prospectus 2018 1bfuhs.ac.in/paramedical-2018/30-8-18/prospectus.pdfpostgraduate diploma and...

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PROSPECTUS

For Admission to Certificate, Diploma, Postgraduate Diploma and

Postgraduate Courses of Medical and Paramedical Sciences- 2018

at University Institute of Paramedical Sciences, Faridkot

&

University Centre of Excellence in Research, Faridkot.

University Institute of Paramedical Sciences

&

University Center of Excellence in Research Baba Farid University of Health Sciences,

Faridkot -151 203, Punjab, India

01639-256252(O) 01639-256253(Fax)

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IMPORTANT DATES

1.

Availability of Prospectus and Application Form (On the University Website) Baba Farid University of Health Sciences, Faridkot

August 31st , 2018 onwards

2.

Last date of applying for Certificate, Diploma, Postgraduate Diploma and Postgraduate courses of Medical and Paramedical Sciences- 2018

September 14th, 2018

3. Date of counseling September 27th, 2018

Note: No separate intimation regarding counseling will be announced. If any change in the schedule, it will be intimated through university website i.e. www.bfuhs.ac.in

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1. Please visit our website www.bfuhs.ac.in for all regular and updated information and

admissions/Date of counseling from time to time. 2. All necessary information regarding allocation of merit and seeking admission to

Certificate, Diploma, Postgraduate Diploma and Postgraduate Courses of Medical and Paramedical courses in the University Centre of Excellence in Research, GGSMedical College and University Institute of Paramedical Sciences, Baba Farid University of Health Sciences, Faridkot and all applicable rules and regulations, etc., are contained in this booklet called PROSPECTUS ( available on the University Website) for admission to Medical and Paramedical courses. This Prospectus is subject to alteration(s) or modification(s) at any time without notice.

3. Application forms may be downloaded from the official website www.bfuhs.ac.in and the forms complete in all aspects, may be submitted to Principal, Guru Gobind Singh Medical College, Faridkot. Application form received after 14 September, 2018 for any reason including postal delays will be rejected. The University will not be responsible for any delay or loss in transit caused by Postal Dept. /Courier Services or anyone else.

4. The fee will only be accepted through Demand Draft in favour of Registrar, Baba Farid University of Health Sciences, and Payable at Faridkot.

5. Fee once deposited will not be refunded /adjusted in any case 6. Admission Application Fee: The prospectus and admission application form available on University website, can

be downloaded and duly filled form submitted along with admission application fees as given below.

Certificate Course : Rs 500/- Diploma Course : Rs 500/- P.G. Diploma Course: Rs 1500/- MSc Courses : Rs 2000 /- The admission application fee must be submitted in the form of Demand Draft in

favour of Registrar, Baba Farid University of Health Sciences, Payable at Faridkot. 7. Fee once deposited in the University account shall not be Refunded/Adjusted in any

case. 8 Notwithstanding the submission of application form, only eligible candidates, as per

Government notification/s, shall be considered for admission. 9. In case of any discrepancy or contradiction between the Government notification(s) and the University instructions contained in the prospectus, the letter and the spirit of the notification(s) shall be prevailing, however in academic matters the University shall be the final authority.

PLEASE NOTE – Read carefully

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1. Before applying, candidate should carefully read PROSPECTUS for eligibility conditions and other important instructions.

2. The last date for applying is 14 September, 2018. 3. Reservation of seats shall be as per the policy of the Government of Punjab. 4. The eligibility for admission of the candidates shall be determined by the

Selection Committee at the time of counseling. 5. The student will have to pay the fee for entire course, if he/she leaves the

course/vacates the seat after the cutoff date for admission.

