MIMER MEDICAL COLLEGE, TALEGAON DABHADE

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1 MIMER MEDICAL COLLEGE, TALEGAON DABHADE INTERIM FEE STRUCTURE For First Year MBBS Academic Year Date: Admission Process Fee: Rs. 3000/- By cash only for all students. University Ashwamegh Shulk, Development & MKCL Fee: Rs. 350/- By cash only for all students. Demand Draft of any Nationalized Bank in the name MIMER MEDICAL COLLEGE Payable at Pune Interim Fees for 85% Government Quota Out of # SC / ST / Open # OBC Maharashtra Particulars VJNT Category Category Students Category (OMS) * Tuition Fee *Development Fee Insurance Fee Eligibility Fee Total Fee * Subject to change in Tuition Fee & Development Fee as per the direction by Shikshan Shulka Samiti. #Reserved category students must submit their relevant documents then only they will get fees benefit. Principal Executive Director Medical Director

2 MIMER MEDICAL COLLEGE, TALEGAON DABHADE HOSTEL CHARGES Academic Year Date: Hostel Admission Form: Rs. 100/- By cash only. Demand Draft of any Nationalized Bank in the name MAEER s HOSTEL Payable at Pune For MAEER s Boys & Girls Hostel Hostel Charges Mess Charges Particulars Fee Rs. Particulars Fee Rs. Hostel Deposit For Boys (Yearly) Hostel Fee For Girls (Yearly) TOTAL Note: Mess Charges Paid by cash at Respective Mess. For Sneh Girls Hostel Hostel Charges Hostel Deposit & Mess Charges Particulars Fee Rs. Particulars Fee Rs. Hostel Fee Hostel Deposit TOTAL Mess Charges TOTAL Note: Hostel Deposit & Mess Charges of Sneh Girls Hostel Paid by cash at Sneh Girls Hostel. Principal Executive Director Medical Director

3 Students who are selected through DMER, Mumbai for Ist Year MBBS admission (Acad. Year ) at, Talegaon Dabhade, must bring following Original Certificates alongwith 3 sets of Attested Xerox copies in sequence. Sr. No. Particular 01 Receipt cum Admit card of MH-CET 2015 Exam. 02 SSC Marksheet (10 th ) 03 SSC Passing Certificate (10 th ) 04 HSC Marksheet (12 th ) 05 MH-CET 2015 Exam. Marksheet 06 College Allotment Letter (Received from DMER) 07 Nationality Certificate / Domicile Certificate / Valid Passport / Birth Certificate 08 Medical Fitness Certificate (Annexure - I) 09 College Leaving Certificate / T. C. 10 Migration Certificate (if applicable) 11 Educational Gap Certificate self affidavit (if applicable) 12 Cast Certificate (if applicable) 13 Cast Validity Certificate (if applicable) 14 Non Creamy Layer Certificate Valid up to 31 st March, 2016 (if applicable) 15 Aadhaar Card 16 Income Certificate Form No. 16 / Income Tax Returns / Tahshildar Certificate for the year (for SC/ST/NT/VJ/OBC/SBC/EBC/ Minority Category Student only) 17 Character Certificate from previous college 18 Students personal details form to be filled correctly (Annexure - II)

4 MEDICAL FITNESS ANNEXURE I A candidate must be medically fit to undergo the professional course applied for. The medical fitness must be certified by a Registered Medical Practitioner in the prescribed proforma, as given below on a Letterhead : CERTIFICATE OF MEDICAL FITNESS This is to certify that I have conducted clinical examination of Mr./Ms..... who is desirous of admission to Health Science Courses. He/she has not given any personal history of any disease incapacitating him/her to undergo the professional course. Also, on clinical examination it has been found that he/she is medically fit to undergo the professional course. Certified that he/she fulfills the following criteria. (1) Absence of any incapacitating and /or progressive systemic disease/disorder/condition, (2) Absence of any disability of upper limb/s. (3) Absence of any major visual/ auditory disability. (4) Absence of psychosis/neurosis/mental retardation, (5) Ability to maintain erect posture, (6) Reasonable manual dexterity. Though, following deviations have been revealed, in my opinion, these are not impediments to pursue a career as a Medical / Dental / Ayurved / Unani / Occupational Therapy / Physiotherapy / Audiology & Speech, Language Pathology / Prosthetics & Orthotics / BSc Nursing. (Strike, which is not applicable): Address of the Registered Medical Practitioner Signature. Name. Registration No... Date: Seal of Registered Medical Practitioner

5 ANNEXURE II MIMER MEDICAL COLLEGE, TALEGAON DABHADE I ST MBBS ADMISSION ACADEMIC YEAR : STUDENTS INFORMATION Note: Student must all the information correctly, as this is required by MUHS, Nashik. 1) Name of the candidate : (As per HSC Marksheet) Mobile No. ID - Blood Group 2) Father s Full Name : (for Insurance claim) Mobile No. ID Occupation (Service/Business/Professionals/Retired/Farmer/Laborer) Parent s Annual Income Mother s Name : Mobile No. 3) Permanent Address : (alongwith Landline Nos.) 4) Address for Correspondence : 5) Local Guardian Name, Address, Tel. Nos. & Relation with student : Students : Date of Birth : Place of Birth : Male / Female HSC Marks (Total): / Percentage : PCB Marks % HSC Marks in 1) Physics: / 100 2) Chemistry : / 100 3) Bio : / 100 4) English : / 100 Total : / 400 Percentage : % Name of the Board (HSC) : HSC Passing Month : Year Name of the College from where HSC passed City State Category : Admitted Quota : MH-CET Details : SML No. Marks : / 200 Percentage : (Sign. of the parent) & Date (Sign. of the candidate) & Date

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