RAJASTHAN UNIVERSITY OF HEALTH SCIENCES, JAIPUR

RAJASTHAN PRE MEDICAL TEST 2012 (RPMT - 2012)

INSTRUCTIONS FOR FILLING ON-LINE APPLICATION FORM

For your reference, proforma of specimen on-line application form (Part I and Part II) have been uploaded separately. Refer the same before filling the application form on-line. The processing of application form is based on the information filled by the candidate. Any error committed intentionally or otherwise may result in cancellation of your candidature.

STEPS Part I Generation of bank challan 1. 2. 3. 4. 5. 6. Write your name as appearing in your 10th class mark sheet. Write fathers name. Write mothers name. Select your date of birth as appearing in your 10th class mark sheet, only from the calendar appearing on the screen. Select gender: Male/Female Select any one category as applicable to you: General / SC / ST / ST (Scheduled area, tribal) / OBC / SBC (No change of category will be permitted once submitted/confirmed in the on-line application form) Select sub-category: Select Sub-category: Not applicable (tick it if do not belong to PH, WDP, WPP category) PH (physically handicapped) WDP (ward of defense personnel) WPP (ward of para military personnel) Select your eligibility criteria (I to XI) as given under serial 3 in the information booklet. Tick the status of 10 + 2 or an equivalent examination: Passed /Appearing / Supplementary Tick any one of the following subjects in addition to physics and chemistry (as per your 10+2 or an equivalent examination) Biology Biotechnology Both (Biology and Biotechnology) Note: Candidates with only Biotechnology subject : Not eligible for BDS course.
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Present communication address: Write the full present address along with city, pin code, district where the communication to you could be made. Select your State from the list given.

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Write STD code and your residence phone number, if available, otherwise leave blank. Write your cell number (without zero 0) i.e. only 10 digit number, or a cell number where you could receive a message sent by RUHS, when required. Write your email ID / such email ID where confirmation message of submission of your on-line application form could be received by you. Check and verify the information filled by you before pressing the submit button. Important: This screen is not your application form. Do not print this screen. Your Part I of application form (that you have filled on-line) will be generated only after clicking on submit button appearing below.

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Press submit button. Wherever any correction is required, the text on left hand side will appear in Red colour. Correct the same and then click on Submit button. A box will appear on the screen, Are you sure, all entries are correct Ok / Cancel If you find that any information filled by you is not correct you are required to click Cancel button, correct the information (including your date of birth) and press submit button. When you find that all the information filled by you is correct you may press Ok button.

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Note down the user name and password for further steps. Move to home page and select the option Print bank challan. (ensure that printer is connected to the computer system) Enter your user name and password to print bank challan. A separate sheet giving your user name (your application form no.) and password alongwith the details filled by you will also be generated. Keep it safe.

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Deposit the application fee at any branch of Oriental Bank of Commerce. Ensure that you obtain Bank transaction ID (on all the three slips) from the branch of Oriental Bank of Commerce where you deposit the application fee using your bank challan.

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Part II Filling on-line application form 18. 19. 20. 21. To fill your application form on-line, select the option candidate login Enter your user name and password and press submit button. Select fill on-line application form, Part II Upload your recent passport size coloured photograph and signature in jpg, jpeg format (maximum size 30 kb) at correct specified place / area of the monitor screen. Note: Be very careful while scanning your photo and signature. You should first put your signature in an area of about 2" 1" on blank paper with a ball point pen. Scan this paper. Cut / select only signature area (2" 1") and save it as jpg or jpeg (do not upload your signature in A4 size format / full paper). Also, do not make any mistake in uploading signature and photograph. After uploading, once you press submit button, check that your Photograph and Signature are clearly visible on the screen. If your photo/signature image is appearing small or is not visible then it means youre your photo/signature image file is not as per the prescribed format. Re-upload the same, if required. If your photo/signature image that is appearing on screen is not correct then re-upload both photo as well as signature image. If both photo and signature files are correct, tick the confirmation check box below your photograph on the screen, press submit button to proceed. 22. Enter your valid bank transaction ID and date of deposit of application fee through bank challan at the bank. Select this date only from the calendar appearing on the screen. Select the course in order of your preference: MBBS BDS Select the course in order of your preference (as your first choice/ option). Now, click on >> button to transfer it to right hand side box. The same will appear on right hand side box as your first choice. Again, select the course (as your second choice/option). Now, click on >> button to transfer it to right hand side box. The same will appear on right hand side box as your second choice. You must choose minimum 1 course as your choice/option. You may change your order of preference by moving the same upward or downward using the buttons appearing at the right hand side box.

