Mahatma Gandhi College of Hospital Administration

www.mgumst.org

Mahatma Gandhi College of Hospital Administration 33 300+ 1400 500+ 1000+ a unit of Operation ICU Beds Beds Doctors Nursing/ Mahatma Gandhi University of Medical Sciences & Technology Theatres Paramedical Jaipur Staff

Recognized by UGC (Section 22 of the UGC Act 1956 & para 3.7 & 3.8 of UGC Regulations 2003) All the courses of the University are recognized by the respective Statutory bodies of the Government of India, (MCI, DCI, INC & Govt. of Rajasthan)

Medical Education Medical Research Clinical Training Medical Ethics Quality Treatment Patient Safety

BB-2017-0091 MC-2733 BLOOD BANK

www.mgumst.org

Mahatma Gandhi College of Hospital Administration a unit of Mahatma Gandhi University of Medical Sciences & Technology Jaipur

Medical Education Medical Research Clinical Training Medical Ethics Quality Treatment Patient Safety

BB-2017-0091 MC-2733 BLOOD BANK ADMISSION NOTICE

(approved by the Government of Rajasthan)

Reservation of Seats : In accordance with Rajasthan State Government norms.

Eligibility and Fee of the course

Recognized Bachelor's Degree (like MBBS/ BDS/BHMS/ BAMS/ BUMS/ BVSc&AH/ BHA/ B.Sc/ B.Pharma/ BPT/ BOT/ BBA/ BA/ B.Com/ BCA etc) of minimum three years duration with at least 50% marks in aggregate for general category, 45 % marks for General-PH and 40% marks for candidate belonging to SC, ST, OBC NCL/ MBC NCL Cost of the Application Form (including Entrance Examination fee) i.e. Rs 2000/- (Rupees Two Thousand Only) (non refundable) can be deposited in cash in the Accounts Department of the University or through NEFT/RTGS for which the details of the Bank Account are as under – Name of the Account – Mahatma Gandhi University of Medical Sciences & Technology, Jaipur A/c No. – 83911010000026 Bank – Syndicate Bank Branch – MG University Campus, Sitapura, Jaipur IFS Code – SYNB0008391

Caution money In addition to the tuition fees, a candidate will be required to deposit Rs. 30,000/- as caution money at the time of admission. This amount is interest free and refundable on completion of the course.

Hostel Charges (per annum) –

Triple/Double/Single : Rs. 50,000/-/ Rs. 75,000/-/ Rs. 1,00,000/- Occupancy Room Electricity Charges : Extra Mess Charges : On sharing basis; before commencement of the academic session, the mess charges shall be collected annually Hostel Caution Money : Rs. 10,000 /- (interest free, refundable on completion of the course)

Date of Entrance Examination : Wednesday, July 10, 2019 Time : 11:00 A.M. to 1:00 P.M. Venue : Examination Hall of the University

Candidates shall be required to collect their admit cards from 8:00 A.M. onwards on the day of the Entrance Examination from Reception Counter of the Mahatma Gandhi Medical College, Mahatma Gandhi University of Medical Sciences & Technology campus, Sitapura, Jaipur – 302022. No admit card will be issued after 10:30 A.M.

1. There will be one question paper of two hours duration. 2. The question paper shall contain total 100 MCQs on General Knowledge, Analysis & Reasoning, English Comprehension and Current Affairs. 3. The medium of written Entrance Examination shall be English.

Schedule of Personal Interview

A candidate will be eligible for Personal Interview only if he has appeared in written entrance examination. Candidates will be required to appear before the Admission Board for Personal Interview for interaction and assessment as under:-

Candidates shall be required to report at 8:00 AM in the Vivekanand Hall of the University. Result Merit list shall be prepared on the basis of marks obtained by the candidates combinedly in the written entrance examination and the personal Interview. Final merit list of the candidates will be uploaded on the University website.

Ms Rashmi Chaudhary – In case of 7073143999, 0141-2770798 (extn 243) query contact or at [email protected]

RIICO Institutional Area, Sitapura, Tonk Road, Jaipur - 302 022 Phone : 0141-2771777 website : www.mgumst.org Cost 2000/- (Including Entrance Exam Fees) (Non Refundable)

Mahatma Gandhi College of Hospital Administration Application Form for admission to Masters in Hospital Administration (MHA) 2019-20 (Application form to be filled legibly and correctly in capital letters by the candidate)

To be filled in by University

Received Rs. 2000/- vide receipt No...... Dated…………..

Cashier

Note : Please read all the Rules/Regulations and prospectus of MHA uploaded on the University website carefully before filling the Application Form.

Graduate examination (with subject) passed______

1. Name of the Candidate (as given in Class X Certificate)

First Name : Surname :

Photograph Contact No. of the E-mail ID candidate

Father's Name:

Mother's Name: Signature of candidate

2. Address :

PIN Code

Tel. No.(R) Mobile No.

(Telephone Number with STD code)

(Date) (Month) (Year)

3. Date of Birth: 4. Nationality: ______

Place of Birth: State Country

5. Gender: Male Female

6. Aadhar Card No.

7. Category: General SC ST OBC/MBC NCL GEN-PH

8. Details of the Examination(s) Passed:

S. Exam Year Name of Name of Subject Max. Marks Percentage Remarks No. Passed Board/ School/college Marks Obtained of Marks University

10th 1.

12th 2.

Graduati 3. on

Post 4. Graduati on

Any 5. other Qualificat ion

9. Details of current employment (if any) :

Name of the Present Pay & Nature of Date of Name of Organization Remarks Post Grade Appointment Joining

10. Entrance Examination Fee of Rs. 2000/- can be deposited in Cash at the cash counter of the Accounts Department of the University. Receipt of deposition of Rs. 2000/- is to be enclosed with the downloaded application form before submission.

11. Rs. 2000/- can also be deposited in below mentioned Bank account of the University through NEFT/RTGS – Mahatma Gandhi University of Medical Sciences & Technology, Jaipur A/c No. – 83911010000026 Bank – Syndicate Bank Branch – MG University, Sitapura, Jaipur IFS Code – SYNB0008391

In case of deposition of Rs. 2000/- through NEFT/RTGS, please furnish following details - UTR No. ……………………………………………………………………………………………………………… Name of Account Holder from whose account the amount is remitted ……………………………

12. Duly filled in downloaded application form can be sent by post or submitted in person in the office of the Principal, Mahatma Gandhi College of Hospital Administration, Mahatma Gandhi University of Medical Sciences & Technology Campus, RIICO Institutional Area, Sitapura, Tonk Road, Jaipur – 302022.

List of Enclosures (1) Self attested photocopy of class 10th Certificate/marks sheet showing date of birth and class 12th certificate/marks sheet. (2) Self attested photocopy of the Marks sheet of the qualifying graduate level examination. (3) No objection certificate/permission from the present employer for two years regular, full time MHA program, if applicable. (4) Photocopy of Cash Receipt/Details of NEFT/RTGS. (5) Caste Certificate, if applicable, along with domicile certificate. OBC/MBC Non Creamy layer Certificate shall be valid only if its issue date is within twelve months prior to the notified last date of submission of the Admission Application Form.

Please Tick () the documents you have annexed.

DECLARATION/UNDERTAKING

I declare that all the information furnished by me in the application form is true to the best of my knowledge. If any information found false, my application may be rejected.

I will bring and submit my original Certificates and Marks sheets, Caste Certificate and other Undertakings/ Declarations etc at the time of personal interview.

I will join MHA program only after submission of permission/NOC from my employer (applicable only for in service applicants)

Date______

Place______Signature of the applicant

No Objection Certificate from the Employer (for in service candidates only) This is to endorse the application of Mr/Ms/Dr………………………………………… for full time regular, two years MHA program. If selected, he/she will be permitted to join the MHA program in Mahatma Gandhi College of Hospital Administration, a Unit of Mahatma Gandhi University of Medical Sciences and Technology, Jaipur.

Date Head of the Organization/Institution Place (with seal)

Note – Incomplete application forms and the application forms received late (after the last date) due to any reason including postal delay shall not be accepted. Application Form shall not be accepted without fee of Rs. 2000/-. For further updates please see www.mgumst.org regularly. For queries, contact us on email ID- [email protected] or Mobile - 7073143999, 0141-2770798 (extn 243)

Mahatma Gandhi University of Medical Sciences & Technology, Jaipur

ADMIT CARD – Student Copy

Entrance Examination for admission to MHA Course 2019

Examination Hall Roll No.

Name of Centre Mahatma Gandhi Medical College and Hospital MGUMST, Campus

Date of Exam Wednesday, July 10, 2019

Exam Time 11:00 A.M. to 1:00 P.M. Affix Photo

Name of Candidate

Father's Name Signature of Student

All details in the Admit Card are correct

Sign. & Seal of the Centre Signature of Candidate Superintendent Controller of Examinations

Mahatma Gandhi University of Medical Sciences & Technology, Jaipur

ADMIT CARD – Centre Copy

Entrance Examination for admission to MHA Course 2019

Examination Hall Roll No. Name of Centre Mahatma Gandhi Medical College and Hospital MGUMST, Campus

Date of Exam Wednesday, July 10, 2019

Exam Time 11:00 A.M. to 1:00 P.M. Affix Photo

Name of Candidate

Signature of Student Father's Name

All details in the Admit Card are correct

Signature of Candidate Sign. & Seal of the Centre (in the examination hall) Superintendent Controller of Examinations