Roll No.IMPORTANT INSTRUCTIONS:1. Please read the prospectus and the instruction given in

propectus carefully before filling this form. 2; Use blue or black ball pen for filling this form.

3. Tick (a) in the appropriate box.

1. Course applied for M.Sc._______________________________________________________

2. CategoryGeneral

Schedule Caste

OBCSchedule

Tribe

3. Whether applied in any other Subject/Course, mention _________________________________________________________________________________

5. Full Name of applicant (In CAPITAL Letters) Please don't write Dr./Mr./Mrs./Ms. before names.

6. a) Father's/Husband's Name (In CAPITAL Letters)

b) Mother's Name (In CAPITAL Letters)

7. Sex Male Female8. Nationality

Indian OthersDate

9. Date of Birth

Month Year

10 (a). Details of qualifying examination passed

(b) Month & Year of Admission

MONTH YEAR

(c) Month & Year of passsing the examination

MONTH YEAR

(d) Qualifying Examination (a) in the propriate box B.Sc.

B.Sc.(Hons) M.Sc.B.V.Sc.

B.Sc. (Nursing)

(e) Total Marks in 1st+2nd+3rd (4th, if any) Professional / Univ. Examination

Maximum Marks Marks obtainod Percentage

Th H T O Th H T O

12. from which qualifying exam Whether college/Institute is affiliated to recognised University ? YES or NO ______

Name of College/University passed

16. SIGNATURE OF THE CANDIDATE

POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION & RESEARCH, CHANDIGARH

(To be assigned by office)

WHETHER PASSED FINAL SEMESTER YES OR NO _______________________

15. PHOTOGRAPH

Paste Passport Size

coloured Photographwith

Name and Date

B.Pharma MBBS

17. For Office Use

A) Permanent Address : _____________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

Contact / Mobile No.: ________________________________________

E-mail: ____________________________________________________

B) Corresponding Address : ________________________________

__________________________________________________________

__________________________________________________________

__________________________________________________________

Contact / Mobile No.: ________________________________________

E-mail: ____________________________________________________

14. Address :

BDS

Roll No. :.....................................

Dy. No. ........................................

Date : ..........................................

Any deviation or discrepancy between actual appearance at the time of examination and facial appearance in the photograph pasted on the application will make the candidate liable for rejection.

Spon

APPLICATION FOR THE ADMISSION IN M.Sc. COURSES FOR JANUARY-2015 SESSION

13. (a). Date of starting Internship (having Medical qualification)

Date Month Year Date Month Year

(b) Date / Expected date of completion of Internship (c) No. of days

Challan/Journal/INB Reference No ..............................................................................................................in favour of Director, PGI , Chandigarh

DETAIL OF FEE:

APPLICATION/REF. NO ...............................................................................................................

.11. Medical Registration Detail:

a) Permanent/Provisional b) State

c) Date of Registration

D YD M M Y YY

3rd Gender

20. To be filled in only by applicants having MBBS/BDS/B.V.Sc/B.Sc. qualification

18. Are you employed if yes, give the following details

a) Date of Joining as regular service : __________________________________________________________________________

b) Nature of job : __________________________________________________________________________

c) Name of the Institution/Hospital Govt./

Semi Govt./ Pvt. : __________________________________________________________________________

d) Designation : __________________________________________________________________________

e) Pay Scale : __________________________________________________________________________

f) Name of employer : __________________________________________________________________________

Chandigarh. If so, mention his/her address Telephone No., If any. : _________________________________________________________________________

19. Have you any contact person/guardian in

21. Academic Qualification

ExaminationPassed

Year Subject taken MarksObtained

Max.Marks

% age ofMarks

Name of Board /University/Institute

Matriculation

10+2 or itsequivalent

B.Sc. (Final)

BV.Sc./B. Pharma

INTERNSHIP CERTIFICATE

*There is no need to fill the above certificate in case the Internship Certificate has already been issued by the Institute/Hospital/College (Attach attested copy)

(To be submitted by the candldate whose Internship is complete or likely to be completed by 30th june/31st Dec for July & Jan session repectively.)

Certified that Dr. _____________________________________________has undergone/presently been undergoing 12 -months compulsory

Rotating Internship Training at ____________________________________________________________________college which started

on __________________and has completed or is likely to be completed on _______________________

Place :______________

Date :_______________

Signature & Seal of Dean/Registrar/Principal/Medical Superintendent of the Institution fromwhere the candidate or is undergoing internship.

DECLARATION BY CANDIDATE

Place _____________

Date ______________Signature of the applicant

Address _____________________________________

I hereby declare that I shall be responsible for timely payment of all dues payable to the Postgraduate

Institute of Medical Education & Research, Chandigarh in respect of my son/daughter/ward (name_______________)

during the period of his/her stay at the institute and until their dues are cleared.

1. I hereby declare that the application has been filled in my own handwriting and all statements made in it are true, complete, and correct to the best of my knowledge and belief and nothing has been concealed. In the event of any statement being found false or incorrect or any ineligilbitly being detected before or after the selection, action as such removal of my name from the rolls and / or other action as may be considered necessary can be taken aganist me.

2. I also declare that I have carefully read the contents of the Prospectus in respect of the course applied for by me and undertake to abide by the provision contained therein.

3. I further declare that I fulfil all the eligibility conditions regarding educational qualification, experience etc.prescribed by the Institute for admission to the course applied for by me.

4. If selected : (a) I agree to work on whole time basis:(b) I shall not engage myself in private practice or part time job during the period.(c) I shall not draw any pay, fellowship or any kind of monetary assistance from any other sources, if I am allowed emoluments by the Institute.

DECLARATION BY FATHER/GUARDIAN OF THE APPLICANT

___________________________________________

Signature

Relationship to the applicant

*Strike out whichever is not applicable

DECLARATION TO BE SIGNED BY OBC CANDIDATES ONLY

I..............................................................................................................................................................son/daughter of

Shri.................................................................................................................................................................................

R/o village/town/city.................................................................................district............................................................state...............................................................................................................................................................................

(certificate enclosed) hereby declare that I belong to the ............................................................................community

which is recognized as a backward class by the Govt. of India for the purpose of reservation in services as per orders

contained in Department of Personnel and Training Office Memorandum No. 36012/22/93-Esstt(SCT)

dated 8-9-1993. It is also declared that I do not belong to the persons/sections (creamy layer) mentioned in coloumn 3 of

OM NO. 36012/22/93-Estt (SCT) dated 08-09-1993 and modified vide Govt. of India Department of Personnel and

Training OM NO. 36033/3/2004-Estt (Res) dated 09-03-2004

Place ..............................

Date ...............................

(Signature of applicant)

(in running handwriting)

Note:- The closing date for receipt of application will be treated as the date of reckoning for OBC status of the candidate and also for assuming that the candidate does not fall in the creamy layer. The OBC Certificate submitted by the candidate shall be issued by the Competent Authority with in one year of the last date of submission of application.

Documents Enclosure No.

1. Self Attested copy of Matriculation /Higher Secondary CertificateShowing Date of Birth

_________________________

2. Self Attested copy of Certificate of passing B.Sc./B.V.Sc./MBBS/BDS/M.Sc./B Pharma examination

_________________________

4. Internship completion certificate (who possesses MBBS/BDS Qualification)

_________________________

7. Self Attested copy of certificate of the character/conduct from theInstitution last attended.

_________________________

5. Self Attested copy of Certificate of permanent Registration with Central/State Medical Registration Council/Dental Council of India

_________________________

6. Self Attested copies of following Certificates

(See performas in Prospectus) whatever applicable

i) Caste Certificate in Prescribed Form

SC/ST (Annexure 'A' (in Hindi/English Script)

ii) Fresh (should be issued within one year) OBC Certificate (Annexure 'B')

_________________________

Date ______________________________

Signature of the candidate

Place _____________________________

No. of Enclosures : ___________________

APPLICATION MUST BE TAGGED PROPERLY & ALL THE ENCLOSURES MUST ACCOMPANY THE APPLICATION IN SEQUENCE AS PER THE ENCLOSURE LIST GIVEN BELOW

9. Three self addressed envelopes of size 10x23 cms. Rs. 10/- Postage stamp

on each envelope for use by this office for sending interview letter etc. _________________________

(As Applicable)

_________________________10. Attach Challan Form in original (PGI Copy)

_________________________

3. Self attested copies of detailed marks sheets of qualifying examination _________________________

_________________________8. Sponsorship Certificate in original (Annexure-’C’) if applicable

Please stapledthree extra

Passport sizecoloured

photographs here

IMPORTANT NOTE

In case any candidate is found to have supplied false information of to have concealed or withheld some information in his/her application form, He/she shall be debarred from admission.

certificate etc. or is found

Any other action that may be considered appropriate by the Director of

be taken against him/her which may include criminal prosecution.

the Institute may also

Documents Enclosure No.

2. Self Attested copy of Matriculation /Higher Secondary Certificateshowing Date of Birth

_________________________

3. Self Attested copy of B.Sc. Passing Certificate _________________________

5. Self Attested copy of certificate of the character/conduct from theInstitution last attended. _________________________

Date ______________________________

Signature of the candidate

Place _____________________________

No. of Enclosures : ___________________

APPLICATION MUST BE TAGGED PROPERLY & ALL THE ENCLOSURES MUST ACCOMPANY THE APPLICATION IN SEQUENCE AS PER THE ENCLOSURE LIST GIVEN BELOW

7. Three self addressed envelopes of size 10x23 cms. Rs. 10/- Postage stamp

on each envelope for use by this office for sending interview letter etc. _________________________

_________________________8. Attach Challan Form in original (PGI Copy)

4. Self attested copies of detailed marks sheets of qualifying examination _________________________

_________________________6. Sponsorship Certificate in original (Annexure-’C’) if applicable

Please stapledthree extra

Passport sizecoloured

photographs here

IMPORTANT NOTE

In case any candidate is found to have supplied false information of to have concealed or withheld some information in his/her application form, He/she shall be debarred from admission.

