APPLICATION FOR ADMISSION TO MBBS & BDS

2019-20

Application for Admission to :

MBBS BDS Both

‘‘ ’ Instructions :

1. Attach self attested photo copy of documents wherever necessary.

2. Read instructions carefully prior to filling the application form either through Information Catalogue or website.

3. Any dispute regarding admission shall be subject to Waghodia Jurisdiction only.

4. Selected student is required to furnish bank guarantee / surety bond for the course fee at the time of admission.

5. Due to any reason, selected student leaves the course in between then he/she has to pay the tuition fees

for the remaining years of his/her study.

1. (a) Name of the Candidate (As per in Mark Statement)

(b) Permanent Address :

(c) Address for communication :

Mobile : 1. 2.

E-mail ID

2. (a) NEET Examination details

a. Center of Examination ___________________________________ b. Seat Number

c. Marks Obtained :

out of

Percentile Score : ____________________________________________

d. NEET All India Rank : _________________________________

e. Result : Qualified : Yes / No

(b) Category applied for : (I) GENERAL (II) JAIN MINORITY (III) NRI

3. (a) Father’s / Husband’s /

Guardian/s Name

Mother’

4. (a) Date of Birth Day

Month

Year

(b) Marital SratusSingle

Married

Religion :

Community :

5. (a) Nationality :

(b) Category :

SC

ST

SEBC

OBC

General :

Other :

Paste the latest Passport size photograph

DOCUMENTS TO BE ATTACHED (IN PHOTOCOPIES)

A. For ALL CANDIDATES:

Sr. No Document Details

1 NEET Admit card

2 NEET Result/Rank Letter

3 12th Mark sheet

4 10th Certificate or Date of Birth certificate (if D.O.B is not mentioned on 10th certificate)

5 12th Certificate/Provisional 12th Certificate

6 School Leaving Certificate

7 12 passport size photographs same as affixed on the NEET application form

8 Proof of Identity (Voter Card/Aadhar Card/PAN Card/Driving License/Passport Copy)

B. Additional Documents required for JAIN CANDIDATES:

1. Jain Membership Certificate issued by religious JAIN Sangh 2. Any ONE of the below mentioned documents:

A. Community certificate issued by revenue authorities (JAIN Community)

OR

B. School Leaving Certificate (Mentioning JAIN as Religion) 3. Affidavit executed before the metropolitan magistrate/notary on stamp paper of Rs.20 stating religion as

JAIN (Facility for same will be provided at University Office. The candidate will have to pay fees of Bond

& Notary)

C. Additional Documents required for NRI candidates: NRI Candidate

1. Candidate’s parents resident certificate issued by Embassy of country complying the income tax rules

2. Candidates’ Passport/VISA/Residents VISA

3. Income Tax Documents required as per Income Tax Act 1961

NRI sponsorship candidate:

1. Affidavit Pertaining to candidates relation with the sponsorer

2. Candidate’s sponsorer’s resident certificate issued by Embassy of that country complying the income tax rules

3. Candidate’s sponsorer’s Passport/VISA/Resident VISA

4. Citizenship of the sponsorer

5. PAN/Tax document of the sponsorer

Foreign Nationals

1. Valid Foreign Passport

2. Valid VISA requirements

3. Valid Residential permit in India

4. Degrees/Certificates of candidate must have been recognized and approved by Association of Indian Universities

(AIU)/Commonwealth Universities/International Association Universities (IAU) as equivalent to corresponding Indian

Degrees/Certificates.

DECLARATION by the CANDIADATE, PARENT or GUARDIAN

I hereby declare that the information furnished by me is true and correct to the best of my knowledge and nothing has

been suppressed any information that is legally liable. Incase of false / fake / fraudulent information / documents found

during admission and any time there after the admission / degree awarded shall be canceled and further legal action

maybe initiated. I shall abide by all the rules and regulations of Sumandeep Vidyapeeth Deemed to be University.

I have understood the Rules and Regulations of Sumandeep Vidyapeeth for admission procedure in the said course.

I also declare that I know Ragging is a serious offence and my involvement in any such activity covering under the

concerned Rules and Regulations shall effect up to the cancellation of my admission.

Due to any reason, if I leave the course in between then I will pay the tuition fees for the remaining years of my study.

Place :

Date : Signature of the Candidate Signature of the Guardian