04/03/2022 GOVERNMENT OF KARNATAKA

Date of Issue:
-*****
CANDIDATE'S COPY
Admn. order No:
Order No

College Code: M09

-
200001515
- - - - -- -- --
KARNATAKA EXAMINATIONS AUTHORITY
KA
NEET PG MEDICAL-2021-ADMISSION ORDER TO POST GRADUATE Medical COLLEGES (ROUND-2)

M1D26 Rank: 3619 Claimed Category: Category-3B

PGET NO -- ***
- - - .

AKASHBJ is admitted to Medical

Sri/Kum - --- ----

in Raichur Institute of Medical

Sciences ,Raichur frimsexam252@gmail.com
-- * * * *** **********""**

M.D. General Medicine Under GM

on 03/03/2022 at 21:02 Fees paid Rs. 113900

- - - -
--

to the Principal of the above institution latest by 08/03/2022 Before 05.30 PM

The candidate is directed to report

The Principal of the college shallimmediately allow the candidate to join the course of study. In the event of refusal, the candidate may
approachthe jurisdictionDeputy Commissioner for enforcement ofthe Admision Order issued by KEA, in accordance with Rule 15(1) of
theAdmission Rules, 2006. This Admission Order is subject to Rule 13 & 15 (3) of the Karnataka Selection of Candidates for Admission to
Government Seats in Professional Educational Institutions Rules, 2006 and the Admission Rules of the respective Universities.

Atee
Signature of the Candidate Executive Director

KEA Bangalore.
04/03/2022

GOVERNMENT OF KARNATAKA COLLEGE COPY

KA
Date of Issue: 04/03/2022
- * * * *

Admn. Order No: 200001515 KARNATAKA EXAMINATIONS AUTHORITY

College Code: M09

NEET PG MEDICAL-2021-ADMISSION ORDER TO POST GRADUATE Medical CoLLEGES (ROUND-2)

PGET No: M1D26 Rank: 3619 Claimed Category: Category-3B

Sri/Kum AKASH BJ is admitted to Medical
in Raichur Institute of Medical Sciences Raichur [rimsexam252@gmail.com]
***** ***: *:****

M.D. General Medicine Under GM

on
03/03/2022 at 21:02 Fees paid Rs. 113900

The candidate is directed to report to the Principal of the above institution latest
by 08/03/2022 Before 05.30 PM
The Principal of the college shall immediately allow the candidate
to join the course of
study. In the event of retfusal, the
enforcement of the Admission Order issued by KEA, in accordance candda
approach the jurisdiction Deputy Commissioner for
the Admission Rules, 2006.
This Admission Order is
subject to Rule 13 & 15 (3) of the Karnataka Selection of witn kue o
Government Seats in Professional
Educational Institutions Rules, 2006 and the Candidates for Admissio
Admission Rules of the respective
Universites

Signature of the Candidate

Date:
04/03/2022 Executive Director

KEA ,Bangalore.
 National Board of Examinations in
Sciences, New Delhi
Medical
NEET-PG 2021
NEET-PG 2021 SCORE CARD
(NEET-PG2021 RANK)

Important Instructions

NEET-PG 2021 Kank which is the overal merit position of the candidate amongst all the
1This score card is intended to provide
appeared in NEET-PG 2021 after applying tie-breaker criteria as mentioned in Para 10.6 ofthe NEET-PG 2021
candidates who have
Information Bulletin.
MD/MS/Post Graduate Diploma Courses and Post MBBS DNB and NBEMS Diplorna
is valid for admission to
2. Validity: This result
Courses of 2021 admission session only.
50% quota MCDMS/PG Diploma seats shall be published separately.
3. Result of AllIndia
4. Score Card:

candidate"": AKASH B J
Name of the

JAYANNA M
Father's Name":
IL
USHA B
Mother's name":

2166144521
Roll Number.
V.
Date of Birth(dd/mm/yYYyi**: 09/04/1998

GENERAL
Category
NO
PwD status*:
VL
590
VIIL
Score (out of 800)#:
158
Total Corect responses:
XI **************'*****************************************
42
Total Incorect responses:

