Belagavi Institute of Medical Sciences,Belagavi, Karnataka

Bond value: Rs.100/-e-stamp/bond; 1stParty: Student’s name 2ndParty: Govt. of Karnataka EXECUTION OF BOND BY CANDIDATE WHO SELECTS MBBS SEAT IN MEDICAL COLLEGES OF KARNATAKA I, Mr/Miss………………………………………………………… …………………………. S/o./D/o……………………………………… a candidate with NEET 2025 ROLL Ticket No…………………………………….. residing at …………………… ……… ……… ……… …………………………………………………………………………………………………………… ……………………………………………………………………………..………… ………………have on my own volition allotted a MBBS seat on …………………… in CHIKKABALLAPUR INSTITUTE OF MEDICAL SCIENCES, CHIKKABALLAPURA vide admission order number ………………………………….dated ……………………………………and do hereby undertake as follows. In accordance with the Amendment to Rule 11 of the Karnataka Selection of Candidates for Admission to Government MBBS seats in Professional Educational Institution Rules, 2006, vide Government Notification -1 No. HFW 79 RGU 2011 dated 17-07-2017 and Amendment act 2017 dated 6-07-2017 I am prepared on completion of the course to serve in any Primary Health Center or Primary Health unit situated in Rural Areas in the state of Karnataka for a minimum period of ONE year and I will abide to rules and regulation of Government of Karnataka. What is stated above is true and correct and I and my parent / Guardian hereby undertake to act accordingly. Signature of the Candidate. Signature of the Parent Date:………………….. (Father/Mother) Place………………….. Witness: 1. 2. Proforma as mentioned below Bond value: Rs.50/-e-stamp/bond; 1stParty: Parents’ name 2ndParty: Govt.of Karnataka UNDERTAKING MBBS DEGREE PROGRAMME AS PER RGUHS CURRICULUM I Son/Daughter of _ (herein after called the Natural Guardian of the Student) hereby given an undertaking that on admission to I MBBS at CHIKKABALLAPUR INSTITUTE OF MEDICAL SCIENCES, CHIKKABALLAPUR, during the year 2025-26, read the rule No.11 of the ordinance of Governing M.B.B.S. Degree Programme of Rajiv Gandhi University of Health Sciences, Bangalore, vide Notification No. ACA/BOS-27/97-98, dated: 24.03.1998, and I shall