Government of Karnataka

GADAG INSTITUTE OF MEDICAL SCIENCES, GADAG Mallasamudra, Gadag– 582103

E-mail ID: principalgimsgadag@gmail.com web: www.karnataka.gov.in/gimsgadag

BROCHURE FOR 2018-19

MBBS ADMISSION

Admission officer:[KEA].Dr.Roopadevi Phone:8951127808, Dr. Manjunath G O Mobile

No:8971282391

Admission officer [AIQ-NEET Seats] Dr. ANAND HUGAR [Warden] Mobile No:8971282391

Dr.Roopadevi Phone:8951127808.

Principal office:-08372-297273- 297274 www.Karnataka.gov.in/gimsgadag

College fee to be paid at Corporation Bank, Puttaraj Statue circle, Gadag

Account name: THE PRINCIPAL GIMS GADAG

Account number: 006200101035910

IFSC code: CORP0000062

IMPORTANT

1. No forms/proforma will be issued at GIMS office as they are made available in GIMS website.

2. NO MANAGEMENT SEATS AVALIABLE IN THIS GOVERNMENT COLLEGE.

3. The mobile contact number that will be furnished to the Principal office the same will be

submitted to the University. During examination time, the OTP from University will be sent to

the same number for filing the examination forms. Therefore, STUDENTS ARE HEREBY

INSTRUCTED TO RETAIN THE SAME MOBILE NUMBER THROUGH OUT THE

COURSE.

4. Please call in office Timings [Holiday list and Map for College Enclosed.]

5. An Induction programme for all I MBBS students will be held in first week of August 2018.

Kindly contact Dr.Roopa B (Ph.9742118485) and Dr.Chandrashekhar (Ph.9164500454)

6. Bonds are available at Cooperative Banks, Mulgund Naka, Gadag or elsewhere.

7. Kindly confirm if there is any bandh or harthal and plan accordingly .Second Saturday is institute

holiday .bank holidays are on 2nd and 4th Saturdays. There is no accommodation available for

Parents in girls and boys hostel.

8. Kindly get all the documents required for admission. If any documents are missing your

admission will be delayed as well as you will be responsible for consequences.

DOCUMENTS TO BE PRODUCED AT ADMISSION

SL NO

PARTICULARS

1 Requisition letter addressed to the Principal, GIMS Gadag requesting for MBBS admission (proforma enclosed)

2 Form-I and Form-II (proforma enclosed )

3 KEA-NEET allotment order

4 KEA-NEET marks card

5 Admit card/ counseling letter results sheet (for All India Quota Students)

6 Original challan for having paid college fee

7 10th marks card / 10th passing certificate

8 12th marks card / 12th passing certificate

9 Students claiming reservation under Hyderabad- Karnataka region (article- 371J) shall submit Eligibility certificate /RURAL

10 Transfer certificate

11 Study certificate from the Institute last attended

12 Character and conduct certificates from the Institute last attended

13 Caste certificate

14 Income certificate

15 Domicile certificate (other than Karnataka students ).

16 Eligibility certificate from RGUHS (for students other than Karnataka PU board)

17 Migration certificate from the University last attended (if Applicable)

18 Migration certificate from the board if passed 12th standard from board other than Karnataka PU board

19 Physical fitness certificate (Medical certificate) from GIMS teaching Hospital /District surgeon

20 Regional Language and English translated caste certificates from eligible KEA-NEET students to be submitted during admission by SC/ST/CAT-1,2a,2b,3a,and 3b students who scored less than 50% and more than 40% marks in 10+2 (PCB) examination required for submission to MCI, New Delhi.

21 Regional Language and English translated caste certificates from the eligible KEA-NEET/KEA- NEET students to be submitted during admission by SC/ST/CAT-1,2a,2b,3a,&3b students who

scored less than 50% and more than 40% marks in entrance examination required for

submission to MCI, New Delhi

22 Annexure –I, Part-I:-Undertaking by the student to be typed in Rs.200/- E-stamp paper and duly attested by notary (proforma enclosed).

23 Annexure I. Part-II:- Undertaking by parent /guardian-to be typed in Rs.200/- E-stamp paper and duly attested by notary (proforma enclosed)

24 Undertaking -MBBS degree programme as per RGUHS curriculum- to be typed in Rs.50/- E-stamp paper and duly attested by a notary (proforma enclosed)

25 Rural service bond by candidates who select MBBS seats in GIMS, Gadag-to be typed in Rs.200/- E-stamp paper and attested by a notary (proforma enclosed)

26 Four (04) recent color digital passport size photographs. The photographs must indicate clearly the name of the candidate along with the date of taking the photograph. Candidates must Keep 8-10 identical photographs ready in reserve for further use.

