fnaMksjh jksM] EgljQG] ukf'kd&422004 Dindori Road, Mhasrul, Nashik-422004

Tel: (0253) 2539228/230(UG), 2539232(PG) Fax : (0253) 2539231/33

Website: www.muhs.ac.in, E-mail: eligibility@muhs.ac.in
MkW- dkfynkl n-pOgk.k Dr. Kalidas D. Chavan
,e-ch-ch-,l-] ,e-Mh-(U;k;oS|d'kkL_k) M.B.B.S.,M.D. (Forensic Medicine).
dqylfpo Registrar
tk-dz- evkfofo$lh-5$;qth$2860$2019 fn-31$08$2019
rRle fo|k'kk[ksP;k izFke o"kZ csfld ch-,Llh-uflZax inoh
vH;kldzekps uksan.kh o ik_krk ifji_kd dz-21$2019
izfr]
ek- vf/k"Bkrk $ izkpk;Z $ lapkyd]
fo|kihBk'kh layfXur
csfld ch- ,Llh-uflZax inoh
vH;kldzekph egkfo|ky;s $ laLFkk-
fo"k;%& 'kS{kf.kd o"kZ 2019&20 e/;s fo|kihBk'kh layfXur egkfo|ky;kr izFke o"kZ csfld ch-
,Llh-uflZax vH;kldzekl izosf'kr fo|kF;kZaps uksan.Ah o ik_krk izLrko lknj dj.ks ckcr -
laanHkZ%& 1 Hkkjrh; ifjp;kZ ifj"kn] uoh fnYYkh ;kaph fu;ekoyh-
2 fo|kihB v/;kns'k dz-03$2010-
3 ekfgrh$izk/kkU;dze iqfLrdk] uhV (inoh) & 2019 (NEET UG -2019)
4 fo|kihB vf/klqpuk dz-29$2019 fnukad 10$07$2019- (Fee Structure)
5 ek- loksZPp U;k;ky;] ek- mPp U;k;ky;] 'kklu (dsanz o jkT;)] Hkkjrh; ifjp;kZ ifj"kn]
uoh fnYyh] izos'k fu;ked izkf/kdj.k] eqacbZ] ek- vk;qDr jkT; lkekbZd izos'k ijh{kk d{k]
eqacbZ] lapkyd] oS|dh; f'k{k.k vkf.k la'kks/ku] eqacbZ ;kaps}kjk osGksosGh fuxZfer dj.;kr
;s.kkjs vkns'k] lqpuk] fu;e bR;knh-
egksn; $ egksn;k]
mijksDr fo"k;kal vuqljQu lanHkkZaP;k vk/kkjs loZ lacaf/krkauk dGfo.;kr ;srs dh] 'kS{kf.kd o"kZ 2019&20
e/;s inoh izFke o"kZ csfld ch ,Llh uflZax vH;kldzekP;k izos'k izfdz;sdjhrk vafre izos'k fnukad 31 vkWDVkscj
2019 vlk fuf'pr dj.;kr vkyk vkgs- mDr fofgr dsysY;k eqnrhikosrks fo|kF;kZaps izos'k dj.ks ca/kudkjd vlqu
lnj eqnrhuarj fjDr tkxsoj fo|kFkhZ izosf'kr djrk ;s.kkj ukgh- lnj fjDr tkxk dk;e fjDr let.;kr ;srhy-
1- 'kS{kf.kd o"kZ 2019&20 e/;s egkjk"V! vkjksX; foKku fo|kihBk'kh layfXur csfld ch- ,Llh inoh
vH;kldzekal izosf'kr fo|kF;kZaps uksan.kh o ik_krk izLrko] fofgr ueqU;kuqlkj lknj dj.;kr ;kos-
2- ek- loksZPp U;k;ky;] ek- mPp U;k;ky; ;kaps vkns'k] dsanz o jkT;'kklukps fu.kZ;] Hkkjrh; ifjp;kZ ifj"kn]
izos'k fu;ked izkf/kdj.k] l{ke izkf/kdj.kk}kjs osGksosGh fuxZfer dj.;kr vkysys vkns'k] lqpuk] fu;e b- o
egkjk"V! vkjksX; foKku fo|kihBkpk v/;kns'k dz-03$2010 ;kl vuqljQu ifji_kdkrhy fu;ekauqlkj fo|kF;kZauk
uksan.kh o izos'k ik_krk iznku dj.;kph dk;Zokgh dj.;kr ;sbZy-
3- egkjk"V! vkjksX; foKku fo|kihB v/;kns'k dz-3$2010 uqlkj 'kS{kf.kd o"kZ 2019&20 e/;s izosf'kr fo|kF;kZaps
uksan.kh o izos'kik_krsps izLrko ;ksX; R;k dkxni_kkalg ifjiq.kZ LojQikr fo|kihBkl lknj dj.;kph tckcnkjh iq.kZr%
egkfo|ky;kps vf/k"Bkrk $ izkpk;Z $ lapkyd ;kaph vlsy-
4- fo'ks"k lqpuk %&
1 'kS{kf.kd o"kZ 2019&20 e/;s izFke o"kZ inoh vH;kldzekl izosf'kr fo|kF;kZaps izos'k vtZ vkWuykbZu
i/nrhus lknj dj.ks vfuok;Z vkgs-
2 VIik dz- 1 (Phase I ) P;k okijkiqohZ vf/k"Bkrk$izkpk;kZauh R;kaP;k egkfo|ky;krhy izfruh/kh $ deZpkjh
;kauk ;kiqohZ fo|kihBkrhy 'kS{kf.kd foHkkxkus iqjfoysY;k vk;Mh o ikloMZP;k vk/kkjsp egkfo|ky;krhy
fo|kF;kZaP;k izos'kkckcrph ekfgrh fo|kihBkP;k www.muhs.ac.in ladsr LFkGkoj ik_krk foHkkxkP;k
eFkG;k[kkyh miyC/k iz.kkyhe/;s vFkok http://qipmp4efmj.muhs.edu.in/index.php ;k fyadoj uksanoh.ks
vko';d vkgs- rlsp fo|kF;kZaph izkFkfed ekfgrh tls dh] fo|kF;kZaps uko] izos'k fnukad] fo|kF;kZapk iRrk]
besy vk;Mh]jk"V!h;Ro b-ekfgrh vpqd Hkj.ks visf{kr vkgs- vkWuykbZu i/nrhus lknj dsysys ik_krk izos'k
vtZ oS/k vlrhy o v'kk i/nrhusp lknj dsysY;k izos'k vtZ fLodkjys tkrhy-lax.kd vkKkoyh
gkrkG.khdjhrk lkscr fnysY;k rDR;krhy uewn lwpukapk okij djkok- (Annexure–‘A’)
3 izos'k can fnukad Eg.ktsp fn-31$10$2019 uarj dks.kR;kgh fo|kF;kZaph uksan.kh ladsrLFkGkoj gksmQ 'kd.kkj
