Date:27/09/2022
Notice for students getting admission through State Quota
Subject: PG Medical Admission 2022 - Reporting & Joining Process
1. Candidates should submit the following documents duly filled at the time of joining at PG
Section of B.J. Medical College. (Formats provided by PG Director office- Attached herewith)
- Candidate Information sheet
- College Proforma
- Undertaking
2. Candidates are instructed to go to the concerned department, join the duty and fill the joining
report in 4 copies duly signed by PG teacher/ H.O.D./ Incharge H.O.D. 2 copies with
enclosures (photocopies) to be send to PG Director Office at B.J. Medical College,
Ahmedabad (1 Copy with enclosure for college and 1 copy with enclosure for Gujarat
University) & Candidate should submit 1 copy with enclosure to concerned department and
1 copy should be kept for himself/herself. (Format of Joining Report is attached herewith).
Note: Your Academic term will start from 20
th
October, 2022. For Granting of the term
minimum attendance as per NMC & Gujarat University rules and regulations will be
required.
Photocopies of following documents to be attached with joining report:
a) NEET Admit Card 2022 ( issued by NBE)
b) NEET Score Card 2022 ( issued by NBE)
c) Admission order/ letter (issued by State admission committee-ACPPGMEC)
d) 12
th
Mark sheet
e) All Year MBBS Mark sheets (1
st
, 2
nd
, 3
rd
Part I, 3
rd
Part II)
f) Attempt Certificate
g) Provisional/Permanent Degree Certificate
h) Internship Completion Certificate
i) Proof of Birth date- School Leaving Certificate/SSC Marksheet/ Birth Certificate
j) Gujarat Medical Council/NMC-MCI Registration Certificate (provisional/permanent)
k) PwD Certificate (If Applicable)
l) Caste Certificate (If Applicable)
m) Non Creamy layer Certificate of financial year pertaining to the period of application
from the competent authority as prescribed by the Govt. of India/Respective State
Government for OBC/SEBC. (If Applicable)
n) EWS Certificate (If Applicable)
o) ID proof (photocopy) – PAN/Driving License/Voter ID/Passport/Aadhar
3. Date and time of PG Teacher allotment will be informed later on.
4. Candidates are instructed to bring Demand Draft of Gujarat University fees in favor of
“Registrar, Gujarat University” payable at Ahmedabad at the time of PG Teacher Allotment.
Details of Gujarat University Registration/Enrollment/Tuition fees for Whole Course
Sr. No. Fees (Rs.)
1 For Girls Degree 15350
2 For Boys Degree 36350
5. Candidates are instructed to bring the duly filled Medical fitness certificate & Anti ragging
form (Format as provided by PG Director Office, BJMC - Attached herewith) at the time of
PG Teacher Allotment.
6. Candidates are instructed to furnish the Bond papers worth Rs.40 lakhs (bank
guarantee/property guarantee worth Rs.10 lakhs & undertaking of Rs.30 lakhs on Rs.300
notarized stamp paper) as per Gujarat Government Regulation dated 30/01/2020,
No.MCG/1019/1643/J & circular No.MCG/Bond/Policy/AIQ/I/28100-11/2022, dated
14/09/2022 (Format of Bond Papers as provided by PG Director Office, BJMC attached
herewith) at the time of PG Teacher Allotment.
Director
Postgraduate Studies & Research
B.J. Medical College, Ahmadabad
CANDIDATE INFORMATION SHEET
(Fill in capital letters only)
ALL INDIA RANK : __________
(A) PERSONAL DETAILS
Name of Candidate:
__________________________________________________________________________________
(Surname) (First name) (Second name)
Date of Birth: _______________ Place of Birth: ______________________ Gender: M/F/Others
DD/MM/YYYY (City) (State)
Permanent Address: _________________________________________________________________
_________________________________________________________________
Present Address: __________________________________________________________________
__________________________________________________________________
Mobile No. : _________________ (Res.) ______________ (with City Code), Blood Group : _____
Aadhar Card Number: __________________________ PAN Number:_________________________
Email id: _______________________________ Caste:______________Religion:_______________
Name, Email id & Mobile No. Of Parents/Guardian: _______________________________________
_________________________________________________________________________________
Local Emergency Guardian Name and Address ___________________________________________
Local Emergency Guardian Contact No_______________________________
Married/Unmarried:____________
(B) UNDER GRADUATION
College & University College: __________________ University: _________________
Of final M.B.B.S __________________ _________________
With city & state City: ___________________ City: _________________
State: ____________________ State: _________________
Passing of final M.B.B.S Month: _____________ Year: _________________
Attempt of final M.B.B.S __________________
Date of Internship Completion: ___________________
Medical Council Registration (State/NMC): __________________________
Under Graduate Bond Status: ________________________________
(C) POST GRADUATION
Selection in: All India/State Quota Merit No. ___________ Category: Open/SC/ST/SEBC/EWS
Physical Handicap (PwD): Yes/No Admission Category: Open/SC/ST/SEBC/EWS
Subject: __________________________ Hospital: _______________________________
(Degree) (Civil/GCRI/U.N. Mehta/M & J)
Bank Account Details for Stipend
Local Bank Account Number: ____________________________
Bank Branch: Axis Bank, Asarwa Branch
IFSC Code: UTIB0000449
Candidate's
Passport Size
Colour
Photograph
with signature
below
B. J. MEDICAL COLLEGE AHMEDABAD
PROFORMA TO BE FILLED FOR MD/MS ADMISSION 2022-23
Student Name
Gender (M/F)
Date of Birth
Course (Branch) Name
Name of PG Teacher(applicable after joining)
Exam rank (AIR/State rank)
NEET PG Roll No.