Check List for Admission Application Form

The following self attested photocopies of documents are to be submitted with the ADMISSION APPLICATION FORM i) Passport size colour photograph, self signed by the candidate. ii) Self attested photocopy of Matric or equivalent certificate for Date of Birth. iii) Self attested photocopy of 10+1 and 10+2 Detail Marks Card. iv) Self attested photocopy of Detail Marks card and Degree of Qualifying exam v) Self attested photocopy of Internship Completion Certificate. vi) Self attested photocopy of Migration Certificate. vii) Self attested photocopy of character certificate from Institution last attended. viii) Self attested photocopy of Punjab Residence Certificate. ix) Self attested photocopy of certificate in support of claim under reserved

category as per the specimen given in Prospectus. x) Undertaking by the candidate for Gap year in original, if any. xi) Undertaking from parent/Guardian. xii) Photocopy of Adhar Card of candidate, of candidate’s mother and of

candidate’s father. xiii) Bank Demand Draft in Original.

IMPORTANT INSTRUCTIONS/ INFORMATION FOR APPLYING FOR ADDMISSION TO

Medical and Paramedical courses

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1. INTRODUCTION

BRIEF HISTORY:

The University was established at Faridkot under an Act of Punjab State Legislature (Punjab Act No. 18 of 1998) in the name of great Sufi Saint Sheikh Farid Ganj-E-Shakar, (1173 1265 A.D.) in 1998 for purposes of affiliating, teaching and ensuring proper and systematic instruction, training and research in Modern Systems of Medicine and Indian Systems of Medicine. It is not only affiliating and examining body but also a teaching and research centre in health sciences. It is expected to play a vital role in improving the standards of medical and health education in the state and in conducting relevant research in all aspects of health sciences, basic as well as applied, which ultimately will ameliorate the health standards of the people of Punjab. It is believed that the university will be a trend setter in developing appropriate modes and models of health care to ensure quality health care to the people.

The University has been recognized by MCI vide letter no. V/11015/3/2000-ME (UG) dated 9th June, 2000. The UGC has also included the University in the list of recognized universities maintained by the University Grants Commission, under section 2(1) of the UGC Act. 1956 vide letter no. F.9-3/97 (CPP-I) dated 4 July. 2002. The Regional Director. World Health Organization, Regional Office for South-East Asia, World Health House, New Delhi has also forwarded the name of the University for inclusion in the World Directory of Medical Schools vide letter No. M12/6212 dated 6 May 2002. The University is also included in the list of Commonwealth Universities and their yearbook 2001 at page No. 692 (Vol. l).

Established with a mission to create an intellectual, academic and physical environment conducive to free flow of ideas and exchange of information between various faculties of the university, between this university and other universities of health sciences in the country and abroad, thereby opening a window to the world for the health professionals, health planners, health managers. biomedical and social scientists and educationalists in health sciences of the country. Efforts are on to establish contact with various institutions towards achieving this goal.

The university is now primarily focusing on strengthening graduate and postgraduate medical education and research and evolving as a centre of excellence in a rural backdrop.

UNIVERSITY'S PRESENT STATUS: All the new buildings of the University and its constituent college, GGS

Medical College & Hospital were completed in the year 2011. The university was shifted to its new building situated at Sadiq Road, Faridkot in July 2011. Hon'ble Chief Minister, Punjab. Inaugurated two new University buildings (Senate Block and Academic Block) on 22-09-2011. Hon'ble Deputy Chief Minister inaugurated the Radiotherapy Unit, and other buildings of GGS Medical College & Hospital, on 23-09-2011. The GGS Medical College & Hospital, a constituent college of the University is also shifted to its new building.

The University Campus comprises of GGS Medical College along with Auditorium of 800 capacity, Senate Block, Academic Block, University College of Physiotherapy, University College of Nursing, Drug De-addiction Centre, Telemedicine, Edusat and a well equipped state-of-the-art 500 bedded hospital. Coveted projects to set up Trauma Centre, Regional Cancer Centre are all in process. The University has added to its academic convoy University Library & Informatics Division, Department of Health Sciences Library & Information System,

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University Centre of Excellence in Research, University Institute of Paramedical Sciences, Rose Garden and Herbal Garden.

UNIVERSITY'S NEW PROJECTS: University is on the way to establish 1) Advanced Cancer Diagnostic, Treatment & Research Centre at Bathinda, inaugurated by Hon'ble Chief Minister of Punjab. 2) University Regional Centre for Public Health & Paramedical Sciences at Goindwal Sahib. University has acquired 20 Acres of land for its Regional Center at Goindwal Sahib. Hon'ble Chief Minister, Punjab has already inaugurated both the projects in October 2011. The University has planned to run a number of employment-oriented diploma courses and certificate programmes in health sciences.