27 2 Quality zipped files with latest photographs affixed on it including name and address of the

candidate. Please provide good quality thick folder for safe keeping of your ORIGINAL certificates voluntarily deposited with college.

28 5 self addressed Rs.30/-stamps for 5 envelopes individually.

*16. Eligibility certificate available online www.ecms.online

*19. Physical fitness certificate can be issued from GIMS, District Hospital.

APPLY TO KEA-NEET -2018

NO.GIMS//UGS: Office of the Director

Gadag institute of Medical sciences

Gadag

OFFICE MEMORANDUM

Sub: MBBS Phase-I admission through KEA Bangalore-2018 and voluntary deposition of original

certificates /testimonials - reg

Ref: KEA Bangalore online generated admissions order No: dt 2018

Mr./Miss KEA-NEET No. Rank No: , Category

who has been selected and allotted to Gadag Institute of Medical Sciences, Gadag has

reported and provisionally admitted to MBBS Phase-I on 2018 subject to the approval of

concerned authorities. He/she has submitted all relevant original certificates and testimonials to this

college on own will on the condition that admission are subject to approval rules and of MCI, RGUHS ,

Government of Karnataka and Ministry of health and family welfare, Government of India. The said

student and parents have been informed that seat surrender if any will be directly to KEA, Bangalore.

Principal

Gadag Institute of Medical Sciences Gadag

To: The Candidate.

Candidate Name

Address and Phone Number

NO.GIMS/ /UGS: Office of the director

Gadag Institute of Medical Sciences Mallasamudra

Gadag

OFFICE MEMORANDUM

Sub: MBBS Phase-I admission through AIQ-NEET-2018 and voluntary deposition of original certificate /testimonials - reg.

Reg: DGHS-ALL India Quota 2018 Medical Counseling Committee, New Delhi Online generated for provisional allotment letter with rank dt:

Mr./Miss category seat Allotted Category-

Merit/Rank No. Roll No. who has been allotted MBBS seat during

first /Second /Third AlQ-2018 counseling to Gadag Institute of Medical Sciences , Gadag has reported

and provisionally admitted to MBBS Phase-I on subject to the approval of concerned

authorities. He/ She has submitted all relevant originals certificates and testimonials to this college on

own will with the condition that MBBS admission are subject to approval and rules of MCI, RGUHS,

Government of Karnataka and Ministry of health and family welfare, Government of India. The said

student and parents have been informed that seat surrender if any will be directly to MCC, AIQ-NEET

seat allotting cell of DGHS.

To: The candidate,

Candidate name:

Address and phone number

Parent of candidate shall agree to give correct address and Email id and contact phone numbers of self

Parents address:

Phone number

Principal

Gadag institute of medical sciences

Gadag

FORM-I

GADAG INSTITUTE OF MEDICAL SCIENCES,GADAG TO BE FILLED BY THE CANDIDATES FOR OFFICE USE

(TO BE FILLED IN BLOCK LETTERS ONLY)

Sl. NO

PARTICULARS INFORMATION TO BE FILLED

1 Name of the Candidates as per 10th Marks card.

2 Blood Group

3 Father Name : Parents permanent Address:

Phone Nos (of Student and parent/Guardian)

And Email Ids (of Students and Parent

guardian)

4 Sex

5 Caste Religion : Caste :

Category :

6 Nationality

7

Allotment/Rank Details KEA-NEET NO: RANK: AIQ-NEET: RANK:

8 Marks Scored in KEA- NEET/AIQ-NEET (Enclosed Details )

Exam Passed

Max Marks Marks Obtained

% of Marks

KEA- NEET

AIQ-NEET

Qualification Exam

Register No in PUC/12th Class

PUC/12th Class Passed Year Date Month Year

Specify the name of the University / Board where you have studied PUC / 12th STD.

