K.S.HEGDE MEDICAL ACADEMY

To submit the bond on a stamp paper of Rs. 200/- UNDERTAKING FOR UNDERGRADUATE 2025-26 I, Mr.…………………..............................…………… (Name of the Candidate), aged about ………….. years, S/D/o ……………………….................……………….. (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 Program at K S Hegde Medical Academy, Deralakatte, Mangaluru, a constituent college of Nitte (Deemed to be University) through the Common Counseling conducted by the Directorate General of Health Services (DGHS), Government of India, New Delhi through NEET UG 2025 with the All India Rank ……………….. during the academic year 2025-26. I, say that on my own will and along with my parents/guardian took admission to the MBBS program at K S Hegde Medical Academy, Deralakatte, Mangaluru as per the DGHS Allotment Order dated …………………… With the NEET UG 2025 Roll No………………………… I, say in consideration of admission to 1st year MBBS program, I shall complete the 4½ years of program and 1 year of Compulsory Rotating Internship and accordingly undertake to pay all the tuition and other fee as prescribed by K S Hegde Medical Academy / Nitte (Deemed to be University). I, hereby submit the undertaking that I am liable to pay the college / tuition fees and dues for the remaining duration of my program. In the event of my discontinuation of MBBS program due to any reason, I along with my parent / guardian hereby undertake to pay the balance tuition fee to K S Hegde Medical Academy / Nitte (Deemed to be University) payable for the entire program, without any demur. I am aware of the fact that as per the Government Orders, Bank Guarantee should be submitted by me to the Institution for the payment of annual tuition fees towards the remaining period of my program. I, opt to submit the Post-Dated Cheques to the institution instead of the Bank Guarantee. I am aware that the pos