1

PROSPECTUS

For admission through counseling to 50% seats OF MBBS & BDS Courses

In Pvt. Unaided Medical & Dental Educational Institutions

OF HARYANA

SESSION 2014

Pt. B.D. SHARMA UNIVERSITY OF HEALTH SCIENCES,

ROHTAK, HARYANA.

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STATUTORY OFFICERS OF PT.B.D.SHARMA, UNIVERSITY OF

HEALTH SCIENCES (UHSR), ROHTAK -124001, HARYANA, INDIA.

Hon’ble chancellor Sh. Jagannath Pahadia, Governor of Haryana

Vice-Chancellor Dr. S.S. Sangwan

Name and Designation Telephone No.

REGISTRAR Dr. Mrs. Sarla Hooda,

292709

DIRECTOR, P.G.I.M.S. ROHTAK

Dr. C.S. Dhull

211307

DEAN ACADEMIC AFFAIRS

Dr. Mrs. Sushma Sood,

292113

DEAN, PGIMS, ROHTAK

Dr. V.K. Jain

211309

PRINCIPAL, PGIDS, ROHTAK

Dr. Sanjay Tewari

213876

CONTROLLER OF EXAMINATIONS

Dr. Sanjay Kumar

210051

For Enquiry Contact: Phone Nos. : 01262-292113, 210051, 292709,211307,211309 Fax Nos. : 01262-210051, 211308.

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CONTENTS

CHAPTERS TITLE PAGE I Schedule of admission 2014- At a Glance

II About the Pvt. Unaided Colleges of State

III Eligibility Criteria – Duration of Courses

IV Fee Structure

V Distribution of seats

VI How to fill the application form

VII General Instructions

VIII Method of Selection and Admission

Instructions for curbing ragging

Annexure ‘A’

Application Form

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CHAPTER I

For admission through counseling to 50% seats

OF MBBS & BDS Courses

In Pvt. Unaided Medical & Dental Educational Institutions

OF HARYANA

AT A GLANCE

Sr. No. PARTICULARS DATE

1. Availability of application form w.e.f. 08.07.2014 Onwards

2. Last date for receiving of Application forms duly

filled.

01.08.2014 (Upto 05:00 PM)

3. Date of 1ST

COUNSELING : 12.08.2014 (9:00 AM

onwards)

4. Venue of Counseling : Committee Room, Director

Office, Pt. B.D. Sharma PGIMS,

Rohtak

Note:- i. Information Brochure containing application form and eligibility conditions can be

downloaded from the University Website i.e. www.uhsr.ac.in.

ii. Application form complete in all respects must reach the office of the Controller of Examinations, UHS, Rohtak on or before 01.08.2014 upto 5:00PM alongwith the bank draft amounting to Rs. 4000/- for GC Category (For SC/BC/SBC @ Rs. 1000/-) drawn in favour of Controller of Finance, Pt. B.D. Sharma University of Health Sciences, Rohtak payable at State Bank of India, Medical College Rohtak(Code 4735).

iii. The candidate can also deposit the cost of application form by adding transaction charges in case of candidates from outside Rohtak directly in the University Bank Account (HDFC Bank, D Park, Model Town, Rohtak A/C No. 01761450000617.

iv. The receipt for deposit of cost of application form must be produced by the candidate at the time of counseling.

v. Applications received late shall be rejected

vi. University will not be held responsible for any postal delay.

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CHAPTER-II

GOLD FIELD INSTITUTE OF MEDICAL SCIENCES & RESEARCH,

VILL. CHHAINSA, BALLABGARH, FARIDABAD

Gold Field Institute of Medical Sciences & Research, Vill. Chhainsa, Ballabgarh, Faridabad is

first medical college in the district of Faridabad being run by Gold Field Shiksha Sanstha. This is the

prestigious society established since 1985. Society has keen interest in spreading education, health care

and knowledge to the public at large. To promote education, society has different institutions in various

disciplines. Society is running Medical, Engineering, B.ed, M.ed, BCA, BBA, MCA and MBA Colleges

besides two English medium senior secondary schools. Gold Field Institute of Medical Sciences &

Research is approved by MCI and affiliated to Pt. B. D. Sharma University of Health Sciences, Rohtak

with annual intake of 100 students.

Gold Field Institute of Medical Sciences & Research is situated in lush green campus of 25 acres

with a state of art 400 bedded hospital which caters to about 100 surrounding villages with a population

of 26 lacs and provides medical health facilities with 5 ambulances to cater the needs of far flung area

patients. The College and Hospital have highly experienced Principal and Medical Superintendent with

senior teaching faculty. The hospital has 20 bedded casualty, 10 bedded ICU, 10 bedded ICCU, 5 bedded

Nursery, 5 bedded PICU and NICU and provides facilities to around 650 OPD and 280 IPD patients per

day. The hospital has well equipped CATH lab and radiology dept with MRI, CT scan, Digital X-ray,

Colour Doppler and USG machines. The hospital is equipped with fully computerized advanced

laboratory and blood bank which provides 24 hrs services. Hospital has centrally air conditioned modular

operation theatres with facility for laparoscopy and all types of advanced operations of Orthopedics, ENT,

ophthalmology and general surgery. Hospital has facilities for audiology and speech therapy under fully

equipped ENT department.

The College has well ventilated laboratories for all preclinical and paraclinical departments. There are two large spacious air- conditioned lecture theatre for teaching students. There is a air conditioned library with internet facility. The college campus has well ventilated/ air-conditioned hostels for Boys and Girls separately.

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BRS INSTITUTE OF MEDICAL SCIENCES, DENTAL COLLEGE &

HOSPITAL, VILLAGE SULTANPUR, DISTT. PANCHKULA

B.R.S. Dental college was established in the year 1992 by Late Sh. Baldev Krishan Ji and was the first private dental college to come up in Haryana. With an intake of 60 undergraduate students and eleven post graduates students per year, the college is accredited with sixteen batches of graduate students and two batches of post graduate students in five clinical specialties till date, all of whom are doing well in their profession.

At BRS Dental College we strive to create knowledge, to open the minds of students to that

knowledge and to enable student to take best advantage of their educational opportunities. The college

encourages students to respect new ideas and free expression and to rejoice in discovery and in critical

thought to pursue excellence in a spirit of productive cooperation and to assume responsibility for the

consequences of their personal actions. BRS seeks to identify and to remove restraints on student’s full

participation so that individuals may explore their capabilities and interests and may develop their full

intellectual potential. The support the college provides to students is a foundation upon which self

reliance and habits of lifelong learning are built. We expect that the knowledge we foster in our students

will lead them in their later lives to gain advanced knowledge, to promote understanding and to serve the

society.

In pursuance of high academic standards the college conducts regular monthly symposia, CDE

programs and conferences and thus has an excellent atmosphere to provide a high order of professional

training. We believe in overall development of students and hence we keep conducting activities like

sports meets and various competitions to polish the overall caliber of the students.

