Annexure “A”DEFINITIONS

Unless the context otherwise requires,

a) “Appropriate Authority” means the Government of Maharashtra.

b) “Approved Institution” means the hospital, health center, affiliated college or such

other institution recognised by the MCI and University as an institution in which medical

postgraduate courses are available.

c) ‘Central Government’ means the Government of India.

d) ‘Competent Authority’ means the authority appointed by the Government for the

purpose of conduct of common entrance test for selection and admission to medical

postgraduate courses.

e) ‘Course’ means 3-years degree course leading to MD / MS degrees and/or two years

diploma courses in various subjects.

f) ‘Government’ means the Government of Maharashtra.

g) ‘Internship’ means the compulsory rotating internship to be completed as per rules of

Medical Council of India (MCI), Maharashtra Medical Council (MMC) and University.

h) ‘Local Authority’ means Zilla Parishad / Corporation or any local authority established

by the State Government by an Act.

i) ‘Medical Council of India (MCI)’ means the Medical Council of India established under

Indian Medical Council Act, 1956.

j) ‘Nodal Dean’ means Dean of specified Government Medical College.

k) ‘PGM-CET Cell’ means postgraduate medical common entrance test cell constituted

for the purpose of conduct of PGM-CET and selection process for postgraduate courses

in medicine.

l) ‘Postgraduate Teacher’ means the postgraduate teacher who is recognised as a

teacher under the regulation of the Medical Council of India (MCI), by MUHS / Conventional

non agricultural Universities in the state.

m) ‘Qualifying Service’ means the service to be rendered as pre condition for selection

to medical postgraduate courses after selection for the same. Condition required to

attract preference clause as prescribed in Medical Education and Drugs Department

G.R. No. NOC-3095/CR-307/Edu-1, dated 28/2/1996 and G.R. No.PGM-1301/4065/

CR-418/2001/Edu-2, dated 31/1/2003 and orders issued from time to time.

n) ‘Recognised Qualification’ means the qualification recognised by the Medical Council

of India (MCI) and the University in the State of Maharashtra and in case of in-service

candidates, a Statutory University in India.

o) ‘Registration’ means the registration of the qualification either with the Medical Council

of India (MCI) or Maharashtra Medical Council (MMC) after completing One Year

compulsory rotating internship.

p) ‘Reservation’ means the reservation prescribed by the Government for admission

to medical Postgraduate Courses which includes both Constitutional Reservation for

the Backward Classes & other reservations if any.

q) ‘University’ means the non agricultural Universities constituted under the Maharashtra

University Act, 1994 and MUHS constituted under MUHS Act, 1998.

Terms which are used in these rules but not defined above are in consonance with the

definitions given in Maharashtra University Act, 1994 and MUHS Act, 1998.

Annexure “B”LIST OF DEGREE / DIPLOMA POSTGRADUATE

MEDICAL COURSES Subject Code Subject

11 MD Medicine12 MD Skin & VD13 MD Chest & TB14 MD Psychiatry15 MD Pediatrics16 MS Surgery17 MS Orthopedics18 MS E.N.T.19 MS Ophthalmology20 MD Radiology21 MD Anesthesia22 MD OBGY23 MD Radiotherapy24 MS Anatomy25 MD Physiology26 MD Pharmacology27 MD Microbiology28 MD P.S.M.29 MD Forensic Med.30 MD Pathology31 MD Biochemistry32 D.V.D.33 D.P.M.34 D.C.H.35 D.M.R.D.36 D.M.R.T.37 D.A.38 D.G.O.39 D.P.H.40 D.F.M.41 D.T.C.D.42 D. Ortho.43 D.O.R.L.44 D. Opthal.45 D.C.P. (Patho)46 D.D. (Diabet)

Annexure “C”

RESERVATIONS

(i) The candidates who are the domicile of State of Maharashtra only are eligibleto be admitted for seats of backward class categories.

(ii) Out of the seats at the disposal of Competent Authority, seats reserved forBackward Classes are as follows:

A Scheduled Castes and Scheduled Caste converts to Buddhism (SC) 13.0 percent

B Scheduled Tribes including those living outside specified areas (ST) 7.0 Percent

C Vimukta Jati (VJ) 3.0 percent

D Nomadic Tribes (NTI) 2.5 percent

E Nomadic Tribes (NT2) 3.5 percent

F Nomadic Tribes (NT3) 2.0 percent

G Other Backward Classes (OBC) 19.0 percent

Total 50.0 percent

Candidates belonging to categories of Backward Classes stated at (A) to (G) will berequired to submit the Caste/Tribe Validity Certificate.

