State Quota Form No. Government of Maharashtra Vilasrao Deshmukh Government Institute of Medical Sciences, Latur Near Rajasthan Vidyalaya, Civil Hospital Campus, Latur Pin code 413512 Tel.(02382-249292) Fax No. 02382-253017 Email:-
[email protected] ************************************************************************************************** O.W.N.GMCL/ACAD/MBBS/ADMISSION2020-21/ /20 DATE: - / /2020. ************************************************************************************************** C E R T I F I C A T E Received all originals documents from Shri./Kum. _____________________________________ and is admitted to First M.B.B.S course in this Medical college from NEET-2020 under State Quota on dated / /2020. He/She has submitted following Original Certificates & two set of attested photocopies separately and College fees at the time of admission. AIR .No: ……………… SML: - ………….. Category: - ……………… Caste: - …………… S Documents Yes No S Documents Yes No N N Non Creamy Layer Certificate Age/Nationality Certificate/ Valid 1 14 (Valid Dt.31.03.2021) Indian Passport. For (NT1,NT2,NT3,OBC,SBC) Medical Fitness Certificate – 2 Domicile Certificate 15 (Annexure III) Leaving Certificate/ Transfer 3 16 Migration Certificate Certificate 10thStandard Statement of Mark 4 17 Gap Certificate (If Applicable) Sheet. D1/D2/D3:-Ex-servicemen 5 10th Standard Passing Certificate. 18 Certificate, actual service certificate. 12th Standard Statement of Mark D1/D2:- Domicile Certificate of 6 19 Sheet. Defense person. 7 12th Standard Passing Certificate. 20 D3:- Transfer certificate NEET -2020 Rank Letter/ Defense Certificate (If Applicable) 8 21 Mark Sheet. Father/Student Domicile. M.K.B. Border Certificate / 9 NEET -2020 Admit Card 22 Mother tongue Certificate. HA:-Parent Domicile, SSC/HSC 10 Allotment Letter /Selection Letter 23 Hilly area certificate. Handicapped Certificate 11 EWS Certificate 24 (If Applicable) Caste Certificate Aadhaar Card No.