GOVT.

MEDICAL COLLEGE,
Chhatrapati Sambhajinagar
(AURANGABAD)- Maharashtra State
Instruction manual for
“Super Specialty” admission process

Welcome

Contact details for query: (between 10:30 AM to 4:30 PM ONLY)

1. For any query, please call during 11:00 AM to 5:00 PM.

Landline number (CET CELL):
Direct Number: (0240) 2402429
EPBX Number: (0240) 2402412, 2402413, 2402414, 2402415 and ask
for extension No.322
DON’T CALL ON THE PERSONAL NUMBER OF DEAN / NODAL OFFICER
notified on mcc website; it is given for administrative use by mcc/STATE
ONLY.
 “Super Specialty” admission process

All students allotted Super Specialty seat at Govt. Medical College;

Chhatrapati Sambhajinagar (Aurangabad) Maharashtra should follow the
instructions as below for PG admission:
1. Download & print this PDF file. READ CAREFULLYALL DETAILS
2. Students should report personally for admission/admission
cancellation in case ofup-gradation. PROXY will not be allowed for
admission process/Cancellation of admission.
3. Print and fill 2 copies of the Application Form.
4. Print and fill 2copiesOriginal document Holding Certificate.
5. Print and fill 2 copyof Candidate information.
6. Print and fill 4 copies of the Admission Office Order.
7. Print and fill 1 copy of Medical Fitness in the prescribed format ONLY.
8. Print and fill 2 copies of the Declaration for hostel accommodation.
9. All original documents enlisted in the holding certificate will be
compulsorily required for admission. Additionally, students should submit
2 sets of SELF ATTESTED photocopies of all original documents.
10. All original Documents INDIVIDUALLYSCANNED in PDF format only will
be compulsorily required during admission. The student should scan
documents properly through a computer scanner (Size 500 kb only).
Please don’t use the mobile scanner for scanning
documents.Individual Original Documents should be scanned and
renamed appropriately.
e.g. Nationality certificate after scanning should be renamed
as Nationality-Name of Student.
Prepare the folder and rename it with the Name of the student, keep all
scan documents in this folder for submission during admission. Scan
documents will be accepted only in Pen Drive.
11. Fees: A demand draft (DD) of complete fees will be required during the
admission process. Kindly note that DD should NOT have any errors/spelling
mistakes in the name of DD as desired. Error/spelling will not be acceptable,
such DD will be rejected. No cash/online transactions will be
acceptable.
12. Other Letters if required will be taken at the time of admission (within the
rules thereof)
13. Submit Recent Passport size photos (3 copies)
14. The institute is responsible for only the admission of studentswe will
not be available to guide any students for further rounds or rules &
regulations of admission authorities. The student should read
information brochures/Notifications/Advisory issued by the
admission agency on official websites. Please don’t contact the
institute admission cell for any such information.
15. Kindly note…. The admission Process requires verification and
approval. No student will be given Joining letters urgently on the
same day. The office may require 1-3 days for signatures & complete
the process.
16.Students are strictly advised NOT TO EDIT ANY FORMATS. All formats
should be filled by a student in his/her own handwriting.
17. Kindly Note:Another website (Govt/Private) is NOT ALLOWED to display
this information on their personal websites. All Candidates to note, Govt.
Medical College, Chhatrapati Sambhajinagar (MS) has NOT appointed any
agency (Govt/Private) for the admission process / Facilitation or guidance
center.
18.Submit all documents in a simple button file folder as below:
On the folder Write your Name, Category, admission Quota &
Mobile Number with a thick permanent marker.

SIMPLE BUTTON FOLDER

Name:
Category: Sd/-
Admission Quota: DEAN
Mobile Number: Govt. Medical College, Ch.
Sambhajinagar
 RECENT
Candidate Information
PAN SIZE PHOTO
GOVT. MEDICAL COLLEGE, Chhatrapati Sambhajinagar 431 001
ADMISSION FOR THE YEAR 2024-25
1 Name of the Student (In Capital words)
Date of Birth
2
Place of Birth
3 Date of Admission
Category: SC/ST/VJ/NT-1/NT-2/NT-
3/OBC/OPEN/other
4
Caste
Sub-Caste
5 Domicile
6 Course Name
7 Quota
8 AI Rank
Percentage of Marks in All India Entrance
9 / = %=
Examination
10 Blood Group
1.
11 Mark of Identification (Two)
2.
12 Guardian / Father’s Full Name
13 Name of Mother

