MAHATMA GANDHI MISSIONS MGM INSTITUTE oF HEALTH SCIENCES Sector 1, KAMOTHE, NAVI MUMBAI — 410209, 5 (022) 27432471 Fax 27431004, wen marae com Ema accourtmumb ngs com RECEIPT Receipt. 3 C1/C/22426 Date 01-08-23 egistration N Cate: e@ar-Branch : I-MBBS- Batch: 2023 Sc-From : Tiwari Harshvardhan Vinay Particulars a ae Amount IL. TUITION FEES 2100000.00 _ __ Grand Total : 2100000.00 jin Words: Rupees Twenty One Lacs Only [DD No.: 257787 Di 07-23. Rs. 2100000.00 jank : STATE BANK OF INDIA Cash: 0.00 MBAI “ MBBS lst YEAR TUITION FEES F 23-24 izatioica! Counseling Commitee (MCC), OGHS, Ministry of Heah 8 Fariy Welfare, Government inaia vice NET Us Coursing fr MBBS, 605 B.S. ring 2822 Mcc ¥ Provisional Agmission Letter T meric ETE ; zi UG Rol Number ]st1#200196 TNEETUG Appicaton [7 NEE TARSHIAROWN VAY THWARI—[Feter Name [Bossy THAR ERIERI i 4 # a a ae a ie o | E i [pe Details ‘ll sa Rank (EET UG Mees} E} [ate nent Detals = Roo 4 Number I Toptss [ies te name TwcuraecicalGaiege New bs [Program Name [all nent Categor Tose Alloenert vets TDeerea?os Seas 08 ipa Teotats T Sir. ibe Engi Detail x [NE=" Us Medica Eide bx Coseton | [Car date Profle Oars ar oop fx Ares Fores Wasi Coleoe Tho ‘nle Qualication Details = * 20h oe Equivalent Marks Deals [pa og Yeor face Passe Sa arash, 1 lore. Pn Code Teooose a YearfSementer Wiss Marks Detals a Passing Sat [reas Treat oviaines Passed 00 Ts a Passed 100 sn greets a] Sheet ent iateProvtoal 1 Corba se Te co [Do mer veriestiton Deals foe ni vericavon Corer MGM MEDICAL COLLEGE, NAVI MUMBAI | [ovoe.023 13 193 | [NONE 1 = Sey a NEET UG Medes catalogs ces) | TO CANDIDATE DO NOT WANT TO PARTICIPATE IN NEXT ROUND OF | [seungetune ae Se ns cosa nee same ae a oo — Zo iacchWARDHAN WRAY TaVARD) {\, (ORLG.S.NARSHETT) (on 6 NARSHETTY) vs i tee tn moe pert DE Ow Dean : a sii tat eae Generated On 01-08-2023 01:17:59 PM an ayaa 410203leh) MGM MEDICAL COLLEGE, KAMOTHE, NAVI MUMBAI CONSTITUENT UNIT OF MGM IHS, DEEMED TO BE UNIVERSITY U/S 3 A UGC Act.1956, NAAC-A++ Checklist for documents Submission (First Year M.B.B.S.2023-2024) Date: 04. /o8 /2023 Name of Candidate: Mr/1Ms. day “Th Address:-_I-jo01 Ructomsee dzztawo , THANE tw [ MCC Allotment Letter te] ‘Admit card of NEET UG 2023 a See | Statement of Marks of NEETUG 2023. ane Wa Nationality Certificate/Domicile Certificate/Photo copy of Valid Passport Wa Certificate of Birth OR Any other government document in which date of birth is | mentioned. | Migration Certificate (If applicable) = Le Passing Certificate of SSC oritsequivalent a | Statement of Marks of SSC or its equivalent examinations. Passing Certificate of HSC/CBSE/ICSE or its equivalent. Sela ‘Statement of Marks of HSC/CBSE/ICSE or its equivalent Examinations. fe Bonafide & Character Certificate from the Head of Institution of last attended 1A ing / Transfer Certificate Pe | 13_| Medical Fitness Certificate from a registered Medical Practitioner (No fixed format for it) | -~ _14 | Photocopy of Identity proof (Aadhar card/PAN Card/Voter ID/Valid Passport) _ ea “15 | Undertaking/Declaration (Duly Notarized as per attached format (A,B) | 16 | Caste Certificate/Caste validity Certificate/Non-Creamy Layer Certificate (For SC, ST, SBC and OBC Candidate] l= 17_| Four recent Passport Size photographs. aes 18 _| Fee can be paid in multiple DD's with amount totaling to the total tuition fee. | Tuition fee DD No. 953397 Date 92)oF/zoxsBank Rs. 24, 00,0004 4 Tuition fee DD No. Date Bank Rs. Tuition fee DD No. Date a Rs. 19. For NRI Quota Admissions (As per of DGHS/ Govt.Of India.gu a _| Notarized Affidavit of the person who is NRI and the Sponsor ar b | Document claiming that the Sponsor is an NRI (Valid passport, Visa &indian Embassy letter situated in that country Nay c fh the candidate (Notarized affidavit of family tree) val ‘d_| Affidavit from Sponsor that he /she will sponsor the entire course fee of the candidate vi | e_| Embassy Certificate of the Sponsor idelines) Abstract from Information Bulletin of MCC (Annexure 6 on page number 57) The conversion of nationality of candidates from ‘Indian’ to ‘NRI’ is ‘Provisional’ based on the authorities at the time of reporting and the Embassy Certificate from the sponsored may be sent to the Ministry of external Affairs/ respective High Commissions for verification, if found ‘FAKE’ the provisional allotment of candidate may be c; Legal action might be initiated by the competent authority, Q- \\ 2 (ee Ore Z Signature. Verified by a Member of Scrutiny Com