BRS dental college has an excellent library with latest collection of books and journals. The

library is fully air conditioned and paper less with all the records being managed through library software.

Wi-Fi facility is also available and the collaboration with EBSCO provides free excess to thousands of

journals to the graduate and post graduate students. The college also has an academic affiliation with

BOSTON University USA to avail their services in form of seminars, guest lectures and exchange of

students every year.

The boys and girls hostels are located within the secure and serene campus of the college and are

having ultra modern facility for the benefit of the students. Library and canteen are close by, the facility

for the sports activities like basketball, badminton and cricket are made available to them. We at BRS are

committed to enhance the patient satisfaction by providing consistent quality services at optimum cost for

providing effective and efficient patient care meeting the statutory and regulatory requirements and by

continual effective improvement in quality management system.

We BRSDCH are taking initiative in providing cost effective dental treatment to the poor by

organizing dental check up and treatment camps, medical camps and dental awareness exhibition in

surrounding villages. Dental treatment to all is our motto and we are striving hard to make the region

disease free by these initiatives.

The state of the art technology and the academic standards of the college have been appreciated

by all concerned and it is emerging as one of the best institute in the country.

Mission of Our College is: Treating the patient using the validated knowledge, resources and skills for

there comfort, safety and satisfaction by continually upgrading there academic and clinical skills.

Our vision is providing latest care and education of international standards, access, reliability, dignity,

safety and ability.

Courses offered : BDS & MDS

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JAN NAYAK CH. DEVI LAL DENTAL COLLEGE, SIRSA Jan Nayak Ch. Devi Lal Dental College, Sirsa is one of the premier Dental Institutes in the

Private sector not only in North India but in whole of the Country. The infrastructure, library, teaching faculty & Clinical training facilities developed by the college are one of the best in the Country. The college is recognized by Dental Council of India & duly notified as a recognized BDS teaching institution by Govt. of India vide Notification No. V-12017/13/2004-DE dated 25-02-2009. the Academic affiliation of the college is with Pandit B.D. Sharma University of Health Sciences, Rohtak with regular intake capacity of 100 students in BDS Course per year.

JCD Dental College was established with a vision to achieve global standards in dental education and patient care. Carefully selected, well qualified experienced teaching faculty, latest & best clinical & laboratory instrumentations in academic & Clinical teaching programmes, latest diagnostic equipments, voluminous teaching & research material in the Library, abundant clinical material & well developed Infrastructure of international standards ensure the best teaching environment for the students & provide quality treatment to the patients.

. The WI-FI Campus of Ch. Jan Nayak Vidyapeeth is well spread in about 200 acres of land & green campus in true sense. The College is conveniently located within the City municipal limits next to the Chaudhary Devi Lal University, Sirsa & hardly 3 kms from the main Bus stand & 2.5 kms from Sirsa Railway station. There is regular City Bus service to the campus at 30 minutes frequency. The campus is

Besides excellent facilities for teaching & training of Dentistry at Jan Nayak Ch. Devilal Dental College, Sirsa, the students also have an outstanding opportunity to develop their overall personality in the peaceful & scenic campus with ample facilities of Outdoor & Indoor Sports including an International standard Cricket stadium. The facilities in the hostels are very good & safety of the students is our main concern. Separate hostels are available for boys & girls. Internet facility & Indoor games are also freely available to the hostel inmates.

At JCD Dental College, the Merit scholarships for meritorious students, Need cum Merit

Scholarships for economically weaker students are available. Various scholarships & financial assistance schemes of Haryana Govt. are also available to our students & can be availed through the college.

Courses Offered : BDS & MDS

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J.N. KAPOOR DAV CENTENARY DENTAL COLLEGE,

YAMUNA NAGAR

The Dayanand Anglo Vedic society made a trust with destiny 124 years ago for the spread of

education in India. Since then it has opened schools, colleges and technical institutions in all parts of India, from the metros to the remotest corners of the country. The D.A.V. Trust entered the field of medical education and health care in 1986 when it established Maharishi Dayanand Maternity and General Hospital and the J.N. KAPOOR D.A.V. (C) Dental College at Yamuna Nagar in 1987. The historic decision gave a new direction to the D.A.V. fraternity and the D.A.V. movement has now achieved new heights in the field of medical education and health delivery. The College had a good start with its first batch of 40 students admitted in the session 1987-88 in the B.D.S. Course and all the students passed out with flying colors in December, 1992 after completion of one year rotating internship. The College is presently affiliated to Pt. B. D. Sharma University of Health Sciences, Rohtak and is recognized by the Dental Council of India. The College gained its strength and started MDS course with 18 seats per year, 3 seats each in the speciality of Oral and Maxillofacial Surgery, Prosthondontics including Crown and Bridge and Implantology, Conservative Dentistry and Endodontics in 1998, and 3 seats each in the speciality of Orthodontics, Periodontics, Pedodontics & Preventive Dentistry in 2000 and till today all Students who have passed out are well settled and are working in different capacities in dental colleges throughout India. DAV Dental College has an excellent Library and is well equipped with books and journals pertaining to all the specialties of Dentistry and other allied medical and general subjects. The library has been carefully planned to have more space and natural lighting for the comfort of the users. The library is fully air – conditioned and is well equipped with modern facilities and resources in the form of e library, online databases, video cassettes, Facilities such as photocopying, fax, access to internet resources, online journals. Much is happening in the campus both from the infrastructure and academic point of view and in a very short period of time the college has grown in leaps and bounds gaining recognition nationally as well as internationally. This process of gradual evolution that the DAV brings about is not just limited to students, but to all those associated with it, ;be they teachers, administrators, staff or parents. DAV Dental College today is more than just an institution or an organization. Here students are instilled not only with excellent education, training on patients but also on the core values to help them become good individual and pay their debt to the nation and humanity. Courses offered :-

BDS & MDS

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MANAV RACHNA DENTAL COLLEGE, FARIDABAD

Manav Rachna Dental College is one of the flagship institutions of Manav Rachna Educational Institutions (MREI), one of india’s leading educational institutions, producing some of India’s most employable professionals. MREI is the brain child of renowned educationist and philanthropist, Dr. O.P. Bhalla, President MREI.

