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Rajiv Gandhi University of Health Sciences, Karnataka4th ‘T’ Block, Jayanagar, Bangalore – 560 041 

ENTRANCE TEST CELL : Post Graduate Entrance Test – Medical, Dental, Ayurveda, Homoeopathy,    Pharmacy, Nursing, Physiotherapy & Unani : Post Graduate Super Speciality Entrance Test : Under Graduate Counseling – Nursing, Pharmacy and Physiotherapy    Website: www.rguhs.ac.in ℡ 080‐26961940 

TRANCE TEST - 2011

taining the details of Post Graduate Entrance Test admission to Medical and Dental Courses

for the academic year 2011-12

e note that the candidate will not become eligible for attending the nce test only by online registration. The candidate must ensure that out of his/her application with all enclosures mentioned in the hure reaches the RGUHS on or before 20.12.2010, 5.00 PM by post 31.12.2010, 5.00 PM in person. RGUHS is not responsible for any al delay. The print-out of the applications received after 31.12.2010 be strictly rejected.

nstructions are based on the existing selection rules. Amendments by Government of Karnataka from time to time and any other law ill be in force at the appropriate stage will apply.

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CONTENTS Calendar of Events …………………………………………………………………………………………………………….. 3 1. Introduction ….................................................................................................. 4 2. Eligibility ......................................................................................................... 4 3. Registration Fee ……………………………………………………………………………………………………………… 5 4. Application Form .........................................................................….........…….…… 5 a) Guide lines to fill the online application form…………………………………………………….. 5 b) How to submit? ...................................................................….….………….. 7 c) Certificates to be enclosed ..................…...................................………………. 7 d) Instructions to Candidate ...................................................………..…………… 8 5. Reservation in favour of certain categories ................................................…………. 8 6. Conduct of Entrance Test ...........................................................…...........…………. 9 a) Syllabus .............................................................................…………………… 9 b) Duration, Nature of Question Paper and Answer sheet ............……..…… ...……. 9 c) Notification of answers, self assessment .....................................….…………... 9 d) Challenging of Key answers ..………………………………………….…………...................... 9 e) Retotalling ...……………………………………………………………….…….………………………………... 10 f) Computation of result criteria: ……………………………………….……………………..…………... 10 g) Determination of Merit ….……………………………………………….……………………..…………... 10 7. Spot selection of seats .................................................................………………….…… 10 8. Availability of seats in different courses and colleges .........................…………………….. 10 9. General Information .............................................................….……………………………. 10 10. Government of Karnataka in-service candidates ....................…..……………………………. 11 11. Forfeiture of seats selected during counseling ……………..……………………………………………… 12

LIST OF APPENDICES

Appendix I : Code of Native District ..................................................................... 13

Appendix II : List of Universities ........................................................................... 13

Appendix III : Code of Medical Colleges from where the candidates graduated ............. 14

Appendix IV : Code of Dental Colleges from where the candidates graduated .............. 15

Appendix V : Subject wise distribution of marks: Medical/Dental .............................. 16

Appendix VI : Specimen copy of the OMR Answer Sheet ........................................... 17

Appendix VII : Residential / Domicile certificate ....................................................... 18

Appendix VIII : Provisional Internship Completion Certificate ....................………………….. 18

Appendix IX : Authorization letter ......................................................................... 19

Appendix X : Checklist ....................................................................................... 20

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Calendar of Events

1. Date of Notification 19.11.2010

2. Hosting the Application form & Brochure on the website for online registration

22.11.2010

3.

Commencement of issual of hall ticket from RGUHS

25.11.2010

Receipt of filled-in applications at RGUHS

4. Last Date for receipt of print out of application form filled online for registration in the University by post

20.12.2010

5.00 PM

5. Last Date for receipt of print out of application for filled online for registration in the University in person

31.12.2010

5.00 PM

6. Last date of dispatch of hall tickets by the University 20.01.2011

7. Date of Entrance Test 30.01.2011

8. Display of Key answers on the website 30.01.2011

9. Last date for challenging the key answers 05.02.2011

10. Verification of challenged key answers by subject experts

09.02.2011

11. Announcement of result and display of revised key answers

12.02.2011

12. Last date for applying for Retotalling of marks 16.02.2011

13. Announcement of Merit list and revised marks list 21.02.2011

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1. Introduction:

The Post Graduate Entrance Test - 2011 is being conducted for the purpose of determining the eligibility for admission of students to PG Degree and Diploma courses in Medical subjects and PG Degree and Diploma courses in Dental subjects in Government colleges and Government seats in Private Medical and Dental Colleges and Deemed Universities within the State of Karnataka, in respect of Government seats for the academic year 2011-12. The seats available in the different colleges in the State of Karnataka have been divided into State Government seats and Management seats. The Post Graduate Entrance Test is being conducted in accordance with the “Ordinances governing conduct of Entrance Test for Admission to Post-Graduate Degree and Diploma (Medical and Dental) courses, 2002” which have been framed under the RGUHS Act, 1994 and subsequent amendments and Government Orders. Therefore, the details and instructions contained in this Brochure are subject to the said Ordinances.