ukgh] ;kph loZ egkfo|ky;kauh uksan ?;koh- rlsp R;kckcrhr egkfo|ky;kus fo|kihBkdMs dqBykgh
i_kO;ogkj djQ u;s-
4 izos'k can fnukadk jksth i;Zarps egkfo|ky;kus vkWuykbZu i/nrhus uksanfoysyh izosf'kr fo|kF;kZaph ;knh ghp
vafre ;knh let.;kr ;sbZy- lnj fo|kF;kZaph ;knh izkpk;Z $ vf/k"Bkrk ;kaP;k Lok{kjhfu'kh
fn- 01$11$2019 jksth e/;kUg 12 oktsikosrks fo|kihBkP;k eligibility@muhs.ac.in ;sFks bZ&esy}kjs
ikBfo.;kr ;koh-
5 VIik dz- 2 (Phase II ) e/;s loZ fo|kF;kZauh uksan.kh o ik_krslkBh vko';d ekfgrh Hkjkoh- rn@uarj
fo|kF;kZaP;k uksanfoysY;k Hkze.k/o.kh dzekadkoj fo|kF;kZapk Lora_k vk;Mh o ikloMZ ikBfoyk tkbZy-
R;kvk/kkjs fo|kF;kZadjhrk jk[kho fyad http://qipmp4efmj.muhs.edu.in/stud_login.php ;sFks fo|kF;kZauh
ykWxbZu djQu egkfo|ky;kus Hkjysyh ekfgrh riklwu vkiyh izos'kkdjhrk vko';d vlysyh nLr,sotkaph
LdWu dsysyh izr viyksM djkoh o HkjysY;k ekfgrh e/;s riQkor vk<GY;kl R;kckcr egkfo|ky;kP;k
izfruh/khauk voxr djkos- fo|kF;kZauh vkiys nLr,sot lax.kd vkKkoyhe/;s viyksM dsY;kuarj
egkfo|ky; izfruh/khauh viyksM dsysys nLr,sot ;ksX; vlY;kps riklwu vtZ fo|kihBkdMs vxzsf"kr
dj.ksdjhrk fnysyh dk;Zokgh ikj ikMkoh vFkok nLr,sot ;ksX; ulY;kl fdaok okp.;ktksxs ulY;kl
fo|kF;kZyk ijr viyksM dj.;kdjhrk voxr djkos-HkjysY;k ekfgrhP;k vk/kkjs vkKkoyhe/;s miyC/k
>kkysyk ekfgrh uksan.kh o ik_krspk vtZ download djQu R;kph fizaV dk<wu R;koj vf/k"Bkrk$izkpk;Z ;kauh
lk{kkafdr dsysyk fo|kF;kZaps vfydMP;k dkGkr dk<ysys ikliksVZ vkdkjkps jafxr Nk;kfp_k (3-5 lsaeh # 4-5
lsaseh)] fo|kF;kZaph Lok{kjh djQu fo|kihBkl lkscr tksMysY;k osGki_kdkuqlkj lknj djkos- izos'k can
fnukadkuarj VIik dz-2 (Phase II Link) ph iz.kkyh fn-19$12$2019 jksth jk_kh 11-59 oktsuarj can
gksbZy- rlsp] ik_krk izos'k vtZ vkWuykbZu i/nrhusp lknj djQu izosf'kr fo|kF;kZapk izos'k dk;e dj.;kph
loZLoh tckcnkjh gh lacaf/kr egkfo|ky;kph jkghy-
6 lgi_k dz-2 e/;s funsZf'kr dsysY;k ;knh o dzeokjhuqlkj vko';d loZ 'kS{kf.kd eqGizek.ki_k vkf.k brj
nLr,sot o vf/k"Bkrk$izkpk;Z ;kauh lk{kkafdr dsysY;k Nk;kafdr izrhapk lap- Annuxre ‘B’
7 inoh] izFke o"kZ vH;kldzekl izos'k ?ks.kk`;k loZ eqyk$eqyhadMqu izos'kkP;k osGhp ernkj
;knhe/;s uko uksan.kh dj.;kP;k vuq"kaxkus ?;ko;kps izek.ki_k$gehi_k uequk- Annexure-‘C’
8 ladsrLFkGkoj izosf'kr fo|kF;kZaph ekfgrh Hkjrkuk lax.kd vkKkoyhlaca/kh dkgh vMp.k mn@HkoY;kl
R;kckcr MkW- mn;flag jkojk.ks] foHkkx izeq[k] ik_krk foHkkx ;kaP;k 0253&2539233 vFkok ik_krk
foHkkx ;kaP;k 0253$2539230 ;k dzekadkoj rlsp lax.kd iz.kkyh e/;s rkaf_kd vMp.k mn@HkoY;kl
1800212005599 ;k Vksy izQh dzekadkoj laidZ lk/kkok-
5- uksan.kh o izos'k ik_krsps izLrko lknj djko;kph jQijs"kk% “Annexure- ‘D’
v-dz- izos'k izfdz;k o izLrko lknjhdj.k osGki_kd
1 fo|kFkhZ izos'k izfdz;k fn- 31$10$2019 (vafre fnukad)
izosf'kr fo|kF;kZaph vf/k"Bkrk $ izkpk;Z fn- 01$11$2019 jksth e/;kUg 12-00
;kapsdMwu lk{kkafdr dsysyh ;knh fo|kihBkl oktsikosrks izkIr ;knh vafre letyh tkbZy-
2 elgibility@muhs.ac.in ;k bZ&essyoj lknj rn@uarj lnj ;knhe/;s dqBykgh cny Lohdkjyk
dj.ks vFkok egkfo|ky; izfrfu/kh}kjs lknj tk.kkj ukgh- mDr uewn fnukad vkf.k osGsuarj
dj.ks] vfuok;Z vkgs izkIr bZ&esy xzkg; /kjys tk.kkj ukghr-
izosf'kr fo|kF;kZaps uksan.kh o izos'k ik_krk izLrko
lknj dj.ks -(foyac 'kqYdk f'kok;)-
3 Vhi- egkfo|ky;kleksj ueqn rkj[ksl laca/khr fn-20$12$2019 ikosrks Annexure- ‘D’ izek.ks
egkfo|ky;kus ijhiq.kZ izLrkokalg dk;kZy;hu
osGsr miLFkhr jkg.ks vfuok;Z vlsy- d=Ik;k
;kph uksasn ?;koh-
4 izosf'kr fo|kF;kZaps uksan.kh o izos'kik_krsps izLrko lknj dj.ks (foyac 'kqYd jQ-250$&)-
5- izosf'kr fo|kF;kZaps uksan.kh o izos'kik_krsps izLrko fnukad 20$12$2019 uarj dqBY;kgh lcch[kkyh
Lohdkjys tk.kkj ukghr ;kph uksan ?;koh-