MREI is an innovative, global class educational entity, with its heart in the city of Faridabad. It has a reputation for excellence in work-relevant education and high quality research, which is engaged with the needs of industry and community. The student strength continues to grow at MREI campuses in Faridabad and Gurgaon. A vibrant alumni community stretches all across. An ever expanding number of higher education and vocational education programmes are offered across a broad range of areas. Many specialized programmes are regarded as among the best of their ilk in India. MREI has grown to become one of the preeminent institutions in the country and has carved a niche of its own for excellence in professional education and research. At MREI, the spirit of innovation defines us. Our professors create the new ideas that are transforming the future over all. And they bring that into classroom, so our students take the lead in innovating new ideas of the future. MREI has specialized faculty in all the courses, it offers, They know how to prepare students for tomorrow needs because they’re working directly with those issues, every day. Manav Rachna Dental College is situated in Faridabad at a distance of less than 10 KM FROM Delhi border. The sprawling campus includes the college and anassociated hospital. The primary aim of this institution is to produce competent dentists, specialists, and super specialists. It has endeavored to create all facilities conducive to learning and furtherance of knowledge by associated hospitals. Not to mention, establishing routine and specialized laboratories of excellence and other investigative facilities, pursuance of objectives of medical education by improving the course contents, continuing education and strengthening of research activities and extending medical support to the local authorities for health care programmes.

Manav Rachna Dental College has well-established special clinics in Dental Implant, Advanced Dental Centre and Rural Health Centres. Moreover, many Rural Dental Health Camps and school children Dental Health Camps are routinely undertaken by the College. The public response to MRDC Dental Camps, held at various places for the welfare of needy people, has been very encouraging. The ultimate aim is to bring this institute at par with the best in the world, so that our trained doctors become the global players of tomorrow.

Courses offered: BDS, MDS & PG Diploma

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PDM DENTAL COLLEGE & RESEARCH INSTITUTE SARAI

AURANGABAD, BAHADURGARH ( HARYANA)

To give impetus to higher technical education, to meet futuristic global standards, to instill high patterns of discipline and character building, to make students technically strong, in short to improve the total quality of life is what PDM is all about.With this core goal in mind, the Prabhu Dayal Memorial Religious and Educational Association ( PDMREA, popularly referred as PDM) came up with its first institution named PDM POLYTECHNIC IN 1995-96. And then came up PDM College of Engineering in July 1999, PDM public School in 2003, PDM college of Pharmacy in 2004, PDM institute of Engineering & Technology at Karsindhu, Safidon (Jind) in 2005, PDM college of Education & Ultra modern PDM Dental College & Research Institute in 2006. A new Institute, PDM college of Engineering for Women will open its gates for the students in the coming session 2009-10. Today, it is a well established institution spread over 65 acres of land in absolutely pollution free surroundings. The Association has achieved astounding success in the field of education I a short span of time and it plans to add new educational courses every year so that quality education in every field becomes available under one roof for the convenience of the student.

Courses offered : BDS & MDS

SUDHA RUSTAGI COLLEGE OF DENTAL SCIENCES &

RESEARCH, FARIDABAD, HARYANA

The college is founded on the philosophy of nurturing excellence in the field of dental education

and is well supported by the state of the art infrastructure. The College is situated in the NCR region of Delhi, in New Faridabad township of HUDA (under development). It is excellently connected with Delhi. The College has been approved and recognized by Ministry of Health & Family Welfare and Dental Council of India (DCI) for BDS course. Permission to start MDS course in following six specialities has been granted by Ministry of Health & Family Welfare, Govt. of India, New Delhi. Sanction for commencement of Certificate course in Dental Mechanic has also been granted by Ministry of Health & Family Welfare and Dental Council of India (DCI). We have an eminent faculty. Our students have always excelled in academics and sports and extra curricular activities. The College has in its campus a state of the art 100 bedded, Multi-specialty General Hospital ‘Shanti Devi Memorial Hospital’. It has all the modern facilities. The number of patients average 200 per day in OPD of the college and over 100 in hospital. The College has a fully air conditioned, modern auditorium having latest Audio Visual equipment and other facilities with a seating capacity of 500. The College has an acoustically designed and well furnished library with a seating capacity of 250 students, also boasts of wifi connectivity throughout the campus. It has a large digital central library with internet connection. It has over 4000 Dental and Medical books, several national and international Journals are being subscribed along with newspapers and periodicals for keeping the students and faculty abreast with the latest in the field of Dentistry. The library occupies 6500 sq. feet floor area with a separate audio-visual Journals and Photocopy section with book binding machine. The College campus is spread over more than 10 acres of land with a build up of over 3,00,000 sq.feet approx. It is well planned keeping in mind the future requirement. It is self contained and has staff quarters, separate Boys and Girls Hostel with Mess and Canteen and Sports (Indoor/Outdoor) facilities. Courses offered : BDS & MDS

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SWAMI DEVI DYAL HOSPITAL AND DENTAL COLLEGE,

GOLPURA, TEHSIL - BARWALA, (PANCHKULA)

(Approved by Govt. of Haryana, Govt. of India-Ministry of Health and Family Welfare, Dental Council of India & Affiliated to Pt. B.D.Sharma University of Health Sciences Rohtak)

Swami Devi Dyal Hospital and Dental College, was established in 2004 with a intake capacity of 100 students. Since its inception the institute has committed itself to provide the best education and inculcate the best of personal qualities among the students. Located on NH-73 in lush green surroundings with the Shivalik hills in its backdrop, the campus provides a peaceful and inspiring environment for the academic as well as overall development of the students. The college is a part of the Swami Devi Dyal Group of Institutes and is located in the main campus. The college has world class infrastructure which is second to none and surpasses not only other colleges of the region but also stands tall when compared to other colleges of national repute and intellectual capital. The college has well equipped departments and laboratories serving the needs of both patients and students.

Our Mission: • To develop the Institution into a “Temple of Learning”

• To Attain Excellence in Health Care Delivery

• To Develop Quality Professionals with Integrity, Credibility and Ethical Conscience.

• To Blend and Apply Research and Clinical Acumen.

• To Reach Out to the Community with a Motto-

• “Service to Humanity”

SDDHDC Barwala is 7 years young today, PROUD institution of our Management. We are trying that this prime institution reaches from minimum to optimum an optimum to excellence with perfection. It is perfect with qualitative and quantitative faculty, perfect in grooming young students with moral and ethics to be best professional for their career. It is a model and perfect in its commitment to the total health care of the rural population taking dental & medical treatment to the less fortunate people Our relentless efforts to constantly improvise and grow with a tend towards perfection has paid rich dividends and the SDDHDC is well on its way to donning a new mantle, getting a whole new make over with an entirely new approach, yet upholding the same principle, the same principle of making quality education an abiding commitment.

Courses Offered : BDS & MDS

YAMUNA INSTITUTE OF DENTAL SCIENCES & RESEARCH VILLAGE-GADHOLI

(YAMUNA NAGAR)

Yamuna Institute Of Dental Sciences & Research Village-Gadholi (Yamuna Nagar) has recently been permitted to take a batch of 100 BDS students by Govt. of India/Dental Council of India from the session 2012. The Institute strategically located on the NH 73/14 kms from Jagadhari. This college is surrounded by more than 120 villages within a radius of 10kms. The campus spread over 6.5 acres, is pollution free and environment friendly. The surroundings afford a relaxing atmosphere essential for quality learning and meaningful exchange between students and faculty. The entire campus is Wi-Fi enabled.

