Rampurhat Government Medical College & Hospital, Rampurhat

Execution of bond by the candidate for Under Graduate Medlcal/Denta! degree seat at,.....r...,........ Sri/Smt .,.-., SlO, DlO, WIO residing at il;;;;ffi ;;;;;; " ;llll,,;;;;;;;;;;;,1'l; :: : :::::::: ::::: ::::: :::' 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/MERTllS42lAdmn/ME/STM-28-t0/2 lL0l dated 25.10,2070, if I resign/discontinue the course before completion of tenure of the course. Moreover it shall be obllgatory on my part to observe or perform alt terms and conditions prescribed by the Government for the aforesaid purpose. The original documents which are ln 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 Place, Slgnature of the witness.,,............... Name of the witness. Place...