fo'ks"k lqpuk% egkfo|ky;kauh izosf'kr fo|kF;kZaps uksan.kh o ik_krsps izLrko mDr rDR;kr uewn dsysY;k osGki_kdkuqlkj
fo|kihBkl lknj dj.ks vko';d vkgs-
6- vko';d 'kS{kf.kd vgZrk% izFke o"kZ cslhd ch,Llh uflZax inoh vH;kldzekl izos'kklkBh *Hkkjrh; ifjp;kZ
ifj"knsph fu;ekoyh* o l{ke izkf/kdkjh rFkk vk;qDr] jkT; lkekbZd izos'k ijh{kk d{k] eqacbZ ;kapsOnkjs
fuxZfer ekfgrh $ izk/kkU;dze iqfLrdk *uhV ;qth&2019* e/;s ueqn dsysys dye 4 vUo;s rlsp lacaf/kr
izos'k izkf/kdj.kkus izos'kkckcr R;kaP;k ladsrLFkGkoj osGksosGh izfl/n dsysY;k vf/klwpuk o ek-loksZPp$mPp
U;k;ky;kus osGksosGh fuxZfer dsysY;k vkns'kkauqlkj ik_krk fud"k iq.kZ dj.ks vko';d vkgs-
1- lacaf/kr egkfo|ky;kus izosf'kr fo|kF;kZaps ukasn.kh o izos'kik_krslkBh vko';d vlysys ukasn.kh o ik_krk 'kqYd
lknj djkos Lkkscr tksMysY;k rDR;k izek.ks lknj dj.ks vko';d vkgs- Annexure–‘E’
2- lkekbZd izos'k ijh{kk uhV ;qth&2019 ijh{kse/;s fo|kF;kZauk * uhV ;qth &2019* lkekf;d izos'k ijh{kk
iqfLrdse/khy dye 4-6-1-2 e/;s uewn dsysizek.ks xq.k izkIr dj.ks vfuok;Z vkgs-
7- izosf'kr fo|kF;kZauh lknj djko;kps ukasn.kh o ik_krk 'kqYd %
'kS{kf.kd o"kZ 2019&20 e/;s cslhd ch,Llh uflZax inoh vH;kldzekl izosf'kr fo|kF;kZauh fo|kihB vf/klqpuk
dz-29$2019 e/;s uewn dsysuqlkj [kkyhy rDR;kr n'kZfoysY;k izek.ks ukasn.kh o ik_krk 'kqYd lknj djkos-
v-dz- izos'kkpk dksVk 'kkldh; egkfo|ky;s [kktxh] foukvuqnkfur egkfo|ky;s
uksan.kh ik_krk ,dw.k jQ- uksan.kh ik_krk ,dw.k jQ-
1 loZlk/Akj.A ([Aqyk) egkjk"V! ₹1300$& ₹1300$& ₹ 2600$& ₹1300$& ₹ 4400$& ₹ 5700$&
jkT;krhy fo|kF;kZalkBh-
2 EkkxklofxZ; vkjf{kr izoxZ ₹1300$& ₹1300$& ₹ 2600$& ₹1300$& ₹1300$& ₹ 2600$&
vf[ky Hkkjrh; dksV;krhy izosf'kr
3 $HAkjr ljdkj ukefunZsf'Ar(GOI) ₹1300$& ₹1300$& ₹ 2600$& ₹1300$& ₹ 4400$& ₹ 5700$&
15% Hkkjrh; ukxjhd && && && ₹ 1300$& ₹ 43700$& ₹ 45000$&

