SRI DEVARAJ URS ACADEMY OF HIGHER EDUCATION AND RESEARCH Comprising SRI DEVARAJ URS MEDICAL COLLEGE

(A DEEMED TO BE UNIVERSITY) (Declared under Section 3 of the UGC Act 1956, MHRD, GOI Notification. No.F.9-36/2006-U.3 (A) Date 25.05.2007)

TAMAKA, KOLAR-563 101, KARNATAKA, INDIA

Date: 04-03-2015

LIST OF CONTENTS

Sl.

No.

Particulars Page Nos.

1. ADVERTISEMENT 2

2. INSTRUCTIONS TO THE CANDIDATES 3

3. SEAT MATRIX Uni-GAUGE 4

4. FEE STRUCTURE 5

5. APPLICATION FORM 6-8

Sd/

Registrar

SRI DEVARAJ URS ACADEMY OF HIGHER EDUCATION & RESEARCH A DEEMED TO BE UNIVERSITY

Declared under section 3 UGC act. 1956, MHRD GOI No.F9.36/2006-U-3 (A), Dated: 25th May 2007 POST BOX NO.62, TAMAKA, KOLAR - 563 103, KARNATAKA, INDIA

Phone : 08152-243009, 243003, 243244 Fax No. 08152-243008

e-mail : registrar@sduu.ac.in website : sduu.ac.in

No. SDUAHER/KLR/ADMN/ 5738 /2014-15 Date: 02-03-2015

Applications are invited from the candidates declared eligible in the Uni- GAUGE PGMD 2015 entrance test conducted by

ERA foundation for admission through a counseling process to Post Graduate MD/MS/ Diploma courses at Sri Devaraj Urs Medical College for the Academic Year 2015-16.

CALENDAR OF EVENTS

S. No. Events Dates

1. Issue of application forms (available on the website) 04.03.2015

2. Last date for receipt of duly filled applications by Post/ in Person 20.03.2015

3. Announcement of Rank List and counseling details 28.03.2015 4. Physical Counseling and Seat Selection process at the University 07.04.2015

For Application form and further details visit the University Website www.sduu.ac.in from 04.03.2015. Note: Applicants are requested to visit the University website regularly, for updates. Sd/- Registrar

ADMISSION TO POST GRADUATE MEDICAL COURSES – 2015-16

Instructions to the candidates:

1. Download the application form from the University website www.sduu.ac.in

2. Fill up the application with all relevant details.

3. Attach photocopies of all the relevant documents as detailed in the application

form.

4. Provide 5 copies of recent photographs. Write your name and Uni-GAUGE PGMD

2015 application number on reverse side of the photograph.

5. Ensure that the Demand Draft of Rs.500/- towards application fee is enclosed.

Write your name and Uni-GAUGE PGMD 2015 application number on reverse

side of the demand draft.

6. Please use A4 size envelope to send the duly filled application form to the

Registrar, SDUAHER, Kolar.

7. Super scribe on the Envelope “Application for Admission to Post Graduate

Medical Degree/ Diploma courses” 2015-16.

8. Please send the duly filled in application form along with the DD well in advance

by speed post or in person by 5.30 p.m. on Friday 20th March 2015.

9. The university shall not be responsible for the non-receipt/delay of the

application forms.

SEAT MATRIX Uni-GAUGE DEGREE COURSES

Sl.No. Course Name No.of Seats

1. M.D. (Anatomy) 2

2. M.D. (Physiology) 3

3. M.D. (Biochemistry) 2

4. M.D. (Pathology) 4

5. M.D. (Microbiology) 3

6. M.D. (Pharmacology) 3

7. M.D. (Forensic Medicine) 2

8. M.D. (Community Medicine) 2

9. M.D. (Anaesthesiology) 3

10. M.D. (Dermatology) 1

11. M.D. (General Medicine) 4

12. M.D. (Paediatrics) 2

13. M.D. (Radio Diagnosis / Radiology ) 2

14. M.S. (General Surgery) 6

15. M.S. (Ophthalmology) 4

16. M.S. (Orthopaedics) - 4

17. M.S. (E.N.T.) 4

18. M.S. (Obstetrics and Gynaecology) 3

54

DIPLOMA COURSES

Sl.No. Course Name No.of Seats

1. Diploma in Anaesthesiology (DA) 4

2. Diploma in Child Health (DCH) 1

3. Diploma in Radio-Diagnosis (DMRD) 1

4. Diploma in Obstetrics and Gynaecology (DGO)

2

5. Diploma in Orthopaedics (D. Ortho) 2

6. Diploma in Otolaryngology (DLO) 2

7. Diploma in Ophthalmology (DO) 2

14

FEE STRUCTURE

Sl.No. COURSE TUITION FEE (in Rupees)

OTHER FEE (in Rupees)

TOTAL (in Rupees)

TOTAL COURSE FEE (in Rupees)

1. P.G. DEGREE

a). Pre-Clinical 3,30,000/- 15,000/- 3,45,000/- 10,35,000/-

b). Para-Clinical 4,60,000/- 15,000/- 4,75,000/- 14,25,000/-

c). Clinical 12,50,000/- 15,000/- 12,65,000/- 37,95,000/-

2. P.G. DIPLOMA Clinical 9,75,000/- 15,000/- 9,90,000/- 19,80,000/-

Important:

1. All the candidates admitted to Post Graduate Degrees/Diploma courses for the

academic year 2015-16 will be paid a stipend of Rs. 25000 per month.