certificate etc. or is found

Any other action that may be considered appropriate by the Director of

be taken against him/her which may include criminal prosecution.

the Institute may also

1. Advance copy of application duly complete in all respect to be submittedbefore last date (Application through proper channel should reach within

_________________________

10 days after last date)

1

POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION &

RESEARCH CHANDIGARH

Fee :

For General/OBC/Spon candidates : 1000/-

For SC/ST Candidates : 800/-

All the candidates are directed to deposit the above fees in the branches of State

Bank of India by filling the Challan form in the name of Director, PGIMER, Chandigarh

(Examination) in the Power Jyoti Account No. 32211613319 and those candidates

who have SBI account can also pay their fee through i-collect service of SBI.

• DaDaDaDates for downloading of Prostes for downloading of Prostes for downloading of Prostes for downloading of Prospectus/ Application Form from 13pectus/ Application Form from 13pectus/ Application Form from 13pectus/ Application Form from 13.09.2014 to .09.2014 to .09.2014 to .09.2014 to

20202020.10.2014..10.2014..10.2014..10.2014.

• Dates for generating the Challan form from 13.09.2014 to 16.10.2014 (2359 Dates for generating the Challan form from 13.09.2014 to 16.10.2014 (2359 Dates for generating the Challan form from 13.09.2014 to 16.10.2014 (2359 Dates for generating the Challan form from 13.09.2014 to 16.10.2014 (2359

hours) and the State Bank of India will accept the fee upto 16.10.2014.hours) and the State Bank of India will accept the fee upto 16.10.2014.hours) and the State Bank of India will accept the fee upto 16.10.2014.hours) and the State Bank of India will accept the fee upto 16.10.2014.

• The last date of receipt The last date of receipt The last date of receipt The last date of receipt of applications is 20.10.2014 (upto 5.00 P.M.)of applications is 20.10.2014 (upto 5.00 P.M.)of applications is 20.10.2014 (upto 5.00 P.M.)of applications is 20.10.2014 (upto 5.00 P.M.)

2

ADMINISTRATIVE STAFF

1. Director

Prof. Yogesh ChawlaProf. Yogesh ChawlaProf. Yogesh ChawlaProf. Yogesh Chawla

MD, DM, FAMS

2. Dean

Prof. Amod GuptaProf. Amod GuptaProf. Amod GuptaProf. Amod Gupta

MS,FAMS

3. Professor-in-charge (Academic Section)

Prof. K. GaubaProf. K. GaubaProf. K. GaubaProf. K. Gauba

4. Officer-in-charge (Examination Cell)

Dr. Dr. Dr. Dr. B.D. RadotraB.D. RadotraB.D. RadotraB.D. Radotra

5. Registrar

Mr. P.C. AkelaMr. P.C. AkelaMr. P.C. AkelaMr. P.C. Akela

6. Administrative Officer (Academic)

Mr. Lekh Raj VyasMr. Lekh Raj VyasMr. Lekh Raj VyasMr. Lekh Raj Vyas

7. Assistant Administrative Officer (Academic)

Mr. Yash Pal AttriMr. Yash Pal AttriMr. Yash Pal AttriMr. Yash Pal Attri

Fax : 0172-2744401, 2744376

E-mail : trainingbranchpgi@yahoo.com

Web URL : www.pgimer.edu.in

Postal address : Registrar,

PGIMER, Sector-12

Chandigarh - 160012

FOR FURTHER ENQUIRYFOR FURTHER ENQUIRYFOR FURTHER ENQUIRYFOR FURTHER ENQUIRY

Please contact the Academic Section Please contact the Academic Section Please contact the Academic Section Please contact the Academic Section atatatat 0172017201720172----2755569 2755569 2755569 2755569

SCHEDULESCHEDULESCHEDULESCHEDULE OF EXAMINATION AND COUNSELINGOF EXAMINATION AND COUNSELINGOF EXAMINATION AND COUNSELINGOF EXAMINATION AND COUNSELING

Entrance Examination : 30.11.2014 at 10:00 A.M.

Declaration of Result : 01.12.2014 at 09:00 A.M.

Counselling : 03.12.2014 at 11.00 A.M.

3

PROCEDURE FOR APPLYING

Before applying, the candidates are advised to go through the admission notice

published in the press and the instructions given therein carefully. Fill in the application

form in accordance with the instructions given in this prospectus and the admission

notice. Please ensure that no column is left blank. Incomplete applications will not be

considered and no correspondence will be entertained.

a) Application for admission to the course is required to be submitted on the

prescribed form enclosed with this prospectus.

b) The application, complete in all respects accompanied with all the relevant

documents should reach the office of the Registrar, PGIMER, Sector-12,

Chandigarh on or before the closing date. The applications received after the

closing date will not be considered and no correspondence will be entertained.

c) The fact that an application form has been dispatched on a certain date will not be

accepted as an excuse for the late submission of the application. The dispatch of

the application form does not ipso-facto make the receiver eligible for admission to

the selection test.

d) Applications, on forms other than those prescribed for the purpose, will not be

entertained. If any candidate gets an application form for the course different

from the one asked for he /she may submit his /her application on the same

before the closing date. The application will be treated as advance copy. The

application on the prescribed form will be obtained later.

e) The candidate who applies for more than one subject will be required to apply on separate application forms.