4 ladksLVFkkRed vfuoklh
;kr izosf'kr HAkjrh; $ && && && ₹ 1300$& ₹ 73700$& ₹ 75000$&
fo|kFkhZ ijns'kh fo|kFkhZ
egkjk"V! jkT; oxGwu Hkkjr
5 ns'kkrhy brj jkT;krhy ₹1300$& ₹11000$& ₹12300$& ₹1300$& ₹11000$& ₹12300$&
vf/koklh fo|kFAhZ
8) fo|kihB v/;kns'k dz- 03$2010 e/khy dye 03 vUo;s fo|kihBkl lknj dsysys uksan.kh o
ik_krk 'kqYd uk ns; (Non Refundable) o vgLrkarj.kh; (Non Transferable) vkgs-
9) egkfo|ky;kr izosf'kr fo|kF;kZaP;k uksan.kh o ik_krk izLrkoklkscr egkfo|ky;kus [kkyhy dkxni_k lknj
djkosr-
v) izos'kkdjhrk fu;qDr l{ke izkf/kdj.kk}kjs fuxZfer dsysyh fuoM ;knh-
c) (Annexure–‘B’) e/;s funsZf'kr dsysY;k ;knh o dzeokjhuqlkj vko';d loZ 'kS{kf.kd eqGizek.ki_k vkf.k brj
nLr,sot o vf/k"Bkrk $ izkpk;Z ;kauh lk{kkafdr dsysY;k Nk;kafdr izrhapk lap-
d) fo|kihBkl bZ & esy }kjs ikBfoysY;k ;knhph eqG izr-
M) fo|kF;kZauh lknj dsysY;k izek.ki_kkaph ,df_kr ;knh- rlsp uksan.kh o ik_krk 'kqYdkpk fo|kFkhZfugk; ri'khy-
bZ) fo|kihBk}kjs 'kS{kf.kd o"kZ 2019&20 djhrk iznku dj.;kr vkysY;k layfXudj.kkP;k i_kkph lk{kkafdr izr-
iQ) jk[kho laoxkZrqu izosf'kr rlsp jk[kho laoxkZlkBh ns; vlysys 'kS{kf.kd ykHk ?ks.kk`;k fo|kF;kZus lanHkZ dz-3
e/khy dye 9-1-5-1 vUo;s uksan.kh o izos'k ik_krk izLrkoklkscr tkr izek.ki_k vkf.k tkroS/krk izek.ki_k
(Caste Validity Certificate) lknj dj.ks ca/kudkjd vkgs- lnj nLr,sotkafouk lknj dsysys uksan.kh o ik_krk
izLrko Lohdkjys tk.kkj ukghr- rFkkfi] egkjk"V! jkT;kckgsjhy izosf'kr fo|kF;kZaP;k jkT;kr tkroS/krk
izek.ki_k ns.;kph rjrwn ulsy v'kk fo|kF;kZaP;k izLrkoklkscr tksMysY;k rDR;k uqlkj gehi_k lknj
dj.;kr ;kos- (Annexure–F)
t) vuqlwfpr tkrh o tekrh oxGrk foeqDr tkrh (v)] HkVD;k tekrh (c)] HkVD;k tekrh (d)] HkVD;k
tekrh (M) brj ekxkloxZ o fo'ks"k ekxkloxZ ;k laoxkZe/;s izosf'kr loZ fo|kF;kZauh lanHkZ dz-3 e/khy
dye 9-1-5-1 vUo;s izxr o mUur xVkr eksMr ulY;kckcrps oS/k vlysys izek.ki_k lknj dj.ks vfuok;Z
vkgs-rlsp miyC/k 'kklu fu.kZ;kauqlkj lnj izek.ki_k fnukad 31$03$2020 ikosrks oS/k vlkos-
p) 'kklu fu.kZ; dz- lhchlh & 1290&23116$iz-dz-378$ekod&5] fn- 24 vkWxLV] 1995 vUo;s egkjk"V! jkT;
'kkluk}kjs vuqKs; jk[kho loaxkZrhy 'kS{kf.kd ykHk dsoG Ekgkjk"V! jkT;krhy eqG jfgoklh vlysY;k
fo|kF;kZauk ns; vlrhy- R;kvuq"AaXkkus egkjk"V! jkT;kckgsjhy eqG jfgoklh vlysY;k jk[kho laoXkkZrhy
fo|kF;kZuk (vf[ky Hkkjrh; dksVk oxGrk) vkj{k.k rlsp 'kS{kf.kd ykHk ns; vl.kkj ukgh-
10) fo'ks"k lqpuk %
(1) fo|kihBk'kh layfXur loZ egkfo|ky;kae/;s izosf'kr loZ fo|kF;kZaP;k izos'kkl izos'k fu;ked izkf/kdj.k]
eaqcbZ ;kaph ekU;rk vl.ks vfuok;Z vkgs- R;kdjhrk] lacaf/kr izkf/kdj.kkP;k v/;kns'kkrhy ueqn
dk;Zi/nrhpk voyac djkok-
(2) vH;kldzekl laoxZ fugk; fuoM >kkysY;k fo|kF;kZaph egkfo|ky;kus bZ&esye/khy Admitted Category ;k
jdkU;ke/;s vpwd uksan ?;koh- ts.ksdjQu lacaf/krkP;k tkrizek.ki_kk laca/kh nLr,sotkaph vuko';d ekx.kh
VkGrk ;sbZy- rlsp mifLFkr gks.kkjh U;k;ky;hu izdj.ks VkGrk ;srhy-
(3) ,dkp 'kS{kf.kd o"kAZr fo|kFkhZ ,dkis{kk vf/kd vH;kldzekl $ egkfo|ky;kr izosf'kr vlY;kps fun'kZukl
vkY;kl vFkok cukoV dkxni_kkaP;k vk/kkjkoj fo|kF;kZus $ egkfo|ky;kus fo|kihBk}kjs ik_krk izkIr
dsY;kps fun'kZukl vkY;kl lnj fo|kF;kZph uksan.kh o ik_krk fo|kihBk}kjs jn@n dj.;kr ;sbZy-
(4) uksan.kh o ik_krsdjhrk vko';d izek.ki_k izLrkoklkscr tksM.;kr ;kos- nq:;e izek.ki_k lknj dj.kk`;k
fo|kF;kZauh eqG izek.ki_k ns.;k`;k izkf/kdj.kkdMqu R;kckcrps iMrkG.khi_k lknj djkos vFkok eqG
izek.ki_k xgkG >kkY;kckcrps iksyhl ,iQ-vk;-vkj- o izfrKki_k fo|kihBkl lknj djkos-
(5) egkjk"V! jkT;krhy csfld ch,Llh uflZax egkfo|ky;kae/;s inoh vH;kldzekal lkekf;d izos'k ijh{ks}kjs
izos'k ?ks.ksdjhrk fu;qDr l{ke izkf/kdj.kk}kjs izfl/n gks.kkjh ,df_kr fuoM ;knh egkfo|ky;kus
izLrkoklkscr tksM.ks vfuok;Z vlsy- lnj ;knhfouk uksan.kh o ik_krk izLrko Lohdkjys tk.kkj ukgh-
(6) bZ&esy o egkfo|ky;kP;k izfrfu/khOnkjs ikBfoysY;k ;knh O;frjhDr] ukWu fdzfeyvj izek.ki_kkfouk] tkr
oS/krk izek.ki_kkfouk rlsp uksn.kh o ik_krk 'kqYdkfouk egkfo|ky;kus fo|kihBkl lknj dsysys izosf'kr
fo|kF;kZaps ukssn.kh o ik_krk izLrko fLodkj.;kr ;s.kkj ukghr-
(7) egkfo|ky;kus fo|kihBk}kjs fofgr dssysY;k ueqU;kizek.ks izosf'kr fo|kF;kZaph ekfgrh 'kS{kf.kd [kaM]fu/kkZjhr
dsysY;k Lo;a?kks"k.kki_k lkscr fnysY;k izi_k v Lo;a?kks"k.kki_k HkjQu ns.ks vfuok;Z vkgs- (Annexure–‘G’)
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sd/-