Quota – All India/State
Name of the entrance exam
Max. Marks (In entrance exam )
Marks Obtained (In entrance exam )
Registered Medical Council
Medical Council Registration No.(MBBS)
Category- OPEN/EWS/ SEBC/SC/ST
Person with disability (PWD) (Yes/No)
Fees Payment - Bank transaction ID
Bank details from which transaction is done for
fees payment
1.NAME OF BANK BRANCH
2.NAME OF ACCOUNT HOLDER
3.BANK ACCOUNT NUMBER
4.IFSC CODE
Candidate mobile no.
E-mail ID:
Aadhar card no.
Pan card no.
Date of Admission
Permanent Address:
DATE: CANDIDATE’S SIGNATURE
Undertaking
I, hereby declare that the information/documents given at the time of
application/counseling/joining are true. If anything is found to be incorrect or false or misguiding
at any time, I understand that my admission shall be cancelled and I may be prosecuted, also I
shall be ineligible to apply in future. I shall abide by the results.
I read and understood all the rules and regulations of Admission to Post Graduate
Medical courses. I shall abide by all the rules and regulations. I accepted all the terms and
conditions pertaining to Admission to Post Graduate Medical courses and I does not have any
objections with rules and regulations.
I am not engaged in any post graduate course in any institute at the time of submission of
Application form & at present. After my admission, If I do not join the course or resign from
course/left the course after Reshuffling Counseling, in such conditions, I also understand that,
1. My admission and registration will be cancelled without any notice thereof.
2. I will not be eligible for future admission in this University.
3. I have to pay the whole course fees of all the year/academic terms of College and
University.
4. My all deposit amount, Admission fees, tuition fees and university fees are forfeited
and I will have no claim on it.
5. I have to pay Rs.5 lacs (for clinical subjects - degree), Rs.2 lacs (for Clinical subjects-
diploma), Rs.1 lac (for non clinical subjects-Anatomy, Physiology, Biochemistry,
Pharmacology, Microbiology, Forensic Medicine, PSM) as a penalty to the Gujarat
University.
6. I have to fulfill all the conditions of bond as per the rules of Government of Gujarat
for Government College.
A candidate who in the past selected and admitted to any P.G Medical courses of this or
any other university or equivalent body and have not completed that course at the time of
submission of application, is not eligible.
If I do not comply with above conditions, then all the original documents will not be
returned to me and legal action will be initiated against me.
I will obtain Permanent Registration with National Medical Commission (NMC/MCI)
or Gujarat Medical Council within one month from the date of my admission, failing which my
admission shall be cancelled without any notice thereof; fees forfeited and will not be eligible to
apply in future.
I will have to apply for Gujarat University Registration in the prescribed form duly
completed, through the College concerned within one month from the last date of Joining of
reshuffling counseling/ final round of counseling. If it does not reach to the University within
one month from the last date of Joining of reshuffling counseling/ final round of counseling then
one term of Candidate will not be granted and if it is applied later than above time limit then as
per the date of application of Registration, term/terms will not be granted depending upon the
date of application of Registration.
I will have to submit the topic of Dissertation in the prescribed form duly completed,
through the College concerned within three months from the last date of Joining of reshuffling
counseling/ final round of counseling. If it does not reach to the University within three month
from the last date of Joining of reshuffling counseling/ final round of counseling than one term of
Candidate will not be granted and if it is submitted later than above time limit then as per the
date of submission of topic of Dissertation, term/terms will not be granted depending upon the
date of submission of topic of Dissertation.
I will have to participate in Post Graduate Orientation Program during the first year of
residency, within six months of my admission to become eligible to appear in university
examination.
