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  • Admission-Check-Sheet

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    Ukt Od
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    This document is a check sheet for verifying the original documents submitted by a candidate for admission to the 1st semester MBBS course. It lists 17 documents that were submitted, including the candidate's allotment letter, NEET exam results, class 10 and 12 certificates, medical fitness certificate, caste certificate if applicable, and more. For each document, it notes whether the original and photocopies were received and if they were in order. It concludes by stating whether the candidate is eligible for admission based on the document verification.

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    This document is a check sheet for verifying the original documents submitted by a candidate for admission to the 1st semester MBBS course. It lists 17 documents that were submitted, including the candidate's allotment letter, NEET exam results, class 10 and 12 certificates, medical fitness certificate, caste certificate if applicable, and more. For each document, it notes whether the original and photocopies were received and if they were in order. It concludes by stating whether the candidate is eligible for admission based on the document verification.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    Download as pdf or txt
    3 views1 page

    Admission-Check-Sheet

    Uploaded by

    Ukt Od
    This document is a check sheet for verifying the original documents submitted by a candidate for admission to the 1st semester MBBS course. It lists 17 documents that were submitted, including the candidate's allotment letter, NEET exam results, class 10 and 12 certificates, medical fitness certificate, caste certificate if applicable, and more. For each document, it notes whether the original and photocopies were received and if they were in order. It concludes by stating whether the candidate is eligible for admission based on the document verification.

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    of 1

    Mob.No.

    _________________ CHECK SHEET Affix Stamp


    _ size Colour
    VERIFICATION OF ORIGINAL DOCUMENTS SUBMITTED BY THE CANDIDAT E
    FOR ADMISSION INTO THE 1ST SEMESTER M.B.B.S. COURSES AT SRM MCH, BHAWANIPATNA, KALAHANDI Photograph.
    UNDER STATE/ALL INDIA QUOTA FOR THE SESSION 2023-24.
    *****
    1. Name of the candidates ………………………………. Rank / Merit No……….
    2. Documents submitted by the candidate Remarks of Verifying Officer
    (Original and 2 sets of Photo-copies)
    3. Allotment Letter. :- ………………………..
    4. Admit Card of CBSE-NEET (UG) :- ………………………..
    5. CBSE-NEET(UG) Examination Result (Mark) card :- ………………………..
    Marks secured in Physics Chemistry Biology Total
    Whether total marks is more than 360 or not (288 for SC/ST/PH) (Yes/No)
    6. Board Certificate of passing HSC or
    equivalent examination in support of date of birth :-
    7. Certificate of Council/University of passing
    +2 Sc. or equivalent qualifying examination. :- ………………………..

    8. Mark sheet of +2 Sc. or equivalent examination :- ………………………..

    Whether the candidate is having Practical examination in Physics, Chemistry & Biology
    % of Marks in PCB % of Marks in English
    9. College leaving Certificate/Transfer Certificate from
    the Principal of College last studies. :- ………………………..
    10. Conduct Certificatefrom the Principal of College last studied :- ………………………..
    11. Residence/Nativity/ Employee Certificate/
    Odiya belonging to Outlying Odiya speaking track :- ………………………..
    12. S.C. / S.T. / P.H. /G.C. / Ex. Serviceman or Serviceman
    Certificate from the component authority :- ………………………
    13. Anti-ragging Undertakings downloaded from web :- ………………………..

    14. Two Colour Passport size Photographs :- ………………………..

    15. Identity proof (Voter ID card/Adhar card/etc) :- ………………………..:


    16. Whether found Medically fit :- ………………………..

    17. Whether Eligible for Admission :- ………………………..

    Orders of Principal

    Dean &Principal,
    SRM MCH, Bhawanipatna, Kalahandi. Signature of Verifying Officer,

    Please enclose Bank Deposition slip/NEFT for Rs.38,256/- in A/c of (Dean & Principal, SRM MCH,
    Bhawanipatna, Kalahandi.) A/C No. 42115739154 (SBIN0000039)

    Received all Original Documents except C.L.C. & Conduct certificate:

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