ACKNOWLEDGEMENT

Received from Sum of Rs.

Bank Name Date to wards

by Cheque/ DD Drawn on

No.:

Cash payments are not accepted by Medvarsity and Medvarsity is not

responsible for any cash payments made. for Medvarsity Online Limited

Name

Father's/Husband's Name

Qualification

Postal Address

Educational Details

Payment Details

D D No Bank

Amount Rs. In Words

DateSIGNATURED D M M Y Y

Date

D D M M Y Y

I hereby declare that the particulars provided in the application form are correct and I have gone through the prospectus before filling the application. I shall be disciplined and adhere to all the rules and regulations of Apollo Hospitals Educational and Research Foundation and Medvarsity Online Ltd., I have gone through the instructions and Terms and conditions given overleaf before filling in the application form

PLEASE FILL ALL THE BELOW DETAILS IN CAPITAL LETTERS ONLY

S.No. Qualification Year of Passing University

Only 'Individuals'to affix recentphotograph

Branch

Courses Applied for

Phone (Off)

E-mail

Pin

Phone (Res)

Date of Birth

D D M M Y Y

City

APPLICATION FORM

State

No.:

Date :

Name of the candidate :

Signature

Instructions • Please fill the application form completely and furnish all details required there in.

• Please enclose attested copies of relevant certificates along with two stamp size photographs.• The completed admission form must reach us before the last date for admissions. AHERF or Medvarsity is not

responsible for any postal delays.

• Application for online course to be posted to Medvarsity Online Ltd, Life Sciences Building, Apollo Hospitals,Film Nagar, Hyderabad-96 A.P., India

• All disputes with regard to this course are subject to the jurisdiction of Hyderabad.

• DD should be made in the name of “Medvarsity Online Ltd.” payable at Hyderabad.

• ONLINE PAYMENT CAN BE DONE USING CREDIT CARD. Click on “Payments” in the home page ofwww.medvarsity.com.

• Cash payments are not accepted by Medvarsity and Medvarsity is not responsible for any cash payments made.

Terms and Conditions• Certificate of course completion would be awarded only after payment of full fee and successfully passing the

final Exam.

• The course Fee is inclusive of all taxes.

• Medvarsity reserves the right to disqualify a candidate for providing false information, submitting improperdocuments or for misconduct in a particular course.

• Medvarsity reserves the right to revise / change the curriculum, the course structure or course deliverymethodology without prior notice.

• Fees once paid will not be refunded . Fee transfer to other person is not entertained under any circumstances.

• Fees can be paid through Cheque / Demand Draft / Online payment / EFT (No cash payments will be acceptedand Medvarsity is not responsible for the cash payments made by the applicant)

• The payment will be refunded completely if the applicant is not selected for the program by the Company.

• Cheque / Demand Draft to be drawn in favor of “Medvarsity Online Limited”. Kindly write your Name, Address &Phone Number on the reverse side of the Cheque / Demand Draft.

• EFT payment to be made to the following account

Account Name: Medvarsity Online limited

Branch : Jubilee Hills, Hyderabad

Account No. 007605000171

IFSC/NEFT/RTGS Code: ICIC0000076

• Write your name & contact number in the remarks column while making the EFT payment. In the application form,mention the EFT transaction number, date of transaction and the bank details clearly.

• The application form will be processed only after the payment is realized/received by Medvarsity

• Switching to other Medvarsity courses is allowed subject to approval by Academic council within 3 months ofenrollment. No refunds or no fee adjustments would be made in this regard.

• Candidates shall be eligible to attend contact program only after full payment of fee and successfully completingstudy modules, internal exams and any other criterion set by course coordinator.

• Contact programs wherever applicable shall be conducted in batches and therefore may not start immediatelyafter completion of study modules. This may result in extended duration of the entire course.

• There shall be a minimum batch size to conduct contact program. In the event of the batch size being below theminimum number, contact program shall be moved to next batch.

• Eligible candidates shall be informed about the dates of Contact programs in advance. Once intimated, it isnecessary for the candidate to attend the contact program.

