GOVERNMENT MEDICAL COLLEGE, NARSAMPET
Required documents for MBBS Admissions 2024-25
1. Application (Joining Report)
2. University Provisional Selection Order
3. NEET Admit card
4. NEET Rank Card
5. Bonafide/Study and conduct Certificate (1st to Inter)
6. SSC Marks Memo
7. Intermediate Marks Memo
8. Transfer Certificate
9. Migration Certificate (If Applicable)
10. Equivalent certificate (If studied in other State)
11. Social Status Certificate/EWS Certificate
12. PWD certificate (If Applicable)
13. NCC/Sports/CAP/PMC(If Applicable)
14. Aadhar Card (Xerox)
15. Discontinuation Bond Paper Rs. 100 (for Rs.20 Lakhs)
16. On non Judicial stamp paper of Rs. 100 (Genuinity of certificate).
17. On non Judicial stamp paper of Rs. 100 (Anti ragging affidavit by the Student)
18. On non Judicial stamp paper of Rs. 100 (Anti ragging affidavit by the Parent)
19. D.D. No. Dt. OC/BC of Rs.29000/-
D.D. No. Dt. SC/ST of Rs. 27000/-
In Favor of Principal, Government Medical College, Narsampet,
Warangal
20. [Link]. Dt. of Rs.12,000/- (University fee for AIQ)
In Favor of Registrar, KNRUHS, Warangal
21. 4 Copies of Latest Color Photos
Note: Bring two sets Xerox copies of all the above documents along with
theoriginals
PROFORMA FOR UNDERTAIKNG IN THE FORM OF AFFIDAVIT (ON NON-
JUDICIAL STAMP PAPERS OF RS.100/- WITH NOTARY)
BOND FOR UG MBBS/BDS ADMISSION FOR THE ACADEMIC YEAR 2024-25
I (Name of the candidate) S/o,D/o (Name of the parent),
Selected for MBBS/BDS Course do hereby under take to complete the course as per the
requirements of KNR University of Health Sciences, Telangana, Warangal. In the event
of my discontinuing the studies after joining the course after the date of announcement
of second phase of admissions, I under take to pay KNR University of Health Sciences,
a sum of Rs.20,00,000.00/- (Rupees Twenty Iakhs only) and I am aware that I will be
debarred for three years for admissions into MBBS/BDS course in the state of Telangana
besides payment of Rs. 20,00,000/- (Rupees Twenty Iakhs only) towards the forfeiture of
the bond in accordance to the [Link] No.125,126 and 127 HM&FW Dept
Dated:22.09.2022.
Signature of the candidate
I (Name of the parent), parent of Mr/Ms. (Name of the
candidate), do here by under-take to pay KNR University of Health Sciences, a sum of
Rs.20,00,000.00/- (Rupees Twenty Iakhs only). In case of discontinuation of MBBS/BDS
Course after joining the date of announcement of second phase of admissions by my
son/daughter and I am aware that my son/daughter will be debarred for three years for
admissions into MBBS/BDS course in this state of Telangana bedsides payment of
Rs.20,00,000.00/- (Rupees Twenty Iakhs only) towards forfeiture of the bond in
accordance to the [Link] No.125,126 and 127 HM&FW Dept Dated:22.09.2022.
Signature of the Parent
Witnesses
1.
2.
PROFORMA FOR UNDERTAIKNG IN THE FORM OF AFFIDAVIT(ON NON-
JUDICIAL STAMP PAPERS OF RS.100/-)
UNDERTAKIN G
I, ................................................................................... (Candidate name)
S/o / D/o ............................................................................ , bearing UG NEET 2024
Rank No ………………………….. and I,
……………………………………………………………………………………….
(Parent name) F/o ............................................................ , bearing UG NEET 2024
Rank No …………………………..
hereby give an undertaking as below, in connection with our claim with regard to
certificates submitted for admission into UG Medical and Dental Courses for the
Academic Year 2024-25 in Colleges affiliated to KNR University of Health Sciences. We,
hereby declare that all our certificates are genuine.
