College of Medicine and JNM Hospital,Kalyani,Nadia

Execution of bond by the candidate for MBBS degree seat at College of Medicine & JNM Hospital, WBUHS, Kalyani. I, Sri/Smt……………………………………………………………………………, Son/Daughter of……………………………………...,……………............ residing at………………………........................................................ ……………………………………………………………………………… …………………………………………………………Dist. …...………………………….. Pin……………………… having been selected for MBBS degree course at College of Medicine & JNM Hospital, WBUHS, Kalyani, for academic session………………………………do hereby affirm and solemnly declare that I shall deposit a sum of Rs.1,00,000/- (Rupees one lakh) only as prescribed by the Government in pursuance of G.O. No. HF/O/MERT/1542/Admn/ME/STM-28- 10/2 (10) dated 25.10.2010, if I resign/discontinue the course before completion of tenure of the course. Moreover it shall be obligatory on my part to observe or perform all terms and conditions prescribed by the Government for the aforesaid purpose. The original documents which are in the custody of the College of Medicine & JNM Hospital, WBUHS, Kalyani will not be returned to me unless and until I pay the penalty of Rs.1,00,000/- (Rupees one lakh) only to the authority of College of Medicine & JNM Hospital, WBUHS, Kalyani. This bond is imposed as there will be no further provision on behalf of the W.B.M.C.C. (West Bengal Medical Counselling Committee), Department of Health and Family Welfare Govt. of West Bengal to allot another candidate for the same seat in the next round/s of counselling. Signature of the candidate: ………………………………………………....................................................……… Name of the candidate:…………....................................................……………….………………………………….. Date:…………………………………. Place:………………………………. Signature of the witness:…………………………………………………................................................................. Name of the witness:………………………….………………………………………................................................... Date:…………………………….. Place:…………………………………