NEET-PG 2021 Rank#: 3619

form for NEET-PG 2021. Counseling/admitting

A s per information provided by the candidate during online submission of application
authorities are advised to verify the same.
MD/MS/Post Graduate
the candidates for admission to
#Appearance in NEET-PG 2021 does not confer any automatic rights upon of the eligibility critera and
Diploma/DNBNBEMS Diploma Courses. Your candidature is purely provisional subject to fulfillment
verification of original documents by the Counseling/Admission Authority
and venification of Face ID wherever required.

for any inadvertent

5. This is a computer-generated Score Card and hence does not require signature. NBEMS disclaims responsibility
error that might occur due to technicalreasons
the candidate in the
6. NBEMS disclaims any responsibility that may arise to candidate(s) due to incorrect information provided by
application form.
7. The final merit isvcategory wise merit list for admission to MDIMS/PG Diploma (exceptAll India 50% quotaseats)shail be generateo

by various Counseling Authorities as per their qualifying/eligibility criteria, applicable guidelines/Regulations &reservation poicy.
8. Candidates are advised to remain in touch with the website of various Counseling Authorities for all the information related to

admission process.

Cut-off scores for NEET-PG 2021:

General EWS (50th percentile) OBCISC/ST (40th percentile) General-PD (45th percentile)
302
265 283

I1 End of
score card
 13015693 GOVERNMENT OF KARNATAKA OFFO1179

Karnataka Secondary Education Examination Board

Certificate
DISTINCTION

This is to certity that the candidate has PASSED S.S.LC. Examination.

ENGLISH
daroad doa /Register No.
20130601416
Er cMedium ofInstruction
doned&TaMonth& Year APRIL-2013 r ñ /Student Type Regular Fresh

AKASH BJ
Name

Joda T Father's Name JAYANNA M

Mother's Name:
USHA BB
aITd
Oto a
NINETEEN NINETY EIGHT Oon BOY
09-04-1998 NINTH APRIL
Gender
Date of Birth
woEne MARKS
MARKS CLASS OBTAINED
OBTAINED
SUBJECTS MAX. MIN.

FIRST LANGUAGE: 44 121

KANNADA 125

c SECOND LANGUAGE 96
100 35
ENGLISH
tc.
dedr:3«.50 ba oeo3 sbee,3, de.60
Qaras
3c THIRD.LANGUAGE:
100 35 91
HINDI
3.35 06nso
dadoEO 5*e.30 soab 4ag
o6ríd

100 35 97 DISTINCTION 85% AND ABOVE

85°%
irdaMATHEMATICs 60% AND ABOVE BUT BELOW
FIRST CLASS AND ABOVE BUT BELOW 60%
SECOND CLASS 50%
FIRST
95 THOSE WHO PASS IN
35 CLASS IS DECLARED FOR
EcRscIENCE 100 ATTEMPT ONLY
PASS IN EXAMINATION
AGGREGATE
100 35 98 30% MINIMUM IN EACH
SUBJECT AND 35% IN
R R / SOCIAL SCIENCE
598 DISTINCTION (95.68%)
bo6re / TOTAL MARKS 625 219 598
FFO010
FIVE HUNDRED NINETY EIGHT ONLY SCHOOL CODE:
TOTAL MARKsOBTAINEDINWORDS
KSEEB KSEEBKSEEB KSEEB KSHE
KSEPB KSEEB KSEEB KSEEB KSEEB KSEEE KSEEB KSEEH KSEEB KSEEB
b a rs/SCHOOL & ADOREs8:
GOVT. PRE UNIVERSITY COLLEGE
KRISHNARAJAPET
MANDYA DISTRICT
m
571426

SECRETARY
DmoB/DATE 06-05-2013 KARNATAKA SECONDARY EDUCATION EXAMINATION BOARD,
BANGALORE
440213

GOVERNMENT OF KARNATAKA

DEPARTMENT OF PRE-UNIVERsITY EDUCATION

BDr3
CERTIFICATE

candidate mentioned below has completed the course and passed

This is to certify that the
Examination with the following details
the second year Pre-University
3on/F
MARCH 2015
Candidate's Name
AKASH BJ Month /Year