A fully equipped Air Conditioner mobile van fitted with 2 dental chairs and units with X-ray facility is being run by the college to conduct check up and treatment campus in the adjoining areas. More than 5000 patients have already been benefitted from this service and this is an on going activity. The campus provides information on various Dental diseases and prevention in schools at the village level under the School Health Programme, medical check-up such as nutrition status, blood pressure and blood sugar levels screening is also routinely carried out in the campus.

A well equipped Central Dental OPD with ultra modern, state of the art equipment is fully functional. More than 150 patients are being examined and treated daily for various dental diseases. This OPD is backed by most advanced radiology section having Digital OPG, RVG and X-Ray Machine, Laboratories for various dental and Medical subjects have been established and equipped with complete range of equipment, instruments and material for providing quality education.

Other Facilities:- Adequate number of lecture hall and demonstration rooms, Central library hostel, etc.

Course offered : BDS

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CHAPTER III

ELIGIBILITY CRITERIA

i) He/ she should attain the age of 17 years or more on 30-12-2014. The age shall be determined as

per entry in the Matriculation/Secondary school or its equivalent examination certificate. ii) The candidate should have passed Sr. School certificate examination10+2 of Board of School

Education, Haryana or an examination recognized as equivalent thereto with atleast 50% marks in Physics, Chemistry and Biology taken together (40% marks in respect of candidates belonging to Scheduled Castes/Scheduled Tribes/Backward class or Special Backward Class of Haryana State) and 45% marks in case of Physically handicapped candidates and must have also passed the subjects of Physics, Chemistry, Biology and English individually.

Note:- 1. Admission through counseling to MBBS/BDS courses will be based on merit in

AIPMT – 2014 (All India Pre Medical/ Dental Entrance Test – 2014) as per

direction of Government of Haryana Department of Medical Education and Research

Notification no.16/14/2014-6HB-IV dated 30.05.2014 (Annexure A) which is part and

parcel of the prospectus. Also please refer to Chapter VIII ‘Process for admission to

open merit category’.

2. The list of examinations recognized as equivalent to 10+2 examinations of Board of School Education, Haryana is available in the Academic Branch of the University.

DURATION OF COURSES

1) The course of studies leading to the award of Degree of Bachelor of Medicine and Bachelor of

Surgery (MBBS) shall last for a minimum period of five and half academic years including one year compulsory rotatory internship.

2) BDS course is of 5 years including one year compulsory rotating internship.

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CHAPTER IV

FEE STRUCTURE

MBBS Fee Head Amount (P.A.)

Tuition Fee including Development Charges Rs. 7.00 lacs

Tuition fee for NRI $ 80,000

College Security Refundable Rs. 2.00 lacs- adjustable with the last fee

Library Security Fee & University Registration and

Other Charges

Actual

Hostel Fee Not more than Rs. 1.50 lacs including Hostel fee and

Mess Charges

Transport Fee Actual

BDS

Fee Head Amount (P.A.)

Tuition fee including Development charges Rs. 2.00 lacs

Tuition fee for NRI $ 35,000

College security refundable Rs. 50,000/- adjustable with the last fee

Bank Guarantee Rs. 1.00 lac

University Registration Charges Actual

University and DCI continuation charges Rs. 5000/-

Examination Charges Rs. 3000/-

Library Charges Rs. 1200/-

Equipment and Maintenance Charges Rs. 1500/-

Sports and Medical Charges Rs. 1500/-

Internet Charges Rs. 1000/-

Caution charges Rs. 4500/-

Hostel Charges Not more than Rs. 75000/-

Transport Fee Actual

1. The fee will be payable on annual basis.

2. Fee will be deposited by the successful candidates to the respective Institute in the

shape of demand draft within three(3) working days from the date of counseling.

The fee shall be refundable/adjusted if candidate is shifted from one institution to

another in the subsequent counseling on operation of the waiting list. If the said fee

is not refunded/adjusted within 15 days the relevant institution will be liable to pay

Bank interest as well as penal interest to the said students as laid by RBI.

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CHAPTER-V

TENTATIVE DISTRIBUTION OF SEATS FOR ADMISSION THROUGH

COUNSELING TO MBBS/BDS COURSES IN PVT UNAIDED MEDICAL & DENTAL

EDUCATIONAL INSTITUTIONS OF HARYANA SESSION 2014

MBBS

Sr.

No

Name of Institution Total

Sanctioned

seats

50% open

merit

category/G

ovt. seats

Status of affiliated to UHSR

1 GOLD FIELD INSTITUTE OF MEDICAL SCIENCES & RESEARCH, VILL. CHHAINSA, BALLABGARH, FARIDABAD

100 50 Extension for session 2014-15 granted

BDS

Sr.

No

Name of Institution Total

Sanctioned

seats

50% open

merit

category/G

ovt. seats

Status of affiliated to UHSR

1 JAN NAYAK CH. DEVI LAL DENTAL COLLEGE, SIRSA

100 50 Extension for session 2014-15 granted

2 SUDHA RUSTAGI COLLEGE OF DENTAL SCIENCES & RESEARCH, FARIDABAD, HARYANA

100 50 Extension for session 2014-15 granted

3 MANAV RACHNA DENTAL COLLEGE, FARIDABAD

100 50 Extension for session 2014-15 granted

4 BRS INSTITUTE OF MEDICAL SCIENCES, DENTAL COLLEGE & HOSPITAL, VILLAGE SULTANPUR, DISTT. PANCHKULA

60 30 Extension for session 2014-15 granted

5 PDM DENTAL COLLEGE & RESEARCH\ INSTITUTE SARAI AURANGABAD, BAHADURGARH ( HARYANA)

100 50 Extension for session 2014-15 granted with the condition that hard copies of the 2013 journals are to be procured before the onset of the new academic session. Compliance Report awaited from the college.

6 J.N. KAPOOR DAV CENTENARY DENTALCOLLEGE,YAMUNA NAGAR

40 20 Extension for session 2014-15 granted

7 SWAMI DEVI DYAL HOSPITAL AND DENTAL COLLEGE, Vill. GOLPURA, TEHSIL - BARWALA, (PANCHKULA)

100 50 Extension for session 2014-15 not granted as yet.

8 YAMUNA INSTITUTE OF DENTAL SCIENCES & RESEARCH VILLAGE-GADHOLI (YAMUNA NAGAR)

100 50 Extension for session 2014-15 granted.

NOTE:-The seats are subject to decrease or increase as per MCI/DCI/Govt. of India

directions.

15

CHAPTER - VI

HOW TO FILL THE APPLICATION FORM

1. A candidate seeking admission to the MBBS/BDS course is required to send his / her application

on the prescribed form appended in the prospectus.

2. The candidate is required to go through the prospectus carefully and acquaint himself / herself

with all the requirements with regard to the filling of the application form.

3. Application form should be filled in English Only.

4. The candidate shall fill-up the application form in his / her own handwriting in the block letters

written neatly and legibly with blue / black ink within prescribed columns.