I shall abide by G.R. No. MCG/1019/1643/J, dated: 30/01/2020 & circular
No.MCG/Bond/Policy/AIQ/I/28100-11/2022, dated 14/09/2022 of Gujarat Government that
bond of Rs. 40,00,000/- (Rupees Forty Lacs ) shall be applicable to all Post graduate degree and
diploma students admitted in Government Medical Colleges of Gujarat State. (This bond is
applicable to the students admitted under both State Quota and All India Quota. This bond
is not applicable for the students admitted in Anatomy, Physiology, Biochemistry,
Community Medicine, Pharmacology and Forensic Medicine.)
I will have to pay the deposits and fees of College and University as per the rules and
regulations of Government of Gujarat and Gujarat University.
I know that Hostel accommodation will be provided if available after Final round of
Counseling.
I give undertaking that if I remain absent during P.G. teacher allotment; I shall have no
claim for my post graduate teacher of choice.
I give undertaking that I will submit required bond documents and complete official
formalities within three month of joining in concerned department. Failing which my subsequent
stipend will be withheld and I will be liable for actions taken by Medical College.
I have also verified my eligibility before submission of Application for admission to Post
Graduate Medical Courses /Post Graduate Medical Admission and also verify my eligibility to
apply against category to which I entitled. If through mistakes/error, the forms are accepted and
through mistake/error I admitted in Post Graduate Medical course & if I found to be ineligible, in
such case I cannot claim any right or interest arising out of acceptance of form /admission in Post
Graduate Medical course.
I abide by the rules and regulations of National Medical Commission, Government of
Gujarat, Gujarat University and B. J. Medical College, Ahmedabad.
Name:
NEET PG 2022 Roll no.:
NEET PG 2022 Rank:
Course:
Date of Birth:
Institute Name:
Residential Address:
Mobile Number:
Email ID:
Signature:
Date:
Candidates have to follow and comply following rules and regulation of Gujarat University
1. A candidate should have obtained permanent registration with National Medical Commission
(NMC) or Gujarat Medical Council within one month from the date of his / her admission,
failing which the admission of candidate shall be cancelled without any notice thereof; fees
forfeited and will not be eligible to apply in future. This permanent registration certificate with
NMC / GMC should be submitted / checked by respective institute / college where candidate
gets admission.
2. Students admitted in post graduate course has to apply for registration in the prescribed form
duly completed, through the College concerned within one month from the last date of Joining of
reshuffling counseling/ final round of counseling.
If it does not reach to the University within one month from the last date of Joining of reshuffling
counseling/ final round of counseling then one term of Candidate will not be granted and if it is
applied later than above time limit then as per the date of application of Registration, term/terms
will not be granted depending upon the date of application of Registration.
3. Students admitted in post graduate course has to submit the topic of Dissertation in the
prescribed form duly completed, through the College concerned within three months from the
last date of Joining of reshuffling counseling/ final round of counseling.
If it does not reach to the University within three months from the last date of Joining of
reshuffling counseling/ final round of counseling then one term of Candidate will not be granted
and if it is submitted later than above time limit then as per the date of submission of topic of
Dissertation, term/terms will not be granted depending upon the date of submission of topic of
Dissertation.
4. The PG orientation program is compulsory for all the post graduate students admitted in B.J.
Medical College, Ahmedabad affiliated with Gujarat University. All students are required to
attend the PG orientation program during the first year of residency, within six months of their
admission. In case any student is unable to attend the PG orientation program during the first
term, due to a valid reason (duly signed by the PG guide and Head of the department), then PG
Director can permit such students to attend the program in second year. But, submission of
attendance certificate of PG orientation is mandatory to be eligible for university examination
appearance.
5. Students admitted in Post graduate Medical Courses have to complete “Online Research
Methods course for Post Graduate Students” as per the NMC norms.
6. If any Post graduate student is found absent for more than 72 hours (in case of before the last
date for Completion of entire Admission process) and 15 days (in case of after the last date for
Completion of entire Admission process) without leave/ permission / information of competent
authority, his / her admission and registration shall be cancelled without any notice thereof, fees
forfeited, have to pay the whole course fees, have to pay penalty of university, have to pay bond
as per rules of Government Gujarat and he / she will not be eligible to apply in future.
7. A postgraduate student of a postgraduate degree course in broad specialties/ super specialties
would be required to present one poster presentation, to read one paper at a national/ state
conference and to present one research paper which should be published / accepted for
publication/ sent for publication during the period of his postgraduate studies so as to make him
eligible to appear at the postgraduate degree university examination.
8. A Candidate who fails four times in medical / dental Postgraduate examination will have to go
back and study for full one year under his/her own teacher. Then only the candidate will be
permitted to appear in post graduate examination for maximum two trials and if candidate does
not clear his/her Post graduate examination then his/her admission/registration will be
permanently cancelled.