2. Eligibility: Candidates who fulfill the following criteria shall be eligible to appear for the Entrance Test, namely:-

(a) He/She is a citizen of India. (b) He/She must have studied and passed the courses leading to the award of MBBS/BDS

Degrees in colleges recognized by Medical Council of India/Dental Council of India and Government of India established by law and located in Karnataka State; or

(c) Candidate must be of Karnataka origin who has studied MBBS/BDS degrees in colleges outside Karnataka recognized by Medical Council of India/Dental Council of India and Government of India and affiliated to any University established by law in India. Explanation:- “Candidates of Karnataka origin” means who or his/her parents (father or mother) has been a resident of Karnataka State for a period of not less than ten years, and who produces a certificates from the Concerned Tahsildar to that effect in the prescribed form (Appendix VII).

(d) He/She has completed or is completing compulsory rotatory internship on or before 30th April of the year in which application for entrance test is called for subject to completion of internship course.

(e) A candidate, who is already holding a Post-Graduate degree in any speciality, shall not be eligible to appear for test for admission to any Post Graduate Degree/Diploma courses.

(f) Must be less than 45 years of age as on the date of admission to Postgraduate course. Provided that the requirements mentioned under rule 2 (c) shall not be applicable in the case of:-

(a) The children of serving or retired employees of All India Services, Karnataka cadre of the State Government who had served or are serving outside the State during the period the candidate had been studying from the first standard till the commencement of the first year of the course leading to the degree in the qualifying examination, to the extent of the period of such service outside the state.

(b) Children of Central Government employees and employees of Central or State Government undertaking or Joint Sector working continuously in Karnataka for at least three years as on the 30th April of that year.

(c) Children of Central Government employees and employees of Central or State Government undertakings or Joint Sector undertaking working as on the 30th April of that year outside the state where such employee had:- (i) declared to the respective Government Organisation a place in Karnataka as his home

town, and (ii) studied for not less than five years between the First Standard and SSLC or equivalent

examination in any educational institution in Karnataka run or recognized by the State Government.

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(d) The children of Members of Parliament elected from the Karnataka to the extent of the period of being a Member of Parliament during the period of the child’s study in New Delhi from the First Standard to the qualifying examination during his tenure as Member of Parliament.

(e) The children of serving Defence Personnel or Ex-servicemen whose address at the time of joining the Defence Service is in Karnataka.

Note: (i) Children for the purpose of the rule means natural born son or daughter and not adopted

son Or daughter and not grandson or grand daughter (ii) The candidates claiming any of the exemption specified above shall produce such certificate

as specified by the committee for claiming such exemption

“Last date for receipt of printout of application filled online is 20/12/2010 by Post and 31/12/2010 in person Applications are liable for rejection:

A. If incomplete B. If photographs are found mismatched C. If the applicant not signed in the application D. If photographs snapped before 01.09.2010 are pasted (i.e., without proof of date

& name on Photo) 3. Registration Fee

The candidates are required to pay the prescribed fee through Demand Draft in favour of ‘Registrar, RGUHS, Bangalore’. SC, ST and Category - I Rs. 400/- GM & Others Rs. 1500/-

Note: Refund of registration fee is impermissible for any reasons. 4. Application Form

(a) Guidelines to fill the online Application form 1. Preferred PGET Examination Center: Entrance Test will be conducted at Bangalore, Mysore,

Hubli-Dharwad, Bellary & Mangalore. Select region of your choice from the drop down list 2. Subject: Select either Medical or Dental from the drop down list 3. Name of Candidate: Fill the name in BLOCK LETTERS, as per MBBS/BDS degree certificate 4. Mother’s Name: Mother’s name in full should be filled 5. Father’s Name: Father’s Name should correspond to the form and spelling in the 10th

Standard Marks Card 6. Spouse’s/Husband’s Name: If married Spouse’s /Husband’s name in full should be filled 7. Date of Birth: The Date of Birth should correspond to the entry in the 10th standard Marks Card.

