Dr. PINNAMANENI SIDDHARTHA INSTITUTE OF MEDICAL SCIENCES & RESEARCH FOUNDATION Chinna Avutapalli, Gannavaram Mandal, Krishna District-521 286 ADMISSIONS INTO P.G. DEGREE COURSES FOR THE YEAR 2020-2021 Guide lines for admission into the PG Courses for the academic year 2020-2021 The candidates admitted into Post Graduate Degree Courses 1. Should execute a Bond on a Rs.100/- Non-Judicial stamped paper as prescribed in Annexure-III-A for Rs.3,00,000/-+ 18% GST (Rupees Three Lakhs only) to be payable to Dr. NTR UHS, Vijayawada. Each candidate admitted into P.G. Course 1. Submit an undertaking that they will pay the remaining years fees in time. 4. To submit the following documents: a) NTR UHS Allotment Letter, Admit card and Score Card- of NEET-2020 b) MBBS Original Degree Certificate c) Medical Registration from the A.P. State Medical Council d) Compulsory Rotating Internship Certificate mentioning date of completion of Internship e) Marks Statements from 1st MBBS to Final MBBS f) Official Transcript g) Migration certificate h) Secondary School leaving Certificate (10th class), Inter Mediate Certificate i) Study & Conduct certificate of MBBS course j) Transfer Certificate k) Social Status Certificate (Permanent Caste Certificate) as mentioned in the application form l) Candidates who passed MBBS from SMC, Vijayawada, study certificate from 6th to Intermediate or if not studied in any Institution, Resident Certificate for that period should be submitted 5. 10 Colour Passport Size Photographs 6. Pan Card (Xe-rox to be submitted) 7. Aadhar Card (Xe-rox to be submitted) 8. Joining Report 10. Two sets of Xerox copies of all certificates with Allotment Letter & NEET Score card 11. Each PG Student has to open a SB Account in Syndicate bank in the premises of College and submit the details for remittance of stipend. 12. All fee are to be remitted through Demand Drafts only favouring “PRINCIPAL, Dr.PSIMS & RF” , Payable at Vijayawada 13. Fee for Skills Training to be remitted through D.D only favoring “Dr.PSIMS & RF ITC” (Dr.PSN.Murthy) Principal TUITION FEE AFFIDAVICT SUBMITTED BY PG MEDICAL/ DENTAL STUDENTS ADMITTED TO PG COURSES IN PRIVATE UNAIDED NON MINORITY MEDICAL/ DENTAL COLLEGES OF ANDHRA PRADESH FOR THE ACADEMIC YEAR 2020/21 (ON Non Judicial Stamp Paper for Rs100/-) I, Dr. (AADHAR NO: ) S/o,/D/o, , R/o do here by solemnly affirm and state on oath as follows: That I have been allotted a Post Graduate Medical seat in ______specialty in Dr.Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, Chinoutapalli, by NTR University of Health Sciences, Vijayawada in counseling conducted on _________ under the Competent Authority Quota/Management Quota for the Academic years 2020-21 for the duration of full course of three years. That I am aware of the fact that your college and other Medical Colleges have filed Writ Petitions bearing No’s: 9877 of 2020, 9973 of 2020, 9969 of 2020 and 9880 of 2020 and batch of Writ Petitions before the Hon’ble High Court of A.P. challenging the Fee structure fixed by the Government of Andhra Pradesh through G.O.Ms.No.56 dated: 29.05.2020 stating that the fee fixed through the said G.O is abysmally low and unviable. Further, batch of writ petitions filed by students vide W.P.No. 9812, 9814, 9879 of 2020 challenging the action of colleges in not permitting the candidates to report and pay fee are also pending before Hon’ble High Court of Andhra Pradesh. That I am herewith paying the full fee/ half yearly installment of tuition fee for the first year including other fee fixed under G.O.Ms.No.56 dated: 29.05.2020 and I undertake to pay the remaining Fee for second half of first academic year and fee for 2nd year and 3rd years as and when falls due. I further undertake, without prejudice to my rights, I agree to pay the tuition fee payable pursuant to the decision of the Hon’ble High Court in above batch of Writ petitions or by the Hon’ble Supreme court of India or order of the Government or any other authority concerned. I further declare that I am fully conversant with the rules and regulations of Dr.Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, Chinoutapalli, in the matter of recovery of pending tuition fee and other fee (not exceeding Rs.45,000/- for three years subjected to the decision of the court of Law) from its students and the Management and administration of the Institution may take any such legal action deemed fit to recover the dues from us. This Affidavit cum Indemnity Bond is executed by me as a pre-condition to seek admission to MD/MS in Dr.Pinnamaneni Siddhartha Institute of Medical Sciences & Research Foundation, Chinoutapalli for the year 2020-21. Solemnly sworn and signed before me on this the day of June/July 2020 DEPONENT //NOTARY// (N0n-Judicial paper for Rs.100/-) (For All Candidates) STUDY BOND I, Dr. Selected for Post Graduate Degree/Diploma MD for the year 2020-21 do hereby undertake to complete the said course as per the requirements of the University . In the event of my leaving the studies after joining the course, I undertake to pay to the Dr.N.T.R.University of Health Sciences a sum of Rs.3,00,000/- + 18% GST (Rupees Three Lakhs ) and refund the amount received as stipend upto that date to Government. Date: Signature of the Candidate Witness: Sureties. 1.Signature: 1.Signature: Name & address in full: Name & address in full: 2.Signature: 2.Signature: Name & address in full: Name & address in full: N.B: 1. The Bond format shall be typed on the Non-Judicial stamped paper. 2. Sureties should be of two permanent Gazetted Officers of Andhra Pradesh Government. (N0n-Judicial paper for Rs.100/-) (STUDY BOND For Non-Service Candidates - P.G. Degree , Para – Clinical Courses – C.Q/Management Quota) I, Dr. Selected for MD /MS Post Graduate Degree course for the year 2020-21 and admitted in Dr.PSIMS & RF, China Avutapalli under C.Q/ management quota do hereby undertake to complete the said course as per the requirements of the University. In the event of my discontinuation the studies after joining the course or without completeing the stipulated period of the above said course, I undertake to pay to the Principal, Dr.PSIMS & RF, China Avutapalli a sum of Rs. Per annum for the remaining period of the course from the date of discontinuation. Date : Signature of the Candidate Witness : Sureties 1.Signature : 1.Signature : Name& Address in full Name& Address in full 2.Signature : 2.Signature : Name& Address in full Name& Address in full .