3ncodd o
Register No.
250957
Mother's Name USHAB
DISTINCTIONWITH FIRST CLASS
*

JAYANNA M
**

Father s Name
o soTAO Marks Obtained
ons Subjects 3onsd/F Max.
Register No. Month/Year Marks In figures n words
Part-I Languages
EIGHT EIGHT
MAR 2015 I00 88
250957
KANNADA
EIGHT EIGHT
MAR 2015 100 88
250957
ENGLISH

o-11 5025 aoNED

Part-ll Optionals
NINE SIX
00 96
250957 MAR 2015
PHYSICS
ONE ZERO ZERO
100 100
CHEMISTRRY 250957 MAR 20155
ONE ZERO ZERO
100 100
MATHEMATICS
250957 MAR 2015
ONE ZERO ZERO
100 100
BIOLOGY
250957 MAR 20155
JTIT ClasSs Obained
600
SS150 Total Marks 572
College Code No.
729 DISTINCTION

Marks in words
FIVE SEVEN TWO
DK DT
ALVA'S PU cOLLEGE, MOODBIDRI MANGALORE Ta,
College 574227

STUDENT TYPE FRESHER 3G0330

DATE OF RESUILT 18.05.2015

DIRECTOR
Akash e J Educanon.
Department of Pre-University
PAPephs Siguturee of the Candidare Bangalore
Alva's Pre Universiyolege
0 0 00 0 0 0P 0
 GOVERNMENT OF KARNATAKA

ARNATAR

Mysore Medical College And ip

Dendi calollege
and Research Iitute
Research Institute, Mysore n MYSURU

Recongnized by Medical Council of India

Dated. 22-02-2021
***'***
No.INT.CR 306/2020-21
COMPULSORY ROTATING INTERNSHIP
COMPLETION CERTIFICATE

AKASH. B.J.
** . Son/Daughter of
is to certify that Dr:
'*'*********''*****"''*******'*''''"'*******'

.
This . .

JAYANNA M. 15M2477 was a bonafide student ofthis

***********'***** *"**** bearing Reg. No. . .

Aug. 2015
Feb. 2021 He/She passed Final M. B.B.S.examination of

College from.. Karnataka held in the month of..ecembor

******************* . yEur

the Rajiv Gandhi University of

Health Sciences, o
20 19 andhas completed oneyear Compulsory
Rotating Internshipfrom.19-02-2020....
. .
* * * * * * * * * * * * * * * * * * * * " * * * * * * *

*
09-02-2021. including repetition/extension.
*****"*'***********' **.
PERIOD
DURATION
TO
SL DEPARTMENT
INSTITUTION (SIN MONTHS FROM
NO MAMC&RI,Mys 2 Months 10-02-20 09-04-20
01. Community Medicine MMC&RI,Mys 2 Mon ths 10-08-20 09-10-20
02. Medicineincluding Psychiatry MMC&RI,Mys 2 Mon ths p9-12-20 09-02-21
2 Mon ths 10-04-20 09-06-20
Surgery Including Anaesthesia
03 MMC&R I, Mys
Family Welfare Planning
04. Obst./Gynae. Including 10-07-20 09-08-20
1 Mon th
MMC&R 1,Mys
0-10-20 |24-10-20
05. Paediatrics MMC& RI,Mys 15 Days
24-11-20 08-12-20
06. Ophthalmology MHC& RI,ys 15 Days
07. Otorhinolaryngology MMC&R I,Mys 15 Daya 25-10-20 08-11-20
08 Casualty MMC& RI,Mys 1 Mon th 0-06-20 09-07-20
09. Orthopaedics
Elective Postings 23-11-20
MMC2 RI,Mys 1 5Days 09-11-20
10. Dermatology