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 Annexure – ‘G’

Applicant’s Photo
Self-Declaration

I ……………………………………………………………. Son / Daughter of

……………………………………… aged ………… occupation ……………………..
resident of ………………………………….……………..………………………………
…………………………………………… with UID No. …………………………………
hereby declare that, I have passed ………………………………………… course
from ……………………………………………………………………………… College
during the year …………………………….. and I hereby state that, I have not taken
admission during the period of gap from ………………….. to ……………………
period, hence, the gap arises in my education.
The information provided above is true and correct to the best of my
personal knowledge, information and belief. I fully understand the consequences
of giving false information. If the information is found to be false, I shall be liable
for prosecution and punishment under Indian Penal Code and / or any other law
applicable thereto.

Place :…………………. Applicant’s Signature…………………….

Date :…………… …… Applicant’s Name :………………………

(okpk% 'kklu fu.kZ; dz- lhbVh3517$iz-dz-120$17$f'k{k.k&2 fnukad 09$03$2015)

 izi_k

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 Annexure- B

INSTRUCTIONS FOR FILING THE APPLICATION FORM
1. At Sr. No. 1 of the Application Form Write name in block letter as per qualifying HSC Certificate
(attach documentary proof).
2. Submit separately a set of original documents & a set of photocopies arranged serially as mentioned
below (from Sr. No. 01 to 11)
3. Set of legible photocopies of original documents must be duly attested by the Dean / Principal /
Director & attached with the application form.
4. Attach original documents at Sr. No. 10 (Same College Continuation letter), 11,12 and 13 in
below list, to the application form.
5. Format of Same College Continuation letter are as mentioned in enclosed Annexure-III
LIST OF DOCUMENTS TO BE SUBMITTED ALONG WITH THE APPLICATION FORM
Sr.No. List of Documents
a) Nationality Certificate issued by District Magistrate, Additional District Magistrate, Chief
Metropolitan Magistrate or
1.
b) Photo copy of Valid Passport duly attested by Dean or Principal or Director or
c) Birth Certificate having endorsed with nationality as mention “Indian” on it.
2. Domicile Certificate
3. SSC Certificate
4. HSC Marksheet
5. NEET UG-2019 Mark sheet.
6. Selection Letter
Medical Fitness Certificate. (as per the format given in the Neet 2019 Brochure.
7.
i.e. Annexure – “H” )
8. Caste Certificate (If applicable)
Caste Validity Certificate (If applicable)
9. (It is mandatory to the Student belonging to reserved category to submit Caste Certificate duly
supported by Caste Validity Certificate. Failing which proposal will not be accepted)

Non-Creamy Layer Certificate valid up to 31/03/2020 for (VJ)DT-A, NT-B, NT-C, NT-D,
10.
OBC, SBC, SEBC
11. College Leaving Certificate (LC / TC)
12. Migration Certificate issued by the respective University. (In original form) (If Applicable)
Self-Educational Gap Affidavit by student certified by Executive Magistrate / Notary.
13.
(If applicable)
Physically Handicapped Certificate ( as per the format given in the Neet 2019 Brochure
14.
i.e. Annexure – “D”) (If applicable)
15. M.K.B
16. Person belong to Hilly (Parents Domicle)
17. DEF1, DEF2, DEF3
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 Annexure ‘C’

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 Annexure ‘E’

Registration & Eligibility Fee Details for A.Y. 2019-20

For Government / Municipal Basic Bsc Nursing Colleges
Name of the College ……………………………………………….………………………………..
Intake : …………………….. Students admitted
:………………..

Reg. & Elig. Fee Total Reg. & Elig.

Quota No. of Students
per student Rs. Fee Rs.
Reservation
Open
× 2600/-
GOI
Others
Total Grand Total Rs.

College Seal Dean / Principal

Sign & Stamp

Registration & Eligibility Fee Details for A.Y. 2019-20

For Private/ Unaided /Minority Basic Bsc Nursing (UG) Colleges

Name of the College

………………………………………………………..………………………………..
Intake : …………………. Admitted students:…………………..

No. of Reg. & Elig. Fee Total Reg. &

Quota
Students Per Student Rs. Elig. Fee Rs.
25% Reservation × 2600/-
* Reserve × 2600/-
60% Open Open × 5700/-
OMS × 12300/-
15% institutional quota × 12300/-
Total Grand Total Rs.
Rs. ……………………………
* The registration & eligibility fee prescribed for reserve category would be applicable to the students admitted
in OPEN quota only after submission all valid certificates related to the particular category.

Dean / Principal
College Seal Sign & Stamp
 Annexure ‘D’
Schedule for submission of Eligibility proposal by affiliated colleges