14 Residential Detail Address

15 Telephone No. With Code (Residential)

Student: Parent :
16 Mobile No.& Email ID

17 Guardian / Father’s Occupation

18 Registered Medical Council Name
19 Medical Council Registration /MCI -No.
20 PG passing year
21 Marks Obtained in PG / = %=
22
23
The above information is true and correct….
Date : / /2025
Place : Chhatrapati Sambhajinagar Signature of Candidate
 egkjk"V! 'kklu
GOVT. MEDICAL COLLEGE, CHHATRAPATI SAMBHAJINAGAR.
'kkldh; oS|dh; egkfo|ky;] N_Airh laHAkthuxj-
Telephone:.0240-2402412 – 19,Etx:322
website:www.gmcaurangabad.com

No.GMCA/ACAD/SS-ADM-24/ /2025 Date:-

HOLDING CERTIFICATE
Received following Original Certificate from Dr.____________________________________
admitted for super specialty __________________________________course on / /2025at Govt.
Medical College, Chhatrapati Sambhajinagar (Maharashtra state) for the academic year 2024-25.
This Certificate is the Proof that all original documents are submitted by the student & will be retained by
the institute till the student completes the Compulsory Bond service after completing the super-specialty
Course. Once admitted original documents will not be given to the student.

Sr. Essential Documents Required Available

No Yes/No
1 Nationality Certificate or Valid Indian Passport
2 All India Admit Card & Rank Letter of NEET-SS
3 NEET-SS Mark sheet.
4 Aadhar Card/PAN/Voter ID/Driving License (Xerox Copy)
5 All India Provisional Allotment letter
6 First to Final year MBBS Mark Sheets
7 MBBS Degree Certificate
8 Internship Completion Certificate
9 Registration Certificate of MBBS from State/MCI
10 MD/MS Passing Certificate/Degree (DNB Passing Certificate)
11 MD /DNB Additional qualification Certificate/Receipt
12 PG College Leaving Certificate (T.C)PG LC
13 Attempt Certificate of MD/MS from Principal/DEAN
14 Gazette for Change in Name (If applicable)
Migration Certificate issued by the respective University. (In original form)
15
(If Applicable)
Self-Educational Gap (after completion of Internship program) Affidavit by student
16
certified by Executive Magistrate/Notary.(If applicable)
17 Medical Fitness Certificate. (as per the attached format)
PWD Certificate from the authorized agency and as per format issued by
18
competent authority (if applicable)
Copy to Gazette,Marriage Certificate & Affidavit in case of change in name
19
(If applicable)
20 Other certificate
D.D Details : 1) DD No _______________ Dt______________ of Rs 1,52,718/-
21

DEAN
Govt. Medical College, Chh. Sambhajinagar.
Copy to,Dr. -------------------------------
 Application Form

Student Name: _____________________________________

Recent
Address (In Capital): ________________________________
Passport size
_________________________________________________
Photograph
_________________________________________________
Phone No. (Res.) _____________________________
Mobile No. _____________________________
Date:

To,
The Dean,
Govt. Medical College,
Chhatrapati Sambhajinagar (Aurangabad) M.S.

Sub: - Joining as Super specialty student (SR-1) in the subject of_______________________

for the academic year 2024-25at Govt. Cancer Hospital- Govt. Medical College,
Chhatrapati Sambhajinagar (MS)
Ref:-Allotment Letter Dt- / /2025.

R/Sir,
I the undersigned Dr.______________________________________ (Full Name in
Capital) have been selected for_______________________________course as per the allotment
letter Dated __________________.
Kindly enroll me in your college as S.R-1 in the subject of ------------------------------------
for the academic year 2024-25 on / /2025.
I have been informed that I must submit a bond for Two year to Maharashtra Govt.
Service once admission is confirmed, otherwise to pay a penalty of Rs.2,00,00,000/- (Two Crore
Only) as per the rules and regulations of Maharashtra State.
Thanking you.