Total marks scored in optional subject in

PUC / 12th Standard Max Marks Marks

Obtained % of Marks

Physics

Chemistry

Biology

Total marks

Marks scored in English subject in PUC /

12TH Standard

Max Marks Marks Obtained

% of Marks

Total marks scored in all subject in PUC /

12TH Standard

9 Date of birth (as per 10th marks card) DD/MM/YYYY:

10 Date of admission Date Month Year:

11 Documents Enclosed (yes/no)

Place : Signature of the Candidates :

Date : Signature of the Parent :

Affix recent

photograph

FORM-II

GADAG INSTITUTE OF MEDICAL SCIENCES, GADAG TO BE FILLED BY THE CANDIDATES FOR OFFICE USE

(TO BE FILLED IN BLOCK LETTERS ONLY) Particulars Information to be filled up

1 Allotment No. KEA-NEET AIQ-NEET

2 Date of admission

3 Name of the candidate

4 Father name (specify name of the guardian, if father is not alive)

5 Occupation

6 Permanent address of Parent

7 Correspondence address of Parent

8 Income of the Parent / guardian

9 Place of birth

10 Date of birth

11 Religion caste category (sc/st/other category-please specify)

12 Native district

13 Karnataka/ non Karnataka

14 Name of the former school/college studied

15 Qualifying exam passed

16 Whether vaccinated

17 College fees paid at the time of admission

18 Bank receipt no.& date :

1. I here with give an undertaking that I will adhere to the rules of good conduct. And will be in general obedient to

the teachers and will not any way disturb the harmony of the college and departments.

2. I will not myself indulge in any union activities or such activities undesirous of a medical student.

3. As the parent, will not allow my child or myself instigate my ward to put a case in courts and will try to amicably settle

all such disputes firstly within college authorities.

4. I will agree voluntarily to deposit all my certificate and testimonials as prescribed by RGUHS for verification

and admission approval.

Full address of parent:

Mobile number and Email ID of Candidate:

Place:Gadag

Date:

Mobile number and Email ID of Parent:

(DO NOT PROVIDE EMAIL ID OFSTUDENT)

Signature of the candidate

Signature of the parent

ANNEXURE l – PART l

UNDERTAKING BY THE STUDENT

1. I, S/o/ D/o. of

Mr./Ms. , have carefully read and fully

understood the law prohibiting ragging and the directions of the Supreme Court and the

Central/State Government in this regard.

2. I have received a copy of the MCI Regulations on Curbing the Menace of Ragging in Higher

Educational Institutions, 2009 and read it fully and explained to my ward.

3. I hereby under take that –

I will not indulge in any behavior or act that may come under the definition of

ragging I Will not participate in or abet or propagate ragging in any form,

I Will not hurt anyone physically or psychologically or cause any other harm.

I Will resubmit such a undertaking again yearly to the Principal GIMS and reiterate my

commitment

4. I hereby agree that if I found guilty of any aspect of ragging, I may be punished as per the

provisions of the MCI Regulations mentioned above and/or as per the law in force without any

warning or notice.

Signed this day of month of year

1. Witness (signature & address) Signature:-

Address:

Mobile Number:

2. Witness (Signature & Address)

SEAL & SIGNATURE OF

THE GOVERNMENT NOTARY

l. Party-Student

ll. Party- Director GIMS Gadag

TO BE TYPED IN RS-200 E-STAMP PAPER

ANNEXURE l, PART ll

UNDERTAKING BY PARENT/GUARDIAN

1. I F/O /M/o / G/o

aged years,

Working as ( occupations), Resident of

(correspondence

address) have carefully read and fully understood the law prohibiting ragging and the directions

of the Honorable Supreme Court and the Central/State Government in this regard as well as the

MCI Regulations on Curbing the Menace of Ragging in Higher Educational Institutions,2009.

2. I assure you that my son /daughter will not indulge in any act of ragging.

3. I hereby agree that if he/she is found guilty of indulging in ragging, he/she may be punished as

per the provisions of the MCI Regulations mentioned above and/or as per the law in force.

4. I agree to submit such as undertaking yearly to the Principal, GIMS.

Signed this day of month of year

1. Witness (Signature & Address) ( )

Signature & address :

2. Witness (Signature & Address )

SEAL & SIGNATURE OF

THE GOVERNMENT NOTARY

l. Party-Parent/Guardian

II. Party- Direction GIMS Gadag

TO BE TYPED IN RS.200/-E-STAMP PAPER

UNDERTAKING ABOUT

MBBS DEGREE PROGRAMME AS PER RGUHS

CURRICULUM

I, Son / Daughter of

(herein after called the Natural Guardian of the Student )

hereby give an undertaking that on admission to I MBBS at Gadag Institute of Medical Sciences, Gadag ,

during the year 2018-19 have read the rule No.11 of the ordinance of Governing M.B.B.S Degree

Programme of Rajiv Gandhi University of Health Sciences, Bangalore, vide Notification No.ACA/BOS-

27/97-98, dated: 24.03.1998, and I shall abide / by the RGUHS regulations.