The Caste/Tribe validity Certificate Issuing Authorities are as follows :

a) Divisional Caste Certificate Scrutiny Committee Scheduled Caste,Scheduled Casteof respective Divisional Social Welfare Office, converts to Buddhism, Vimukta Jati,

b) Caste Certificate Scrutiny Committee, Nomadic Tribes 1,2&3 and the OtherDirector of SocialWelfare, Backward ClassesMaharashtra State, PUNE.

c) Director/Deputy Director, Scheduled TribeScrutiny Committee of respective Region.

* The candidate should have claimed the constitutional reservation in the originalapplication form. The candidate claiming constitutional reservation must submitoriginal caste validity certificate at the time of counseling for filling preferenceform, failing which the category claim will not be granted.

(iii) Inter-se amongst the categories of Backward Class will be operated at theend of each admission process against the unfilled Backward Class seatsas per merit and choice of the Backward class candidates.

The seats remaining vacant from various categories will be filled in duringinter-se admission process as follows:

a) From among the candidates of their respective group from the InterseState Merit List of that particular group where the vacancies exist.

The groups are as follows -

GROUP - I

i) Scheduled Castes and Scheduled Caste converts to Buddhism (S. C.)

ii) Scheduled Tribes including those living out -side specified area (S. T.)

GROUP - II

i) Vimukta Jati (V. J.)

ii) Nomadic Tribes (N. T. -1)

GROUP - III

i) Nomadic Tribes (N. T. -2)

ii) Nomadic Tribes (N. T. -3)

iii) Other Backward Classes (O. B. C.)

(b) If the seats still remain vacant then the seats will be filled, from amongthe candidates of all the categories mentioned above from the allcategories combined merit list.

(c) If the seats still remain vacant then the seats will be filled from amongthe candidates of the common merit list in the subsequent admissionprocess.

(iv) Applicants belonging to S.B.C.

N.B. : Hon’ble High Court, Mumbai has stayed admission to SBC category and therefore,vide Government circular from Social Welfare, Culture, Affair and Sports DepartmentNo.CBC-1095/WS/264/BCD-5 dated 24th October 1995. The candidates belongingto Special Backward Class (SBC) are to be considered in the category in which theybelonged before 1995. Such candidates have to produce non-creamy layer certificateaccordingly (if applicable)

(v) Candidates belonging to NT2, NT3 and OBC categories and claiming thereservation from the same shall have to produce Non-creamy layer certificateissued on or after 1st April 2004 only.

Annexure “D”

NOTIFIED CENTRES

Sr. No. Name of the Centre

1. Grant Medical College, Byculla, Mumbai

2. B.J. Medical College, Pune

3. Shri Bhausaheb Hire Govt. Medical College, Dhule

4. Dr. V.M. Medical College, Solapur

5. Govt. Medical College, Miraj

6. Govt. Medical College, Aurangabad

7. Govt. Medical College, Nanded

8. Swami Ramanand Teerth Rural Medical College, Ambajogai,Dist - Beed

9. Govt. Medical College, Nagpur

10. Shri Vasantrao Naik Govt. Medical College, Yavatmal

11. Govt. Medical College, Kolhapur

The Notified Centres are responsible for Sale ofApplication forms and information brochure, receipt ofapplication form and determining the eligibility of thecandidates

Annexure “E”List of Medical Colleges & their College Codes

1 1101 Grant Medical College, Govt. Tel : (022) 23735555 / 23731144J.J. Hospital Compound, Byculla, Fax : (022) 23735599Mumbai - 400 008

2 1102 Lokmanya Tilak Medical College, Corp. Tel : (022) 24076381Sion, (W), Mumbai - 400 022 Fax : (022) 24076100

3 1103 Seth G.S. Medical College, Corp. Tel : (022) 24136051Parel, Mumbai - 400 012 Fax : (022) 24143435

4 1104 Topiwala National Medical Corp. Tel : (022) 23081490 - 99College, B.Y.L. Nair Ch. Hosp., Fax : (022) 23072663Dr.A.L. Nair Road, MumbaiCentral, Mumbai - 400 008

