - SERVICE CANDIDATES)
I, Dr...................................................................................... selected for Post
Graduate Degree/Diploma Course for the year 2019-20 do hereby undertake
to serve the Government of Telangana by working in the Public Sector
Hospital as a Senior Resident for a period of one year after succesful
completion of the PG Degree / Diploma Course. If I fail to join as senior
resident or not completing one year of service within a maximum period of 18
months, I undertake to pay a sum of Rs.20,00,000/- / 10,00,000/- (Rupees
twenty lakhs / Rupees ten lakhs only) to the Government.
DATE : Signature of the Candidate
Witness : Sureties
1
. Signature : 1. Signature :
Name and address in
Name and address in full full
2
. Signature : 2. Signature :
Name and address in
Name and address in full full
ANNEXURE - III A
(Non-Judicial Stamped paper for Rs. 100/-)
(FOR ALL CANDIDATES)
I, Dr ....................................................................................... selected for Post Graduate Degree/Diploma
for the year 2019-20 do hereby undertake to complete the said course as per the requirements of the University.
In the event of my leaving the studies after joining the course, I undertake to pay to the KNR University of Health
Sciences a sum of Rs.5,00,000/- (Rupees Five lakhs only) and refund the amount received as stipend up to
that date to Government.
DATE : Signature of the Candidate
Witness : :
1. Signature :
Name and address in full Name and address in full
2. Signature : 2. Signature of parent:
Name and address in full Name and address in full
N.B. : 1. The Bond format shall be typed on the Non Judicial stamped paper.