Raiganj Government Medical College & Hospital, Raiganj

Execution of bond by the candidate for Under Graduate Medical / Dental degree seat at ……………………………………………….. Sri/Smt ……………………………………….., S/O,D/O,W/O ……………………………….... residing at ………………………………………………………………………..………………., Dist. …………………………………….., Pin …………………………… having been selected for Under Graduate Medical / Dental degree course at …………………………………………………………………………… 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 ……………………………………………………………………………………………… 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 ………………………………………………………………….…. This bond is imposed as there will be no further provision on behalf of the W.B.M.C.C. (West Bengal Medical Counseling 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 counseling. Signature of the candidate : …………………………..……. Name of the candidate : ………………………..……..……. Date : ……………………… Place : ………………………… Signature of the witness : …………………………………. Name of the witness : …………………………………..…. Date : ……………………… Place : …………………………