12. Character, Conduct

and work was found to be satisfactory.
/ her
training period his
During the above the Medical Coun
cil of India
This College is Re cognized by
DIRECTORAN OANDpal
Date: 22-02-2021 MYSORE MEDIG
RESEARCH INSNSURU.
Place Mysore
MYSORE L
NOTE then fill and following
transfer to do intemship
in otherInstitutions,
Ifthe student has taken to.
. Vide RGUHS
He/She was permitted to do internship
from..
Hospital/College (Address).
**'*' '*****''*' ' ' '°********'' ' °'***'"' ****''*' °'*****'' ********, Jate. ******

Notification No. . .
 GOVERNMENT OF KARNATAKA
PH: Off: 0821-2520512

MYSORE MEDICAL COLLEGE AND RESEARCH INSTITUTE

MYSORE - 5700011
(Recognized by Medical Council of India)
No. UGC/CR/ 306 : 20 20 20 21 22-02-2021
Dateen
asasussee***s***
ACADEMIC CAREER CERTIFICATE
AKASH. B.J.
This is to certify that Dr. . *********eeseeooo***************e****** . Was
Aug. 2015 Feb. .2021
astudent of this college from.. . . t o. Passed the final
MBAS Degree Examination conducted by Rajiv Gandhi University of Health Sciences,
First class during..ecember 2 0 1 9
Karnataka, Bangalorein ***************. *******

15M2477 RS-3
with Reg. No. .Scheme
..Under . **************.********
His /Her character and conduct were satisfactory.
The examination passed are noted below :
NAME OF THE YEAR OF PASSING NO. OF ATTEMPTS
CLASS OBTAINED
EXAMINATION WITH REG NO

Phase I M.B.B.S.
First June. 2016
Anatomy Clas s 15M2477 First
Physiology
Biochemistry
Phase IlI M.B.B.S.
Pathology First Dec. 2017
Class 15M2477 First
Microbiology
Pharmacology
Forensic Medicine
Phase III Part I M.B.B.S.
Community Medicine
Second Dec. 2018
Cl ass 15M2477 First
Ophthalmology
E.N.T.
Phase III Part II M.B.B.S. First Dec 2019
Paediatrics Clas s 15M2477 First
Medicine
Surgery
Obstetrics & Gynaecology

Date: 22-02-2021 PripiRteinal

Director and demetbaipa!
Mysore Meidekéactlegsttoe
Place Mysore Research InstitSUMysore.
 EDICA
Aarnta
atnata
aka M
nics

ounc
Coune
BENGALURU

Reg. No.: 144782 Date 21 Oct 2021

Certilicate of Registration
(UNDER THE KARNATAKA MEDICAL REGISTRATION ACT 34 OF 1961)

Name Dr. AKASH BJ

Father's Name : JAYANNA M Date of Birth o9 Apr 1998

Address: BANDIHOLE VILLAGE & POST, KR PET TQ
KARNATAKA, MANDYA 571426

Qualification BACHELOR OF MEDICINE AND BACHELOR OF SURGERY

College: MYSORE MEDICAL COLLEGE,& RLMYsORE

University: R.G.U.H.S(February-2021)
Additional Qualifications Date Registrar
Sigmature

do hereby certify that this is a true copy of the entry of the above-specified name in the Medical Register
IMPORTANT NOTICE
1. Report change of address and additional qualifications promptly.
2. All enquiries made bythe Registrar should be answered without fail
3. All PersonsRegistered under this Act are legally qualified to practice
Modern Scientific Medicine, Surgery, Obstetrics and
Gynecology.
4. Shall abide by Code of Medical Ethics framed from time to time.
5. Renewal of registration is compulsory every five years from the date of
Dr. Shaurao. Patil
B.
registration. Registrar
6. Do not laminate the
certificate Karnataka Mdiçal Council
SI. No.:
94394
Registrar
 3HTTT
d s doFd
Government ofIndia

2d3ea ba ridba nand

Unique ldentification Authority ofIndia
eroaad 8ab roa, Enrollment NNo 0619/11281/07143
To
Akash BJ