5 1105 K.J.Somaiya Medical College & Pvt. Tel : (022) 24091817 / 24020933Research Center, Somaiya Fax : (022) 24091855Ayurvihar Complex EsternHighway, Sion, Mumbai - 400022

6 1106 Mahatma Gandhi Missions Pvt. Tel : (022) 27423404/27421723Medical College, Sector - 18, Fax : (022) 27420320Kamothe,Navi Mumbai - 410 209

7 1107 * Pad. Dr.D.Y.Patil Medical College, Pvt. Tel : (022) 27709227 / 27709218Vidyanagar, Sector 7, Nerul, Fax : (022) 27708150 / 27709576Navi Mumbai

8 1108 Terna Medical College & Hospital Pvt. Tel : (022) 27720563 / 27721442Sector-12, Telase II, Nerul, Fax : (022) 27716314 / 27611442Navi Mumbai - 400 706

9 1109 Rajiv Gandhi Medical College & Cht. Corp. Tel : (022) 25348790 / 25347784Shivaji Maharaj Hospital, Kalwa, Fax : (022) 25372776 / 25348790Dist.- Thane - 400 605

10 1110 B. J. Medical College, Govt. Tel : (020) 26128000 / 26126010Pune - 411 001 Fax : (020) 26126868

11 1111 * Pad. Dr.D.Y.Patil Medical College Pvt. Tel : (020) 27420605 / 27420307for Womens, Opp. H.A. Factory, Fax : (020) 27420439Pimpri, Pune - 411 018

12 1112 Maharashtra Institute of Medical Pvt. Tel : (02114) 228532 / 227938Education & Research Medical Fax : (02114) 223916College, Talegaon General Hosp.,Talegaon, Dhabade, Pune - 410 507

13 1136 *Bharti Vidyapeeth Dental College, Pvt. Tel : (020) 24373226 / 24362516Katraj, Dhankawadi, Pune - 411 043 Fax : (020)

14 1113 Dr.D.Y.Patil Education Society’s Pvt. Tel : (0231) 2653298 / 2653299Medical College, Kasba Bawda, Fax : (0231) 250280Kolhapur - 416 006

Name & Full Address of theColleges

CollegeCode

Telephone No. / Fax No.Govt. /Pvt.

Sr.No.

Name & Full Address of theColleges

CollegeCode

Telephone No. / Fax No.Govt. /Pvt.

Sr.No.15 1114 Dr.Vaishampayan Memorial Govt. Tel : (0217) 2319161

Medical College, Infront of Fax : (0217) 2310766District Court,Solapur - 413 003

16 1115 Government Medical College, Govt. Tel : (0233) 2222091 - 99Pandharpur Road, Miraj, 2231158Dist. Sangali - 416 410 Fax : (0233) 2231959

17 1116 Krishna Institute of Medical Pvt. Tel : (02164) 241555 / 241558Sciences, Near Dhebewade Fax : (02164) 242170Road, Karad,Dist. Satara - 415 110

18 1117 * Rural Medical College, Post Loni, Pvt. Tel : (02422) 273600 / 273486Tal - Shrirampur, Fax : (02422) 273413Dist - Ahmednagar - 413 736

19 1118 N.D.M.V.P. Samaja’s Medical Pvt. Tel : (0253) 2303802/2303923 - 25College, Vasantdada Nagar, Adgaon, Fax : (0253) 2303716 / 2303930Nashik - 422 003

20 1119 Shri. Bhausaheb Hire Govt. Medical Govt. Tel : (02562) 239407 / 239207College, Mumbai-Agra Highway, Fax : (02562) 239207 / 239106Chhakarbardi Campus, NearResidency Park, Dhule - 424 301

21 1120 A.C.P.M. Medical College, Hutatma Pvt. Tel : (02562) 2200317 / 2201298Shri. Shirishkumar Nagar, Opp. Fax : (02562) 2202027Jawahar Soot Girni, Sakri Road,Dhule - 424 001

22 1221 Government Medical College, Govt. Tel : (0712) 2750700 / 2743588Hanuman Nagar, Fax : (0712) 2744489Nagpur - 440 003

23 1222 Indira Gandhi Medical College, Govt. Tel : (0712) 2728621 - 27Central Avenue Road, Fax : (0712) 2728028Nagpur - 440 018