Ex: If the date of Birth is 15th January 1965 it should be filled in the format 15/01/1965 only. 8. Sex: Select form the drop down list Female /Male 9. Place of Birth: Select district in which you were born from the drop down list. If the

district is not listed, select ‘Other’ from the drop down list and then enter the district name in the field provided

10. Nationality: Select from the drop down list Indian / Other 11. College: Select college in which you have studied MBBS/BDS from the drop down list. If the

college is not listed, select ‘Others’ from the drop down list and then enter the college name in the field provided

12. University: Select University in which you have studied MBBS/BDS from the drop down list. If the university is not listed, select ‘Others’ from the drop down list and then enter the university name in the field provided

13. Medical / Dental Council Registration Number :Enter Permanent Registration Number, if you have already completed the course

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14. Name of Council Where registered: Enter name of the State/Central Council where registered

15. Compulsory Rotatory Internship: Enter the date of completion of compulsory rotatory internship. If you have not yet completed the compulsory rotatory internship as on the date of filling the application, mention the date on which you are likely to complete the internship supported by a certificate issued by the Principal/Dean of your college to the effect

16. Select Marks or Grade System: Accordingly enter Marks or Grade awarded to you in each year. Total No. of attempts will get calculated by the system itself

17. Whether you have done/undergoing PG Degree course: Select Yes or No from the dropdown list

18. Do you claim reservation under Physically Handicapped quota: Select Yes or No 19. Religion: Enter Religion you belong to 20. Category: Select from the drop down list the category you belong to. The candidates

claiming reservation under SC, ST, Category – I, IIA, IIB, IIIA and IIIB should furnish latest Income and Category certificate issued by the Tahasildar of Karnataka in the forms valid as on the last date for submission of application. If the Category certificate is not furnished along with the print out of filled application, the reservation claimed will be rejected and he/she will be considered under General Category only. “Requests for change of category after the submission of application will not be entertained”.

21. Caste: Enter Caste you belong to (Once Mentioned it cannot be edited or changed) 22. Sub Caste: Enter Sub Caste you belong to 23. DD Amount: Enter fee payable as given in the brochure 24. DD Number: Enter 6 digits DD Number 25. DD Date: Enter DD Date in dd/mm/yyyy format only 26. DD Bank Drawn: Enter DD drawn bank 27. Full Postal Address: Enter clearly Full Postal Address with PINCODE for future

correspondences i.e., House/Plot No., Road, Cross, Phase, City etc., 28. Email: Enter valid Email ID 29. Phone: Enter phone number with STD code 30. Mobile: Enter mobile number 31. In service Status: If you are a Karnataka State Government in-service candidate select

YES or NO from the drop down list 32. Department: Select department where working from the drop down list 33. Place of working: Mention the present place where you are working 34. Date of entry in to service: Enter Date of entry into service 35. Whether Probationary Period has been declared: Select status from drop down list 36. If Probationary Period declared mention the date of declaration 37. Are you doing/done PG Degree or PG Diploma: Select status from drop down list 38. If doing/done PG Degree mention PG Degree Course 39. If doing/done PG Degree furnish date of completion 40. If doing/done PG Diploma mention PG Diploma Course 41. If doing/done PG Diploma furnish date of completion 42. Speciality in which he/she is working 43. Whether any enquiry is pending: Select status from drop down list 44. Whether he/she is under suspension: Select status from drop down list 45. Whether he/she is under unauthorized absence: Select status from drop down list 46. Enter remarks if any

After filling the online application form press SUBMIT button, if you are sure that all the data entered by you is correct. An Application Number will get generated. Please record it for your future usage. Take the printout of the filled-in application and paste the recent passport size photograph in the space provided. The print out of the filled-in application duly signed by the candidate be sent to university along with the required documents within the stipulated time.

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b) How to submit: I) IN PERSON:

Printout of Application form filled online, along with attested copies of all required certificates and two extra photos, may be submitted for registration, in person, at RGUHS, 4th ‘T’ Block, Jayanagar, Bangalore – 560 041, and the Hall Ticket for the Entrance Test may be collected at the same time in the University after a minimum of 6 hours needed for verification. II) IN ABSENTIA: Any person authorized by the candidate duly signed by him (Appendix – IX), can submit the printout of application form filled in all respects along with attested copies of all required certificates and two extra photos. The Hall ticket for the Entrance Test may be collected at the same time in the University after a minimum of 6 hours needed for verification. III) BY POST: Print out of application filled online, along with attested copies of all required certificates and two extra photos may be sent by post for registration to “The Registrar, RGUHS, 4th ‘T’ Block, Jayanagar, Bangalore – 560 041”. Candidates should super scribe on the cover as “Application for PGET 2011”. Hall Ticket for the Entrance Test will be sent by post to the address furnished by the candidate. NOTE :

1. Please note that the candidate will not become eligible for attending the entrance test only by online registration. The candidate must ensure that print out of his/her application with all enclosures mentioned in the brochure reaches the RGUHS on or before 20.12.2010, 5.00 PM BY POST. RGUHS is not responsible for any postal delay.

2. Last date to receive the duly filled-in application along with certificates at RGUHS, IN PERSON is on or before 31.12.2010, 5.00 PM.

3. The applications without copies of certificates duly attested will be rejected 4. The print-out of the applications received after 31.12.2010 shall be strictly rejected. c) Certificates to be enclosed: The attested copies of the following certificates are to be attached along with the application form. The Checklist given in Appendix – X should be used to tick the certificates attached and the checklist be sent along with the application.

1. S.S.L.C. Marks Card (for date of birth proof and parent’s name) 2. MBBS/BDS Marks Card of all Phases/Years 3. Compulsory Rotatory Internship completion certificate or certificate indicating the probable date

of completion, issued by the Principal of the College. (Appendix – IX) 4. Attempts Certificate issued by the Principal 5. Degree Certificate (Convocation Certificate) issued by the University 6. Medical / Dental Council Registration Certificate 7. If claimed under Reservation Category, Category & Income Certificate for SC, ST, Category-I,

IIA, IIB, IIIA , IIIB issued by Tahasildhar of Karnataka (Applicable only to Karnataka candidates)

8. If claimed under Domicile status documentary proof in support of the candidate being a resident of Karnataka or his/her parents [Father/Mother) for a period not less than 10 years issued by the competent authority i.e, Tahasildhar.

9. Disability Certificate if claimed under Physically Handicapped quota issued by the competent authority.

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d) Instructions to candidates:- 1. Candidates shall be present at the centre 30 minutes before the commencement of the test 2. Only the candidates who possess the Hall Ticket shall be allowed to sit for the Entrance Test.

In case of loss of Hall Ticket the candidates should contact the Chief Superintendent of the centre two hour earlier for assistance

3. No Candidate shall copy from the paper of any other candidate or permit his / her own papers to be copied or attempt to give or seek any illegal assistance

4. No candidate will be admitted to the examination hall after the commencement of the Entrance Test

5. No candidate will be allowed to leave the examination hall before the end of the first thirty minutes. Candidates leaving the hall prior to the end of the Entrance Test, will have to hand over the question paper and OMR sheet to the room invigilator and collect the same at the end of the test

6. No candidate should leave the room without handing over his / her OMR sheet 7. Candidate should sign the attendance sheet as per the instructions of the invigilator 8. Silence must be observed in the examination hall. Any candidate guilty of disorderly or

improper conduct will be liable for expulsion from the examination hall and will be debarred from the Entrance test by the Chief Superintendent of the centre

9. Candidates are not permitted to carry any Electronic gadgets like Pager, Cell Phone, Bluetooth etc., into the examination hall

10. Even a minute, inadvertent touch or drop of ink on other oval makes the answer invalid. Think before ink

11. Candidates defacing the OMR sheet or erasing the marked oval by eraser/blade/any sharp object are liable for disqualification. Usage of white ink is prohibited

12. Do not write/mark anything on the question paper booklet except Register Number 5. Reservation in favour of certain categories:

• Orders issued by Government of Karnataka from time to time for reservation in seats for constitutionally permissible classes of Karnataka candidates such as SC and ST and Category I, IIA, IIB, IIIA and IIIB and Physically Handicapped are applicable.

• In the In-service quota, there will be distribution of seats among SC, ST and General Merit categories only. Therefore, in-service candidates are eligible to apply under SC, ST and General Merit categories only.

• Failure to produce income and category certificates issued by Tahasildhar will result in forfeiture of his/ her claim for reservation and he/she will be considered as a candidate belonging to General Category only. (SC/ST/OBC categories are applicable to Karnataka candidates only).

• The Physical Disabled candidates may apply through PH Quota and availability of the seats will depend on the reservation of seats in the seat matrix to be issued from Government of Karnataka The minimum percentage of marks for eligibility for admission to Post Graduate Medical courses shall be 45% for persons with locomotory disability. The selection procedure for persons with disability is as under for PG Medical Course

i. 3% seats of the annual sanctioned intake capacity shall be filled up by candidates

with locomotory disability of lower limbs between 50% to 70%.

ii. Provided that in case of any seat in 3% quota remains unfilled on account of unavailability of candidates with locomotory disability of lower limbs between 50% to 70% then any such unfilled seat in this 3% quota shall be filled up by persons with locomotory disability of lower limbs between 40% to 50% - before they are included in the annual sanctioned seats for General Category candidates.

• Candidates with Physical Disability ranging above 40% should produce a Medical Certificate issued by Chairman, State Disability Board or any equivalent authority of State of Karnataka in the field of concerned disability along with the application form for the entrance test. Candidates suffering from hearing disability should compulsorily obtain and produce a BSER (Brain Stem Evoked Response) Audiometry Report from NIMHANS/Manipal Hospital/Government Speech and Hearing Institute, Lingarajapuram, Bangalore. At the time of counseling, the candidates required to appear for verification

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before a Committee comprising of the Registrar, RGUHS, Bangalore, as Chairman and three specialists from the department of Orthopaedics, Ophthalmology and ENT. The Medical Board shall examine the candidate and certify regarding the percentage of disability and the decision of the Medical Board will be final. For the purpose of this proviso, persons with the disability shall have the same meaning assigned to it in the ‘Persons with Disabilities (Equal Opportunities, Protection of Rights and Participation) Act 1995 (Central Act 1/1995). The candidates with disability less than 40% will not be eligible for claiming a seat under Physically Disabled Category. The candidates selecting seat under PH quota are ineligible to select a seat in the first round of counseling.

NOTE: • The Physically Disabled candidates who fail to appear before the committee on the day

fixed for verification will not be eligible for selection of a seat under Physically Disabled quota.

• “The Seats under Physically disabled quota will be allotted to eligible physically disabled candidates on inter-se-merit basis considering marks obtained in the entrance examination, based on the seats notified by the Government of Karnataka”

6. Conduct of Entrance Test:

Date of Entrance Test: 30.01.2011 Time: 10 am to 1 pm Places: Bangalore, Mysore, Hubli-Dharwad, Bellary and Mangalore

a) Syllabus: The Syllabus content will, ordinarily, be equal to the syllabus prescribed for

MBBS / BDS under MCI/DCI regulations of RGUHS Ordinances. The distribution of marks, subject-wise, for the Entrance Test is given in Appendix-V.

b) Duration, Nature of Question Paper and Answer Sheet:

i) The Entrance Test will be conducted in English ii) There will be one Question Paper (booklet) of three hours duration consisting of 200

Multiple Choice Questions. There will be eight versions of the question paper booklet and therefore Serial Number of question differs from version to version

iii) Questions will be multiple choice types, each having one best response out of four alternatives

iv) Answer sheet is of “Optical Mark Reader” (OMR) type with carbonless copy. OMR sheet is required to be marked as per instructions on it, using a black or blue Ball point Pen. Copy of the OMR sheet is allowed to be taken by the candidate. Specimen copy of the OMR Answer Sheet is in Appendix-VI. Evaluation is by Optical scanning of OMR Sheet.

v) Each question carries one mark. Correct answer will be awarded -one mark. No Negative valuation.

c) Notification of answers and self assessment:

i) Key Answers of test questions will be notified on the website (http://www.rguhs.ac.in) of the University same day evening after completion of the entrance Test

ii) Since the candidates will have the copy of OMR sheet, self assessment is possible by comparing with the key answers notified on the website

d) Challenging of Key answers:

The candidate may challenge maximum of 05 notified keys/answers. The candidate willing to challenge the keys should remit a prescribed fee of Rs.1000/- per each question through Demand Draft in favour of “Registrar, RGUHS, Bangalore” preferably in person. No authorized representatives are entertained. Proforma for challenging the keys available on the RGUHS website after entrance test may be used for this purpose. Anonymous or pseudo-anonymous representations and those received after the last date or without the prescribed fee will be rejected. All challenges will be scrutinized by subject experts, whose decision in the matter shall

be final. A sum of Rs.500/- will be refunded per question, only to candidates whose challenge succeeds.

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e) Retotalling:

The candidates may apply for re-totaling and verification of marks. The candidate willing to apply for re-totaling shoud remit a prescribed fee of Rs.500/- through Demand Draft in favour of “Registrar, RGUHS, Bangalore” preferably in person. No authorized representative are entertained. Proforma for Retotaling available on the RGUHS website after entrance test may be used for this purpose. Anonymous or pseudo-anonymous representations and those received after the last date or without the prescribed fee, are liable to be rejected.

All OMR Sheets will be scrutinized by the Committee and its decision in the matter shall be the final. Fee will not be refunded whatever the case may be.

f) Computation of result criteria:

i. >=50% in PGET for “GM” and >=40% in PGET for “SC, ST & OBC” ii. >= 45% in PGET for PH candidates with locomotory disability of lower limbs between

40% to 70% (for Medical) iii. Marks Secured in PGET (1st Order) – Descending iv. If candidates have secured same marks in PGET then go to Total No. of Attempts

taken in UG (2nd Order) – Ascending v.

If candidates have secured same marks in PGET & same Total No. of attempts taken in UG then go to % of total marks secured in UG (3rd Order) – Descending

vi. If candidates have secured same marks in PGET, same Total No. of attempts taken in UG & same % of total marks in UG then go to % of final year marks secured in UG (4th Order) – Descending

g) Determination of Merit:

Merit lists are in both Medical and Dental faculties are prepared on the basis of marks obtained in Entrance Test. The minimum percentage of marks for eligibility for attending counseling is as follows: (a) General candidates: 50% for General Merit candidates and 40% for candidates

belonging to SC, ST and OBC categories (b) Inservice candidates: 50% for General Merit candidates and 40% for candidates

belonging to SC and ST Categories. (c) The minimum percentage of marks for eligibility for admission to Post Graduate Medical

courses shall be 45% for persons with locomotory disability.

7. Spot selection of Seats: The seat matrix, the calendar of events and all other details of spot selection process will be notified by Government of Karnataka through Government Order/Gazette also published in RGUHS website. No individual intimation will be sent to the candidates. The candidate should personally appear for the seat selection.