S/0: Jayanna M
VTC: Bandihole, P0: Bandihole
Sub District: Krishnarajpet, District: Mandya,
State: Karnataka, PIN Code: 571426
Mobile: 9035405335

KF075720261 FI

Aadhaar No
ab upo doa,/ Your
7294 1553 3953

nmer

Akash B J
B o d / DOB: 09/04/1998

d a / Male

7294 1553 3953

 INDIA NON JUDICIAL

Government of Karnataka

e-Stamp

:IN-KA38953712293537U
Certificate No.
Certificate Issued Date
16-Feb-2022 09:52 AM
NONACC (FI/ kagcsl08/ Malleswaram/ KA-BA NOTARRY
Account Reference
MOHAN
Unique Doc. Reference SUBIN-KAKAGCSLO816390791321682U
B.Sc.LLB.
AKASH B J BengalurU City
Purchased by Karnataka)

Description of Document Article 4 Afidavit Heg. No. 3767

Exp. 27-09-2026/
RURAL SERVICE BOND
Description
Consideration Price (Rs.)
(Zero)
NMEN
AKASH BJ
First Party
DIRECTOR DIRECTORATE OF MEDICAL EDUCATION
Second Party
Stamp Duty Paid By AKASH B J
100
Stamp Duty Amount(Rs.)
(One Hundred oniy)

NARAM

Authorized

Signatoy

*******

* * * * * * * * * : * * * * * * * *

type below this line

* * * * * * * * * * * * * * * * * * * * |
Please write or
***********
* * * * * * * * * * * * * * * * * *
***
 Compulsory Government ServiceAnnexure 1
I, Bond Format
AKAS H B aged
for non in-service (Candidares
23_YEARS S/o, D/o/ W/O
AYONNA M Permanent of Resident &und hole icae
fs kK Pel 1 Mandya -SYL
present residing Bandihole VUe po4t k R Pet T
Mand oa sL y2 (as per address
document submitted
along with application), do hereby swear on oath as follows,
1. That I am admitted to RIMS Kai chu

College for PG/Broad-specialty/Degree/Diploma MD Qunu Yad MMdugio_(mention the

subject) under Stale quota.

2. I am submitting the bond after reading and fully understanding the Karnataka
act 2012 and its
Compulsory service by candidates completed Medical course

amendments.
3. I state that I have admitted under non-in-service State quota/ All India quota.

I understand that all the candidates (other than the candidates who have undergone
4.
to PG
compulsory rural service after award of MBBS/BDS degree) who take admission
and successfully complete the Post Graduate Degree/
Medical Degree/Diploma courses

Government hospital in urban

Diploma shall under go one-year compulsory service in
service training by the candidates completed medical
area as per Karnataka Compulsory
Service
per Karnataka Compulsory
(counseling, allotment, and certification)
as
courses

there under to the said act.

Act 2012 as amended in 22/09/2017 and rules
only temporary
that the candidates will be entitled
to
5. I am fully aware of the fact
to the said
until completion of such service. I shall be abide voluntarily
registration
condition,

Name &
Jana-
Signatute of Parent/
Guardian
Student
iame & Signarure of

Place: Bangalore SWORN TO BEFORE ME

Date: NO

K. B Sc.
MOHAN M
LLB.
Bengaluru City K. MOHAN, B.Sc. LLB
Karnataka)
ADVOCATE and NOTARY
Reg. No.8767
Exp. 27-09-2026 No. 6, 14th Cross,
T OF
Sampige, Margosa Road,
WMEN Malleshwaram,
Bengaluru - 560 003.
 (Needsto be submittedPersonal Details
by the candidate
Sl.
Particulars along witlh the bond)
No.
1. Name
2. Age with date of birth
AkASH 8T
23 ye 01)1418
Fathers Name
JAYANNA M
4 Mothers Name
VSHA B
5. Present Address Bandihole
Rrt Mandya S1426
Bandh ole Villa fos4
Permanent Address
Ke Pet T MRndya- StuA

of the Candidate 03Sy DS 33S

Contact Number
Mobile: Guardian/
Contact No. Of Parent / 89s3 aS S
| 8. to contact in
case
Reference of
candida e

o f emergency akashbi 98 gmai.Cem

E-mail ID
10. Aadhar No
State MedicalRegistration No. J4u&2

11.
State
All NEET Rank
3C9-
12.
KEA /State
NEET Rank
13.
Order details KIMS Kai thur
14.
Admission

to which
candidate is
college
15. Name of the
admitted.

