Instructions for

Postgraduate
admission
2021-22
FOR DETAILED INFORMATION VISIT

www.mcc.nic.in
&
www.kea.kar.nic.in
FILL UP ALL
THE
DOCUMENTS
IN CAPITAL
LETTERS
ONLY
 Bangalore Medical College & Research Institute, Bengaluru
Instructions for Admission to Post Graduate Courses (Academic Year 2021-22)
Original documents along with Two Sets of Self Attested Photocopies
to be submitted in the following order.
1. NEET PG Admit card
2. NEET PG Rank card
3. NEET Allotment Order /KEA Allotment Order and KEA Acknowledgement
4. SSLC Marks Card / Birth Certificate
5. 2nd PUC/12th Standard Marks card
6. MBBS Marks Card (I MBBS, II MBBS, Final MBBS Part-1, Final MBBS Part-2)
7. Attempt Certificate
8. Study Certificate
9. Internship Certificate/ Provisional Certificate.
10. Degree Certificate/ Provisional Certificate.
11. Certificate regarding NMC/MCI recognition of MBBS degree.
12. State Medical Council Registration Certificate
13. Caste Certificate (For candidates claiming Reservation)
14. Domicile Certificate (For SQ candidates only)
15. Transfer Certificate
16. Migration Certificate (For Students from other Universities)
17. PG Diploma Marks Card (if any)
18. PG Diploma Certificate (if any)
19. Eligibility Certificate issued by RGUHS (For Students from other Universities)Apply
in-person at Rajiv Gandhi University of Health Sciences,4th T block, Jayanagar Bengaluru
20. Declarations 1 and 2, (Declaration 3 if applicable)
20. Penalty Bond (On Rs.100/- E-stamp Paper Duly Notarized) (For Forfeiture of seat)
21. Service Bond 1 (On Rs.100/- E-stamp Paper Duly Notarized) (1year)
22. Service bond 2 (On Rs.200/- E-stamp Paper Duly Notarized) (3 year)
23. Physical Fitness Certificate (Issued by Authorised Government Medical officer)
24. Photograph (3 pass port size and soft copy in JPEG format less than 45KB)
25. Aadhar card
26. PAN Card
27. Physical Disability Certificate (Issued by Authorised Competent Government Authority)
28. Probationary Period Declaration letter & Relieving Order
(In case of In-service candidates)
Note: Scan each of the above documents and Name and Save as individual pdf File in a single folder
bearing the Candidate’s name in a CD And also mail it to [email protected]
 THE FOLLOWING DOCUMENT FORMATS TO BE DOWNLOADED

AND FILLED IN CAPITAL LETTERS ONLY

 OFFICE NOTE.

 PARTICULARS OF POST GRADUATE STUDENT.

 DECLARATION 1 (Penalty in case forfeiture of seat)

 DECLARATION 2 (Mandatory services in Government by Post Graduates after completion of

course as per Government Order No. HFW/334/RGU/2012, dated: 23.11.2013)

 DECLARATION 3 (In case of candidate who has completed PG diploma)

 PENALTY BOND (on e- stamp paper of Rs. 100/- duly notarized)

 SERVICE BOND 1 (on e- stamp paper of Rs. 100/- duly notarized)

 SERVICE BOND 2 (on e- stamp paper of Rs. 200/- duly notarized)

(Contents of the above bonds are provided in following pages. Same to be printed on

the prescribed value e-stamp papers, signed by candidate, sureties (Parent/

Government official), and witnesses as required, duly notarized and submitted at the

time of admission.)

For all e Stamp papers

1st party is the candidate &

2nd party is the Director, Directorate of Medical Education, Karnataka

Special note: only e-stamp paper is accepted by govt. of Karnataka. If e-stamp paper

is not available in your states, the bonds may be prepared here in Bengaluru at the

time of admission.