8. Availability of seats in different courses and colleges: Details of the precise number of seats in different courses and colleges, their classification and category wise reservation will be announced as soon as the University receives the communication from the Government.

9. General:

i) The candidates shall appear for the Entrance Test at their own cost, in any one of the four cities as per the choice indicated by them in their Application Form. The center in the city chosen will be allotted by the University. No change of center is permissible.

ii) Each candidate is given a Register Number consisting of two alphabets followed by five numbers. The first alphabet will be M or D. (i.e., M for Medical and D for Dental) The second alphabet will indicate the city of Entrance Test. B for Bangalore, K for Hubli- Dharwad, M for Mysore, V for Bellary and L for Mangalore. The five numerical numbers will be the actual Register Number of the candidate.

iii) Request for change of category after the submission of application will not be entertained

iv) All the marks cards and certificates submitted along with the application are subjected to verification at the initial stage for Registration and issue of Hall Tickets for the

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Entrance Test. Detailed verification will be made before the candidate is allowed for seat selection. It is the responsibility of the candidate to furnish all original marks cards and certificates for verification at that time. Failure to produce the originals for any reason, will result in forfeiture of his /her claim for selection of seat.

v) Duplicate hall ticket may be obtained by furnishing following documents 1. Representation of the candidate 2. D.D. for Rs.1,000/- in favour of Registrar, RGUHS 3. Copy of confirmation report 4. Two recent passport size photographs without attestation 5. Identity proof

10. Government of Karnataka in-service candidates

The in-service doctors have to fulfill the following conditions stipulated under Rule 10 of Karnataka conduct of Entrance Test for admission to Post-Graduate Medical and Dental Degree and Diploma Courses Rules 2006. It is mandatory for the in-service candidates to appear for the entrance test. The applications should be verified and forwarded by the concerned Heads of Departments i.e. Director of Medical Education/Director of Health and Family Welfare Services/Director, ESI/Heads of Autonomous Institutions/Heads of Boards and Corporations. The Head of the Departments should forward the applications of only such candidates who fulfill all the criteria mentioned in the application form. Advance copies from candidates will not be entertained. 1. No in-service candidate shall be eligible for admission under these rules:-

a. Unless he/she has put in not less than Three years of regular service in the concerned department (subject to provisions of the Government Order issued by the Government from time to time for the academic year 2011-12)

b. Unless he/she has satisfactorily completed the prescribed period of probation

The candidates should fulfill the above conditions as on the last date of receipt of applications for the entrance test.

2. No in-service candidate shall be eligible for admission to Post Graduate Degree and Diploma courses in any subject other than the Speciality in which he is working.

3. An in-service candidate who is already holding a Post Graduate Degree in any speciality

shall not be eligible for admission to any other Post Graduate Degree or Diploma.

4. An in-service candidate who is already holding a Post Graduate Diploma in any speciality through government deputation shall be eligible for admission to Post Graduate Degree course in the same specialty and shall not be eligible for any other Post-Graduate Degree or Diploma courses.

5. An in-service candidate who is studying in any Post-Graduate Degree or Diploma course

shall not be eligible for admission under these rules.

6. No candidate who is above forty eight years as on the last date fixed for receipt of application shall be eligible for admission.

7. In addition to the above, in-service doctors should furnish the information sought in the

application form and heads of the departments should verify and forward the applications to the Registrar, Rajiv Gandhi University of Health Sciences, 4th T Block, Jayanagar, Bangalore - 5600041.

8. Incomplete and incorrect applications are liable for rejection. No changes will be

entertained after the submission of application.

9. Advance copies from in-service candidates will not be entertained.

10. The Government In-service candidates should produce a declaration as given below along with the application form i.e., I solemnly and sincerely affirm that the information furnished by me in this form are true and correct.

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11. Forfeiture of seats selected during counseling:-

(1) Every candidate including in-service candidate shall pay a sum of Rs.10,000/- for Degree and Rs.5,000/- for Diploma to the Government in case he/she takes allotment orders during counseling and fails to join the course.

(2) All the selected candidates except in-service candidates at the time of admission shall furnish a bond on a stamped paper of Rs.100/- binding himself to pay a sum Rs.50,000/- in case of Degree and Rs.25,000/- in case of Diploma along with the stipendary amount received by him/her in the event of leaving the course before its completion.

(3) All the selected in-service candidates at the time of admission shall furnish a bond in the form specified by the committee on stamp paper of value of Rs.100/- binding himself to pay a sum of Rs.50,000/- for Degree and Rs.25,000/- for Diploma courses as penalty in the event of his/her leaving the course before its completion and also debarred for three years from appearing entrance test. All the selected in-service candidates at the time of admission shall furnish a bond to the effect that they will be rendering service in the Government for a minimum period of Ten years or till the attainment of superannuation, whichever is earlier.

(4) In addition to the prescribed fine, every candidate shall pay the remaining period course fee on his own to the Government/ Private colleges in the event he/she leaving the course before its completion

(5) Candidates selecting Government Colleges & Government seats in Private colleges (under concession fee) for Post Graduate courses shall furnish an undertaking that he/she will serve the Government for a minimum period of 3 years after completion of the course, if Government desires.

(6) Candidates who avail 100% tuition fee reimbursement from the Government shall furnish an undertaking that he/she will serve the Government for a minimum period of 5 years, if Government desires.

(7) A penalty of Rs. 5,00,000/- for degree and Rs. 3,00,000/- for diploma shall be levied incase the candidates fail to serve the Government after completion of the course as per the undertaking

Sd/- Registrar/Member Secretary

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APPENDIX – I

Code of the Native Districts

Code District Code District

01 Bagalkot 16 Hassan

02 Bangalore Urban 17 Haveri 03 Bangalore Rural 18 Kodagu 04 Belgaum 19 Kolar 05 Bellary 20 Koppal 06 Bidar 21 Mandya 07 Bijapur 22 Mysore 08 Chamarajanagar 23 Raichur 09 Chickamagalur 24 Shimoga 10 Chitradurga 25 Tumkur 11 Davanagere 26 Udupi 12 Dharwad 27 Uttara Kannada (U.K) 13 Dakshina Kannaka (D.K) 28 Ramanagara 14 Gadag 29 Chikkaballapura

15 Gulbarga 99 Other than the listed,

Specify

APPENDIX – II

List of Universities

Code Name of the University

01 Rajiv Gandhi University of Health Sciences, Karnataka

02 Bangalore University 03 University of Mysore 04 Karnatak University 05 Mangalore University 06 Gulbarga University 07 Kuvempu University 08 MAHE Deemed University 09 Other than the listed, specify

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APPENDIX – III

Code of Medical Colleges from where the candidate is graduated

Code Name of the Medical Colleges Place

01 Government Medical College Mysore 02 Bangalore Medical College Bangalore 03 Karnataka Institute of Medical Sciences Hubli 04 Vijayanagar Institute of Medical Sciences Bellary 05 Jawharlal Nehru Medical College Belgaum 06 Mahadevappa Rampure Medical College Gulbarga 07 Jaya Jagadguru Murugarajendra Medical College Davanagere 08 M.S.Ramaiah Medical College Bangalore 09 Kempegowda Institute of Medical Sciences Bangalore 10 B.R.Ambedkar Medical College Bangalore 11 Al-Ameen Medical College Bijapur 12 Jagadguru Sri Shivarathreeswara Medical College Mysore 13 Adichunchanagiri Institute of Medical Sciences Bellur 14 Sri B.M.Patil Medical College Bijapur 15 Sri Devaraj Urs Medical College Kolar 16 Sri Siddartha Medical College Tumkur 17 Fr.Muller’s Medical College Mangalore 18 St. John's Medical College Bangalore 19 Yenepaya Medical College Mangalore 20 K S Hegde Medical Academy Mangalore 21 M V J Medical College Bangalore 22 Vydehi Medical College Bangalore 23 Basaveshwara Medical College Chitradurga 24 A.J.Institute of Medical Sciences Mangalore 25 S Nijalingappa Medical College Bagalkot 26 Navodaya Medical College Raichur 47 Kasturba Medical College Mangalore 48 Kasturba Medical College Manipal 99 Other than the listed, specify

14

APPENDIX – IV

Code of Dental Colleges from where the candidate is graduated

Code Name of the Dental Colleges Place

51 Government Dental College Bangalore 52 Bapuji Dental College Davanagere 53 KLE Society’s Institute of Dental Sciences, Belgaum 54 AB Shetty Memorial Institute of Dental Sciences Mangalore 55 MR Ambedkar Dental College Bangalore 56 Vokkaligara Sangha Dental College Bangalore 57 Sri.Dharmasthala Manjunatheswara College of Dental Sciences Dharwad 58 HKE Society’s Nijalingappa Institute of Dental Sciences Gulbarga 59 Jagadguru Sri Shivarathreeswara Dental College Mysore 60 PM Nadagauda Memorial Dental College Bagalkot 61 College of Dental Sciences Davanagere 62 Bangalore Institute of Dental Sciences Bangalore 63 MS Ramaiah Dental College Bangalore 64 K V G Dental College Sullia 65 Yenopoya Dental College Mangalore 66 SJM Dental College Chitradurga 67 Academy of Medical Education Dental College Raichur 68 Al-Ameen Dental College Bijapur 69 Dayananda Sagar College of Dental Sciences Bangalore 70 Dr. Shymala Reddy Dental College Bangalore 71 KGF College of Dental Sciences KGF 72 S B Patil Institute for Dental Sciences Bidar 73 Sri Hasanamba Dental College Hassan 74 AECS Maruthi College of Dental Sciences Bangalore 75 Al-Badar Rural Dental College Gulbarga 76 Farooqia Dental College Mysore 77 HKDET’s Dental College Humnabad 78 KLE Society’s Institute of Dental Sciences Bangalore 79 Sri Krishnadevaraya College of Dental Sciences Bangalore 80 Maratha Mandal Dental College Belgaum 81 NSVK Sri Venkateshwara Dental College Bangalore 82 DA Pandu RV Dental College Bangalore 83 Raja Rajeshwari Dental College Bangalore 84 Sri Rajiv Gandhi College of Dental Sciences Bangalore 85 Sharavathi Dental College Shimoga 86 Sri Siddartha Dental College Tumkur 87 Oxford Dental College Bangalore 88 A J Institute of Dental Sciences Mangalore 89 Coorg Institute of Dental Sciences Virajpet 97 College of Dental Surgery Manipal 98 College of Dental Surgery Mangalore 99 Other than the listed, specify -