9. In case of resignation from the post of residency by the candidate or Cancellation of admission
due to any reason after the last round counseling process, candidate has to pay Rs. 5 lacs (for
clinical subjects - degree), Rs.2 lacs (for Clinical subjects-diploma), Rs. 1 lacs (for non clinical
subjects-Anatomy, Physiology, Biochemistry, Pharmacology, Microbiology, Forensic Medicine,
Community Medicine) as a penalty to the Gujarat University.
10. Original Marksheets and other documents etc. of the admitted students submitted at the time of
admission shall be retained by the college authority.
JOINING REPORT
Date: ________, 2022
From:
Name: _________________________________________________________________
(In Capital letter) (Surname) (First name) (Second name)
Address: ___________________________________________________________________
___________________________________________________________________
_____________________, Contact No. ______________________________
____________________________________________
To,
The Registrar,
Gujarat University,
Ahmedabad
Through: Head of Department & Director, Postgraduate Studies & Research,
B.J. Medical College, Ahmedabad.
Sir/Madam,
I am submitting herewith my joining report duly signed by H.O.D/In charge H.O.D.
/P.G. Teacher with required documents as mentioned in the enclosure below. I am furnishing my
details as below.
Name: _________________________________________________________________
(In Capital letter) (Surname) (First name) (Second name)
Quota: All India/State Merit No. _____________ Category: Open/SC/ST/SEBC/EWS PWD: Y/N
Subject/Branch: ____________________________ Degree: ________________________
College & University Of Final M.B.B.S
College: ___________________University: ________________
With city & state City: ___________________ City: _________________
State: ____________________ State: _________________
Sign of P.G. Teacher/H.O.D/ In charge H.O.D Sign of Candidate
(Dr. ) (Dr. )
Enclosures (Self-attested Photocopy):
a. Admission Order/Letter (issued by MCC/State admission committee-ACPPGMEC)
b. College Fee and Deposit Receipt
c. Photocopy of Aadhar Card
d. 12
th
Marksheet
e. All Year MBBS Marksheets (1
st
, 2
nd
, 3
rd
Part I, 3
rd
Part II)
f. Attempt Certificate
g. Provisional/Permanent Degree Certificate
h. Internship Completion Certificate
i. Proof of Birth date- School Leaving Certificate/Birth Certificate
j. Gujarat Medical Council/NMC-MCI Registration Certificate (within one month from joining)
k. PwD Certificate (If Applicable)
l. Caste Certificate (If Applicable)
m. Non Creamy layer Certificate of financial year pertaining to the period of application from the
competent authority as prescribed by the Govt. of India/Respective State Government for
OBC/SEBC. (If Applicable)
n. EWS Certificate (If Applicable)
o. NEET Admit Card 2022(issued by NBE)
p. NEET Score Card 2022(issued by NBE)
Note: Candidates are instructed to send 2 copies of joining reports duly signed (Signed by P.G.
Teacher/H.O.D./Incharge H.O.D.) with enclosures through department to PG Director Office at
B.J. Medical College, Ahmedabad (1 Copy with enclosure for College and 1 copy with enclosure
for Gujarat University) & Candidate should submit 1 copy with enclosure to concerned
department and 1 copy should be kept with himself/herself. (Total – 4 copies)
Copy for: (1) Gujarat University (2) PG director BJMC, Ahmedabad (3) concerned department
Candidate’s Course/Branch:
______________________
MEDICAL FITNESS CERTIFICATE
MEDICAL EXAMINATION OF A CANDIDATE FOR ADMISSION TO MEDICAL
POSTGRADUATE COURSES
I hereby certify that I have examined
Shri/Kum/Smt………………………………………………………………………………………
……………………….……………a candidate for admission to the medical postgraduate
courses and cannot discover that he/she has any disease, constitutional weakness or bodily
infirmity,except…………………………………………………………………………………......
……………………………………………………………………………………………………....
I do not consider this as a disqualification for admission to the Medical postgraduate
courses. His/Her age, according to his/her own statement, is………………………………..years
and appearance……………….years.
Marks of identification: ___________________________________
(1) Signature
Impression of left thumb:
(2) Full Name
(3) Qualification (Minimum M.B.B.S)
Date: __/__/2022 (4) Registration No.
ANTI RAGGING UNDERTAKING
“I hereby agree to confirm to the rules and regulations at present in force or that may
hereafter be made for governance of postgraduate course and I undertake that during such
course, I will do nothing either inside or outside the college that will interfere with the orderly
governance and discipline. I am also aware that ragging is banned and if found guilty, I shall be
liable for cancellation of admission and punishment as per rules.
Date:
Place:
Name of the candidate: (Signature of the candidate)
Contact No: