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AIPGMEE 2012 : MDS Online Application

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All information and provisions in detail are mentioned in the prospectus and Help Manual. So, applicant must read the “Help Manual” and “Prospectus of concerned Entrance Examination” available on website ( i.e. on HomePage of www.aiimsexams.org Website in “Prospectus” Section) before start filling up the form.

New Account
If you are a first time user create an account using your email address and choose your own password:
The Details once entered can not be changed later
EMail ID
Confirm EMail ID
Password
Confrm Password
Write the Candidate’s full name in BLOCK LETTERS as given in the records of Secondary Education Board/ University
Name
Write your father’s name in the appropriate fields in BLOCK LETTERS
Father’s Name
Option once declared in the Application form cannot be changed later on. The candidature of such OBC candidates who covered under the creamy layer will be considered only under the General category.
Category*
Select Choice of centre. In case of discrepancy or non-availability of centre in the city as opted, centre as allotted by the AIIMS will be considered as final. No changes are permitted thereafter.
Center Choice*
Select the date of birth as recorded in Secondary School Leaving Certificate or equivalent examination.
Date of Birth
Please enter valid Mobile Number.
Mobile Number
Declaration
UNDERTAKING: I undertake that I have completed/will complete 12 months Compulsory Rotating Resident Internship on or before 31-03-2012.
I solemnly affirm that the information furnished above is true and correct in all respects.l have not concealed any information. I realise that if any information furnished here in is found to be incorrect or untrue,I shall be liable to civil/criminal prosecution and also forgo my claim to the seat in the institute.Further,I affirm that no proceedings in respect of any civil/criminal offence alleged to have been committed by me are pending before any criminal court in India. I agree to abide by the rules and regulations governing this examination and as contained in the Prospectus.

*Certified that I have informed the Head of my Institution/Department in writing that I am applying for this examination. I undertake that in the event to any communication from my Institution/Department withholding permission to my appearing in the above Entrance Examination/admission to the course, my candidature/admission may be cancelled.

**I hereby declare that I belong to the OBC Community which is recognised as a backward class by the Government of India for the purpose of reservation for admission in Central Government Institution as per orders contained in Department of Personnel and Training Office Memorandum No 36012/22/93Estt. (SCT), dated 8/9/1993. It is also declared that I do not belong to persons/sections(Creamy Layer)mentioned in Column 3 of the Schedule to the above reffered office Memorandum, dated 8/9/1993, which is modified vide Department of Personnel and Training Office Memorandum No 36033/3/2004 Estt. (Res.) Dated 9/3/2004. I also declare that the condition of status/annual income for creamy layer of my parents/guardian is within prescribed limits as on financial year ending on March 31,2012.

* Applicable for candidate persuing any PG Degree/Diploma Course/is employed, ** Applicable for candidate is belongs to OBC Community.

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