Speciality/ PG/Diploma
UG/ Super
16.
16
17. Discipline/ Subject
under
reservation quota
the
B. Details of is admitted.
candidate
which

Jovyan Guardian

Name & Signatkrrc orParent/

of Student
Name& Signature
 INDIA NON JUDICIAL

Government of Karnataka

e-Stamp

Certificate No. IN-KA38953585472744U

Certificate Issued Date 16-Feb-2022 09:52 AM
NONACC (FI/ kagcsl08/ Malleswararn/ KA-BA NO
Account Reference OTAR
Unique Doc. Reference SUBIN-KAKAGCSLO816391221507811U K. MOHAN
Purchased by AKASH B J B.Sc. LLB
Bengaluru Lty
Description of Document Article 12 Bond Karnataka)

Reg. No. 3767

Description UNDERTAKING BOND Exp. 27-09-2026/

Consideration Price (Rs.)

RNME NTOf
(Zero)
First Party AKASH B J
DIRECTOR DIRECTORATE OF MEDICAL EDUCATION
Second Party
Stamp Duty Paid By AKASH BJ

Stamp Duty Amount(Rs.) 200

(Fwo Hundred only)

A u t h o r i z e d

S i g n a t o r y

**********2
-- *******
-
Please write or type below this line ***
* * * * * * *

**************
****************
********* * **
 ENTRANCE TEST FOR SELECTION AND ADMISSION TO THE PoST-GRADUATE
MEDICAL AND DENTAL DEGREE AND DIPLOMA coURSES RULES, 2006 FOR

MEDICAL DEGREE/DIPLOMA COURSES

notarized)
(O be executed on a stamp paper of Rs. 200/ and duly
ToYANA M
I, AKASH B JJ S/o, D/o, W/o
years, having
aged 3
ELPPAG 6 138
PAN No.
Aadhar no. 994 1553 3S3
vilge Post K fed T
permanent resident of 8andthsle
and presently
(as per
address proof submitted)
Mandya disd Mandya
at
8 andi hs le
residing (as per temporary

swear on
oath
BOUNDEN)
do hereby
after referred to as

address entered in application), (herein

as follows-
in
India Quota'/"State quota
seats for 'All
to
Government college
admitted
That I am
1) Rai hur (Indicate
RTMS buneras Medii ne
degree/diploma
in MO courses-2021.
medical
postgraduate admission to post-graduate
for centralized counseling for
the
the subject) during
subsidized, I shall be
Government seat is highly after
tuition fee for three years
of the fact
that the
for a
minimum period of of
aware Karnataka conduct
2) I am
the State of Karnataka
to serve
under rule 15(6) of the
under an obligation course as required
post-graduate
completion of my to the postgraduate understanding
reading and fully
admission
selection and
entrance test for rules, 2006. After
course

medical and
dental degree and diploma "Government' seat".
for the
abovementioned Rules, I have opted
the
voluntarily, with
the undertaking
furnish
I hereby
with the above Rule 15(6), Karnataka for a period
G o v e r n m e n t of
3) In compliance condition to s e r v e the
abide by the location decided by
the
free will that I shall
my c o u r s e in any
of my post-graduate
after completion myself and/or my
of three years
to comply with undertaking,
and that If I fail
avemagdof Karnataka, of us, our
and each of heirs,
ourselves and each
do hereby bind
below on
of Karnataka
sHrtiesd ktianed the Governor
to pay to
B.Sc. LLB jointly and severally ONLY) for post
RRarnatakal ahit dministrators (RUPEES FIFTY LAKH
Reg. No. 8767, a penalty of Rs. 50.00 lakh
pay
TWENTY FIVE
LAKH ONLY) for