***********
No. BMCRI/PG/146/2021-22 Date:
OFFICE NOTE
SUB: ADMISSION TO POST GRADUATE COURSE FOR THE ACADEMIC YEAR 2021-22 - REG
*****
POST GRADUATE DEGREE QUOTA AIQ SQ IN-SERVICE
SUPER SPECIALITY ***************************** SESSION I II III
PG NEET ROLL NO. PG NEET RANK
Dr.__________________________________ S/o/ D/o/ W/o _____________________________
has submitted the following original certificates.
SL FOR OFFICE USE ONLY
PARTICULARS
NO SUBMITTED NOT SUBMITTED
1 NEET PG Admit card
2 NEET PG Rank card
3 NEET /KEA Allotment Order and KEA Acknowledgement
4 SSLC Marks Card / Birth Certificate
5 2nd PUC/12th Standard Marks card
1st MBBS
2nd MBBS
6 MBBS Marks Card
Final MBBS Part-1
Final MBBS Part-2
7 Attempt Certificate
8 Study Certificate
9 Internship Certificate/ Provisional Certificate
10 Degree Certificate/ Provisional Certificate
11 Certificate regarding MCI recognition of MBBS degree
State Medical Council Registration Certificate
12 State: Reg No:
13 Caste Certificate (For candidates claiming Reservation)
14 Domicile Certificate (For SQ candidates only)
15 EWS certificate
16 Transfer Certificate
17 Migration Certificate (For Students from other Universities)

18 PG Diploma Marks Card (In applicable cases)

19 PG Diploma Certificate & Declaration 3 (In applicable cases)

20 Eligibility Certificate issued by RGUHS (For Students from other Universities)

21 Declarations 1 and 2
22 Penalty Bond (On Rs.100/- E-stamp Paper Duly Notarized) (For Forfeiture of seat)
23 Service Bond 1 (On Rs.100/- E-stamp Paper Duly Notarized) (1 year)
24 Service Bond 2 (On Rs.200/- E-stamp Paper Duly Notarized) (3 years)
25 Physical Fitness Certificate (Issued by Authorised Government Medical officer)
26 Photograph (3 pass port size and soft copy in JPG format less than 45KB)
27 Aadhar card (Photo copy) No:
28 PAN Card (Photo copy) No:

Physical Disability No:

29 Certificate Issued by:
Probationary Period Declaration letter
30 In-service candidates
Relieving Order
DD Bank: SBI, TSP Road, Bengaluru Amount: DD/NEFT/RTGS No: Date:
31 Fee Details NEFT Bank: No. Date:

RTGS Bank: No. Date:

Signature of the Scrutinizing Officer Signature of candidate

 BMC&RI – ACADEMIC YEAR 2021-22
DETAILS OF POST GRADUATE STUDENT
Sl No PARTICULARS TO BE FILLED IN CAPITAL LETTERS ONLY
1 Name of the Student
2 Father’s Name
3 Mother’s Name
4 Spouse’s Name
5 Date of Birth with Age

6 Permanent Address

7 Correspondence Address

8 Landline No
9 Mobile No
10 Email ID
11 Aadhar No
12 PAN
Bank Account Details
Name of Account No
13 the Bank
Branch IFS Code

State:
14 State Medical Council Registration
Reg No:
15 PG NEET Roll No
16 Marks Obtained in PG NEET
17 All India PG NEET Rank
18 KEA/State PG NEET Rank
19 Allotment Order No.& Date
PG degree/ Super Specialty
20
Discipline/Subject
21 Type of Allotment AIQ / SQ / In-service
GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat III A / Cat III B / OBC/ SC/
22 Reservation Category Claimed
ST/EWS
GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat III A/ Cat III B / OBC/ SC/
23 Reservation Category Allotted
ST/EWS
24 Counseling session I Round / II Round / III Round
25 Hyderabad Karnataka Quota Yes / No
26 Physical Handicap Quota Yes / No
27 Institution last studied
28 Date of joining the PG course

Signature of the Candidate

 DECLARATION 1

2021-22
Name of the Candidate
PG NEET Roll No. PG NEET Rank
PG SUBJECT AIQ SQ In Service Round I / II/ III
GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat II IA/ Cat III B/ OBC / SC/ ST/EWS
Category

State Medical council Registration No: State:

Email Mobile No

I, Dr. ______________________________ S/o/ D/o/ W/o __________________________

Admitted to PG Degree in ____________________________ for the academic year 2021-22 hereby

declare that, upon forfeiture of seat, I will pay penalty as applicable in the individual case in

accordance with the existing rules of Government of Karnataka.