5. Overwriting / cutting / erasing in the application form may lead to rejection of the form and

should be avoided. Any error arising on this account shall be the responsibility of the candidate.

(It is advisable to first fill in a photocopy of the Form and then the main document.)

6. The Candidate should write his / her complete address in the Application form for further

correspondence. Pin code should be given in the space provided for the same. It will be the

responsibility of the candidate to ensure that he / she gives his / her correct address. The

University shall not be held responsible for any loss or any delay of communication in transit or

for an incorrect address given by the applicant.

7. The last date of receipt of application form duly completed in all respect is 01.08.2014 up to

5:00 PM. No grace period will be allowed.

8. Candidate should write his / her name, father’s/ mother’s name in the capital letters as given in

Matriculation / High School Certificate or the Board.

9. Date of birth - Enter the date, month, year of birth as per the English calendar and as recorded

in the High School / I.C.S.E / Class X or its equivalent certificate.

10. Candidates are requested to put their signature in the box given at the bottom of the

photograph. Writing full name as signature in the box in capital letters would not be accepted

and the application form is liable to be rejected.

11. Candidate should firmly tie or staple the application form and enclosures.

12. Request for change in any particular in the application form once submitted shall not be

entertained under any circumstances.

13. Incomplete application form or form with overwriting will be rejected.

14. Candidates are advised to check the University website www.uhsr.ac.in regularly for any

subsequent amendments made from time to time or rescheduling.

16

CHAPTER - VII

GENERAL INSTRUCTIONS FOR SUBMISSION OF APPLICATION FORMS

The application form duly completed in the candidate’s own handwriting, should reach the Controller

of Examinations, Pt. B.D. Sharma University of Health Sciences, Rohtak on or before 01.08.2014 upto

5.00 PM. It can be submitted personally also. The University takes no responsibility for any postal delay

in receipt or loss of application in transit.

The application form must be accompanied by attested photo copies of:

(a) Matriculation Certificate/High School Certificate/ICSE/Class X or its equivalent certificate as

proof of date of birth.

(b) Original Certificate having studied in class XI and class XII.

(c) Attested copy of certificate having passed in qualifying examination i.e. 10+2.

(d) Three copies of self attested photograph taken within one year preceding the date of

submission of application form. The photograph should be firmly affixed to the application form

with adhesive (gum) and should not be pinned or stapled.

(e) Certificate of good conduct from the Head of Institution last attended.

(f) Certificate regarding claim for category issued by the competent authority should be attached.

(g) Copy of the result of AIPMT - 2014 on the basis of which All India Merit/ State Merit/ Score etc.

have been filled up in the application form.

(h) Haryana Resident Certificate if claimed.

Note: All the selected candidates shall be required to deposit above original certificates with the

institution where they get admission. These will be returned after completion of the course.

However, if a candidate withdraws his/her candidature, then these will be returned immediately

after that.

GENERAL INFORMATION

1. The cost of prospectus – cum – application form will not be refunded under any circumstances.

2. Any attempt on the part of a candidate, his parents or relatives to canvass or bring influence to

bear upon the competent authority, directly or indirectly for securing admission will lead to

disqualification.

3. The candidate is admitted on the basis of information submitted by him/her. If, at any

subsequent stage, it is discovered that any portion of the information provided by the candidate

is incorrect, he/she will be removed from the Institution and all fees and other dues paid / liable

to be paid by him/her till the date of such removal shall be forfeited / charged. Any further

action, as deemed suitable, may also be taken by the institution against such student.

4. The application form, should be filled in carefully in block and legible letters and signed by the

candidate. All claims made in the application must be supported with documentary proof.

Application form which is incomplete in respect of the required particulars or is found lacking in

the essential documents will be rejected.

5. In case of any ambiguity in the rules, the interpretation of the same as decided by the

competent authority shall be final.

6. A student who violates the above conditions willfully or otherwise shall be liable to expulsion.

7. Instructions/direction to modify / change the condition(s) can be issued prior to the counseling.

8. Objection, if any about the contents/conditions of the eligibility mentioned in the prospectus

can be raised in the form of a representation to the Competent Authority before the start of

counseling.

9. All admissions are provisional i.e. subject to their registration with the Pt. B.D. Sharma

University of Health Sciences, Rohtak after completing necessary requirements as per

rules/ordinances.

17

IMPORTANT INSTRUCTIONS

1. The authorities do not undertake any responsibility for the delay or loss of form or

correspondence pertaining thereto during transit (postal / courier).

2. The application form / prospectus will not be returned.

3. Applications which are incomplete or without enclosures will not be considered.

4. The candidates placed in the merit list provisionally must produce all the documents in original

along with their attested copies at the time of counseling.

5. The Counseling Board shall have the power to call for any document from the candidate in

support of his / her claim and reject any certificate not considered found valid.

6. The decision of the Counseling Board in this regard shall be final.

7. No judicial proceedings will lie against the competent authorities.

8. Application form received after the due date will be rejected.

9. Any change will be notified on University website (www.uhsr.ac.in) only.

10. Application form received after the due date and time due to any reason including postal delay

will be rejected without any intimation to the candidate.

11. The selection for admission will be treated as cancelled, if the selected candidate does not join

the college on the stipulated date fixed by the Counseling Board.

12. If any candidate or his / her parents or guardian found to have submitted any false undertaking/

certificate, not only the candidate’s admission will be cancelled but the person filing the

undertaking will also be liable to be prosecuted in accordance with law.

13. The rules here are only provisional. These may be changed/modified without prior notice.

Candidates can’t make claims on the basis of information given in the prospectus.

14. Furnishing of false information or concealment of facts would disqualify the candidate from

admission, if already admitted. If considered necessary, legal action may also be taken against

such a candidate.

18

CHAPTER - VIII

METHOD OF SELECTION AND ADMISSION

1. The counseling for admission to MBBS/BDS course will be held in the Committee Room, Director

Office, Pt. B. D. Sharma PGIMS, Rohtak.

2. The candidate will be required to produce all the original documents/certificates/marks sheets

etc. at the time of counseling. Under no circumstances, will any relaxation be allowed to the

candidates as regards appearing in person before the counseling board on the fixed date and

time and producing the requisite original documents/certificates/ marks sheets etc.

3. The candidates will be called for the counseling before the board according to their respective

merit and will be entitled to exercise their choice regarding the course and college according to

the availability of the seat(s) at their respective merit at the time of counseling. The choice of

the course and college by the candidate at the time of counseling shall be taken as final. The

admissions will close on 30-09-2014 as per the mandate of the Supreme Court of India.

4. In case of a tie between two or more candidates having equal Marks/Merit, the inter se ranking

of such candidates shall be determined by the following factors in the following order of

preference:-

a. Candidates with higher aggregate marks in Physics, Chemistry and Biology in the

respective qualifying examination.

b. Candidates older in age.