That no student shall be permitted to join Phase-II (Para Clinical & Clinical) Group of subjects

until he / she Passes in the Phase-I (Pre-clinical) subjects for which he / she will be permitted not more

than four chances (Actual Examination) provided four chances are completed within three years from the

date of enrollment. My parent also give undertaking that my parent shall visit college every 6 monthly to

enquire my progress w.r.t attendance and assessments.

Signature of the student with full

Address and phone number .

Witness:

1.

2.

Signature of parent

I Party – Candidate

II Party – Director

Rs 100/- E-STAMP

EXECUTION OF RURAL SERVICE BOND BY CANDIDATES WHO SELECT MBBS SEATS IN

GIMS, GADAG.

l Mr./Ms. , S/o. /D/o. a

Candidate with KEA-NEET – 2018 Admission Ticket/Roll No. residing at

have been allotted an MBBS

seat on in

vide admission order number

Dated and do hereby undertake on my own volition as follows.

In accordance with the Amendment to rule 1 1 of the Karnataka Selection of Candidates for

Admission to Government seats in Professional Educational Institutions Rules, 2006, vide Government

Notification- 1. No.HFW 79 RGU 2011 dated 17.07.2018 and amendment Act 2018 dated 06-07-2018, I

am prepared on completion of the course to serve in any Primary Health Center or Primary Health Unit

situated in Rural Areas in the State of Karnataka for a minimum period of ONE year, allotted to me,

failing which I render myself liable to pay a penalty of rupees ten lakhs or any amount on decided by

GIMS Governing Council or DME of Karnataka to Government of Karnataka and the institute as per rules

of the government in force.

What is stated above is true and correct as per present rules in forces,as decided by the

Government of Karnataka and I hereby undertake to act accordingly. I also understand that if such rules

are changed or notified by Government I and my ward are duty bound to follow such rules also. I have

read and understood the above statement made by my son/daughter on oath-& I have my un-equivocal

consent to the same.I also understand that I /my ward will not claim any job in this regard.

1. Signature of the Candidate

2. Signature of the Parent

(Father/Mother)

Date :

Place :

SEAL & SIGNATURE OF

THE GOVERNMENT NOTARY

l. PARTY - Student

II. Party_ Government of Karnataka

TO BE TYPED IN RS.200/- E-STAMP PAPER

REQUISITION LETTER FOR KEA STUDENTS

To Date:

The Principal,

GIMS, Gadag.

Sir,

Sub: - Request for admission to I year MBBS course at GIMS, Gadag allotted through Karnataka Common Entrance Test – reg.

Reg:- Letter No. dated: of Executive Director KEA,

Bangalore.

-------------------

As per the letter cited under reference, I, Mr / Ms.

S/o, D/o. , bearing Admission Order No. ,

KEA-NEET No. Rank No. who belong to category have been

allotted MBBS seat at Gadag Institute of Medical Sciences, Gadag under category.

I am herewith voluntarily enclosing the original fee challan for having paid college fees along

with necessary original documents. For due verification by RGUHS. Hence, I request your kind self to

admit me in your institute for I MBBS course on my request and risk and I am aware that my admission is

subject to the approval of the concerned competent authorities, for which GIMS, Gadag will not be held

responsible for any consequences / objections those may arise in future with regard to my admission. Also

the address provided to GIMS, Along With Phone Numbers, E-mail id are permanent as on date, and any

changes will be intimated to GIMS.

Yours faithfully,

(Signature of the candidate)

(Signature of the parent / Guardian)

Place: Gadag

Date:

Permanent address of Parent

With E-mail id or phone numbers

REQUISITION LETTER FOR AIQ-NEET

STUDENTS

To Date:

The Principal,

GIMS, Gadag.

Sir,

Sub:- Request for admission to I Year MBBS course at GIMS, Gadag allotted through All India Quota -reg.

Sub:-Provisional Allotment Letter of AIQ-NEET-UG Medical Online Allotment Process

Counseling- 2018 Dated:

-----------

As per the letter cited under reference, I, Ms. / Mr. S/o,

D/o. , bearing NEET NO

Rank No. who belong to category have been allotted

MBBS seat at Gadag Institute of Medical Sciences, Gadag under category.

I am herewith voluntarily enclosing the original fee challan for having paid college fees along

with necessary original documents.Hence, I request your kind self to admit me in your institute for I MBBS course on my request and risk and I am aware that my admission is subject to the approval of the concerned competent authorities.GIMS Gadag will not be held responsible for any consequences / objection those may arise in future with regard to my admission. Address provided by me, phone numbers, E-mail id of parent are accurate, permanent as on date and any charges if will be intimated to GIMS.

Yours faithfully,

(Signature of the candidate)

(Signature of the parent / Guardian)

Place: Gadag

Permanent Adress of parent with

Phone number and E-mail id

INFORMATION TO BE FILLED UP BY KARNATAKA KEA-NEET /

ALL INDIA QUOTA STUDENTS

(STRIKE WHICHEVER IS NOT APPLICABLE)

1. Mr. / Ms. have been selected to MBBS Course Through

KARNATAKA KEA-NEET-2018 / ALL INDIA QUOTA and allotted to GIMS. Gadag. I am herewith submitting a requisition letter seeking for admission. My admission details are as follows:-

KEA-NEET / AIQ-NEET Allotment No. and Date:

a. KEA-NEET / AIQ-NEET Rank No.:

b. Category : c. Allotted Category :

d. Last Date for admission :

LIST OF DOCUMENTS SUBMITTED BY Mr. / Ms……………………………………………………………..

SL.N

O

PARTICULARS

SUBMIT

TED

NOT

SUBMITT

ED

NOT

APPLICABLE

1

Requisition letter addressed to the Principal, GIMS , Gadag

requesting for MBBS Admission

2

Form & Form-II

3

KEA-NEET/ AIQ-NEET allotment order

4

KEA-NEET/ AIQ-NEET marks card

5

KEA-NEET/ AIQ-NEET Rank letter

6

Admit card / counseling letter / KEA-NEET results sheet (for AIQ-

NEET Students)

7

Original challan for having paid college fee

8

KEA Payment receipt

9 10th

marks card / 10th

passing certificate

10 12th

marks card

11

Students claiming reservation under Hyderabad-Karnataka region

(article-371J) Shall submit eligibility certificate

12

Transfer certificate

13

Study certificate from the institute last attended

14

Character and conduct certificates from the institute last attended

15

Caste certificate

16

Income certificate

17

Domicile certificate

18

Eligibility certificate from RGUHS (for students other than Karnataka

PU board)

19

Migration certificate from the university last attended (if applicable)

20 Migration certificate from the board if passed 12th

standard from the

board other than Karnataka PU board

21

Physical fitness certificate (Medical certificate from GIMS teaching

hospital)

22

Regional language and English translated caste certificates to be

submitted by SC/ST/CAT-l, 2a,2b,3a & 3b students who are eligible

for admission with less than 50% and more than 40% marks in 10+2

(PCB) Examination Required For Submission To MCI.

23

Regional language and English translated caste certificates to be

submitted by SC/ST/CAT-l, 2a,2b,3a & 3b students who are eligible

for admission with less than 50% and more than 40% marks in entrance examination required for submission to MCI

24

Annexure I, part I:- undertaking by the candidate/ student – to be

typed in Rs.200/- E-stamp paper.

25

Annexure I, part II:- undertaking by the parent/ guardian– to be typed

in Rs.200/- E-stamp paper.

26

Undertaking. MBBS degree programme as per RGUHS curriculum-

to be typed in Rs.50/- E-stamp paper.

27

Execution of rural service bond by candidates who select MBBS seats

in GIMS, Gadag- to be typed in Rs.200/- E-stamp paper.

28

Four (04) recent colour digital passport size photographs and one

single file with latest photograph affixed on it, including name and

address of the candidates.

29

Vehicle Driving related affidavit incase of parents allowing children

to ride vehicle.

30

05 self addressed Rs 30/- stamped Envelopes for Correspondence.

31

Environmental Pledge

32

2 attested Xerox copies of all documents & 2 quality files

Place:Gadag Signature of Candidate

Signature of Parents

GENERAL INSTRUCTIONS FOR THE STUDENTS WHO ARE TAKING ADMISSION

FOR

l-MBBS COURSE AT GADAG INSTITUTE OF MEDICAL SCIENCES,

GADAG ALLOTTED THROUGH KARNATAKA KEA-NEET/

ALL INDIA QUOTA

1. Students must report in principal’s office at GIMS for MBBS admission on or before date indicated on their selection letter issued by K-KEA-NEET / KEA-NEET AIQ-NEET at

10-00 am. If any student fails to report before last date indicated in the office letter, his /

her admission will stand cancelled and the same will be intimated to concerned authorities.

2. The students are instructed to download all the below mentioned forms and must be

filled in by his / her own handwriting with blue or black point pen neatly and legibly

in English or computer typed in capital letters only, except for signature and submit

the same at the time of admission.

3. One of the parent / guardian must accompany students at the time of admission or demitting seats as certain documents are to be signed by them.

4. The admission process is likely to make two days.Outstation candidates are

requested to not cause hurry in admission or demitting seats.

