Prospectus & Application Form for Registration and Admission

 

This Prospectus contains an application form for Registration & Admission in a course. The complete application form along with necessary enclosures / documents must reach the Dean, Rajshree Medical Research Institute, 21st KM, NH-24, Bareilly Rampur Road, Village- Satuiya Khas, Tehsil- Meerganj, Bareilly (U.P.)

Instructions for Filling the Application Form
  •  Form must be filled in the candidate’s own handwriting with a blue/black pen.
  • Name of the Applicant: Write name in capital letters as neatly and legibly as it appears in your mark sheet of the qualifying examination.
  • Fill the form in English using capital letters, except for signature.
  • Name of the Parent / Guardian: Write the name of parent / guardian (Any person, other than the parents of the candidate, can become guardian only if the parents are not alive.)
  • Overwriting, cutting, erasing in the form may lead to rejection and should be avoided.
  • Any discrepancy in the statement and / or submission of incomplete forms will lead to rejection of application / cancellation of admission.
  • Date of Birth: Enter the date, month and year of birth as recorded in class10th certificate.
  • Address for Correspondence: Write the complete postal address including pin code on which the candidate is to be communicated. Also write the telephone number with STD / ISD code and Fax /E-mail address, if any.
  • Paste your recent photograph (not older than three months) at the appropriate place on the application. Photograph must be signed by the candidate at the edge.
Documents to be attached with filled in application form for MBBS Course
  • An attested photocopy of S.S.C (12th) Board Certificate
  • An attested photocopy of H.S.C (10th) Board Certificate
  • Bonafide and character certificate from the Principal of the School/College last attended
  • Entrance Examination Score Card
  • Migration Certificate/Transfer Certificate
  • Six recent Passport Size photographs
  • Aadhar Card
  • Seat allotment letter
  • Nationality and Domicile Certificate
  • Gap Certificate (if passed qualifying examination before the admission year.
  • Caste Certificate (only for SC/ST/OBC)
  • Income Certificate of Parent/Guardian
  • Address Proof
  • Declaration form as per prescribed format on a non-judicial stamp paper of Rs. 10/- duly attested by Notary Public
  • Anti-Ragging Form as per prescribed format on a non-judicial stamp paper of Rs. 10/- duly attested by Notary Public
  • Fitness Certificate from a registered medical practitioner
Documents to be attached with filled in application form for MD/MS Course

All candidates who have been allotted Rajshree Medical Research Institute, Bareilly through UP NEET PG-2021 for MD/MS Programme in Academic Session 2021-22 are hereby informed that the following documents are required at the time of reporting : 

 

SI. No.

Documents Required

Status

1.

6 Passport size recent colored photograph

Original

2.

Copy of Allotment Letter (Downloaded)

Self attested Photocopy

3.

Admit Card of NEET PG 2021

Self attested Photocopy

4.

Online Registration Proof

Self attested Photocopy

5.

Printout of Candidate's State Merit Placement

Self attested Photocopy

6.

Pan Card (Photocopy)

Self attested Photocopy

7.

Aadhar Card (Photocopy)

Self attested Photocopy

8.

High School Certificate (as Proof of DOB)

Original + 1 Self Attested copy

9.

10+2 Marksheet & Certificate

Original + 1 Self Attested copy

10.

SC/ST/OBC Caste Certificate (If applicable)

Original + 1 Self Attested copy

11.

All Professional Marksheets of (MBBS)

Original + 1 Self Attested copy

12.

MBBS Degree

Original + 1 Self Attested copy

13.

MBBS Passing out Certificate

Original + 1 Self Attested copy

14.

Internship Completion Certificate

Original + 1 Self Attested copy

15.

MBBS Attempt Certificate

Original + 1 Self Attested copy

16.

Permanent Registration (UP/MCI/DCI)

Original + 1 Self Attested copy

17.

Migration Certificate

Original + 1 Self Attested copy

18.

Transfer Certificate

Original + 1 Self Attested copy

19.

Character Certificate

Original + 1 Self Attested copy

20.

Bond on prescribed performa (Stamp paper of on Rs. 100)

Original + 1 Self Attested copy

21.

Employers relieving certificate, if employed.

Original + 1 Self Attested copy

  • Document deposit receipt is mandatory if document submitted in original at Nodal Centre.
  • After Completion of PG Course, one year SR ship is compulsory in concerned department.
  • The fees to be deposited every year by in advance for the coming academic year.
  • Any student whose fee along with the fine imposed on him/her for delayed submission is found to be unpaid will be suspended for teaching & training of PG course.
  • Gap Certificate (if passed qualifying examination before the admission year.
  • Declaration form as per prescribed format on a non-judicial stamp paper of Rs. 10/- duly attested by Notary Public
  • Anti-Ragging Form as per prescribed format on a non-judicial stamp paper of Rs. 10/- duly attested by Notary Public
  • Fitness Certificate from a registered medical practitioner