5. During subsequent counseling(s) if any the course/ Institution will be allotted as per the merit of

the candidate depending on the availability of the seats on that particular day.

6. Candidate who fails to attend the Medical Examination on the notified date(s) will forfeit the

claim for admission and placement except permitted by the competent authority under special

circumstances.

7. The name of the student(s) who remain(s) absent from classes for more than 15 days at a

stretch after joining the said course will be struck off from the college rolls without giving any

notice.

PROCESS FOR ADMISSION TO OPEN MERIT CATEGORY

i. The admissions will be first made on the basis of the Haryana State Merit of AIPMT - 2014

conducted by the Authority notified by Government of India.

ii. The relative merit, among such candidates desiring to seek admissions shall be drawn as per the

merit of AIPMT - 2014 in the Haryana State for all such candidates who have cleared the AIPMT -

2014 with or above such distinction as has been declared as minimum eligibility criteria of

proficiency for granting admission. In case, AIPMT - 2014 candidates of State Merit are not

available then the admission will be made from the All India AIPMT - 2014 Merit list.

iii. In case such AIPMT - 2014 qualified candidates are not available in sufficient numbers to meet

the requirements for admission to MBBS and BDS such seats remaining unfilled due to non-

availability of AIPMT - 2014 qualified candidates shall be filled up by available other candidates

selected on basis of their respective relative merit in the qualifying examination based on the

aggregate of marks obtained in the subjects of Physics, Chemistry and Biology.

iv. Details of the admission process for various courses is as follows:-

MBBS Preference of admission as below

1) Haryana State merit of AIPMT 2014

or

2) All India Merit of AIPMT 2014

or

3) Qualifying exam i.e. 10+2 (total marks obtained in

Physics, Chemistry & Biology)

BDS Preference of admission as below

4) Haryana State merit of AIPMT 2014

or

5) All India Merit of AIPMT 2014

or

6) Qualifying exam i.e. 10+2 (total marks obtained in

Physics, Chemistry & Biology)

Note: The Director General, Medical Education & Research Haryana will be the final Appellate

Authority in all cases of admission related disputes for all institutions and decision, in case of

any dispute, made by him shall be final.

19

INSTRUCTIONS FOR CURBING RAGGING

Ragging in an educational Institution is banned and any one indulging in ragging is likely to be punished

appropriately, which may include expulsion from the Institution, suspension from the Institution or

classes for a limited period or fine with a public apology. The punishment may also take the shape of (i)

withholding scholarships or other benefits, (ii) debarring from representation in events, (iii) withholding

results, (iv) suspension or expulsion from hostel or mess, and the like. If the individuals committing or

abetting ragging are not / cannot be identified, collective punishment can be awarded to act as a

deterrent.

The following will be termed as the act of ragging:-

Any conduct whether by words spoken or written or by any act, which has the effect of teasing, treating

or handling with rudeness any other student(s), indulging in rowdy or undisciplined activities which

causes or is likely to cause annoyance, hardship or psychological harm or to raise fear or apprehension

thereof in a fresher or junior student (s) will not do in the ordinary course and which has the effect of

causing or generating a sense of shame or embarrassment so as to adversely affect the physique of a

fresher or a junior student.

As per the order of the Hon’ble Supreme Court of India dated 16.05.2007 which is reproduced below:

“If any incident of ragging comes to the notice of the authority, the concerned student shall be given

liberty to explain and if his explanation is not found satisfactory, the authority would expel him from

the institution.”

Moreover, DCI has taken a very serious view of incidents of ragging in Dental Colleges and directed to

incorporate the following provision in the Admission Broucher vide their letter no. DE-167-2008/a-3441

dated 29.07.2008:-

“If any incident of ragging comes to the notice of the authority, the concerned students shall be given

liberty to explain and if his explanation is not found satisfactory, the authority would expel him from the

institutions”.

The candidates who are admitted in the College would be required to follow all rules and regulations in

letter and spirit, conduct themselves in an orderly manner and maintain the best decorum, failing which

suitable penal action would be taken against them.

20

ANNEXURE-A

GOVERNMENT OF HARYANA

DEPARTMENT OF MEDICAL EDUCATION AND RESEARCH

NOTIFICATION [Issued under Section 3 and Section 4 of the Haryana Private Health Sciences Educational Institutions (Regulation of Admission,

Fixation of Fee and Maintenance of Educational Standards) Act, 2012]

THE 30th

May, 2014

16/14/2014-6HB-IV

Subject:- Procedure for admissions to MBBS & BDS in Private Un-Aided Medical & Dental

Educational Institutions – Academic Session 2014.

1. The Governor of Haryana is pleased to notify following admission procedure to Graduate Degree

Course i.e. MBBS & BDS for the year 2014 onwards in the Private Medical and Dental Educational Institutions in the State of Haryana.

2. The Governor of Haryana is further pleased to notify that the procedure laid herein under this Notification shall apply to all the Private unaided institutions falling within the purview of the Haryana Private Health Sciences Educational Institutions (Regulation of Admission, Fixation of Fee and Maintenance of Educational Standards) Act, 2012 (hereinafter referred to as ‘the Act’ in this Notification) [a list, along with the details and allocation of seats available therein, of known institutions is appended to this Notification as Annexure to this Notification. It is obligatory for any private unaided institution falling within the purview of the Act and not finding a mention in the said Annexure to immediately inform the Director General, Medical Education & Research, to be included in the said Annexure]. Any admissions made in exception to this Notification under the circumstances as elaborated above shall not be acknowledged as ‘validly admitted students’ in terms of the Act and shall remain liable to the provisions of the Act in the said regard to the said extent. Any institution not finding a mention in the said Annexure and not adhering to the provisions of this Notification and yet admitting students to the courses as mentioned in this Notification must intimate to the candidates being admitted about this provision of this Notification.

3. The Governor of Haryana is further pleased to notify that 50% of the Undergraduate seats will be of open Merit Category and the remaining 50 % of the seats will be Management Category out of which 15% of total seats will be in the Non-resident Indian (NRI) category for private unaided Medical/Dental Institutions in the State.