24 1223 N.K.P. Salve Institute of Medical Pvt. Tel : (07104) 236290 / 236291Sciences and Research Center, Fax : (07104) 232905Near CRPF Camus, DigdohaHills, Hingan Road,Nagpur - 440 019

25 1224 Jawaharlal Neharu Medical Pvt. Tel : (07152) 243542 / 245937 - 68College, Sawangi (Meghe), Fax : (07152) 244254Wardha - 442 002

26 1225 Dr.Panjabrao Alias Bhausaheb Pvt. Tel : (0721) 2662303 / 2662323Deshmukh Memorial Medical Fax : (0721) 2660263College, Shivaji Nagar,Amravati - 444 603

27 1226 Shri. Vasantrao Naik Govt. Tel : (07232) 242456 / 240856Government Medical College, Fax : (07232) 244148Yavatmal - 445 001

28 1327 Govenment Medicl College, Govt. Tel : (0240) 2402412 - 16Panchakkar Road, Fax : (0240) 2402018Aurangabad - 431 001

29 1328 Government Medical College, Govt. Tel : (02462) 235711 - 15Vazirabad, Nanded - 431 601 Fax : (02462) 235717

30 1329 Swami Ramanand Teerth Rural Govt. Tel : (02446) 247031 / 247060Medical College, Ambajogai, 248438Dist. Beed - 431 517 Fax : (02446) 247132

31 1330 Maharashtra Institute of Medical Sci. Pvt. Tal : (02382) 227422-24Research (Medical College & Fax : (02382) 227246Hospital) Vishwanathpuram,Ambajogai Road, Latur - 413 512

32 1331 Mahatma Gandhi Missions Pvt. Tel : (0240) 2483401 / 2482236Medical College, N-6, CIDCO, Fax : (0240) 2484445New Aurangabad - 431 003

33 1001 M.G.I.M.S. Medical College, Tel :Wardha Fax :

34 1002 Armed Forces Medical College, Tel :Pune Fax :

35 1003 Medical College Out ofMaharashtra State

Name & Full Address of theColleges

CollegeCode

Telephone No. / Fax No.Govt. /Pvt.

Sr.No.

* Only the students of these colleges passed final MBBS examination of non agriculturalUniversities/Maharashtra University of Health Sciences, Nashik will be eligible to appear forPGM-CET 2005.

37 01133 Bombay Hospital Institute of Pvt. Tel : (022) 2067676 / 2032222Medical Sciences, 12, New Fax : (022) 2080871Marin Lines, Mumbai - 400 020

38 01134 Sancheti Institute for Orthopedic Pvt. Tel : (020) 25536666 / 25539999and Rehabilitation, College of Fax : (020) 25533233Physiotherapy, Shivaji Nagar,Pune - 411 005

39 01135 Tata Memorial Hospital, Pvt. Tel : (022) 24177000Dr.Ernest Borges Marg, Parel, Fax : (022) 24146937Mumbai - 400 012

40 01119 Sanjeevan Medical Foundation, Pvt. Tel : (0233) 223299 / 222188E.N.T. Postgraduate Institute, 2223801 / 2211603Office of the Managing Trusty,Ashwini Prasad, St.Road,Miraj - 416 410

41 01118 Postgraduate Institute of Pvt. Tel : (0233) 222590 / 223268Swasthiyog Prathishthan, Fax : (0233) 2223394Extention Area, Miraj - 416 410

Annexure “F”AUTHORITY LETTER

I, _____________________________________________________ Son/

Daughter/wife of Mr.______________________________________ bearing seat

No.____________ in PGM-CET 2005 for admission to MD/MS/Diploma coursedo hereby authorise Mr./Mrs./Miss

__________________________________________ to represent me on

________________(date) before the Committee for filling of preference formfor MD/ MS/Diploma Course. The signature and the photograph of above

named Mr./Mrs./Miss _________________________ is attested below.

Signature of Candidate

Name _______________________________

SML No.______________________________

Signature of Authorised Proxy _______________

Signature of the Candidate ___________________

UNDERTAKINGI, _______________________________________________ Son / Daughter / wifeof Shri ____________________________________ aged______ years, bearing RollNo.____________ placed at SML No._________ at PGM-CET 2005 for admissionto MD/MS/Diploma Course do hereby solemnly affirm and undertake that the decisionof my authorised proxy, Mr./Mrs./Miss ___________________________________regarding filling of preference form on ___________ (date) shall be binding on meand I shall not have any claim whatsoever, other than the decision taken by myauthorized representative on my behalf on ___________(date).