2. All those candidates admitted to the Post Graduate courses shall compulsorily

serve this institution for a period of one year after successful completion of the

course.

3. Counselling related details will be announced on or before 28.03.2015.

SRI DEVARAJ URS ACADEMY OF HIGHER EDUCATION AND RESEARCH Comprising SRI DEVARAJ URS MEDICAL COLLEGE

(A DEEMED TO BE UNIVERSITY) (Declared under Section 3 of the UGC Act 1956, MHRD, GOI Notification. No.F.9-36/2006-U.3 (A) Date 25.05.2007)

TAMAKA, KOLAR-563 101, KARNATAKA, INDIA

APPLICATION FOR ADMISSION TO POST GRADUATE MEDICAL DEGREE/DIPLOMA COURSES 2015-16

To,

The Registrar

Sri Devaraj Urs Academy of Higher Education and Research,

Tamaka, KOLAR-563101, KARNATAKA.

Reference Number:

To be filled by the office of the SDUAHER

Name of the Applicant

(in BLOCK letters)

Uni- GAUGE PGMD 2015

Application Number

Name of the Parent /

Guardian

Date of Birth

(DD/MM/YYYY)

Gender (MALE / FEMALE )

Nationality

State to which the

candidate belongs

(by Birth/Domicile)

Category to which the

candidate belongs

(GM/SC/ST/OBC) *

Address for

correspondence

City

Pin Code

State:

Affix Self-Attested

Passport Size

Photo

Phone Number

(with STD Code)

Mobile Number

Email ID

Demand Draft Number

Demand Draft Date

Amount (Rs.)

Drawee Bank

Place

Month/Year of Passing

MBBS

Marks Obtained in

M.B.B.S Examination

Phase Subject Maximum

Marks Marks

Obtained No. of

Attempts

Phase I

ANATOMY

PHYSIOLOGY

BIOCHEMISTRY

Phase II

PATHOLOGY

PHARMACOLOGY

MICROBIOLOGY

FORENSIC MEDICINE

Phase III Part I

OTORHINOLARYNGOLOGY

OPHTHALMOLOGY

COMMUNITY MEDICINE

Phase III Part II

PAEDIATRICS

MEDICINE

SURGERY + ORTHOPAEDICS

OBSTETRICS & GYNAECOLOGY

TOTAL

Institution last Studied

Address of the Institute

Name of the University

(Indian / Foreign)

Internship

(completed/would be

completing by

30/04/2015)

Uni-GAUGE PGMD 2015 Details

Application Number

Category under which

candidate appeared for

Entrance Examination

(GM/SC/ST/OBC)

Score Obtained

(Attach the score card

issued by the ERA

FOUNDATION)

I hereby declare that the particulars given are true to the best of my knowledge & belief.

Date:

Place:

Signature of the Candidate

NOTE: Please attach the following enclosures:

1. Five copies of Additional Photographs (Mention your name and Uni-GAUGE PGMD 2015 application number on the reverse side of photograph)

2. Demand Draft for Rs.500/- (Rupees Five Hundred Only) as application fee (non- refundable), drawn in favour of Registrar, SDUAHER, Kolar,

Payable at KOLAR. (Mention your Name and Uni-GAUGE PGMD 2015 Application Number on the reverse side of DD) 3. Attested Photocopy of: (To be attested by the Head of the Institution last studied or by a Gazetted Officer from the place of residence of the applicant.)

a) Degree Certificate / Provisional Degree Certificate b) Internship Completion Certificate / A certificate indicating the exact date of completion of internship from the Head of Institution for

those not completed internship. c) Registration Certificate from MCI / State Medical Council(s) (if not registered, the provisional registration certificate along with an

undertaking to be attached stating that the certificate will be made available within a month from the date of admission as it is binding as per MCI regulations)

d) Attempt certificate(s) e) All marks cards including that of failed year if any (First Year to Final Year) f) Certificate of MCI recognition status of M.B.B.S qualification issued by the Head of Institution g) Date of Birth Certificate or School Final Certificate (SSLC/CBSE/ICSE/Various State Boards) indicating Date of Birth h) * SC/ST/OBC certificate issued by competent authority of the respective State.

4. P.G. Admissions related queries can be sent to pgadmission@sduu.ac.in HELPLINE NUMBER: 08152-243247 Applications without the specified enclosures are liable to be rejected without prior intimation to the candidates and the application fee will not be refunded, under any circumstances. Any false information mentioned above will lead to disqualification.