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APPENDIX – V

Subject-wise distribution of Marks

Medical Dental

Anatomy

05

General Human Anatomy including Embryology and Histology

05

Physiology 05 Human Physiology 05

Biochemistry 05 Human Biochemistry 05

Pharmacology 10 Dental Materials 10

Pathology 10 General Pathology 05

Microbiology 10 General Microbiology 05

Forensic Medicine 05 Oral Anatomy including Embryology 05

Community Medicine 20 General Pharmacology and Dental Therapeutics

05

General Medicine 30 General Medicine 10

Paediatrics 10 General Surgery 10

Psychiatry 05 Oral Pathology 10

Dermatology 05 Oral Microbiology 05

Radiology 05 Preventive and Social Dentistry 15

General Surgery 30 Prosthetics 15 Orthopaedics 10 Anaesthesiology 05

Conservative (Operative) Dentistry including Endodontics

15

Ophthalmology 05 Paedodontics 15

Oto-Rhino-Laryngology 05 Oral Surgery 15

Obstetrics & Gynaecology 20 Periodontia 15

Orthodontia 15 Oral Medicine 05 Oral Diagnosis 05 Dental Radiology 05

Total 200 Total 200

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APPENDIX – VI Specimen Copy of OMR Answer Sheet

17

APPENDIX – VII No. Date : .....................

Residential / Domicile Certificate

This is to certify that Sri / Smt................................................................................................

Son / Daughter of Sri/Smt …….....….................................................................................................

residing at ...............................................………..........................................................................has

Domiciled /Resided in the State of Karnataka for the last …….................................................. (in

figures and words) years and ................................... months.

This Certificate is issued for ................................................. purpose.

Tahasildar

Taluk.......................... Place : Date :

APPENDIX - VIII APPENDIX - VIII

PROVISIONAL INTERNSHIP COMPLETION PROVISIONAL INTERNSHIP COMPLETION

To Whomsoever It May ConcernTo Whomsoever It May Concern

This is to certified that Dr...................................................................…………..............................

is a Bonafide Student of this Institute from .................…............... to ...................……..................

He is likely to complete his/her compulsory Rotatory Internship on .......……................................

Date: ....................... Signature of the Principal with college seal

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APPENDIX - IX

Authorization Letter

I …….……………………………… Son/Daughter/Wife of Mr. …………………………......

Application No. …………………….…… of Post Graduate Entrance Test – 2011 for

admission to PG Medical/Dental courses for the academic year 2011-12 do hereby authorize

Mr/Mrs/Ms/………………………...……………..………………….. Son/Daughter/Wife of

….……………………..… Resident of …………………………....... to represent me for

submission of application and to receive Hall Ticket only.

The Signature and photograph of the above named Mr/Mrs/Ms/……….……………………...

are attested below.

Signature of the Candidate

Name: Address:

Signature of the authorized representative

Attested by me

Signature of the candidate

Photograph

of the Candidate

(Self Attested)

Photograph of the authorized representative attested by the

candidate

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APPENDIX - X

CHECKLIST

* Tick (√) the certificates attached and enclose the checklist along with the application

1. S.S.L.C. Marks Card (for date of birth proof and parent’s name)

2. MBBS / BDS Marks Cards of all Phases / Years

3. Compulsory Rotatory Internship Completion certificate

4. Attempt Certificate

5. Degree Certificate

6. Medical /Dental Council Registration Certificate

7. Category & Income Certificate issued by the Tahasildar of Karnataka

8. Domicile Certificate

9. Disability Certificate, if reservation claimed under PH quota

10. Demand Draft for Rs.1500/- / Rs. 400/-

11. Passport size recent photographs 2 Nos., to be pasted in the space provided below (snapped on or after 01.09.2010)

12. Other documents ______________________________________

Photo 1 (Without attestation)

Photo 2 (Without attestation)

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