The author i ty let ter is val id only for the date stated herein.

Signature of candidate _____________________

SML No.__________________________________Address __________________________________

__________________________________

__________________________________

Photograph ofcandidate

attested byGazetted Officer

Photographauthorised

representativeduly attested by

candidate

DIRECTORATE OF MEDICAL EDUCATION AND RESEARCH, MUMBAIPGM-CET 2005

APPLICATION FOR VERIFICATION OF MARKS (To be submitted at DMER office)

Name and Adress of Candiate : ___________________________________________

___________________________________________

Tel. No. (with STD code) ____________________ FAX No. _____________________

PGM-CET Roll No. ..................................... Application No. ..........................................

State Merit No......................................... Category .........................................

DD/Pay order No.......................................... Name of the Bank ........................................................................ Amount Rs.1000/- Drawn on “Director, Medical Education & Research, Mumbai” Payable at Mumbai.

Date : / /2005

Place : Signature of the candidate

ACKNOWLEDGEMENT

Received application for verification of marks of PGM-CET-2005 along with D.D./Pay order of Rs.1000/- from

Dr. ............................................................. PGM-CET Roll No. ............................. State Merit No. .......................

Date : / / Seal/Stamp of DMER Office Receiver’s Signature

Certificate to be issued by the Dean of parent collegeBonafide Certificate

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○

ANNEXURE “G”

○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○ ○Cut here

This is to certify that Dr. _____________________________ was/is a Bonafide student of thiscollege. He passed final MBBS examination held in__________________ from ________________ University.

1) He has done internship training from ______________ to _____________2) He is doing internship training from _______________ to ______________

Further it is certified that as per the procedure, the above named candidate is eligible/Not eligible toappear for PGM-CET-2005 to be conducted by the DMER, Mumbai.

Date: / /

Place:________________ Seal/Stamp of the College Signature of Dean/Principal

GENERAL INSTRUCTIONS FOR FILLINGAPPLICATION FORM FOR PGM-CET 2005

1. Write with a BLACK ballpoint pen using English Capital Letters and English numerals only.2. Do not make any stray mark on this form.3. Do not staple, pin, wrinkle, scribble, tear, wet or fold the form.4. Shade the appropriate circle completely like this l Do not mark the circle like this ª!⊗ .

Instructions for filling Application Form(SPECIMEN COPY ONLY)

1. Name of Candidate e.g. : Dr. Swapnil Bacharam DesaiMother’s Name : Mrs. Smita Bacharam DesaiFirst Name

Dr.

Mother’s name

Mrs.

Father’s Name

Mr.

Surname / Last Name

2. Contact Telephone Number e.g. : 022 - 22652259

3. Sex

Male Female : Shade the appropriate circle.

4. Nationality : Shade the appropriate circle.

5. Medical College Code (Annex “E”) : eg. for G.S. Medical College it is ‘1103’

6. Date of Birth e.g. : 14th November 1977DD MM YY

7. Examination Centre : Shade the appropriate circle for choice of examination centre.

8. Category : Constitutional Reservation - Shade an appropriate circle. Attach photocopy of thecast certificate, caste validity certificate and non creamly layer certificate (if applicable).Candidates from open category should shade the last circle “ open”.

9. Certificates : Applicable to candidates claiming constitutional reservation, this refer to thecertificates to be attached with the manual form.

S W A P N I L

B A C H A R A M

S M I T A

D E S A I

0 2 2 2 2 6 5 2 2 5 9

1 4 1 1 1 9 7 7

1 1 0 3

10. Maharashtra Medical Council (MMC) Registration : Shade an appropriate circle.

11. Other State Medical council registration : This is in respect of candidatesdomicile of Maharashtra and admitted 15% AIEE quota in other state andregistered there.

12. AIEE Candidates : Shade an appropriate Circle

13. Internship Training : Date of commencement e.g. 15th Jan. 2001

Date of completion e.g. 14th Jan. 2002

Date of commencement Date of Completion

14. Post Graduate Course : Shade an appropriate Circle.

15. Post Graduate Course : Shade an appropriate Circle.

16. Post Graduate Course : Shade an appropriate Circle.

for column No. 17, 18, 19 & 20 please fill relevant information.