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Select additional WDP sub-category: if you belong to WDP (ward of defense personnel) category EXS1 Widows / wards of defence personnel killed in action EXS2 Wards of those disabled in action and boarded out from service/died while in service with death attributable to military service/ disabled in service and boarded out with disability attributable to military service EXS3 Widows / wards of Gallantry award winners EXS4 Widows / wards of Ex-servicemen If you have passed 10+2 or an equivalent examination Write year of passing the 10+2 or an equivalent examination Write number of attempts for passing 10+2 examination (as 1 or 2 or 3)

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Write the maximum marks and the marks obtained in each of the following subjects as appearing in the mark sheet of 10+2 or an equivalent examination: 1. Physics 2. Chemistry and 3. Biology/Biotechnology (any one, as applicable) 4. English The percentage (PCB) is automatically displayed on the screen.

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Write the maximum marks and the aggregate marks obtained (all the subjects) in secondary examination (10th). Permanent address: Write the full permanent address along with city, pin code, district. Select your State. Select medium of question paper for RPMT 2012: English Hindi Choice of the centre city: RPMT-2012 shall be held at Ajmer, Bikaner, Jaipur, Jodhpur, Kota, Udaipur. For this purpose, give your choices of the centre city in order of preference, where you wish to appear in your examination from the list of cities given. Once submitted, you will not be able to change the choice for the centre city under any circumstances. Select a centre city in order of your preference (as your first choice/ option). Now, click on >> button to transfer it to right hand side box. The same will appear on right hand side box as your first choice. Again, select a centre city (as your second choice/option). Now, click on >> button to transfer it to right hand side box. The same will appear on right hand side box as your second choice. and so on ..

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You must choose minimum 1 centre city as your choice/option. You may change your order of preference by moving the same upward or downward using the buttons appearing at the right hand side box. Important: This screen is not your application form. Do not print this screen. Your complete application form (that you have filled on-line) will be generated only after clicking on submit button appearing below. Wherever any correction is required, the text on left hand side will appear in Red colour. Correct the same and then click on Submit button. 31. Once you submit, you can view the completed application form that you have filled on-line (to check correctness of the data filled). If you find that any information filled is not correct you are required to click Back button and click Refill Part II of your on-line application form option and complete Part II and submit. When you find that all the information filled by you is correct you may opt for printing the application form by clicking Back button. 32. Check on the following Declaration: It is a must. I do hereby declare that all the information given by me in support of my application is true, complete and correct to the best of my knowledge, is binding on me and nothing has been hidden by me. I shall not claim any change or alteration. If any of them is found to be incorrect or false, my candidature will be liable to be rejected and I shall be liable to any legal action and / or punishment as may be deemed fit by the RUHS. I have gone through all the rules, information, instructions of the notification and I promise to abide by them. I fulfill the prescribed eligibility criteria relating to age, educational qualification etc. for RPMT 2012. Once you check on the declaration, Part II of your application form will turn non-editable. 33. Take printout on A4 size paper by clicking Print application form filled on-line option. You have to print at least one copy of your filled application form. Paste your unattested recent passport size coloured photograph, at the space provided on the printout of application form. This photograph must be same as uploaded by you while filling the on-line application form. 34. 35. Sign the declaration on the printout of the application form. It is a must. A confirmation message with your form number and Password shall be sent to you through Email on final submission (after printing) of the on-line application form.

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The list of enclosures specific to your application form shall be printed at the end of the application form. Complete the application form accordingly and keep safe for submission when required. You are not required to send to RUHS the print copy of your application form filled on-line.

Help line: In case you face any difficulty in filling the on-line application form, you may send an email at rpmthelpline@gmail.com

Follow the remaining instructions as given in the information booklet or as may be given from time to time at the RUHS website.

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