MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE, MYSURU

EXECUTION OF BOND BY CANDIDATES WHO SELECTS MBBS SEAT IN MEDICAL COLLEGES OF KARNATAKA ANNEXURE-9 (On Rs. 100/-e-Stamp Paper) DATE: ___/___/_____ 2025-26 Name of the Candidate UG NEET Roll No. UG NEET Rank Subject MBBS AIQ SQ Round I / II/ III Category GM/ Cat I/ Cat II A/ Cat II B/ Cat II B / Cat II IA/ Cat III B/ OBC / SC/ ST Email Mobile No I, Mr./Kum………………………..………….S/o./D/o………………………………………………a candidate with Neet-2025 Admission Ticket No…………………………………residing at ……………………………………………………………have on my own volition allotted a MBBS seat on ………………… In ……………………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 Institutions Rules, 2006, vide Government Notification - 1. No. HFW 79 RGU 2011 dated 17-07-2017 and Amendment act 2017 dated 6-7-2017 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, failing which I render myself liable a penalty of Rupees Ten Lakhs to of Government of Karnataka. What is stated above is true and correct and I and my parent hereby undertake to act accordingly. Signature of the candidate Signature of the Parent Date:……………………… (Father / Mother) Place:……………………… Witness: 1. 2. For all e Stamp papers 1st party is the candidate & 2nd party is the Director, Directorate of Medical Education, Karnataka ANNEXURE-1 GENERALAFFIDAVIT (To be submitted on Rs20/-Bond paper) (To be deposited after allotment of seats along with other originals) I,…………………………………………………...……………..son/daughter of……………………………….… Residing at ………………………………………… …have appeared for UG NEET2025 conducted by CBSE, New Delhi with Roll Number………………………………and have secured…………score in the said test. I hereby solemnly declare that during 2025, I have not taken MBBS / BDS admission in any colle