4. Process for Admission to Open Merit Category

i. The admissions will be first made on the basis of the relative merit in the All India Pre-

Medical/Dental Entrance Test (AIPMT – 2014) conducted by the Authority notified by

Government of India.

ii. The relative merit, among such candidates desiring to seek admissions, shall be drawn as per

the merit of AIPMT – 2014in the Haryana State for all such candidates who have cleared

the AIPMT – 2014 with or above such distinction as has been declared as minimum

eligibility criteria of proficiency for granting admissions. In case, AIPMT – 2014 candidates

of State Merit are not available then the admission will be made from the All India AIPMT

2014 Merit list.

iii. In case such AIPMT – 2014 qualified candidates are not available in sufficient numbers to

meet the requirements for admission to MBBS & BDS such seats remaining unfilled due to

non-availability of AIPMT – 2014 qualified candidates shall be filled up by available other

candidates selected on basis of their respective relative merit in the qualifying examination

based on the aggregate of marks obtained in the subjects of Physics, Chemistry and Biology.

iv. Details of the admission process for various courses is as follows:-

MBBS Preference of admission as below

1) Haryana State Merit of AIPMT – 2014 Or

2) All India Merit of AIPMT – 2014 Or

3) Qualifying exam i.e. 10+2 (total marks obtained in Physics, Chemistry and Biology)

BDS Preference of admission as below

Haryana State Merit of AIPMT – 2014 Or

21

All India Merit of AIPMT – 2014

Or

4) Qualifying exam i.e. 10+2 (total marks obtained in Physics, Chemistry and Biology)

v. The prospectus and forms for applying in the General/Open Merit Category of seats for

admission to Private Health Institutions will be issued by Pt. B.D. Sharma University of

Health Sciences Rohtak and will be available with the University.

vi. The applications for admission to General/Open Merit Category of seats shall be received by

the Pt. B.D. Sharma University of Health Sciences, Rohtak. The University should ensure

that the application form is submitted with three attested photographs of the candidate taken

within one year preceding the date of submission of application form.

vii. The Counseling for the candidates of General/Open Merit Category of seats will be

conducted by Pt. B.D Sharma University of Health Sciences, Rohtak and held at

Pt.B.D.Sharma, PGIMS, Rohtak.

viii. The choice(s) of courses/institutions shall be exercised by the candidate at the time of

counseling/interview.

ix. Following shall be the composition of the Admission committee:-

i Director, PGIMS, Rohtak Chairperson

ii Registrar Pt. B.D.Sharma University of Health

Sciences, Rohtak or representative not below

the rank of Deputy Registrar

Member

iii Principal, PGIDS, Rohtak (for BDS) Member

iv Director/Principal of all Private Medical and

Dental Institutions as the case may be

Member

v Representative of the Director General,

Department of Medical Education and

Research, Haryana, Panchkula not below the

rank of Deputy Director.

Member

x. The Director General, Medical Education & Research Haryana will be the final Appellate

Authority in all cases of admission related disputes for all institutions and decision, in case

of any dispute, made by him shall be final.

xi. The candidates applying for seats in the Open Merit Category on the basis of AIPMT - 2014

qualification should submit their result of the AIPMT - 2014 as per Haryana state Merit/ All

India Merit.

xii. The Pt. B.D. Sharma University of Health Sciences shall prepare a merit list of the

candidates appearing for the counseling on the basis of AIPMT - 2014 result of Haryana

State Merit and All India Merit as also based on the relative merit of qualifying examination

for such candidates who have not qualified the AIPMT - 2014 test but are likely to be

considered for admission (see sub clause iii above).

xiii. Candidates applying on basis of AIPMT - 2014 should fulfill the eligibility criteria for being

granted admissions as fixed under AIPMT – 2014.

xiv. In case of a tie between two or more candidates having equal Marks/Merit, the inter se

ranking of such candidates shall be determined by the following factors in the following

order of preference:-

(a) Candidates with higher aggregate marks in Physics, Chemistry and Biology in the

respective qualifying examination.

(b) Candidates older in age.

xv. The allotment in the allocation to the Institution/ College shall be made by the ADMISSION

Committee as per merit list prepared by Pt.B.D.Sharma, University of Health Sciences,

Rohtak on the basis of the AIPMT - 2014 merit of the candidate in the State list/ All India

list or, as the case may be, on the basis of the relative merit in the qualifying examination

22

(see sub clause iii above). The choice of the Institution/ College by the candidate at the time

of the counseling shall be taken as final.

xvi. Personal appearance in the counseling/interview of the candidate shall be compulsory.

xvii. Any candidate who is admitted during the academic session in the present year in any

Institute/Course at any place may opt for admission by submitting a sworn declaration at the

time of counseling that he/ she surrenders the earlier seat. However he / she can avail such

opportunity only if the 2nd counseling in the State is yet to take place so that the seat may not

go waste in the State.

xviii. In case there remains any vacancy under any category in any institution after the first round

of admissions/counseling made in terms of this Notification, a second round of counseling

shall be held. In case, the seats still remains vacant, such seats shall be filled up by the

respective institution at their own level by adhering to the directions of the Government

of India, the Medical Council of India, Dental Council of India or any other

regulatory Statutory Body as the case may be and by following any fair, suitable and

transparent process such as on the basis of merit of the AIPMT - 2014 or relative

merit in the qualifying examination or on the basis of any other Common Entrance

Examination authorized by the State Government or by following any other fair and

transparent criteria. Candidates seeking admission under this dispensation can apply

directly to the concerned institution. However, even under this dispensation, no

admissions can be made after the last date prescribed for making admissions.

xix. Pt. B.D. Sharma University of Health Sciences, Rohtak may fix and charge processing fee

for counseling and further, determine and charge the cost of the prospectus, etc.

5. Admission to Management Category

i. Admissions will be done for Management Category in a fair and transparent manner by the

institution by adhering to the directions of the Government of India, the Medical Council of

India and the other respective councils or regulatory Statutory bodies, as the case may be

and by following any fair, suitable and transparent process such as on the basis of merit of

the AIPMT - 2014 or relative merit in the qualifying examination or on the basis of any

other Common Entrance Examination authorized by the State Government or by following

any other fair and transparent criteria, in that order.

MBBS & BDS Common Entrance Exam held by the Private

Medical College/ Institution as authorized by

the State Government.

Preference of admissions as below:-

1. All India Merit of AIPMT - 2014

OR.

2. Haryana State Merit of AIPMT –

2014

OR

3. Merit of Qualifying exam i.e. 10+2(Total marks obtained in Physics, Chemistry & Biology)

ii. Candidates interested in seeking admission under Management Category shall apply

directly to the institution in the Performa/Form prescribed by the respective institution.

iii. The Prospectus and the Forms for applying in the Management Category of seats for

admission to Private Health Institutions will be issued by the respective institution.

iv. The Private Health Institutions will widely publicize the place of sale of prospectus, the last

date of application and admission and other relevant information.

v. Prospectus will be available with the private institutions or at any other place authorized by

the Association of Graduate Medical/Dental institutions in the State.

vi. Counseling for Management Category Seats will be held in the respective institutions under

the close observation of the Observer appointed/detailed by the Director General, Medical

Education & Research, Haryana.

vii. Left over seats under NRI category shall also be filled up under the Management category.

