Kalinga Institute of Medical Sciences, Bhubaneswar

UNDERTAKING / BOND (To be submitted on a Rs. 100 stamp paper and to be notarized) I, Mr / Ms__________________________________________________ (Name of the Candidate), aged about _________Years, S / D of _________________________________________________ (Name of the Parents), resident of _____________________________________________________ (permanent / present address of Parent) do hereby swear an oath as follows: I have been selected to the 1st year MBBS course at Kalinga Institute of Medical Sciences, KIIT Deemed to be University, through the Counselling conducted by Medical Counselling Committee, Directorate General of Health Services (DGHS), Government of India (GOI), New Delhi through NEET Rank No. ……………………………. (All India Rank). I say that on my own will and along with my parents/guardian, took admission to the MBBS course at Kalinga Institute of Medical Sciences as per the DGHS allotment with NEET Roll No.________________ Allotment date ……………………………………. I, say in consideration of admission to 1st year MBBS course, I shall complete the MBBS course and accordingly undertake to pay all the Institutional fees as demanded by Kalinga Institute of Medical Sciences. In the event of my discontinuation of MBBS course due to any reason; I along with my parent / guardian hereby undertake to pay Institutional fees to Kalinga Institute of Medical Sciences payable for the entire course without any demur. I also understand that the original documents submitted to the Institute at the time of admission, will be returned to me only after the payment of balance tuition and other fee. What is stated above is true and correct. I along with my parent/guardian do hereby undertake to act accordingly. This, the day of _____ /_____ / 2025 at__________________, Odisha state. Signature of the Candidate Signature of the Parent / Guardian