I am aware that if the submitted relevant certificate (s) is / are found to be not
genuine at a later date, my admission is liable to be cancelled and I am liable for
criminal prosecution, as may be legally deemed fit. Further I agree that I abide by the
Rules and Regulations of KNR University of Health Sciences. I also hereby undertake
that I shall not enter into legal litigation, if the seat allotted to me is cancelled, for the
above reasons.
Signature of the Parent / Guardian Signature of the
Candidate
Aadhar
No.
Address:
Date:
Place:
(ON NON- JUDICIAL STAMP PAPER OF RS.100/-)
ANNEXURE I
AFFIDAVIT BY THE STUDENT
I Registration No.
S/o, D/o , having been admitted to
Government Medical College, Narsampet, Warangal (District) have received a
copy of the UGC Regulations on Curbing the Menace of Ragging in Higher
Educational Institutions 2009. (Hereinafter called the “Regulations”) carefully read
and fully understood the provisions constrained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to
what fully constitutes ragging.
3) I have also, In particular, Perused clause 7 and clause 9.1 of the Regulations and
am fully aware of the penal and administrative action that is liable to be taken
against me in case I am found guilty of or abetting ragging, actively or passively, or
being part of a conspiracy to promote ragging.
4) I hereby solemnly ever and undertake that
a) I will not indulge in any behavior or act that may be constituted as ragging
under clause 3 of the Regulations.
b) I will not participate in or abet or propagate through any act of commission
or omission that may be constituted as ragging under clause 3 of the
Regulations.
5) I hereby affirm that, if found guilty of ragging, I am liable punishment according to
clause 9.1 of the Regulations, without prejudice to any other criminal action that may
be taken against me under any penal law or any law for the time being in force.
6) I hereby declare that I have not been expelled or debarred form admission in any
institution in the country on account of being found guilty of, abetting or being part
of a conspiracy to promote, ragging; and further that affirm that, in case the
declaration is found to be untrue, I am aware that my admission is liable to be
cancelled.
Declared this day of month of year.
Signature of the Student
Name:
NOTARY
(ON NON- JUDICIAL STAMP PAPER OF RS.100/-)
ANNEXURE – II
AFFIDAVIT BY PARENT /
GUARDIAN
1) Mr. /Mrs./Ms. (full name of parent /
guardian) father / mother / guardian of
(full name of student with admission / registration / enrolment number) having been
admitted to Government Medical College, Narsampet, Warangal (District), have
received a copy of the UGC Regulations on Curbing the Menace of Ragging in Higher
Educational Institutions 2009. (Here in after called the “Regulations”) carefully read and
fully understood the provisions constrained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what fully
constitutes ragging.
3) I have also, In particular, Perused clause 7 and clause 9.1 of the Regulations and am
fully aware of the penal and administrative action that is liable to be taken against me
in case I am found guilty of or abetting ragging, actively or passively, or being part of a
conspiracy to promote ragging.
4) I hereby solemnly ever and undertake that
a) My ward will not indulge in any behavior or act that may be constituted as
ragging under clause 3 of the Regulations.
b) My ward will not participate in or abet or propagate through any act of
commission or commission that may be constituted as ragging under
clause 3 of the Regulations.
5) I hereby affirm that, if found guilty of ragging, my ward liable for punishment according
to clause 9.1 of the Regulations, without prejudice to any other criminal action that may
be taken against my ward under any penal law or any law for the time being in force.
6) I hereby declare that my ward has not been expelled or debarred form admission in any
institution in the country on account of being found guilty of, abetting or being part of a
conspiracy to promote, ragging; and further that affirm that, in case the declaration is
found to be untrue, the admission of my ward is liable to be cancelled.
Declare this day of month of year.
Signature of the Parent
Name:
Address:
Telephone / Mobile No.
NOTARY
