Vijaynagar Institute of Medical Sciences, Bellary

(DOWNLOAD PROFORMA-8 (A) ANNEXURE-9 Execution of bond by Candidates who select MBBS seats in Medical Colleges of Karnataka (to be deposited after allotment of seats along with other originals). (On Rs.100/- e- Stamp Paper) I, Mr. / Kum ……………………………….……………………… ……………………….… ……………S/o./D/o………………….………………………… a candidate with NEET–2024’ Admission Ticket No……………………residing at ………………………………… ………… ……………….…………. .……… ……………………………… ……….………………… …………… ………… ……… …… ………………….. …… ……………………………… …………… ………. .…… ……… ………… ……… …………… ……… ………… ……………… ……….…………… have on my own volition allotted a MBBS seat on / /2024 In Vijayanagara Institute of Medical Sciences, Ballari vide admission order number ………………………….. dated / /2024 and do hereby undertake as follows: In accordance with the Amendment to Rule 11 of the Karnataka Selection of Candidates for Admission to Government 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 and I will abide to rules and regulation 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 : Ballari. WITNESSES : 1) Signature of Witness 1 : Name : Address : Tel / Mobile No. : 2) Signature of Witness 2 : Name : Address : Tel / Mobile No. : Rs.100/-Above information shall be filled up only in Govt. of Karnataka E-Stamp Papers with seal and signature of the government notary and to be purchased in the name of :- First party :- Student Name Second party :- Govt. of Karnataka