SANME
e y a e d é e and
Rs. 25.00 lakhs
(RUPEES
O
NDIA
 N
aka
State
e CO-00

Operat
Oss$
y a
INDIA
ivtRNAMENT KAFNA FNTD
NA"
KAAT ANA (OF TAKA GJVERNMENTj:
tEN
UF AAIA Gve
NT KAFINAI AR/A DVEFNMEN
GOVE NMENi ( KAMNATAKA CaOyEleiME
ARNATAKA GOVERNME.N CF KAFNA, TAKA <GVEANMET OF KArifuA i hAT
 AFFIDAVIT

, A KASH ****** *** ***

aged about .

M ., Permanent Resident
years, 6/o. ... AIANNA ****
* *****'**** '

of. and hole

' * ' ****'*''' ****'*** ' '**.
K ..P.eA..ak. ''**' *'*'*****'***'

*'**'*''**°*****
Karns .. ******'***'****'*******'*'*

NEET- PG 2021 conducted by National Board of Examinations,

have appeared for of secured
qualified with a total score
New Delhi, and have been declared
as

in the said test. Today in BANGALORE.

.. . . score

admission in anyY
that I have not taken post
graduate
herebyY solemnly declare surrendered any
bodies. I have not
Collegeallotted by other exam conducting conducted by
entrance exams
graduate
seat in past NEET PG exams/other post
other authorities.
State Government and various

Examinations Authority, Bangalore,

if I
Karnataka
s h a l l immediately notify the conducting
bodies.
other exam
in any college through
am getting admission **** *********************""**
********************* ************** *******

level through
* * *

admission at Institute
after the
s h a l l also not surrender any seat do so only at
Karnataka

to surrender
I shall
any seat allotting
bodies. If I need
Examinations Authority, Bangalore.
verification and submit the
documents for
required original
I shall produce all the E x a m i n a t i o n s Authority.
Karnataka
s a m e as
notified by
verification
verification or
or
documents for
produce/submit
fake/concocted.documents
shall not

admissiopn. .

if
criminal proceedings
also liable for
allotted to me and I am
me is found
to be
Iwill forfeit the seat information/documents produced by
any one of the above
false/incorrect.
8o 7y t2
OT
PGETNo./Testing ID:
KUNpAN BABU M.\
B.Com., Bengal LL.B., uru
ThrMetoughout
Reg.ExpiroNrpolyo.iDatta20463
ne Area3
Date Deponent
Place: BANGALORE

08/03/2025
Signature of the
Candidate OF INDWORN TO BEFORE MAE
KUNDAN BABU B.Com, LL.B
ADVOCATE & NOTARY
GOVT. OF INDIA
#256, 5th Main, 1st Phase
Maniunath Nagar, Bengaluru 560040
17 AN 2022
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 (An Autonomous Institute of Government of Karnataka)
Irwin Road, Mysore-570001
: +91-0821-2520512 (Off.), 2520803 (Fax)
E-mail: mmcrimysore@yahoo.com
Website: www.karnataka.gov.in/mmcri
Date: 07.01.2022
No. MMCRI/UG/389/2021-22

TRANSFER CERTIFICATE

Name of the Student Dr. AKASH BJ

1
Nineteen
in the (Ninth April
Date of Birth as 09.04.1998
2 Admission register Hundred Ninety Eight)
01.08.2015 to 09.02.2021
Date of admission to and of
3 leaving the College (Including Internship)
Passed Final MBBS Vide
Class from which he leaves Reg. 15M2477,
December -2019
4
OBG
class Paediatrics, Medicine, Surgery,
Subjects studied in the
5 Whether qualified for
Yes
6 promotion
Whether he has paid all
hostel dues and
college and
has returned all books to the Yes
7 and union
college. University
libraries
Conduct of the student
Satisfactory
8

Principal,
Mysore Medical College and
Research Institute, Mysore.