Yours sincerely,

(Dr._______________________________)
 egkjk"V! 'kklu
GOVT. MEDICAL COLLEGE, CHHATRAPATI SAMBHAJINAGAR.
'kkldh; oS|dh; egkfo|ky;] N_Airh laHAkthuxj -
Telephone:.0240-2402412 – 19,Etx:322 Direct Number:- 0240-2402429
website:www.gmcaurangabad.com

No.GMCA/All India-2024-25/SS-Adm/ /2025 Date:-

ORDER
Sub: - Admission as SR-1 for __________________________________Course at Govt.
Cancer Hospital, Chhatrapati Sambhajinagar - Govt. Medical college, Chhatrapati
Sambhajinagar (MS)
Ref: -1) G.R.No.MED/10/96/Edu., Mantralaya, Mumbai, date 31/01/1996.
2) G.R.No.MED/1017P.K.171/17/Edu-2., Mantralaya, Mumbai, date 12/10/2017.
Dr._________________________________ from
_______________________________University is provisionally selected for
the___________________________________course at Govt. Cancer Hospital- Govt. Medical College,
Chhatrapati Sambhajinagar (Maharashtra State) by Under Secretary to the Govt. Of India , New
Delhi. for the year 2024-25 subject to the condition that He/She is not registered for any Super Specialty
course anywhere at present.
1. Your terms will be counted from the date of joining.
2. As per MCI recommendation that you will have to undergo 36 months for super specialty course
from the date of joining the course. No other equitable exemption will be granted to appear for the
university examination. Such type of undertaking will have to submit at the time of joining the
course to the concerned head of Depts.
3. Late entrance to the scheme or students required to keep extra terms shall be required to do so as
non-stipendiary students.
4. You are also informed that your selection is provisional and subject to the final confirmation of
MUHS Nashik.
5. Private practice or any kind is not permitted during the period of pursuingthe said course.
6. You are directed to report to the Professor & Head of the Dept. of concerned department of this
institute on or before __________________. No representation, therefore, will be entertained,
which he/she should note.
7. You must pay Rs.152718/- as term fees etc. before joining the course& every year as per the
academic term failing with the student will not be allowed to appear for University Exam.
8. You are required to submit Service Bond within one week of the cutoff date of the admission
process as per the format given in the admission manual .
9. You are compulsorily required to complete residency tenure (3 years) and 2 year Bond If you fail
to complete the residency tenure and or opt out of the Super Specialty course after the cutoff date,
then you will be liable to pay a penalty of Rs.20,00,000/- Rs. Twenty lacs Only (Non completion of
residency period Rs.10,00,000/- + Lapse of seat Rs.10,00,000/-).
10. Govt. of Maharashtra hereby prohibits “strike” in the essential services specified in the
schedule hereto appended from the date of this order.

D E A N,
Govt. Medical College, Chh. Sambhajinagar.

To,
Dr. __________________________________________________
Cc: Prof & HOD_______________________/ Accounts Dept/Warden Post Graduate
 egkjk"V! 'kklu
GOVT. MEDICAL COLLEGE, CHHATRAPATI SAMBHAJINAGAR.
'kkldh; oS|dh; egkfo|ky;] N_Airh laHAkthuxj -
Telephone:.0240-2402412 – 19, Etx:322 Direct Number:- 0240-2402429
website:www.gmcaurangabad.com

UNDERTAKING

I the undersigned hereby confirm that the data submitted during

joining for_________________________through the online process was
done in my presence and with my full consent. It will be my full
responsibility to thoroughly check the data before final submission.

Name & Sign Witness (Name & Sign of candidate with date)
Contact No.: Contact No.:

Place:-
Date:-
 DECLARATION: BY STUDENT & PARENTS
HOSTEL FACILITY (If applied/allotted)

I, ____________________________________________ is admitted for

____________________________course in the academic year _______ at Govt.
Cancer Hospital-Medical College, Chhatrapati Sambhajinagar (Maharashtra).
I and my parents/Legal guardian have gone through the SOP for hostel
accommodation given in the admission manual at the time of Joining. We have
clearly understood all rules and regulations mentioned in the SOP.
I hereby declare that I am suffering from ____________________
disease(s) and on treatment. I am receiving following ________________
_____________________________________________________drugs for my
disease element since _____ days/Months/Years. I also declare that I am not
hiding any information related to my health issues.
We, hereby undertake and declare that, if hostel accommodation is
allotted, I will abide by all the rules and regulation mentioned in the SOP. If I
break any rule mentioned thereof in the SOP, I will be liable for appropriate
action.