23

6. Fee structure for all categories of seats.

Unless revise the determined to be otherwise by the authority competent to do so, the fee

structure for all categories of seats will be as under:-

MBBS

Fee Head Amount

Tuition Fee including Development Charges Rs. 7.00 lacs

Tuition fee for NRI $ 80,000

College Security Refundable Rs. 2.00 lacs- adjustable with the last fee

Library Security Fee & Registration University and

Other Charges

Actual

Hostel Fee Not more than Rs. 1.50 lacs including Hostel fee

and Mess Charges

Transport Fee Actual

BDS

Fee Head Amount

Tuition fee including Development charges Rs. 2.00 lacs

Tuition fee for NRI $ 35,000

College security refundable Rs. 50,000/- adjustable with the last fee

Bank Guarantee Rs. 1.00 lac

University Registration Charges Actual

University and DCI continuation charges Rs. 5000/-

Examination Charges Rs. 3000/-

Library Charges Rs. 1200/-

Equipment and Maintenance Charges Rs. 1500/-

Sports and Medical Charges Rs. 1500/-

Internet Charges Rs. 1000/-

Caution charges Rs. 4500/-

Hostel Charges Not more than Rs. 75000/-

Transport Fee Actual

i. The fee will be payable on annual basis at the time of admission.

ii. Fee will be deposited by the successful candidates to the respective institute in the shape of

demand draft. The fee shall refunded/adjusted if candidate is shifted from one institution to

another in the subsequent counseling on operation of the waiting list. If the said fee is not

refunded/adjusted within 15 days, the relevant institution will be liable to pay Bank interest as

well as penal interest to the said students as laid by RBI.

24

7. Admission to NRI Category

Category I : Actual NRI candidates who originally belonged to the State of Haryana. Category II: Children/Wards of NRI who originally belonged to Haryana State.

Category:III: Actual NRI candidates who originally belonged to an Indian State and Union Territories other than Haryana.

Category VI: Children/Wards of NRIs who originally belonged to an Indian States and Union Territories other than Haryana.

i. If sufficient numbers of eligible candidates under first category are available then they will be

admitted first even if students under subsequent category are higher in merit.

ii. The NRI students will have to give a bank guarantee/surety bond for the balance of fee, if they

opt to pay the fee in installment as provided.

iii. Any seats remaining vacant under NRI category till last date of admission shall go to the

Management category.

iv. It will be obligatory on the part of the University to provide registration number to all candidates

once duly admitted.

v. Merit should be the priority for NRI Seats. The merit should be as per total marks obtained in

Physics, Chemistry & Biology in the qualifying 10+2 examination of Haryana State education

Board HSEB/CBSE/ICSE or Equivalent Examination.

vi. NRI candidates who have cleared the Qualifying Examination in grading system must produce

conversion certificate of grading to the percentage of marks from the competent authority.

Dheera Khandelwal Secretary to the Government of Haryana Medical Education & Research Department

25

IMPORTANT INFORMATION

Last date of Receipt of Application Forms : 01.08.2014 (upto 5.00 P.M.)

Date of Ist Counseling : 12.08.2014 ( 9AM Onwards)

Venue/Centre : Committee Room, Director Office,

PGIMS, Rohtak

Price : At Counter : Rs. 4000/- for G.C.

( For SC/BC/SBC @ Rs1000/-)

PROSPECTUS CAN BE OBTAINED FROM

Prospectus alongwith application form be downloaded from the University website i.e.

www.uhsr.ac.in.

26

Application Form No……

PT. B.D.SHARMA UNIVERSITY OF HEALTH SCIENCES, ROHTAK

APPLICATION FORM FOR ADMISSION THROUGH COUNSELING TO 50% SEATS OF

MBBS/BDS SESSION- 2014 IN PVT. UNAIDED MEDICAL/DENTAL EDU.INSTITUTIONS

1. Applying for (name of the course) : ……………………………………

i. Roll No. of AIPMT 2014 : __________

ii. Rank & Score No in Haryana State merit list: Rank No ……………………………

of AIPMT 2014 Conducted by CBSE Score ……………………………

iii. Rank & Score No. in All India merit list: Rank No ……………………………

of AIPMT 2014 Conducted by CBSE Score ……………………………

iv. Score in 10+2 or equivalent exam in (PCB)* ……………………………

2. Name of the Candidate : ……………………………………………… (in capital letters only)

3. Sex Male Female

4. Father’s /Husband’s Name : ……………………………………………… (in capital letters only)

5. Mother’s Name : ………………………………………………. (in capital letters only)

6. Date of Birth Day Month year

7. Complete Postal Address : ………………………………………………………………………….

……………………………………………………………………………..

…………………………………Contact No. ………………………

8. Detail of studies of 10th , 10+1, 10+2 classes Name of

class Name of school/ college where

studied

Roll No.

Month & year of passing the

exam.

Name of Board/Univ.

Result/ Mark

Obtained

Max. marks

10th

11th

12th

9. Detail of marks obtained in 10+2 or equivalent examination.

Subject Max. Marks Marks obtained Percentage

English

Physics

Chemistry

Biology

Grand Total

*P-Physics C-Chemistry B-Biology

10. Category

11. Are you resident of Haryana (mention ‘Yes’/’No’ in the column given).

(if Yes attach Haryana Resident Certificate)

sign. of Candidate

Space for affixing

photograph self attested

27

12. List of documents attached:

a. ………………………….. e. …………………………..

b. ………………………….. f. …………………………..

c. ………………………….. g. …………………………..

d. ………………………….. h. …………………………..

DECLARATION

I…………………………………………….(candidate)S/o or D/o Sh. ……………………………………

and resident of village/town/city………………………………… Tehsil …………………….………….

District……………………………………. Do solemnly declare following as true :

1. That the information given in this application is absolutely correct and true. 2. I undertake that if admitted, I will strictly obey all rules and regulations in force at present

or that may be made/altered/modified hereafter by the private/govt. college and will do nothing either inside the college or outside it which will interfere with its orderly administration and discipline.

3. If at any time subsequent to my admission, it is discovered that any information given in this application or in the attached certificate or in documents produced hereafter is false. I may be removed from the college and all fees paid by me may be confiscated. The authorities may also take any further action against me or my Father/ Guardian as it deemed fit.

4. In case my admission is made to MBBS/BDS course of University of Health Sciences, Rohtak, I shall abide by the decision of State Govt. regarding distribution of seats any payment of fee etc.

Signature of Father/ Guardian Signature of Candidate

Date ………………….. Date …………………..

Place:………………… Place:…………………

FOR OFFICIAL USE ONLY

Eligible

Signature

Documents Wanting

1………………………………

2……………………………...

3………………………………

4………………………………

Signature

Not Eligible

Reason………………….....

…………………………………

…………………………………

Signature

Admitted provisionally to MBBS/BDS Course at ____________________________.

Signature

28

PT. B.D.SHARMA

UNIVERSITY OF HEALTH SCIENCES, ROHTAK

Acknowledgement Card

Dairy No. ____________ Dated

_______

Receipt of your Application Form for admission to MBBS/BDS course -2014 in

Pvt. Unaided Medical/Dental Edu. Institutions is hereby acknowledged.

Authorised Signatory

Pt. BDS UHS, Rohtak