PROCEDURE FOR APPLICATION FORM

1. After opening the PGIMER website i.e. www.pgimer.edu.in, the candidate will

open the Application Form available on the website and fill up various columns.

2. After filling up all the columns, the candidate will generate Challan Form and

deposit the requisite fee in any Branch of State Bank of India anywhere in India.

After that the candidate fill the Challan Form No./I-collect No. in the Application

Form.

3. The candidate will download/print the filled Application form and paste a

photograph on the available space and place his/her signature on the Application

Form.

4. The candidate will attach all the relevant certificates/annexures and Challan

Form with the Application and sent the same to the Registrar, PGIMER, Sector-

12, Chandigarh.

5. One envelop shall contain only a single Application form.

4

INTRODUCTION

The Government of India in the Ministry of Health set up a Committee known as the

“Health Survey and Planning Committee” on 12th June, 1959 to undertake the review of the

development that had taken place since the publication of the report of Heath Survey and

Development committee (Bhore Committee) in 1946 with a view to formulate further health

programmes for the country in the third and subsequent five year plan periods. The Committee

recommended the setting up of six Postgraduate Medical Institutions in the country one each at

Kolkata, Mumbai, Chennai, Hyderabad, Lucknow and Chandigarh to meet the increasing demand

of teachers for the rapidly expanded Medical Colleges, specialties services for Hospitals and need

of the Armed Forces.

The Postgraduate Institute of Medical Education and research, was conceived and

planned in 1960 to create in Chandigarh as Island of Excellence” providing physical and

intellectual milieu for young scientists working in multiple disciplines of medicines to advance

the frontiers of knowledge, to render human service to sick and suffering, to train Medical and

Para Medical Manpower. The Institute was established in 1962 by the erstwhile state of Punjab.

It was declared as an institute of National importance by an Act of Parliament (Act 51 of 1966)

with effect from April 1, 1967.

AIMS AND OBJECTIVES OF THE INSTITUTE

Following are the aims and objectives of the institute:-

a) To develop patterns of teaching in undergraduate and postgraduate medical Education in all its branches, so as to demonstrate a high standard of medical education.

b) To bring together educational facilities of the highest order for the training of personnel in all important branches of health activity.

c) To attain self-sufficiency in Postgraduate Medical Education to meet the country's need for specialists and Medical Teachers.

ADMISSION TO THE COURSES

a) Admission to M . Sc. Pharmacology and M.Sc. Respiratory Care courses are being

conducted at the institute twice in a year i.e. January and July session every year. Master

of Audiology & Speech Language Pathology course conducted for January session only.

b) The admission to the courses imparted at the Institute is made on merit on all Indian bases by holding an entrance examination by the Institute, after issuing a country wide admission notice. The admission notice is published in leading English Newspapers of India usually during February/March for July session & Sept/Oct. for January session.

N.B.: BEFORE APPLYING THE CANDIDATES ARE ADVISED TO GO THROUGH THE

PROSPECTUS AND THE ADMISSION NOTICE PUBLISHED IN THE PRESS CAREFULLY.

DURATION OF THE COURSES

The duration of the courses is Two Academic Years.

5

QUALIFICATION REQUIREMENTS & METHOD OF SELECTION

1. M.Sc. (PHARMACOLOGY)

MBBS passed or its equivalent qualification from a University/Institute recognized by

the Medical Council of India or B.Sc (Anatomy, Physiology and Biochemistry taken together) or

B.V.Sc. or B. Pharma passed from a recognized University.

All candidates who fulfill the eligibility qualifications mentioned above shall appear

in a theory paper containing objective type of question. The duration of theory paper will be

one and half hours. The question paper will comprise 100 multiple choice questions relating

to fundamentals of Human Anatomy, Biochemistry, physiology, and Pharmacology.

Note:

The candidates applying for the above courses, the qualification possessed by them as

mentioned in the prospectus should have recognized by the Panjab University/UGC.

2. M.Sc. (RESPIRATORY CARE)

For General Candidate:

B.Sc. in Medical Laboratory Technology or B.Sc. in Nursing or B.Sc. Medical or Bachelor

of Physiotherapy from any University within India or equivalent degree from any other

recognized University/Institute with at least 55% marks.

For Sponsored Candidate:

B.Sc. in Medical Laboratory Technology or B.Sc. in Nursing or B.Sc. Medical or Bachelor

of Physiotherapy from any University within India or equivalent degree from any other

recognized University/Institute with at least 55% marks and at least 3 years experience in their

respective fields after obtaining qualification of B.Sc.