The University is also in process of developing the following five study centre's: 1. Centre for Distance Learning (Medical) and Educational Technology miscellaneous. 2. Centre for Health Systems and Health Services Management. 3. Centre for Bio-information Technology. 4. Centre for Human Resources Development and Health Management. 5. Centre for Population Sciences.

UNIVERSITY'S CONSTITUENT COLLEGES: The Government of Punjab incorporated the three institutions as constituent

colleges of the Baba Farid University of Health Sciences, Faridkot viz. School of Nursing (upgraded to University College of Nursing) vide notification no. 11/299/01-5SS3/4770 dated 14.10.2002, Guru Gobind Singh Medical College & 500 bedded Hospital. Faridkot vide notification no. 8/02/2005-1HB-I11/6308 dated 31.10.2006 and State Institute of Nursing & Paramedical Sciences, Badal vide notification no. 1/46/07-1HBIV/1163 dated 28.11.2007. In addition to above, the Board of Management of University also accepted the proposal for starting of Physiotherapy College in the University campus in its meeting held on dated 03.04.2007 and fourth constituent college was established viz. University College of Physiotherapy. University has also established University Institute of Pharmacy and University Institute of Paramedical Sciences. Recently, Govt. of Punjab has transferred 100 bedded Civil Hospital, Badal to University for strengthening and expanding the connection between rural medical services and the education and research carried on by the Baba Farid University of Health Sciences. The GGS Medical College & Hospital, a constituent college of the University has 29 departments and 20 post graduate departments and is recognized by MCI. The University Centre of Excellence in Research was started in 2010 for promoting research in medical sciences.

COLLEGES AFFILIATED WITH UNIVERSITY: At present the University is having 144 affiliated colleges comprising 137

affiliated and 7 constituent Colleges (with approximately 35,000 students). The admission to all the Institutions including the Minority institutions in the State of Punjab shall be done as per the notifications/ instructions/ guidelines/ rules/ executive orders passed by the State Government as per provisions of The Punjab Private Health Sciences Educational Institutions (Regulation of Admission, Fixation of Fee and Making of Reservation) Act 2006, and amended from time to time.

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2. DEFINITIONS: (i) "BFUHS" means Baba Farid University of Health Science, Faridkot. (ii) "Eligible Candidate" means a candidate who satisfies the requirements

of eligibility as per provisions of this prospectus and University regulations and the criteria of Baba Farid University of Health Sciences, Faridkot.

(iii) "University" means Baba Farid University of Health Sciences, Sadiq Road, Faridkot.

3. NO OF SEATS, ELIGIBILITY AND QUALIFICATION:

I. CERTIFICATE COURSES

S.No. Name of the

Course

Eligibility

Criteria

Duration

of

Course

Course

Fee to

be paid

by the

students

No. of

Seats In

GGS

Medical

College,

Faridkot

No. of Seats

In SINPMS,Badal

(Only for Girls)

1 Certificate

Course in

Home Based

Care Helper

10th

6 months 7000/- Nil 05

2 Certificate

Course in

Hospital &

Home Based

Care Attendant

10th

01 year 10,000/- Nil 05

3 Certificate

Course in

Orthopaedic

Techniques

12th

(Any Stream)

01 year 10,000 20 Nil

4 Dental Chair

Side Assistant

12th

(Any Stream)

01 year 10,000 08 Nil

5 Dental Hygiene

& Oral

Prophylaxis

12th

(Any Stream)

01 year 10,000 05 Nil

In case of two or more candidates having equal marks then there inter-se merit will be

determined as under:-

a) Candidates having higher marks in English

b) Candidate older in age

Note:- 1) The other fee/charges to be payable is as under

i) Registration Fee

As fixed by the University (to be paid by the student for

registration with the University)

ii) Examination Fee

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As fixed by the University (to be paid by the student along with

examination form at the time of appearing in the examination

(annual/supplementary)