21. Candidate’s Name and Address : Write the name and address in Capital Letterswithin the boxes provided. The letters should not touch the margins of the boxes.

22. Signature of Candidate :The candidate should sign within the box. Signature should not touch or crossthe outline of the box.

23. Photograph :Please read the instructions within the box provided for the photograph & followthem faithfully. Cut the edges of the photograph to accomodate it within thebox.

Do not put stamp/seal or Signature on the photograph.

24. Declaration : Candidate must sign the declaration. The Dean / Principal of theMedical College should verify the information and certify.

1 5 0 1 2 0 0 1MMDD YY MMDD YY

. . . .1 4 0 1 2 0 0 2

APPLICATION FORM FOR POST GRADUATE MEDICALENTRANCE EXAMINATION PGM-CET-2005

1. __________________________________________________________________________ (Surname) (First Name) (Father’s/Husband’s Name) (Mother’s Name)

2. Contact no. with STD Code : ______________________

3. Sex : ____________________ 4. Nationality : _________________

5. Medical College name _____________________________

College Code (Annex “E”) : ______________

6. Date of Birth : _____________ 7. Exam Centre : _________________

8. Category : _______________

9. Certificates attached : Caste - Yes/No, CVC - Yes/No, NC - Yes/No

10. M.M.C. Reg. No. __________________ Reg. Date _________________

11. Other State Medical Council Reg. No. ______________ Date ___________ (For AIEE Candidates from Maharashtra)

Name of the Council _________________________________________

12. If AIEE candidate from Maharashtra Domicile (Yes/No)

Name of Medical College________________________ Place ____________ State __________

13. Internship Training : Date of commencement ___________________

Date of completion ___________________

14. If admitted & pursuing P.G./diploma Course ________________ Institute Code : _____________

Institution Name : __________________________________________ Place _____________

P.G. Reg. Date _________________ (If cancelled Reg.) cancellation Date __________

Exam particulars Month & Year Marks Marks Percentage No ofpassing Obtained Out of of marks Attempts

15. First MBBS

16. Second MBBS

17. Third MBBS (Part I + PartII / Whole Exam)

18. Aggregate Marks of (First, Second & Third MBBS)

19. Address : ___________________________________________________________________

_________________________________________________________________________________________

Pin Code : ________________

MANUAL FORM APPLICATION FORM NO.

Paste Recent I-Cardsize (3.5 x 4.5 cm)photograph to be

attested by the Headof Institute/ collegewhere studying at

present

(P.T.O.)

DECLARATION

I hereby declare that, I have not taken admission to any Postgraduate

Health Sciences Course in the previous year(s). I further declare that, if it is

proved that I have secured admission for any of the PG course earlier/

discontinued after taking admission my current year’s admission shall be

CANCELLED. The information furnished by me is correct and true to the best

of my knowledge. I have not suppressed any information, I shall also be liable

for Civil/Criminal action by the Competent Authority / Government

Place :

Date : / / Signature of Candidate

(For Office Use)

Eligible/Not Eligible for PGM-CET 2005If Not Eligible : Reason/s ______________________________________

(First Check) (Second Check)

Date : / / Signature of Dean of Notified Collegewith Stamp

DIRECTORATE OF MEDICALEDUCATION & RESEARCH, MUMBAI

PGM-CET-2005RECEIPT OF ENCLOSURES

( Office Copy to be attached to the Manual Form)

(i) Nat iona l i t y Cer t i f i ca te /valid passport

(ii) Certificate for Age(SSC passing Certificate)

(i i i) First M.B.B.S, Statement ofMarks.

(iv) Second M.B.B.S. Statementof Marks.

(v) Final M.B.B.S. Statement ofMarks (Part- I & Part - II).

(v) M.B.B.S. Degree / PassingCertificate

(vi) Attempt Certificates of allUniversity Examinations

(vii) In te rnsh ip Comple t ionCer t i f i ca te / Cer t i f i ca teind ica t ing l i ke ly da te o fcompletion of Internship.