Course : Basic B.Sc Nursing

Sl.No. Name of the College Date of

submission
01 College of Nursing Sir, J.J. Group of Hospital, Mumbai
02 Jaslok College of Nursing, Mumbai
22/11/2019
03 Bombay Hospital College of Nursing, Mumbai
04 INHS Ashvini College of Nursing, Colaba, Mumbai
05 Sir H.N. Hospital & Research Center College of Nursing, Shivadi,Mumbai
06 K.J. Somiya College of Nursing, Sion (E), Mumbai
26/11/2019
07 Seva Mandal Education Society’s College of Nursing, Matunga, Mumbai
08 Holy Spirit Institute of Nursing Education, Andheri (E), Mumbai
09 P.D. Hinduja College of Nursing, Andheri (E), Mumbai
10 Fortis Institute of Nursing (B.Sc.), Bhandup, (W) Mumbai
27/11/2019
11 KDA Nursing College, Andheri (W), Mumbai
12 Holy Family Hospital, College of Nursing, Kurla, Mumbai
13 TPCT’ s Terna College of Nursing, Nerul, Navi Mumbai 28/11/2019
14 Mahatma Gandhi Mission College of Nursing,Vashi, Navi Mumbai
15 ITM Trust, Institute of Nursing, New Panvel (E), Dist. Raigad.
16 Br. Nath Pai College of Nursing, Kudal, Sindhudurg.
17 Shri Anant Charitable Trust Inst. Of Nursing, Gaorai, Kudal, Sindhudurg 29/11/2019
18 Saraswati College of Nursing, Tondavil, Tal, Kankavli, Sindhudurg
19 Yash Foundation College of Nursing, Mirjole, Ratnagiri
20 M.E.S. College of Nursing, Khed, Ratnagiri
21 Tehmi Grant Institute of Nursing Education, Sasoon Road, Pune
22 Sinhgad College of Nursing, Narhe-Ambegaon, Pune 30/11/2019
23 College of Nursing AFMC, Pune
24 MKSSS,Smt.Bakul Tambat Institute of Nursing Edu.,Karvenagar, Pune
25 Sadhu Vaswani College of Nursing, Koregaon Park, Pune 01/12/2019
26 St. Andrews College of Nursing, Pune
27 DES Smt. Subhadra K. Jindal College of Nursing, Shivaji Nagar, Pune
28 Traning College of Nursing, B.J. Medical College, Pune
29 Bel-Air College of Nursing, Panchgani, Satara
30 Wanless College of Nursing & Hospital, Miraj, Sangli
03/12/2019
31 Savitribai Phule College of Nursing, Kolhapur
32 College of Nur.,Jagdale Mama Hospital,Karamveer Nagar,Barshi, Solapur
33 Vijayshinh Mohite-Patil College of Nursing, Akluj, Tal. Malshiras, Solapur
34 Yashwant College of Nursing (B.Sc.), Kodoli, Tal Panhala, Dist. Kolhapur
04/12/2019
35 Uma Charitable Trust,Uma Hospital, Sangali
36 Sanjivani Multipurpose Dr Dipak Patil Nur.Inst.Panahal,Kolhapur
37 SSUP College of Nursing, Shivaji Nagar, Aurangabad
38 Shiva Trust’s Aurangabad Traning College of Nursing,, Aurangabad
05/12/2019
39 Dr. Hedgewar College of Nursing (B.Sc.), Garkheda, Aurangabad
40 MIT Nursing College, Beed by pass road, Aurangabad
41 GMC, Aurangabad College of Nursing,
42 Vasantrao Naik College of Nursing, Jalna
6/12/2019
43 Oyster College of Nursing, Aurangabad
44 Anand College of Nursing (B.Sc.), Phulewadi Road, Vijapur, Aurangabad
45 Maharashtra Inst. Of Nursing, Vishwanathpuram,Ambejogai Road, Latur
07/12/2019
46 Maharashtra College of Nursing,MIDC, Latur
 47 Swami Vivekanand College of Nursing, Udgir, Latur
48 Beleshwar Institute of Nursing,Nandkheda Road, Parbhani
49 K.T. Patil College of Nursing, Barshi Road, Osmanabad
50 Kamalnayan Bajaj College of Nursing, Beed Bypass Road, Aurangabad
10/12/2019
51 MGM’s Mother Teresa College of Nursing, Aurangabad
52 Late Ramrao Patil (B.Sc.) Nursing College, Latur
53 Mother Teresa Nursing College (B.Sc) , Vishnupuri , Nanded
54 Vaidyanath Sarwangin Vikas Praishthan,Beed 11/12/2019
55 JIIU,s Indian Institute of Medical Sci.&Research Warudi Jalna
56 N.D.M.V.P. Samajis Institute of Nursing Eucation, Adgaon, Nashik
57 Gokhale Edu.Society’s Institute of Nursing, Nashik
12/12/2019
58 S.N.D. College of Nursing, Babhulgaon, Yeola
59 Bhonsala Institute College of Nursing, Rambhumi,Nashik
60 K.K.Wagh College of Nursing, Panchavati, Nashik
61 Matoshri College of Nursing, Eklahare, Nashik
62 JMF’s ACPM College of Nursing, Dhule 13/12/2019
63 Dr. Vikhe Patil Memorial Hospitl, College of Nursing,, Ahamadnagar
64 Mangala Institute College of Nursing,Ahmednagar
65 Supriyadidi Sule College of Nursing, Shrirampur, Ahamadnagar
66 Godavari College of Nursing Khirdi Shivar, Jalgaon.
67 Shree Sai Nursing (B.Sc.) College, Tal. Jamkhed, Dist. A’nagar 14/12/2019
68 Dr.Kolpe Nursing College (B.Sc. Nursing),Tal-Kopergaon,Dist-Ahmednagar
69 Sakhar kamgar Seva Nursing college, Shrirampur,Dist. Ahmednagar
70 V.S.P.M. College of Nursing, Digdo Hills, Hingna Road, Nagpur
71 GMC, Nagpur College of Nursing,
15/12/2019
72 Samarth Nursing ( B.Sc.), College, Akola
73 Suretech College of Nursing, Jamtha, Nagpur
74 Asharam College of Nursing, Kamtee, Nagpur
75 Sumantai Wasnik College of Nursing, Dabha, Nagpur 17/12/2019
76 Kasturbha Nursing College, Sevagram, Wardha
77 Late Sau Vasudha Zade Nursing College, Chandrapur
78 Indira Bahu Uddeshiya College of Nursing, Sagwan, Buldhana
79 Late Pandurang Patil, Nursing College, Barshitakil, Akola 18/12/2019
80 Smt. Sumitrabai Thakare College of Nursing, Yavatmal
81 Nazarene Nursing Traning College, Pusad Road, Washim
82 Dr. Punjabao Deshmukh Nursing Institute, Shivaji Nagar, Amravati.
83 Anuradha College of Nursing, Chikhali, Buldhana
84 M.K.S.S.S’s Sitabai Nargundkar College of Nursing, Nagpur 19/12/2019
85 Puja Nursing College (B.Sc) , Bhanadara
86 Vasant Prabha Coll.of Nursing ,Buldana.
87 Nirmaya Bahuudeshiya Society College of Nursing,Gondia
88 Vamanrao Ithape College of Nursing,Sangamner,Ahmednagar
89 Seva Nursing Institute College of Nursing,Dhule
90 Aromira College of Nursing,Bhandara 20/12/2019
91 Datta Meghe College of Nursing,Nagpur
92 Central Institute of Edu.,Central Hosp.& Critical Care,Gondia
93 Guru Govind Singh College of Nursing,Nanded
94 Vision College of Nursing Buldhana.

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 Annexure – ‘F’

Office of the

Outward No.:- Date:-

TO WHOME IT MAY CONCERN

CERTIFICATE

This is to certify that, the Caste Certificate No.

Dated issued to Mr./Miss by
the Tahsildar / Magistrate is Valid.
Further, it is stated that there is no provision of issuing separate Caste Validity Certificate in
State

Office Seal / Stamp Signature of Tahsildar / Magistrate / Issuing Authority

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 ANNEXURE –‘A’

MAHARASHTRA UNIVERSITY OF HEALTH SCIEANCES

User Manual For
Online Eligibility Application for UG Basic Bsc Nursing
Course
(College Login)
Version: 1.0
Contents
1. Application Manual..........................................................................................................................15
1.1 College Login ........................................................................................................................................... 15
1.1.1 Operation Process...................................................................................................................... 15
1.1.2 Screen ........................................................................................................................................ 15
1.1.3 Screen – 1 .................................................................................................................................. 16
1.1.4 Home Page (College Login) ....................................................................................................... 16
1.2 Student Enrollment .................................................................................................................................. 17
1.2.1 Operation Process...................................................................................................................... 17
1.2.2 Screen .......................................................................................... Error! Bookmark not defined.
1.2.3 Screen-1 ..................................................................................................................................... 17
1.3 Approval................................................................................................................................................... 18
1.3.1 Unapproved Student List............................................................................................................ 18
1.3.2 Approved Student List ................................................................................................................ 20
 1.3.3 Eligible Student List.................................................................................................................... 20

1. Application Manual
Application manual will describe the application flow which will help college user during
application operation. Use following URL http://muhs.ac.in/

1.1 College Login

After open login page user has to enter username and password.
1.1.1 Operation Process

 College login page will open.