II. DIPLOMA COURSES

S.No. Name of the Course Eligibility

Criteria

Duration

of

Course

Course Fee to

be paid by the

students

(per annum)

No. of

Seats in

GGSMC,

Faridkot

1 Diploma in Burns and

Plastic Surgery

Techniques

12th

(with

Medical)

02 years 18,500/- 04

2 Diploma in Medical

Radiography & Imaging

Technology

12th

(with

Medical)

02 years 18,500/- 05

3 Diploma in Blood Bank

Techniques

12th

(with

Medical)

02 years 18,500/- 10

4 Diploma in Operation

Theatre Techniques

12th

(with

Medical)

02 years 18,500/- 05

5 Diploma in

Neurosurgical

Techniques

12th

(with

Medical)

02 years 18,500/- 20

6 Diploma in Intensive

Care Unit Techniques

12th

(with

Medical)

02 years 18,500/- 20

A person who attains the age of 17 years or more as on 31st of December of the year of

admission.



a) Candidates having higher marks in the subject of Biology

b) Candidate older in age


i) Registration Fee



ii) Examination Fee




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III. POST GRADUATE DIPLOMA COURSES

Sr.

no.

Name of the

Course

Eligibility Criteria Dura

tion

of

Cour

se

Course

Fee to

be paid

by the

students

No.

of

Seats

1 Post Graduate

Diploma in

Health

Promotion &

Education

A person who has passed

MBBS/BDS/BAMS/BHMS/BPT/Bsc.

(N) from a recognized institution

approved by the respective Central

Council OR Master’s degree in arts or

Science or Education from a recognized

Indian University with at least two years

experience in Community Work shall be

eligible to join the Postgraduate (PG)

Diploma Course in Health Promotion &

Education.

OR

Any other examination recognized by the

Board of Management of this University

as an equivalent course / examination

thereto, from time to time.

01

year

25,000/- 02

2 Post Graduate

Diploma in

Neurophysiology

A person who has passed the B.Sc.

Medical (Anatomy, Physiology &

Biochemistry)/B.Sc.(N)/BPT

Examination with at least 50% marks in

the qualifying examination as a regular

student from any of the recognized

institution / college / university shall be

eligible to join the Postgraduate Diploma

Course in Neurophysiology.

OR





01

year

25,000/- 03

3 Post Graduate

Diploma in

Respiratory

Therapy

A person who has passed the B.Sc.

Medical / B.Sc. (MLT) / B.Sc. (Nursing)

/ B.Sc. (Operation Theatre Technician) or

B.Sc. (Operation Theatre Technology)

Examination as a regular student from

any of the recognized institution / college

/ university with at least 50% marks taken

in the qualifying examination shall be

01

year

25,000/- 10

10

eligible to join the Diploma Course in

Respiratory Therapy.

OR







Candidate older in age


i) Registration Fee



ii) Examination Fee




IV. POST GRADUATE DEGREE COURSES

S.No. Name of the

Course

Eligibility Criteria Durat

ion of

Cours

e

Course Fee

to be paid

by the

students

(per

annum)

No. of Seats

GGSMC,

Faridkot

1.

M.Sc.

Pharmacology

This course shall be open

to a candidate who has

passed regular MBBS /

BDS / B.V.Sc. /

B.Pharmacy degree with

50% or above marks

from any

College/Institution/Unive

rsity recognized by Baba

Farid University of

Health Sciences, Faridkot

OR

Any other examination

02

years

40,000/- 05

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recognized by the Board

of Management of this

University as an

equivalent course /

examination thereto,

from time to time.

2. M.Sc.

Histopathology



passed regular B.Sc.

Medical Laboratory

Technology/B.Sc.(MLT)

degree with 50% or

above marks from any

recognized

College/Institution

affiliated to Baba Farid

University of Health

Sciences, Faridkot Or

any College/Institution

situated in or outside the

State of Punjab, running

MBBS or MD/MS

Courses, recognized by

MCI, or other competent

authority of Central

Govt. for this purpose.