(viii) Reg is t ra t ion Cer t i f i ca te(MMC/IMC)

(xi) Bonafide Certificate

If applicable

(x) Caste Certificate

(xi) Caste Validity Certificate

(xii) Non-Creamy LayerCertificate (for NT2, NT3 &OBC Candidates)

xiii) Domicile Certificate

xiv) AIEE Selection Letter

Signature of theCandidate

Signature of ReceivingClerk with Seal

Name of the Candidate

Appl. Form No. Date : / /2005

TO BE TICKED BY THE CANDIDATE

YES NO

DIRECTORATE OF MEDICALEDUCATION & RESEARCH, MUMBAI

PGM-CET-2005RECEIPT OF ENCLOSURES

( Candidate Copy )

(i) Na t iona l i t y Cer t i f i ca te /valid passport

(ii) Certificate for Age(SSC passing Certificate)

(i i i) First M.B.B.S, Statement ofMarks.

(iv) Second M.B.B.S. Statementof Marks.

(v) Final M.B.B.S. Statement ofMarks (Part- I & Part - II).

(v) M.B.B.S. Degree / PassingCertificate

(vi) Attempt Certificates of allUniversity Examinations

(vii) In te rnsh ip Comple t ionCer t i f i ca te / Cer t i f i ca teind ica t ing l i ke ly da te o fcompletion of Internship.

(viii) Reg is t ra t ion Cer t i f i ca te(MMC/IMC)

(ix) Bonafide Certificate

If applicable

(x) Caste Certificate

(xi) Caste Validity Certificate

(xii) Non-Creamy LayerCertificate (for NT2, NT3 &OBC Candidates)

xiii) Domicile Certificate

xiv) AIEE Selection Letter

Signature of ReceivingClerk with Seal

Name of the Candidate

Appl. Form No. Date : / /2005

TO BE TICKED BY THE RECEIVING CLERK

YES NO

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAIPGM-CET-2005

TO BE RETAINED BY THE CANDIDATE( This is receipt for application form and information brochure)

Application form No.

Received Rs.300/- by D.D./Pay order No. __________________ towards the cost of applicationform & information brochure.

Dated : / /2004 Name of the bank ____________________ Date ______________

From Dr.________________________________________

Date : / /2004

Place:Signature of the receiving clerk

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAIPGM-CET-2005

RECEIPT - CUM - IDENTITY CARD(This is receipt for PGM-CET 2005)

Received application form No.

From Dr. ______________________________________________________Photograph

of the

candidatefor admission to PGM-CET- 2005. and D.D./Pay order No.____________

for Rs.1500/- towards fees for PGM-CET 2005.

Name of the Bank __________________________, dated / /2005,

CANDIDATE WILL BE ISSUED ADMIT CARD FROM NOTIFIED CENTERS WHERE HE/SHE HASSUBMITTED COMPLETED APPLICATION FORM FOR PGM-CET 2005.

Note : This is only Receipt-cum-Identity card. The issue of the card does not mean that thecandidate is eligible for appearing at PGM-CET-2005.

Signature ofreceiving clerk

Signature of the Dean/Principal

Seal/Stamp of the college(Notified College)

Date : / /2004

Place : ________________

Seal/Stamp of the college(Notified College)

IMPORTANT INSTRUCTIONS TO CANDIDATES

01. Candidate must preserve the Receipt-cum-Identity card and AdmitCard safely and bring to the examination hall and produce the sameon demand by invigilator / supervisor.

02. Candidate should occupy the seat in the examination hall at leastThirty minutes before the commencement of the examination.

03. Details such as seat number, question paper booklet number andversion code number must be entered carefully on the answer sheet.The answer sheet No. & the seat No. must be entered carefully on theQuestion Booklet.

04. No candidate will be allowed to leave the examination hall till the endof examination.

05. In case of the loss of Admit Card, it shall be obligatory on the part ofthe candidate to procure duplicate Admit Card from the centreincharge not later than one hour before the commencement ofexamination, on payment of Rs.500/- and production of sufficientevidence to prove that he / she is the genuine / bonafide examinee(Receipt - cum - Identity card issued by the college authority).

06. All entries on answer sheet must be made only with Black ballpointPen.

07. Photograph on application form and Receipt cum - Identity card andAuthority letter (if required during selection process) should be takenfrom the same negative.

08. Please note that issue of admit card is just an enabling provision forappearing PGM - CET and does not imply that the candidate statisfiesall the requirements of eligibility conditions of admission.

09. Please quote your application number in further correspondence.

10. Please arrange the documents as per the order mentioned on thereceipt of enclosures (page no.-30) alongwith manual applicationform.

11. In case the Admit Card is not received by post the office of theCompetent Authority should be contacted immediately for duplicateAdmit Card.