Place:
Date:
Signature of the candidate
 DECLARATION 2
(Mandatory services in Government by Post Graduates after completion of course as per
Government Order No. HFW/334/RGU/2012, dated: 23.11.2013)
2021-22
Name of the Candidate
PG NEET Roll No. PG NEET Rank
PG SUBJECT AIQ SQ In Service Round I / II/ III
GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat II IA/ Cat III B/ OBC / SC/ ST/EWS
Category

State Medical council Registration No: State:

Email Mobile No

I Dr. __________________________, S/o/ D/o/ W/o ____________________,

Admitted to PG Degree in the academic year 2021-22 hereby declare that

after completion of PG course, I abide to serve a minimum period of three years of Government

service, if the Government desires.

[Candidates who have availed 100% tuition fee reimbursement from the Government should

furnish an undertaking that he/she will serve the Government for a period of five years, if the

Government desires]

Upon failure to obey the orders of serving in the Government, I will pay the penalty of Rs.

50.00 Lakhs (Rs. Fifty lakhs only).

Place:
Date:
Signature of the candidate
 DECLARATION 3
(IN CASE OF CANDIDATES WHO HAVE COMPLETED PG DIPLOMA)

2021-22
Name of the Candidate
PG NEET Roll No. PG NEET Rank
PG SUBJECT AIQ SQ In Service Round I / II/ III
GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat II IA/ Cat III B/ OBC / SC/ ST/EWS
Category

State Medical council Registration No: State:

Email Mobile No

I, Dr. ____________________________, S/o/ D/o/ W/o ___________________________,

selected for admission to PG Degree in _____________________ course in Bangalore Medical

College & Research Institute, Bengaluru, hereby declare as under:

1. At present I am not pursuing PG Degree/ PG Diploma in any Medical college in India.

2. I possess a PG Diploma in from

________________________________ College in the year ____________. I have now

claimed PG Degree in the same subject only.

I am aware that in case the above information is found to be false, I shall forfeit the seat

allotted to me and render myself liable for civil and criminal action as per selection rules.

Place:
Date:
Signature of the candidate

NOTE: The above declaration is applicable in case of candidates who have passed post graduate
Diploma course and now selected for Degree courses in the same specialty
 PENALTY BOND
(To be executed on e-stamp paper of Rs. 100/- and duly notarized)
DATE: ___/___/______

2021-22
Name of the Candidate
PG NEET Roll No. PG NEET Rank
PG SUBJECT AIQ SQ In Service Round I / II/ III
GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat II IA/ Cat III B/ OBC / SC/ ST/EWS
Category

State Medical council Registration No: State:

Email Mobile No

Know all men by these that we:

1. Dr.__________, aged about ___ years, S/D/W/o._________, and residing at
___________________ ______________________________ (herein after called the Obliger)
and
2. ________________ aged about ____ years, S/D/W/o.________________, and residing at
___________________________________________________ (herein after called the surety)

do hereby jointly and severally bind ourselves and our respective heirs, executors and administrators
to pay to the Government of Karnataka (herein after called “the Government”) on demand, the sum of
Rs.5,00,000/-(Rupees Five Lakhs only), and stipend as detailed herein below, together with interest
thereon from the date of demand at Government rates on Government loans in force at that time, and
together with all costs between attorney and client and all charges and expenses that shall or may
have been incurred by the Government.

The obliger has been admitted for post Graduate studies in _______________ at
Bangalore Medical College & Research Institute, Bengaluru. In the event of the obliger leaving the
course by discontinuance or otherwise and thus failing to complete the course, the obliger and the
surety shall forthwith pay to the Government on demand the said sum of Rs.5,00,000/-(Rupees Five
Lakhs only), plus stipend drawn by the obliger from Government during the period of his/her Post
Graduate study in _______________ in Bangalore Medical College & Research Institute, Bengaluru
together with interest thereon from the date of demand, at the rate of interest on Government loans, in
force at that time.
 In addition to the prescribed fine, every candidate shall pay the course fee for the remaining period of
the course as well, by his own means, to the Government/Private College in the event of him/her
leaving the course before its completion.