Signature of Student with date

Name of Student: _________________________________________________
Address: ________________________________________________________
________________________________________________________________
Mobile Number: ________________________________
Email address: _________________________________
---------------------------------------------------------------------------------------------------------

Signature of Parent/Legal guardian with date

Name of Parent/Legal Guardian: _____________________________________
Address: ________________________________________________________
________________________________________________________________
Mobile Number: _______________________________
Email address: _________________________________
---------------------------------------------------------------------------------------------------------
 FEES: ONLY Demand Draft will be acceptable
For NEET-SS Admission in the current year :Selected students are instructed to
submit the DD as follows, Demand drafts to be drawn from Nationalized banks
only(errors or spelling mistakes in the DD will NOT be accepted)
One (1) term fee (Super Specialty)
FULL requisite fees DD on the day of admission.
APPLICABLE FOR: All India candidates ONLY

Sr.No Fees Amount

1 Tuition Fess 138300
2 Admission Fess 1500
3 Development Fess 5000
4 Count ion Money Deposit 4000
5 Library Deposit 2000
6 Library Fees 1000
7 Gymkhana Fees 500
8 Ashwamedh Fees 318
9 University Development Fees 100
Total 1,52,718/-

DD Name: DEAN, GOVT. MEDICAL COLLEGE, CHHATRAPATI

SAMBHAJINAGAR.(Payable at Chhatrapati Sambhajinagar(M.S.)
Note:
• At any cost cash / Cheque will not be accepted.
• The demand draft will be deposited in the accounts only after confirmation of the
admission/status retention by the students.
• If applicable and students are allotted another college in subsequent rounds of AI/State
quota, then the DD(s) will be refunded back to the student. All such students will be
required to pay cancellation of admission fees of Rs.1500/- as cash in the cash section&
submit the original receipt for getting your original documents from CET CELL, GMC,
Chhatrapati Sambhajinagar.
• Kindly note that the fee in different heads is dependent upon the instructions given by
the state government from time to time. Any new additions/changes will be done
accordingly. It will be mandatory for all students to comply with such changes or
notifications from the institute.
 MEDICAL FITNESS CERTIFICATE FORMAT
CERTIFICATE OF MEDICAL FITNESS
This is to certify that I have conducted clinical examination of Dr.
_____________________________ who is desirous of admission to medical Super
Specialtycourses.
He/She has not given any personal history of any disease incapacitation
him/her to undergo the professional course. Also, on clinical examination, it has
been found that he/she is medically fit to undergo the Super Specialty course 2024-
2025.
(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 Super Specialty courses

applied for. The medical fitness must be certified by a registered medical
practitioner in the above prescribed format on the letter head.
On Rs.500/- Stamp Paper (Page No.1)

Bond / Affidavit (Notarized)

(DM Neonatology/Surgical Oncology Student)

Name of Student : ………………………………………………….

Permanent Address : ………………………………………………….

Course : …………. …………………………...…………

Admission Year : …………………………………………………

I the undersigned DM/Mch…………………….. student

of Government Medical College, Chhatrapati Sambhajinagar (M.S.)
hereby submit an undertaking that I will serve the Government of
Maharashtra / Corporation / Defense service for a period of TWO
YEAR after completion of ___________________________Course,
failing which, I will pay Rs, 2,00,00,000/- (Rs. Two Crore Only) for
the default as per govt. rules.
I am required to complete my residency tenure (3years). If I
fail to complete my residency tenure and or I opt out of Super
Specialty course after cutoff date I am liable to pay penalty of
Rs.20,00,000/- Rs. Twenty lacs Only (Non completion of residency
period Rs.10,00,000/- + Lapse of seat Rs.10,00,000/-).

Date:

Place:
 (Page No.2)
In witness where of the above Named.

Name of the students & Address

______________________________
______________________________
______________________________
______________________________ (Signature of Student)

Sureties (Excluding parents)

1. Name & Address : ______________________________

______________________________
______________________________
______________________________ (Signature)

2. Name & Address : ______________________________

______________________________
______________________________
______________________________ (Signature)

Witness :
1. Name & Address : ______________________________
______________________________
______________________________
______________________________ (Signature)

2. Name & Address : ______________________________

______________________________
______________________________
______________________________ (Signature)

Note :
1. The student has to submit the bond after final confirmation of admission in this
institute. All students who opt for betterment/subsequent rounds of selection
process need not submit.
2. The bond amount & penalty amount may change as per the notifications issued
from time to time by Director, Medical Education & Research, Mumbai.