1. INTRODUCTION ......................................................................................................... 1

2. DEFINITIONS .............................................................................................................. 1

3. COMPETENT AUTHORITY ......................................................................................... 1

4. DESIGNATED AUTHORITY ......................................................................................... 1

5. APPELLATE AUTHORITY ........................................................................................... 2

6. TENTATIVE NUMBER OF SEATS & LIST OF MEDICAL POSTGRADUATECOURSES ........................................................................................................... 2

7. ELIGIBILITY CRITERIA FOR PGM-CET ..................................................................... 3

8. APPLICATION FORM AND FEES FOR EXAMINATION .............................................. 5

9. CONDUCT OF PGM CET ............................................................................................ 8

10. DECLARATION OF RESULT & PREPARATION OF STATE MERIT LIST .................... 8

11. STATE MERIT LIST .................................................................................................... 9

12. SELECTION PROCESS ............................................................................................ 10

13. PROCESS FOR FILLING VACANT SEATS .............................................................. 12

14. CONDITIONS TO BE SATISFIED BY CANDIDATE AFTER SELECTION .................. 13

15. CANCELLATION AND REFUND ................................................................................ 13

16. DISCIPLINE .............................................................................................................. 13

17. UNDERTAKING & BOND........................................................................................... 14

PGM-CET 2005INDEX

18. ANNEXURES

Annexure-A : Definitions .................................................................................... 15

Annexure-B : List of Post Graduate Courses .................................................... 17

Annexure-C : Reservations ................................................................................ 18

Annexure-D : Notified Centres ........................................................................... 20

Annexure-E : List of Medical Colleges & their Codes...................................... 21

Annexure-F : Authority Letter ............................................................................ 24

Annexure-G : Bonafied Certificate ..................................................................... 25

19. General Instructions for filling Application form .................................................. 26

20. PGM-CET 2005 Manual Application Form ............................................................. 29

21. Receipt of enclosures ............................................................................................. 30

22. Receipt of Rs.300/- ........................................................................................... 31

23. Receipt-cum-Identity Card ...................................................................................... 31

* * *

1. Sale of information brochure and application forms at : 1/122004Notified centers (Annexure - D) to 13/12/2004

2. Submission of application forms at : 1/12/2004Notified centers (Annexure - D) to 14/12/2004

3. Dispatch of Admit Cards by Post from DMER office : 15/1/2005

4. Date of Examination : 30/01/2005 (Sunday)5. Centre of examination As indicated in Admit Card

(Place - Mumbai, Pune, Nagpur, Aurangabad)

6. Schedule of Examinationa) Entry in Examination Hall : 9.30 a.m.b) Distribution of answer sheets : 9.50 a.m.c) Distribution of question booklets : 9.55 a.m.d) Examination Commences : 10.00 a.m.e) Latest Entry permitted in Examination Hall : 10.00 a.m.f) Examination concludes : 1.30 P.M.

7. Declaration of Result & Merit List : 15/2/20058. Despatch of Marksheet : 17/2/20059. Last Date of Submission of Application form for

Verification of Marks to DMER Office : 25/2/200510. Preference form filling & Counselling : 3rd week of March 2005

at Mumbai, Pune, Aurangabad & Nagpur11. Publication of list of candidates selected : 3rd week of April 200512. Certificates / Documents to be brought on the day of Preference form filling &

Counselling. (Original & One set of attested xerox copies)a) PGM-CET-2005 Marksheetb) Nationality certificate / valid passportc) SSC Passing Certificate / valid passport.d) First, Second and Third MBBS Marksheets (Final part-I & Part-II wherever applicable)e) Attempt certificate of all MBBS examinations from the head of the institution.f) MBBS degree certificateg) Permanent Registration certificate of Maharashtra Medical Council or other state Medical

Councils in India / MCI.h) Certificate from Head of Institute showing that the Medical College / Institute from which the

candidates has passed MBBS examination is recognised by Medical Council of India.i) Admit card, Receipt-cum-Identity card.j) Bonafide Certificate from the Dean (as per format on page -25).k) Medical Fitness Certificate from a RMP.If applicable, Caste Certificate; Caste Validity Certificate, Non Creamy Layer Certificate

Domicile Certificate.

IMPORTANT INFORMATION AT A GLANCE

PGM-CET 2005 - Postgraduate Medical EntranceExamination for MD/MS/Diploma