Provided always that the liability of the surety hereunder shall not be impaired
of discharge by reason of time being granted or by any forbearance act of omission of the
Government or any person authorized by them (whether with or without the consent or knowledge of
the surety) nor shall it be necessary for the Government to sue the obliger before suing the surety for
amounts due hereunder.

The E-stamp shall in all respects be governed by the Laws of India for the time
being in force and the rights and liabilities hereunder shall where necessary be accordingly
determined by the appropriate courts in India.
Signed and dated this ___________ day of ________(month), two thousand nineteen.

Signed and delivered by the obliger above named Dr. _______________ in the presence of
Sureties
1 2

Name Name
Address Address

Signed and delivered by the surety above in the presence of

Witnesses

1 2

Name Name

For all e Stamp papers

1st party is the candidate &
2nd party is the Director, Directorate of Medical Education, Karnataka

SERVICE BOND 1
 (To be executed on e-stamp paper of Rs. 100/- duly notarized)
Compulsory Government Service Bond Format for Non-In-service Candidates
DATE: ___/___/_____
2021-22
Name of the Candidate
PG NEET Roll No. PG NEET Rank
PG SUBJECT AIQ SQ In Service Round I / II/ III

Category GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat II IA/ Cat III B/ OBC / SC/ ST

State Medical council Registration No: State:

Email Mobile No
_
I, Dr________________________, aged_____ years, S/o, D/o, W/o –––––––––––––––––––––
–, Permanent of Resident of __________________________________________________________,
at present residing at _______________________________________________________________,
do hereby swear on oath as follows:
1. That I am admitted to ----------------------------------------------------------College for PG Degree/
Super Specialty in --------------------------------- (mention the subject) under -----------------------
----------------------------- quota.
2. I am submitting the bond after reading and fully understanding the Karnataka Compulsory
service by candidates completed Medical course act 2012 and its amendments.
3. I state that I am admitted under non-in-service All India quota/ State quota.
4. I understand that all the candidates (other than the candidates who have undergone
compulsory rural service after award of MBBS degree) who take admission to PG Medical
Degree courses and successfully complete the Post Graduate Degree shall under go one-year
compulsory service in Government hospital in urban area as per Karnataka Compulsory
service training by the candidates completed medical courses (counseling, allotment, and
certification) as per Karnataka Compulsory Service Act 2012 as amended in 22/09/2017 and
rules there under to the said act.
5. I am fully aware of the fact that the candidates will be entitled to only temporary registration
till completion of such service. I shall abide voluntarily to the said condition.
Executed and signed in the presence of witnesses on this ________ day of ________ (month) 2021 at
_______________________ (place)

Signature of the Candidate.

Witnesses:

1 2

Name Name
Address Address

For all e Stamp papers

1st party is the candidate &
2nd party is the Director, Directorate of Medical Education, Karnataka
 SERVICE BOND 2
(To be executed on e- stamp paper of Rs. 200/- duly notarized)
UNDERTAKING AS REQUIRED UNDER RULE 15 (6) OF THE KARNATAKA CONDUCT OF ENTRANCE TEST
FOR SELECTION AND ADMISSION TO THE POST-GRADUATE MEDICAL AND DENTAL DEGREE AND
DIPLOMA COURSES RULES, 2006 FOR MEDICAL DEGREE / DIPLOMA COURSES
DATE: ___/___/______
2021-22
Name of the Candidate
PG NEET Roll No. PG NEET Rank
PG SUBJECT AIQ SQ In Service Round I / II/ III

Category GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat II IA/ Cat III B/ OBC / SC/ ST

State Medical council Registration No: State:

Email Mobile No

I, Dr................................................................., aged……………years, S/o, D/o,

W/o………….. having Aadhar no.................................., PAN No. ......................... Permanent
resident of
………………………………………………………………………………………..... and
Presently resident at...................................................................................................., (herein
after referred to as BOUNDEN) do hereby swear on oath as follows: -

1) That I am admitted to ‘Government’ seat for ‘All India quota’/‘State quota’ in

………........................................ ................college for post-graduate medical degree in
…………………………………………………….. (Indicate the subject) during the
centralized counseling for admission to post-graduate courses- 2021.
2) I am aware of the fact that the Fees for ‘Government’ seat is highly subsidized, I shall be
under an obligation to serve the State of Karnataka for a minimum period of three years after
completion of my post-graduate course as required under rule 15(6) of the Karnataka Conduct
Of Entrance Test For Selection And Admission To The Post-Graduate Medical And Dental
Degree And Diploma Course Rules, 2006. After reading and fully understanding the above
mentioned Rules, I have opted for the ‘Government’ seat.