5. The admission offered to a candidate will be only provisional. DME & RGUHS are final authorities.

6. The students are instructed to keep the 5 set Xerox copies with them selves of their original documents until they are returned from Rajiv Gandhi University of Health Sciences, Bangalore. Once submitted no original will be returned, please co-operate.

7. Overwriting, cutting, erasing in the form may lead to rejection and should be avoided. Check thoroughly whether you have filled all your relevant details correctly in the concerned forms.

8. Important: No forms / proforma will be issued at GIMS office as they are made available in GIMS website. www.Karnataka.gov.in/gimsgadag

9. Institute working hours: 10.00 am to 1.30 pm and 2.15 pm to 5.30 pm.

10. Each candidate must submit the following original certificates shown below along with

three sets of attested true copies. The originals and Xerox must be produced in the following sequence, failing to which there admission will be withheld and for that GIMS

will not be held responsible.

11. In case of AIQ-NEET/KEA-NEET seats-seat surrender procedure be duty followed.

Kindly generate the online seat surrender receipt and contact the AIQ-NEET officer of

GIMS Dr.Anand Hugar on 8971282391, message him. Please try to come on GIMS

working day and remember Karnataka holiday schedules will be different working days are Monday to Saturday, SUNDAY WILL BE HOLIDAY. SECOND SATYRDAY AND

GOVERNMENT OF KARNATAKA HOLIDAYS will BE HOLIDAYS AS WELL AS NATIONAL HOLIDAYS. KINDLY CALL ON OFFICE NUMBERS Mr.Ramesh

08372-297173/ 274/224 and speak in Hindi or Kannada.

12. Learning Kannada for a medical student may be necessary since MBBS students are interacting with patients.

NOTE

1. Students admitted to this institute are expected to strictly follow the codes of discipline

indicated by college authorities, university, and government.

2. Drinking alcohol, smoking or consuming any intoxicants by students is strictly

prohibited. Misbehavior with girl students / women / patients will be dealt as per law.

3. Ragging in any form is punishable by law. An undertaking to this effect signed by the

candidate and his/her parent /guardian must be submitted at the time of admission

compulsorily.(all five affidavits)

4. Candidates are advised to keep a printed copy of their completed application form along

with forms for their record and future reference. You can photograph your submission

too.

5. As per RGUHS syllabus regulation 75% attendance in both practicals and theory is a

must. Nonadherence to such rules in force will invite disciplinary actions.It is also the

duty of parents/guardians to periodically ask for Internal marks and attendance of their

ward and participate in education process.A whatsapp group will be created for this batch

of students and maintained for the purpose of smooth conveyance of information

Dr.Roopa. (9742118485) be sent a SMS to include parents name in the whatsapp group.

Don’t include students name please.

6. No vehicles are allowed to be kept by students or used in the college permises.All parents

must agree to not allow their ward to not use any vehicles. If any parent wishes to allow

wards to use vehicles, they must submit a undertaking in Rs.100/- bond paper to warden.

7. Dress code – Decent formal dressing with shoes and socks is expected from both boys

and girls during working hours when visiting library similar rules apply. While roaming

in campus also kindly wear decent clothes.

8. Library rules and regulations must be followed.

9. Any Incidents of Ragging please report to Dr.Myageri (9986028269) or Dr.Raju (Vice

Principal 9844480528.

CONTACT DETAILS

PHONE : 08372 297213, 297214 (office) 297274

FAX : 08372 -297214

WEBSITE : www.Karnataka.gov.in/gimsgadag

EMAIL : principalgimsgadag@gmail.com

ADDRESS : Gadag Institute of Medical Sciences, Mulagund Road Mallasamudra, Gadag, Dist:Gadag,Karnataka,India.Pin Cod:582

Check up will be done in first floor of GIMS Teaching Hospital/District Surgeon room

The Karnataka Service Regulations (Act.32) KARNATAKA MEDICAL DEPARTMENT

PHYSICAL FITNESS CERTIFICATE

1) In do hereby certify that I have examined…………………………………………………

……………………………………………………………………………………………..

a candidate for ……………………………………………………………………………..

And that I cannot discover that she/he has any disease constitution affection or bodily

infirmity except…………………………………………………………………………….

Ido not consider this disqualification for employment in the office of …………………….

2) Iam also satisfied by personal examination/from certificate produced by that the H/She

was vaccinated/re-vaccinated with in one week prior to the date of the certificate.

3) ……………………………..’s age is according to His/her own statement……………….

years and by appearance about.......................................... year.

