Execution
of bond by Candidates who select MBBS seats in Government Medical Colleges OR
Government seats in Private Medical Colleges
(On Rs.100/- e- Stamp Paper)
I, Mr. /
Kum ………………………………………………………………………………………………… S/o. / D/o………………….…………………………………………… a
candidate with ‘CET–2015’ 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 Government seats in Professional Educational Institutions
Rules, 2006, vide Government Notification – 1. No.HFW 79 RGU 2011 dated
17-07-2012, 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 to pay a penalty of Rupees Ten Lakhs to Government of Karnataka.
What is
stated above is true and correct and I and my parent hereby undertake to act
accordingly.
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Signature of the candidate
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Signature
of the Parent
|
|
Date:……………………..
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(Father
/ Mother)
|
|
Place :……………………..
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