HAVERI INSTITUTE OF MEDICAL SCIENCES

ANNEXURE - I EXECUTION OF BOND BY CANDIDATE WHO SELECTS MBBS SEAT IN MEDICAL COLLEGES OF KARNATAKA (To be deposited after allotment of seats along with other originals) (On Rs.100/- e-Stamp Paper) I, Mr / Ms ………………………………….S/o./ D/o………………………………. a candidate with UGNEET 2024, admission Ticket No………………………………………. residing at………………………………………………………………………………………. ……………… have on my own volition allotted a MBBS seat on… .................................. in HIMS, Haveri 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 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: Haveri Witness: 1. 2. ************************************************* Rs. 100/- - E-Stamp Papers to be purchased in the name of; First party: Student’s Name Second party: Director of Medical Education, Bengalur ANNEXURE - II GENERAL AFFIDAVIT [To be submitted on Rs 100/- Bond paper (To be deposited after allotment of seats along with other originals)] I, …………………………… son/daughter of ……….……………………… residing at…………………………have appeared for UG NEET 2024 conducted by CBSE, New Delhi with Roll Number ……………….and Register Number ………………and have secured Score in the said test. I hereby solemnly declare that during 2024, I have not taken MBBS / BDS admission in any college allotted by any other examination conducting any oth