All candidates who fulfill the eligibility qualifications mentioned above shall appear

in a theory paper containing objective type of questions. The duration of theory paper will be

one hour. The question paper will comprise 50 multiple choice questions related to their

respective field.

3. MASTER OF AUDIOLOGY & SPEECH LANGUAGE PATHOLOGY (MASLP)

For General Candidate:

B.Sc. (Audiology & Speech Therapy) or Bachelor of Audiology & Speech Language

Pathology from any recognized University/Institute with at least 50% marks and one year

internship after obtaining the qualification of B.Sc.

For Sponsored Candidate:

B.Sc. (Audiology & Speech Therapy) or Bachelor of Audiology & Speech Language

Pathology from any recognized University/Institute with at least 50% marks and at least 3

years experience in their respective field after obtaining qualification of B.Sc.

6

All candidates who fulfill the eligibility qualifications mentioned above shall appear

in a theory paper containing objective type of questions. The duration of theory paper will be

one hour. The question paper will comprise 50 multiple choice questions related to their

respective field.

Note:

i) Merit list of candidates based on their examination will be prepared separately for general

category candidates; and for those belonging to Schedule caste/Tribes. The General

category candidates who secure atleast 50% marks and who score 45% marks

candidates belonging to Scheduled Castes/Tribes/OBC wherever applicable) in the theory

examination will only qualify for admission. The candidates will be invited for interview

strictly in the order of merit based on their marks for the theory examination. The number

of candidates to be invited for interview will be three times, the total number of seats to be

filled in each category provided candidates fulfilling the cut off point mentioned above are

available. Candidates will then be interviewed by a Selection Committee appointed by the

Institute for the purpose which will select the candidates found suitable for

admission. The interview with the Selection Committee is mandatory and will not carry

any marks.

ii) There will be negative marking in the theory paper to the extent of 0.25 marks for

each wrong answer.

INTER-SE MERIT

If two or more candidates obtained equal marks in the entrance examination then inter-se-merit for selection to the course shall be determined on the basis of the following:

a) A candidate who has made more attempts in passing B.Sc. examination would rank

junior to the candidate who has made lesser attempts. b) If the attempts made in passing B.Sc. examinations are also the same then the candidate

who has obtained higher marks in the B.Sc. examination shall rank senior to a candidate who has obtained lower marks.

d) If the attempts made in passing said examination and the marks obtained in the

examination are also the same, then a candidate senior in age shall rank senior to a candidate who is junior in age.

NB: The admission to the course is initially made on probation for a period of three

months. At the end of 3 months, if the performance of the candidate is not found to be satisfactory, his/ her admission may be cancelled.

RESERVATION OF SEATS

Seats are reserved for candidates belonging to Scheduled Castes/Tribes/OBC in accordance with the decision of the governing Body of the Institute. No emoluments /scholarship or any other financial assistance is provided by the Institute to the candidates admitted to M .Sc. courses The candidates selected for admission to M. Sc. courses are required to make their own arrangements for stay during the period of their studies.

7

LEAVE

During the period of studies, 30 days leave for a complete one year will be admissible in addition to weekly “Off Days”. No portion of leave can be carried over the next year.

THESIS/ DISSERTATIONS

The candidates are required to submit a Thesis / dissertation in accordance with the rules governing the course

DETAILS OF FEE AND OTHERS DUES

The following fees etc. will be payable by each candidate.

a) Registration fee : Rs. 500/-

b) Tuition fee : Rs. 350/- per annum Note: The first installment of fee for 6 months is required to be paid at the time of admission. The balance is to be paid half yearly in advance.

c) Laboratory Fees : Rs. 900/- per annum

d) Security : Rs. 1000/- (Refundable) to be deposited by every

candidate for the recovery of any breakage loss of the Lab.

equipment etc. and is refundable on completion of the course

e) Amalgamated Fund : Rs. 60/- p.m. (payable half yearly)

The dues are required to be paid half yearly in advance.

1. Fee and other charges once paid shall not be refunded in any case including that a candidate leaving the institute before the completion of the term or not joining the course for any reason.

2. Security will not be refunded to those who do not join. The refund of the security must be

claimed within three years of the date of completion/discontinuation of the course, failing which the amount will be forfeited.

3. A fine of Rs. 5/- per day upto maximum 15 days will be charged for late payment of dues.

After 15 days the name of the candidate who does not pay the dues will be removed from

the roll. If such a candidate applies for readmission a sum of Rs. 500/- will be charged

as re-registration fee in additional to the fine. Such a candidate shall have to repeat the

days of his / her training for which he / she remains off the rolls.

JOINING TIME

Selected candidates must join their respective courses on the prescribed date, as indicated in their admission letter. The selection of those who fail to join by the specified date shall automatically stand cancelled.

Under exceptional circumstances, a candidate may be allowed to join late upto 31st July on the condition that he / she will have to make up the deficiency by working for the same number of days by which he / she joins late, after the date on which his / her period of training would have otherwise been completed but for his / her late joining. The admission will close on 31st July each year.