02

years

40,000/- 05

3. M.Sc. Medical

Laboratory

Technology

(Medical

Biochemistry)




Medical Laboratory

Technology

(Biochemistry)/B.Sc

(MLT) degree with 50%

or above marks from any

recognized

College/Institution



Sciences, Faridkot or any

College/Institution

situtated in or outside the


MBBS or MD/MS




Govt. for this purpose.

02

years

40,000/- 03

12

4. M.Sc. Medical

Laboratory

Technology

(Medical

Microbiology)




Medical Laboratory

Technology/B.Sc (MLT)

degree with 50% or

above marks from any

recognized

College/Institution



Sciences, Faridkot Or

any College/Institution

situated in or outside the


MBBS or MD/MS




Govt, for this purpose.

02

years

40,000/- 05

5. M.Sc. Clinical

Research



passed B.

Pharmacy/MBBS/BDS/B

AMS/B.Sc.(Nursing) or

equivalent examination

from a Statutory

Institution/University.

OR




University as an

equivalent course /


from time to time.

02

years

40,000/- 05

6. M.Sc. Herbal Drug

Technology



passed B.Sc. with

Botany/ Chemistry or B.

Pharmacy or BAMS or

equivalent examination

from a Statutory

Institution/University.

OR




University as an

02

years

40,000/- 05

13

equivalent course /


from time to time.

7. M.Sc (Nuclear

Medicine

Technology)

This course shall be open to

a candidate who have

passed B.Sc Medical/Non-

medical Physics, Chemistry

& Biology/Mathematics as

one of the ancillary subject

Or B.Sc. Nuclear

Medicine/Radiation

Sciences/Biophysics/B.Phar

macy as regular student

with 50% marks, from a

recognized

College/Institution/Universi

ty.

Or


recognized by the Board of

Management of this

University as an equivalent

course/examination thereto,

from time to time.

Or

B.Sc , Diploma in Medical

Radiography & Imaging

Technology will be also

eligible for lateral entry

into 2nd

year of the M.Sc

Nuclear Medicine

Technology course.

02

years

40,000/- 03

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Homi Bhabha Cancer Hospital, Sangrur

Post Graduate Degree Course

Govt. Medical College, Patiala

Post Graduate Degree Course

S.No. Name of the

Course

Eligibility Criteria Durat

ion of

Cours

e

Course Fee

to be paid

by the

students

(per

annum)

No. of

Seats

1. M.Sc

Histopathology




Medical Laboratory

Technology/B.Sc.(MLT)

degree with 50% or above

marks from any

recognized

College/Institution



Sciences, Faridkot Or any

College/Institution situated

in or outside the State of

Punjab, running MBBS or

MD/MS Courses,

recognized by MCI, or

other competent authority

of Central Govt. for this

purpose.

02

Years

26,000/- 02

S.No. Name of the

Course

Eligibility Criteria Duration

of

Course

Course

Fee to be

paid by

the

students

(per

annum)

No.

of

Seats

1. M.Sc MLT

Biochemistry

This course shall be open to a

candidate who has passed regular

B.Sc. Medical Laboratory

02 Years 40,000/- 05

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i) Registration Fee



ii) Examination Fee




2) The Fee for thesis shall be payable by the students as applicable.

RESERVATION: The reservation will be made as per Reservation Policy of Govt. of

Punjab.

4. COUNSELLING PROCEDURE: 1. General category counseling shall be held on the first day. The reserved category

candidates selected shall have the right to be selected in the General category as per his / her merit. The reserve category candidates selected in the General category shall not be counted towards reserve category.

5. MEDICAL EXAMINATION: 1. The selected candidates at the time of counseling(s) will report to the Principal,

University Institute of Paramedical Sciences, for admission, medical examination and fee deposition on the dates fixed by the counseling board.

2. Selected physically handicapped candidate (if a seat reserved as per reservation policy of Govt. of Punjab) will also have to appear before the Medical Board for assessment whether he/she is fit to carry out the duties despite being handicapped. The decision of the Medical Board of Guru Gobind Singh Medical College & Hospital, Faridkot, will be final.

6. SELECTION COMMITTEE:

Technology (Biochemistry)/B.Sc

(MLT) degree with 50% or above

marks from any recognized

College/Institution affiliated to Baba

Farid University of Health Sciences,

Faridkot or any College/Institution

situtated in or outside the State of

Punjab, running MBBS or MD/MS

Courses, recognized by MCI, or

other competent authority of Central

Govt. for this purpose

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The selection committee is constituted for conducting the counseling and finalizing the admissions by Registrar, BFUHS, Faridkot.

7. FEE STRUCTURE

Note 1 The fee will be payable on annual basis in advance and for reserve category, fee, as per Punjab Govt. policy.

Note 2 Successful candidates shall deposit the fee in form of Demand Draft In favour of the Registrar, Baba Farid University of Health Sciences, payable at Faridkot, which will be deposited at the time of counselling.

Note 3 The fee deposited shall not be refundable in any case. Note 4 The fee structure is subject to change as per requirements of the year of

admission. Each and every student has to furnish an undertaking to the effect to deposit the enhanced fee as per revised rates fixed by Baba Farid University of Health Sciences, Faridkot from time to time keeping in view the year of admission.

8. GENERAL CONDITIONS (a) The students shall pay the fees and other charges, for all types of seats, as

per the rates of fees and other charges fixed by the University from time to time.

(b) The exact seats available in various categories for admission to Medical and

Paramedical Courses will be displayed on the notice board of the University, website of the University at the time of counseling.

(c) Waiting list of all successful candidates will be prepared by the Chairman,

Selection Committee and the details of vacant seats shall be displayed on the notice board. The waiting list shall be operated by the Chairman calling the candidates for Counseling.

(d) Number of seats may be increased or decreased by the University and

final category wise seats will be calculated and displayed at the time of counseling.

For any dispute arising out of this prospectus or of the admissions, the jurisdiction shall be Faridkot only.

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Certificates of Reserved categories:-

CERTIFICATE OF SCHEDULED CASTE/TRIBE

As per letter No.1/41/96-RCI/110001-17, dated 5.12.1996 of Govt. of Punjab, Department of Welfare (Reservation Cell)

It is certified that Shri/Shrimati/ Kumari ___________________________

son/daughter of Sh.___________________________________ of village/town _______________________District/Division __________________________ state of Punjab belongs to ________________________ caste which has been recognised as Scheduled caste as per “The Constitution (Scheduled Castes) Order, 1950” 2. Shri/Shrimati/Kumari____________________________ and his/ her family lives in village/ town____________________ District/ Division ________________ of Punjab State Date______________ Signature Place_____________ Designation

Seal of office

Competent authority to issue Caste Certificate I. District Magistrate/Additional District Magistrate/Collector/Deputy Commissioner/

Additional Deputy Commissioner/ Deputy Collector/First Class Stipendiary Magistrate/City Magistrate/Sub Divisional Magistrate/Talika Magistrate/Executive Magistrate/ Extra Assistant Commissioner (Not below the rank of first class Stipendiary Magistrate).

II. Chief Presidency Magistrate/Additional Chief Presidency Magistrate/Presidency

Magistrate. III. Revenue Officer not below the rank of Tehsildar. IV. Sub-Divisional Officer of the area where the candidate and/or his family normally resides. V. Administrator/Secretary to Administrator/Development Officer Lakshadweep Islands.

(circulated vide no.2/223/79-SWI/4337, dated 8.6.90) OR The certificate for this purpose issued by any other competent authority declared by

Government of Punjab in any other prescribed proforma.

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FORM OF CERTIFICAE TO BE PRODUCED BY A CANDIDATE BELONGING TO A BACKWARD CLASS IN SUPPORT OF HIS CLAIM.

FORM OF CERTIFICATE OF BACKWARD CLASS.

This is to certify that Shri/Shrimati/ Kumari__________________________

son/daughter of__________________________ village/town _______________ in district/division __________________________ of the state of Punjab belongs to the _______________ caste which is recognised as a Backward Class in terms of Punjab Govt. letter No.___________ dated _______________. 2. This is also verified that income of the family from all sources does not exceed Rs. 4,50,000/- (Rs. Four lakh and fifty thousand) per annum in terms of letter No. 1/41/93-RC1/209 dated 24.02.2009 from the joint Secretary Welfare to Govt. of Punjab, welfare Deptt., Chandigarh. 3. Shri/Shrimati/Kumari__________________________ and/or/his/her family ordinarily reside (s) in village/town____________________ of District/ Division ________________ of the state of Punjab. Place:______________ Signature _______________ State:______________ Designation______________ Date:______________ (with office seal of the officer

concerned) Competent authority to issue Backward Class Certificate: i) Sub-Divisional Magistrate ii) Executive Magistrate iii) Tehsildar iv) Naib Tehsildar v) Block Officer vi) District Revenue Officer (circulated vide No.2/223/79-SWI/4337, dated 8.6.1990)

• The certificate must not be dated one year before the first day of counseling for admission. A certificate issued more than one year before the counseling date shall not be valid.

• In case the certificate is found to be false or incorrect, the candidate will render himself/herself liable for criminial prosecution.

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SPECIMEN FORMS OF SOME CERTIFICATES TO BE ATTACHED WHICHEVER APPLICABLE WITH EACH APPLICATION FORM

UNDERTAKING FROM THE PARENT/GUARDIAN

I…………………………………….……………………………….……………… father/mother/guardian of Miss/Mr……………………………………………………..………..…………………………………resident of…………………………………………………………………………………………...…………………………………………………………………………………………………………………(full address to be given) do, hereby, solemnly state and affirm as under: 1. That I am a citizen of India. 2. That the child/ward of deponent have not obtained the benefit of Residence in any other state for admission to Medical and Paramedical courses. Dated: DEPONENT

Verification: Verified that the contents of my above undertaking are true and correct to the best of my knowledge and belief and nothing has been concealed there from. Dated: DEPONENT * Compulsory for all candidates

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Undertaking by candidate if Gap in Study

I ____________________ S/o, D/o Shri ____________________ resident of ____________________ (full address to be given) do hereby solemnly state and affirm as under:-

1. That I have passed ______________examination held in ____________________ from ____________________ (name of the college/school)

2. That I have not joined any college/institution OR

That I have joined the course of ________________________________ at ___________________________ (name of the institution) from ____________________ and will leave the same before joining the _________________ whichever applicable. Dated : ________________ Candidate Signature

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FormFormFormForm---- IIII

BABA FARID UNIVERSITY OF HEALTH

SCIENCES University Institute of Paramedical sciences

A constituent college of

Baba Farid University of Health Sciences Faridkot Punjab

Common Admission Application Form for Admission to

Certificate, Diploma, Post Graduate Diploma and Post

Graduate courses of Medical and Paramedical Sciences

Session 2018

• Please read Prospectus carefully before filling this form • Form must be filled in BLOCK Letters only. • Please tick (√ ) the appropriate box. • Filled Application Form along with requisite fee in shape of Demand Draft, “in favour of

Registrar, Baba Farid University of Health Sciences, and Payable at Faridkot” must reach in the office of Principal GGS Medical College, Faridkot by 14-09-2018 by 5.00 p.m. Counseling will be held on 27-09-18, 09:30 am , at GGS Medical College, Faridkot

Course applied for

1. Certificate( Specify Name)

2. Diploma ( Specify Name)

3. PG Diploma (Specify Name)

4. M.Sc. (Specify Name)

(Please fill separate application forms if you want to apply for more than one

course) To be filled in BLOCK Letters only

1. Category applied under :………………………………………………………….…………………..(General, SC, BC, Handicapped, etc ) 2. Name 3. Father's Name 4. Mother's Name

5. Date of Birth: 6. Sex ( √ ) Male Female

6. Age (as on 31.12.2018): …………………………Years………………… Months ……………………………Days

7. Aadhaar No. …………………………………………………………………………………………………………………………...

8. Correspondence Address ………………………………………………………………………………………………………..

D D M M Y Y

Affix Recent

Passport

Photograph

here

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BANK DRAFT NO.....................................................................in favour of Registrar, Baba Farid University of Health

Sciences, Payable at Faridkot Date of issue......................... …………………………..