Other Particular’s

1. Height

2. Weight

3. Chest

4. Vision

Medical Superintendent, GIMS District Surgeon

District Hospital, Gadag

GENERAL RULES & REGULATIONS OF GIMS HOSTELS

1) Ragging in any form is banned inside and outside the campus. is punishable.

2) Students should strictly follow the timings of the hostel.

3) Extended hours for studying in the library will be granted on prior written permission.

4) Visitors including parents/guardians are allowed to meet the students in the visitors

lounge during visiting hours and not in their rooms. Overnight stay in the hostel is not

allowed. Entertaining unauthorized guests will lead to severe punishment including

expulsion from the hostel.

5) Students are not allowed to stay in rooms other than the ones allotted to them.

6) Students are responsible for the safety of their belongings. Kindly report any

themselves to warden office in working.

7) Use of tobacco in any form is strictly prohibited.

8) Consumption of alcohol is strictly prohibited.

9) Possession of weapons or dangerous chemicals of any kind is strictly prohibited.

10) Students will not get involved in political activities of any sort or participate in any

anti-national and anti-social or undesirable activity inside or outside the campus.

11) Students are not permitted to stay in rooms during the college hours, unless they are

ill. Any illness and medication student uses should be reported to the Warden. and

principal.

12) Students are not permitted to stay away from the hostel or leave station without the prior

permission from the warden/Principal.

13) Student once admitted to the hostel, cannot vacate it without a written request from

their parents which must be authorized by the Warden/ Principal.

14) Meetings/gathering within the hostel are not permitted. Functions of any kind

should have the prior permission of the Warden.

15) Students are allowed to use table lamps, hair dryers, iron box and chargers. The use of

other electrical appliances is not allowed.

16) Students have to keep their room clean and neat, including bathroom and toilet.

17) Students are not allowed to have meals in their rooms except under special conditions

like illness etc. The permission of the warden is required in such cases.

18) Cooking is not permitted in the hostel rooms.

19) Students are not allowed to use terrace for any purpose without the prior permission of

the Warden.

20) Students are not allowed to use motor vehicles like bikes or cars. Those who are

authorized to use vehicles are required to park in an orderly manner in the space

provided. The students using vehicles should possess the valid driving license/ vehicle

registration documents.

21) Any damage to the hostel property will attract a fine. The students residing in the room is

responsible for any damage to the property within the room and will bear the cost of

damage. In case of damage or loss of hostel property the cost will be recovered from the

students of the hostel as decided by the Warden.

22) All students are required to maintain high standards of discipline in the college campus

and hostel premises. In case of breach of discipline and failure to abide by the rules and

regulations, the hostel committee will render the students liable to disciplinary action.

23) Any in disciplinary or undesirable activities occurring in the hostel should be brought to

the notice of the Warden/Principal.

24) Warden/Principal / Director are the final authority to take up decisions in any untoward

incidents.

SD/-

Wardens of Boys Hostel

SD/-

Wardens of Girls Hostel

SD/-

Principal

Gadag Institute of Medical Sciences Gadag

GIRLS HOSTEL RULES

1. Follow the hostel timings strictly

a. During the month of examination

b. -timing to go out-morning after 7.00 am

c. -timing to come in evening before 8.00

2. Fine for Keeping tap open – 1000/-Rs per person. 3. Fine for keeping fan, bulbs and electrical items on Rs – 500 per head

4. Mess bill has to be Paid before 10th

of every month, if delayed 50/-Rs fine

a. Per day will be collected. 5. If the students want to go out of campus they have to take written

permission of warden.

6. Mess timings:

a. Tiffin :7.30am-9.00am

b. Lunch :12.30pm-3.00pm

c. Dinner :7.30pm-9.00pm 7. Mess bill – 2600 Rs per month – fixed, deduction will be considered if

remain absent for continuous five days.

8. No male relative is allowed to enter the room without permission.

9. Single lady companion is allowed to stay with the student with warden

permission.

10. NO SINGLE ROOMS ARE AVAILABLE FOR WHAT SO EVER REASON AND SUCH REQUESTS WILL NOT BE ENTERTAINED

ALL room will be 3 seats rooms.

***

If students violate hostel rules and if any untoward incident happens,

students are responsible themselves & strict action will be taken.

SD/-

Chief Warden

Girls Hostel

GIMS Gadag

Contact Number:

Dr. Shilpa: 9448534035. Dr.Sukanya:9448117524.

Hostel :8762488781.

UNDERTAKING BY THE PARENT

Rs 100/- bond paper to Hostel Warden. Vehicle DL Xerox copy to be submitted with this bond. Of the student who wishes to keep vehicle in the campus.