8

MEDICAL EXAMINATION

Medical fitness will be a pre-condition for registration for all candidates. The candidates will be medically examined by a Medical Board, constituted by the Institute for this purpose to determine their medical fitness.

GENERAL INFORMATION

1. The candidates will fill his application form available on the PGIMER website and will also

take out a print of Challan form (triplicate) and application form and deposit the

application fee in any State Bank of India branches all over the country. Those candidates

who have SBI account can also pay their fee through i-collect service of SBI. In that case the

INB reference No. will be generated and will have to be mentioned instead of Challan No. as

reflected in the application form. The Challan form is needed to be filled up in the name of

Director, PGIMER, Chandigarh (Examination) in the Power Jyoti Account No.

32211613319 and those candidates who have SBI account can also pay their fee through

i-collect service of SBI. They have retained a copy of Challan with them and another copy of

Challan deposited with the bank is attached with the application form sent to Registrar PGI,

Chandigarh.

2. Candidates must note that no other form of payment of application fees like Demand Draft,

Banker Cheque, Money Order, Postal order etc will be accepted under any circumstances

and without Challan copy will be rejected without any further correspondence with the

candidates.

3. The candidates are not permitted to bring the mobile phone/ pager / any other electronic

devices to the examination hall and the candidates with these items will not be permitted

to enter in the examination hall.

4. All the examination centers have been instructed to carry out the frisking of all the

candidates at the entry of the examination hall/ premises. Hence, the candidates shall co-

operate with the examination centers/ staff for such frisking.

5. The candidates are not allowed to bring any piece of paper or pen or pencil in the

examination hall. All the candidates will be provided with the pen / pencil at the

respective examination hall.

6. The complete application (i.e. Accompanied with all documents etc.) must reach the

Registrar, PGIMER, Chandigarh either by post or by personal delivery at the counter on or

before the closing date. Applications may please be sent preferably by registered post for

facility of candidates, the closing date receipt of applications has been mentioned on the

application form. The counter for receipt of applications to be delivered personally will

close at 4.00 p.m. on the closing date and no application will be received thereafter. The

Institute will not be responsible if application is delivered to any other quarters. The fact

that the application registration No. has been issued to the candidates, does not mean that

the application is complete in all respects and has been accepted by the Institute.

7. Application received after the closing date is not considered. The Institute takes no

responsibility for any delay in the receipt or loss of application/ prospectus in transit.

8. Incomplete applications are not entertained and no correspondence will made in this

respect. All particulars in the application form must be written carefully and legibly. All

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

9. The candidate who applies for more than one subject will be required to apply on separate

application form.

9

10. Candidates who have obtained MBBS degree from the Medical College/Institute/

University which are not recognized by the Medical Council of India are not eligible to

apply.

11. Candidates should sign all the documents forming enclosures to the application and also

put date.

12. Candidate should enclose with his/her application three stamped, self addressed

envelopes of size 23 x 10 cms with a postage stamp of Rs. 10/- on each envelope. These

envelops will be used for sending Roll number, selection letter, etc. Therefore, the address

on the envelope should be legible, neat and complete, preferably typed.

13. No request for a change of the subject / course or the category applied for entertained

after the submission of the application to the Institute.

14. The decision of the Director of the Institute in the matter of selection of candidates

for the various courses shall be final.

15 The candidates invited for the selection may have to stay at Chandigarh for 2-3 days. No

TA/DA is admissible to them for the purpose.

16. Any attempts on the part of candidate to influence directly or indirectly will be treated as

disqualification.

17. Selected candidates shall have to pay the fees etc. on the same day failing which his /her

selection will be treated as cancelled and the seat will be offered to the next on the waiting

list in the order of merit.

18. Private practice in any form during the course is prohibited.

19. The Institute is well equipped and staffed by faculty recruited from all over the country.

20. There is a well stocked and upto date library and large number of professional

journals and periodicals are subscribed to for use by the faculty and the residents/

students.

21. The period of training is strictly full time and ordinarily continuous at the Institute.

22. The candidates selected for the course shall have to furnish the migration certificate

from the university / Institute from which they passed their last examination t the time of

their joining along with all other certificates in original in support of their qualification,

experience etc.

23. If the closing date fixed for the receipt of applications by the Institute is declared as a

holiday or half holiday by the Chandigarh Administration, then the Immediate next

working day shall be the closing date for receipt of application.

24. The rules are subject to change in accordance with the decision of the Institute from time to

time.

25. If any entrance examination / Interview are fixed for any course there will not be change

in the date and the examination / Interview will be held as per schedule even if the day is

declared as a holiday or half holiday by the Chandigarh administration.

26. If any candidate does not receive the Admit Card, he/she can also download the

same from the PGIMER website.

27. In case of any dispute the same shall be settled with the jurisdiction of Chandigarh.

28. The Ragging is banned in the Institute. Ragging is cognizable offence. Strict action

against the offenders shall be taken. Any one indulging in ragging will be punished

appropriately, including expulsion from the Institute and / or imprisonment upto 3 years

and/or fine upto Rs. 2500/-.