Name/Branch................................................................................................... Amount ……………………………………

……………………………District…………………………State………………………… Pin Code 9. Permanent Address…………………………………………………………………………………………

……………………………District……………………………State…………………………………Pin Code

Tele/Fax No………………………………………………………………..Mobile Ph. No. ………………………………

EMail………………………………………………………

10. Annual Income of Parents from all sources:

11. Belongs to( √ ) Urban Rural Area

12. Detail of Marks in Qualifying Exam: For Admission to Certificate, Diploma, Post Graduate

Diploma and Post Graduate courses of Medical and

Paramedical Sciences

Max. Marks Marks

Obtained %age

Year of passing

University/Board

Marks Obtained in Matriculation

Marks Obtained in 10+2

Marks Obtained in 10+2 (Physics, Chemistry and Biology for Diploma Courses)

Marks Obtained in qualifying Exam for (PG Diploma/ M.Sc. Courses)

Character Certificate

Reserve Certificate

13. Residence Status ( √ ) Punjab State O Other State

14. Fee in shape of demand draft in favour of “ Registrar Baba Farid University of Health

Sciences”, payable at Faridkot along with admission form is as follows: 1. Certificate/ Diploma courses : Rs. 500/- 2. PG Diploma Courses : Rs. 1500/- 3. M.Sc. Courses : Rs. 2000/- 15. All the selected candidates will have to deposit full fee on the day of counseling 16. Details of Fee Paid

17. Undertaking and pledge by the candidate:-

a) I hereby certify that the entries made by me in this form are correct to the best of my

knowledge & belief and I have not concealed any information in any manner. b) I agree to observe and abide by all the rules and regulations of the Institution in which I

may be admitted, including those with regard to programme of studies, syllabus, scheme

23

of examination, examination rules, and I will not associate myself with any activity prejudicial to the discipline of Institution.

c) I fully understand that for any violation or infringement of these rules and regulations,

disciplinary action can be taken against me by the authorities which may include cancellation of the candidature.

d) I certify that I am not involved in any illegal activity and no criminal case is pending

against me in any court of law. e) I certify that I have not passed the qualifying examination from more than one

Board/University/any other examining body. f) I certify that I have never been disqualified by any university/board.

g) I undertake that if I am found to have indulged in ragging in the past or in future, my admission may be refused or I shall be expelled from the institution.

h) I understand that if at any stage, it is found that I have provided any wrong information

to seek admission, my admission shall stand cancelled automatically and I shall have no claim whatsoever, on the seat or the dues paid to the Institution.

i) I certify that in case I leave the course in between, I will deposit full course fee.

Male Left Thumb Impression ( __________________________ )

FULL Signature of the Candidate Female Right Thumb Impression

Date_________________

Undertaking by Parent/Guardian

(a) I certify that my son/daughter/ward Mr./Ms________________________________________ has submitted

this application with my knowledge and consent and that I hold myself responsible for his/her

good conduct and his/her maintenance and any payment of fee during the stay at Institution. The

entries made by him/her in the Admission Form are correct to the best of my knowledge and

belief.

(b) I certify that my son/daughter/ward Mr./Ms. ________________________________________ has not passed

the qualifying examination from more than one Board/University/any other examining body.

Date: Signature of Parent/Guardian ___________________ Name of Parent/Guardian ___________________

24

CHECK LIST (As applicable according to the course) (Attach Self Attested Copies Only)

Particulars By Candidate For Office use

1) Matric or equivalent certificate for Date of Birth

2) Detail Marks card of 10+1 and 10+2

3) Detail Marks card of Graduation or any other qualifying

exam as the case may be

4) Degree of Graduation or any other qualifying examination

as the case may be

5) Internship Completion Certificate

6) Migration Certificate

7) Character Certificate

8) Punjab Residence Certificate

9) Reserve Category

9) Undertaking by the candidate for Gap year in original, if

any.

10) Undertaking from parent/Guardian

11) Photocopy of Adhar Card of candidate, of candidate’s

mother and of candidate’s father.

12) Bank Demand Draft( in Original)

Checked by (Sign) ___________________________

Name ( __________________________)

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