3) In compliance with the above Rule 15(6), I hereby furnish the undertaking voluntarily, with
my free will that I shall abide by the condition to serve the Government of Karnataka for a
period of three years after completion of my post-graduate course in any location decided by
the Government of Karnataka, and that If I fail to comply with undertaking, myself and/or my
sureties mentioned below do hereby bind ourselves and each of us, our and each of heirs,
executors and administrators jointly and severally to pay to the Governor of Karnataka on
demand, we shall pay a penalty of Rs. 50.00 lakh (RUPEES FIFTY LAKH ONLY) to the
Government and only after payment of penalty, I shall collect my original documents which
are in the custody of the Institution.
 4) I am enclosing the details of two sureties along with their self- attested copies of PAN card
and Aadhar card.

Signed this day of ................................., by the Bounden

DETAILS OF SURETIES

1. Name: ...................................................... aged …………… years,

S/o,D/o,W/o……………………….
Aadhar no..............................,
PAN No. ............................

2. Name: ...................................................... aged …………… years,

S/o,D/o,W/o……………………….
Aadhar no..............................,
PAN No. ............................

SIGNATURE OF BOUNDEN (CANDIDATE)

SIGNATURE OF SURETIES

1 2

Name Name
Address Address

SIGNATURE OF WITNESSES

1 2

Name Name

For all e Stamp papers

1st party is the candidate &
2nd party is the Director, Directorate of Medical Education, Karnataka
 Post Graduate Fee Details
2021-22
Broad Specialty PG Degree
Pre-clinical INR. 44,470/-
Para-Clinical INR. 69,470/-
Clinical INR.1,19,470/-

MODE OF PAYMENT
DEMAND DRAFT or NEFT / RTGS
(NATIONALISED BANK ANYWHERE IN INDIA)
IN FAVOUR OF
DIRECTOR CUM DEAN, BMCRI, BENGALURU

STATE BANK OF INDIA,

TIPPU SULTAN PALACE ROAD BRANCH
S/B ACCOUNT NUMBER-32021548615
IFSC CODE: SBIN0070242
to mention name of the candidate and Mobile number, Fees paid document

Note: Fee Structure/Service bond/Penalty bond for discontinuation may change

from time to time as per the orders of the Government of Karnataka.
 POST GRADUATE ADMISSION 2021-22
ADMISSION TIMINGS 10.30AM TO 4:00PM
(Note: Bank transaction closes at 3:30 PM on week days.)

VENUE: LIBRARY AND INFORMATION BLOCK

EXAMINATION HALL, FIRST FLOOR, ABOVE DISSECTION HALL.
(Venue can be approached through entrance to Library building)
PREREQUISITES:
 All the forms and declarations to be downloaded from website.
 Forms to be filled in capital letters and signed.
 Required bonds should be prepared on e-stamp paper, signed, and notarized.
 All original documents to be arranged in the sequence mentioned in “office order”.
 If they are in files /folders, remove them and keep them readily available for verification.
 Two sets of self attested photocopies of all the documents to be kept ready and arranged in
the same order.

SEQUENCE OF EVENTS
STEP-1  Candidate to register at the desk
REGISTRATION  Collect the token

STEP-2  Original documents and photocopies to

Document Verification be submitted to verification officer
and Submission

STEP-3
Fee Challan  Fee payment, Submit 2 photocopies of the
Collection and Fee same to the college
Remittance

 Submit fee challan copy

 Upload candidate details online at the
STEP-4 computer desk
Report Back to (Assisted by Data entry operator)
Admission Office  Collect Admission order and
Acknowledgement
 Return the Token

**
 LAYOUT OF THE CAMPUS AND LOCATION OF PG ADMISSION OFFICE

BMCRI CAMPUS

PG
admission
office

I floor

Exam Hall