10

PROCEDURE TO BE FOLLOWED FOR THE ENTRANCE EXAMINATION

1. All the candidates are required to bring their Admit Card.

2. No candidates will be allowed to take the examination without producing the Admit Card.

3. They are required to be seated on their respective seats 15 minutes before the commencement of examination.

4. Videography/Still Photography will be done during the examination, whereas Biometric finger print capturing will be done during examination, at the time of counseling and at the time of joining the course.

5. No material/paper including the envelope of the Admit Card is allowed in the examination hall.

6. Mobiles, Pagers or Calculators are strictly prohibited in the examination hall. Please arrange to keep them outside.

7. All the candidates are advised not to copy any question on a piece of paper / hand etc. if found copying down the questions from the question paper, the candidates will be booked under the UNFAIR MEANS CASE and his examination will be cancelled.

8. If any candidate is found guilty of any breach of the rules mentioned in the prospectus or guilty of using UNFAIR MEANS, he/she will be liable to be punished by the competent authority.

11

INSTRUCTIONS FOR PHOTOGRAPHS

1. One recent clear passport size coloured photograph with light background is required

to be pasted on the application from at the space provided. Polaroid photographs are

NOT acceptable.

2. Photograph MUST be snapped on or after 1sr September, 2014.

3. Photograph must be taken with name of candidate (as in application) and date of

taking photograph as per the example given below:

Example:

Ashok Kumar

1-09-2014 IMPORTANT:

(i) The photograph must be snapped with a placard indicating name of candidate

and date of taking photograph, In case name and date are written on the

photograph after it, the application will be rejected.

(ii) The name and date on the photograph must be clear and legible.

4. Photograph should not have cap, or goggles etc. Spectacles are allowed.

5. Photograph should be pasted (NOT stapled) on application Form Use good quality

adhesive to paste the photograph.

6. The photograph on the application Form should be unattested.

7. Application not complying with these instructions or with unclear photograph will be rejected.

8. Keep a few identical photographs in reserve for use at the time of Entrance

Examination/ Admission.

9. Any deviation or discrepancy between actual appearance at the time of

examination and facial appearance in the photograph pasted on the application

will make the candidate liable for rejection.

IMOPORTANT NOTICE

In case any candidate is found to have supplied false information or certificate etc. or is

found to have concealed or withheld some information in his /her application form, he /she

shall be debarred from admission. Any other action that may be considered appropriate by

the director of the Institute may also be taken against him/her which may include criminal

prosecution also

12

ANNEXURE - 'A' FORM OF SC/ST CERTIFICATE PRESCRIBED

Form of certificat as prescribed in M.H.A., O.M., No. 42/21/49- N.G.S. Dated the 28.01.1952, as revised

in Dept.of Per-& A.R, letter No. 36012/6/76-Est. (S.CT), dated the 29.10.1997, to be produced by

candidate belonging to a Scheduled Caste or a Scheduled Tribe in Support of his/her claim.

CASTE CERTIFICATE

This is to certify that Shri/Smt./Kum.*.................................................. son/daughter* of................................. of

village/Town* ............................................... in district/Division*........................................ of the State/Union

Territory*...............................belongs to to he.............................Caste/Tribe which is recognised as a Scheduled

Caste/Scheduied Tribe* under :

The Constitution (Scheduled Caste) Order, 1950

The Constitution (Scheduled Tribe) Order, 1950

The Constitution (Scheduled Caste) (Union Territories) Order, 1951

The Constitution (Scheduled Tribe) (Union Territories) Order, 1957

%1 . As amended by the Scheduled Caste and Scheduled Tribe Lists (Modification) Order, 1956, the Bomba

Re- organization Act, 1960, the Punjab Re-organization Act, 1966- the State of Himachal Pardesh Act,

1970 The North Eastern Areas (Re- organization) Act, 1971 and the Scheduled Castes and Scheduled Tribes

Orders,(Amendment) Act, 1976).

The Constitution (Jammu and Kashmir) Scheduled Caste Order, 1956.

The Constitution (Andaman and Nicobar Islands) Scheduled Tribes, Order, 1959. The Constitution (Dadra

and Nagar Haveli) Scheduled Cast Order, 1962.

The Constitution (Dadra and Nagar Haveli) Scheduled Tribes Order,1962. The Constitution (Pondichery)

Scheduled Caste Order, 1964.

The Constitution (Uttar Pradesh) Scheduled Tribes, Order,1967. The Constitution (Goa, Daman & Dlu)

Scheduled Caste Order, 1968. The Constitution (Goa, Daman & Dlu) Scheduled Tribes Order, 1968. The

Constitution (Nagaland) Scheduled Tribes Order, 1970.

The Constitution (Sikkim) Scheduled Tribes Order, 1978. The Constitution (Sikkim) Scheduled Tribes Order,

1978.