I. father of / guardian of /mother of

student of I / II /III MBBS herewith give a undertaking to this effect that my child / ward

has kept a vehicle Model

Make

Vehicle No. at GIMS campus. He/she in legally eligible to drive

vehicle and His/her vehicle DL is valid DL No is Any Mishaps/

accidents, any injuries to self others an account of driving by my ward is solely the

responsibility of my child and my self. I will not allow such vehicle to be driver

rashly or cause physical injury to other citizens. While driving such a vehicle my

child will ensure dignity of my family, college and such vehicle permission will

not be misused by letting or renting vehicle or flouting the MV act. Also such

vehicle driver shall display on vehicles the sign L for learner and per use Helmets for himself/herself and the pillion rider.

Signature of child wishing to

Use vehicle Signature of parent

Mobile number Address

Witness (address with mobile no)

1.

2.

ENVIRONMENTAL PLEDGE

(Each student must give this pledge)

I S/O,D/O

Hereby Pledge that I voluntarily agree to plant and maintain tree in my college

campus, and I will also take care of the plants/trees entrusted to me by the college

authorities. I shall participate in all such environment friendly activities assigned to

me with full dedication.

Signature of Candidate Signature of Parents

RAJIV GANDHI UNIVERSITY OF HELTH SCIENCES BANGALORE

4TH T BLOCK JAYANAGAR BANGALORE

NO RGU/EST/22/2011-12 DATE:04/01/2018

The following is the list of Government Holidays approved by Government of Karnataka.

SL.NO DATES GENERAL HOLIDAYS DATES

1. 15/08/2018 INDEPENDENCE DAY

2. 22/08/2018 BAKRID

3. 13/09/2018 VARASIDDI VINAYAKA JAYANTI

4. 21/09/2018 MOHARAM LAST DAY

5. 02/10/2018 GANDHI JAYANTI

Note :All second Saturday and Sundays are holidays

Principal

Gadag Institute of Medical Science

Gadag

COLLEGE OLD FEES STRUCTURE

Sl

No

Particulars

1st Year 2nd Year 3rd Year 4th Year

GM/OBC

SC/ST

AIQ-

NEET

18

Month

18

Month

12

Month

12

Month

12 12 Month

Month

Gen SC/ST Gen SC/ST Gen SC/ST

1 Registration Fee (University)

3500 3000 3500 - - - - -

-

2 Admission Fee (University)

1400 900 1400 - - - - - -

3 N.S.S (University) 50 50 50 - - - - - -

4 Sports Fee (University) 4 1/2 years

900 900 900 - - - - -

-

5 Student Welfate fund (to the University) 4 1/2 year

450 450 450 - - - - -

-

6 Helinet Fee (University) 4

1/2 year 4500 4500 4500 - - - - -

-

7 Tution Fee 9200 - 9200 13800 - 9200 - 9200 -

8 Library Fee 1500 1500 1500 2250 2250 1500 1500 1500 1500

9 Sports Fee (college) 600 600 600 900 900 600 600 600 600

10 Laboratory Fee 500 500 500 750 750 500 500 500 500

11 Medical examination Fee 150 150 150 225 225 150 150 150 150

12 Caution Mony Deposite (Refundable)

1000 1000 1000 - - - - -

-

13 Alumni Association Fee

(life time) 750 750 750 - - - - -

-

14 Examination Fee 300 300 300 450 450 300 300 300 300

15 Marks card Fee - - - - - - - - -

16 Application Fee (Admission)

100 100 100 - - - - - -

17 Fine - - - - - - - - -

18 Eligibility Fee - - - - - - - - -

19 Assocation Fee 500 500 500 750 750 500 500 500 500

20 Magazine Fee 500 500 500 750 750 500 500 500 500

21 Kannada Sangha 200 200 200 200 300 300 200 200 200

22 Identity Card 100 100 100 - - - - - -

23 Student Welfate fund (for College)

350 350 350 350 350 350 350 350

350

24 Research Fees 100 100 100 100 100 100 100 100 100

25 Digital Library (College) 3600 3600 3600 3600 3600 3600 3600 3600 3600

26 Cultural activities (College)

1500 1500 1500 1500 1500 1500 1500 1500 1500

27 Literary activities (College)

500 500 500 500 500 500 500 500 500

GRAND TOTAL 32250 22050 32250 26125 12425 19600 10300 19500

10300

NOTE

It is for the information of students taking admission for Academic year 2018- 19 the college fees which was 16,700/- is increased to Rs: 50,000.