 Enter User Name and Password
 Click on “Login” button.
 User will receive OTP on registered mobile number.
 User has to enter OTP and click on Submit button.

1.1.2 Screen
1.1.3 Screen – 1

1.1.4 Home Page (College Login)

1.1.4.1 Operation Process

 After login in application user will view following menus

o Approval
 Unapproved Student List
 Approved Student List
 Eligible Student List
o Transaction
 Student Enrollment
o Logout

1.1.4.2 Screen
1.2 Student Enrollment
In student enrollment page user has to enter student details. To enter student details user has to
follows the following steps.
1.2.1 Operation Process

 Click on “Student Enrollment” menu.

 User has to select Academic Year, Course Level, Course Branch and Exam
 After selection of above combination. “Enroll New Student” button will display
automatically. Along with cutoff date and total number of seats.
 User has to click on “Enroll New Student” button. User can also see the intake details and
cutoff date. After cutoff date or full of intake capacity application will not allow user to
enroll new student data.
o If student enrollment is less then intake capacity then button color should be
green.
o If student enrollment is equal to intake capacity then button color should be red
 Application will open student enrollment page. User has to enter all details and click on
check box to accept condition.
 Now click on “Save” button. Student enrollment process completed.
 After student enrollment details saved, application will enable student login and intimate
username and password to student via SMS or Email.

1.2.2 Screen-1
1.3 Approval
In approval list user can view the following reports
 Unapproved Student List
 Approved Student List
 Eligible Student List

1.3.1 Unapproved Student List

User can view the list of unapproved student list.
1.3.1.1 Operation Process

 Click on “Approval” menu and select on “Unapproved Student List” sub menu
 Application will open “Unapproved Student List” page
 User has to select Academic Year, Course and College
 Application will list out list of unapproved student list with “View” button.
 To view student application user has to click on “View” button.
 After click on “View” button, application will open student application form along with
attached documents.
 To view attached documents user has to click on “View” button.
 To enter remark user has to click on remark text box and enter remark.
 If user enters remark then user has to click on “Update Profile”. Application will send
remark to student login for correction.
 If student re-uploaded documents after remark then user has to clear remark by clicking on
“Clear” button.
 If user wishes to approve then user has to click on “Approve Profile” button
1.3.1.2 Screen-1

1.3.1.3 Screen-2
1.3.2 Approved Student List
User can view the approved student list.
1.3.2.1 Operation Process

 Click on “Approval” menu and select on “Approved Student List” sub menu
 Application will open “Approved Student List” page
 User has to select Academic Year, Course, and Approved by (HOD, Scrutiny, Faculty and
College)
 Application will list out list of approved students.

1.3.2.2 Screen

1.3.3 Eligible Student List

User can view the list of eligible students. Eligible student list generates only after approval
from HOD login
1.3.3.1 Operation Process

 Click on “Approval” menu and select on “Eligible Student List” sub menu.
 Application will open “Eligible Student List” page.
 User has to select Session and Course.
 Application will list out list of eligible students.
 User can also export the eligible student in excel or pdf file.
1.3.3.2 Screen
 MAHARASHTRA UNIVERSITY OF HEALTH SCIEANCES
User Manual
For
Online Eligibility Application For PG & Fellowship
Course
(Student Login)
Version: 1.0

Contents
1. Application Manual..........................................................................................................................22
1.1 Student Login........................................................................................................................................... 22
1.1.1 Login and Change Password ..................................................................................................... 22
1.1.2 Application Form ........................................................................................................................ 24

2. Application Manual
Application manual will describe the application flow which will help college user during
application operation. Use following URL

2.1 Student Login

After open login page student has to enter email id as username and password which is
generated by system and send on registered mobile number. Student login will active after
student enrollment in college login.
2.1.1 Login and Change Password

2.1.1.1 Operation Process

 Enter valid URL in address bar of web browser.

 Application will open student login page.
 Student has to enter username as email id and password which is sent by system on mobile
number.
 Click on “login” button.
 Application will open student home page.
2.1.1.2 Screen - 1

2.1.1.3 Screen - 2
 2.1.1.4 Screen – 3

2.1.2 Application Form

In application form student has to upload required documents.

2.1.2.1 Operation Process

 Click on “Application Form”

 Application will open “Application Form” page.
 Student has to enter all required details
 To upload documents student has to follows the following steps.
o Click on “Choose File” button.
o Locate file location from local machine and click on “Upload Document” button. All
uploaded documents is in draft mode. Student can re-upload document.
o After complete document upload student has to click on “Submit Form” button.
 If college, faculty, scrutiny and HOD marked remark on document in such case student will
view the remark in remark text box. As per remark student has to rectify problem and click
on “Submit Form” button.

2.1.2.2 Screen
2.1.2.3 Screen after Document upload

2.1.2.4 Screen after Remark

======Thank You ======