% 2. Applicable in the case of Scheduled Caste/Schedule Tribe persons who have migrated from one

State/ Union Territory Administration:

This certificate is issued on the basis of the Scheduled Caste/Scheduled Tribe certificate issued

to Shri/Smt*.................................................... Father/mother of Shri/Smt/Kum* ........................................................... Of

village/town*.............................. in District/Division*............................of the State/Union Territory*.....................

.who belongs to the ....................Caste/tribe which is recognised as a Scheduled Caste/Scheduled

Tribe* in the State/Union Territory*................................................................issued by the .................................. (Name of

prescribed authority) vide their No........................Date......................... %3. Shri*/Kum* ...............................................

and /or his/her* family ordinary reside(s) in Village/town* .................................................................of the

State/Union Territory of ................................................

Signature....................

Place....................... State/Union Territory

**Designation....................

Date........................ (With seal of office)

* Please delete the words which are not applicable.

Please quote specific Presidential Order.

% Delete the paragraph which is not applicable.

** Should be signed by the Authorities empowered to issue Scheduled Caste/Scheduled Tribe

certificates As specified above.

13

ANNEXURE - 'B'

FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES

APPLYING FOR ADMISSION TO CENTRAL EDUCATIONAL INSTITUTE (CEIS)

UNDER THE GOVERNMENT OF INDIA

(G.I., Dept. of Per. & Trg., O.M.No. 36033/28/94-Esttt. (Res), dated 02.07.1997.)

It is certifying that _______________________ son/daughter of ________________________ of village

______________________ District/Division ____________________________ in the _______________ State

______________________ belongs to the ______________________ community which is recognized as a

Backward Class under:-

*(i) Government of India, Ministry of Welfare, Resolution No. 12011/68/93-BCC (C), dated

the 10th September,1993, published in the Gazette of India, Extraordinary, Part-I, Section I,

No.186, dated the 13th September, 1993.

*(ii) Government of India, Ministry of Welfare, Resolution No. 12011/9/94-BCC, dated the

19th October, 1994, published in the Gazette of India, Extraordinary, Part-I Section I, No. 183,

dated the 20th October,1994.

*(iii) Government of India, Ministry of Welfare, Resolution No. 12011/7/95-BCC, dated

the24th May, 1995, published in the Gazette of India, Extraordinary, Part-I, Section I, No. 88

dated the 25th May 1995.

*(iv) Government of India, Ministry of Welfare, Resolution No. 12011/44/96-BCC, Dated the

6th December, 1996, published in the Gazette of India, Extraordinary, Part-I, Section I, No. 210,

dated the 11th December 1996.

*(iv) Government of India, Ministry of Welfare, Resolution No. 12011/09/2004-BCC, Dated

the 16th January, 2006, published in the Gazette of India, Extraordinary, Part-I, Section I, No.

210, dated the 16th January 2006.

Sh./Smt.____________________ and or his/her family ordinarily reside(s) in the _____________

District/Division of the ______________________ State. This is also to certify that he/she does not

belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the

Government of India , Department of Personnel and Training, O.M. No. 36012/22/93-Estt.

(SCT), dated 08.09.1993. Which is modified vide O.M. No.36033/3/2004 Estt. (Res.) dated

09.03.2004 or the latest modification of the Govt. of India.

(Seal)

No.________________ District Magistrate

Dated____________ Deputy Commissioner etc.

14

ANNEXURE – ‘C”

SPONSORSHIP CERTIFICATE

(Applicable only in case of candidates who are sponsored/deputed)

Note : Sponsorship for Private Hospital/Institute/Nursing Homes, etc. is not accepted.

This is to certify that Dr. ....................................................................................... son/daughter

of Shri .............................................................................. is a permanent/regular employee of the

Govt. Deptt./ Medical College since ........................................ and has atleast Three Years of Three Years of Three Years of Three Years of

Regular/Permanent service on or before 31.12.201Regular/Permanent service on or before 31.12.201Regular/Permanent service on or before 31.12.201Regular/Permanent service on or before 31.12.2014. 4. 4. 4.

Please tick on the type of Institution/Department sponsoring/deputing the

candidate:

a. Central Government

b. State Government

c. Autonomous Body of Central Government

d. Autonomous Body of State Government

e. Public Sector Undertaking

f. Medical College/Hospital affiliated to a University and recognised by Medical

Council of India

Certified that if selected for the course applied for by the applicant, he/she will

be suitably employed by us after the completion of his/her training course to work for

atleast five years in the specialty in which the training is received by him/her at

PGIMER, Chandigarh.

Certified that no financial implication in the form of emoluments/stipend etc.

will devolve upon PGIMER, Chandigarh during the entire period of applicant’s course.

Such payment will be the responsibility of sponsoring/deputing authority.

Date ............................. Date ............................. Date ............................. Date ............................. Signature of sponsoring/deputingSignature of sponsoring/deputingSignature of sponsoring/deputingSignature of sponsoring/deputing

Place ............................ Place ............................ Place ............................ Place ............................ authority with officiaauthority with officiaauthority with officiaauthority with official seall seall seall seal