• In the event candidate is not able to attend the contact program, Medvarsity shall not be held responsible.Medvarsity shall try to accommodate such candidates in the contact program for subsequent batch but shall notbe liable to do so.

• The course is to be completed in the stipulated duration. Every course is provided a grace extension of 6 monthsbeyond which a reactivation fee of Rs. 2500 is chargeable for course duration extension.

• In the event a candidate does not pass final exam, he/she may be allowed for reattempt only after payingnecessary exam fee as prescribed in the prospectus.

• All disputes with regard to this course are subject to the jurisdiction of Hyderabad.

• In case of provisional admission if the candidate is found to be ineligible Rs.1000/- will be deducted as applicationand processing charges and the rest of the fee will be refunded in 30 days.

Terms and Conditions - Placements1. Placement assistance is a facility provided by Medvarsity Online Limited and placements are NOT guaranteed

to any student.

2. All the students who have successfully completed the course and are seeking employment may register withplacement division of Medvarsity Online within six

months from the date of completion. However, students not interested in placements are requested not toregister.

3. It is compulsory for all the students registered with placement division to fill up the prescribed registration formand submit their resume to Placement division of Medvarsity Online Limited.

4. Students may have to modify the resume depending on the job requirements made by the company.

5. If there are any changes in contact details, registered students are advised to update their contact detailsimmediately with placement division.

6. Placement assistance will be provided for one year only.

a. Placement assistance is given to the student for Six months only from the date of registration withPlacement Division of Medvarsity Online. On completion of the Six months from the date of registration,irrespective of whether the students get a job or not, his / her name will be removed from the database.

b. However, if the student wishes to continue to get the placement assistance for another Six Monthshe/she has to pay a nominal re-registration fee prevailing at that point of time.

7. Placement division will send you the job descriptions of the openings to the email addresses provided at thetime of registration. The same job description will be available on the placement section ofMedvarsity website. The mail will also mention the deadline / time frame to respond. Placement division is notresponsible for the delay in communication from students end and will not forward theresumes to the organization if the student does not respond within the deadline / time frame.

8. Registered students are advised to read the job descriptions, go through the company web sites and apply onlyif interested.

9. Placement division will inform you about your shortlisting and interview schedule only after receivinginformation / communication from the respective organization.

10. It is compulsory for all the shortlisted students to attend the interview with the organization failing whichplacement assistance will be withdrawn and will not receive communication about the futureopportunities / openings.

11. Student must be formally dressed whenever they attend interview. Generally preferable dress code for Gents –Formal dark pant with light shirt, neck tie and formal shoes and for Ladies – Churidar / Salwar / Shirt-Pant with overcoat and shoes.

12. While going for interview students are advised to carry hardcopy of their resume, passport size photograph,Photo identity proof, certificates and any other specific document asked by the employer.

13. There is a possibility that the all the registered students may not get the opportunities in or from theirhometowns only and hence are required to travel for attending interviews. Travailing charges forattending interviews are to be borne by the students only.

14. Wherever there is a possibility, the placement division will try and arrange interviews telephonically or throughSkype. Hence students are advised to have a Skype account.

15. Student is bound to accept the job offer of a company, once selected, and join the same organization. In case,students decide not to join the company, they should inform the company in writing withreasons. They are also required to submit a copy of that letter to the Placement division. The placement divisionwill stop further assistance to such students in the future.

16. Once selected, the students name will be removed from the registered list and will not be communicated aboutthe future openings.

17. If any student gets placed through our efforts, the student is bound to send a copy of the Offer letter toMedvarsity Online for our official records.

18. Medvarsity is not responsible to provide placement assistance again to a candidate who gets an offer anddoesn’t join the organization or leaves the organization after joining.

19. A registered student is advised to inform us, if he gets a job and joins any organization through his own efforts.

20. Placement rules are reviewed periodically and are changed accordingly; the changes will be intimated to theregistered students by emails only and they have to abide by them.

I have read, understood, agree and abide by the placements terms and conditions of Medvarsity Online Limited