Kakatiya Medical College, Hanumakonda

Required documents for MBBS Admissions 2023-24

1. Application (Joining Report)
2. University Provisional Selection Order
3. NEET Admit card
4. NEET Rank Card
5. Bonafide/Study and conduct Certificate (1st to Inter)
6. SSC Marks Memo
7. Intermediate Marks Memo
8. Transfer Certificate
9. Migration Certificate (If Applicable)
10. Equivalent certificate (If studied in other State)
11. Social Status Certificate/EWS Certificate
12. PWD certificate (If Applicable)
13. NCC/Sports/CAP/PMC(If Applicable)
14. Aadhar Card (Xerox)
15. Discontinuation Bond Paper Rs. 100 (for Rs.20 Lakhs)
16. On non Judicial stamp paper of Rs. 100 (Genuinity of certificate).
17. On non Judicial stamp paper of Rs. 100 (Anti ragging affidavit by the Student)
18. On non Judicial stamp paper of Rs. 100 (Anti ragging affidavit by the Parent)

19. D.D. No. Dt. OC/BC of Rs.29000/-

D.D. No. Dt. SC/ST of Rs. 27000/-

In Favor of Principal, KMC, Hanumakonda

20. D.D.No. Dt. of Rs.12,000/-(University fee for AIQ)

In Favor of Registrar, KNRUHS, Warangal

21 .4 Copies of Latest Color Photos

Note : Bring two sets Xerox copies of all the above documents along with the
originals
PROFORMA FOR UNDERTAIKNG IN THE FORM OF AFFIDAVIT (ON NON- JUDICIAL STAMP PAPERS OF RS.100/-
WITH NOTARY)
BOND FOR UG MBBS/BDS ADMISSION FOR THE ACADEMIC YEAR 2023-24

I (Name of the candidate) S/o,D/o (Name of the parent),

Selected for MBBS/BDS Course do hereby under take to complete the course as per the
requirements of KNR University of Health Sciences, Telangana, Warangal. In the event of my
discontinuing the studies after joining the course after the date of announcement of second phase
of admissions, I under take to pay KNR University of Health Sciences, a sum of
Rs.20,00,000.00/- (Rupees Twenty Iakhs only) and I am aware that I will be debarred for three
years for admissions into MBBS/BDS course in the state of Telangana besides payment of Rs.
20,00,000/- (Rupees Twenty Iakhs only) towards the forfeiture of the bond in accordance to the
G.O.Ms No.125,126 and 127 HM&FW Dept Dated:22.09.2022.

Signature of the candidate

I (Name of the parent), parent of Mr/Ms. (Name of the

candidate), do here by under-take to pay KNR University of Health Sciences, a sum of
Rs.20,00,000.00/- (Rupees Twenty Iakhs only). In case of discontinuation of MBBS/BDS Course
after joining the date of announcement of second phase of admissions by my son/daughter and I
am aware that my son/daughter will be debarred for three years for admissions into MBBS/BDS
course in this state of Telangana bedsides payment of Rs.20,00,000.00/- (Rupees Twenty Iakhs
only) towards forfeiture of the bond in accordance to the G.O.Ms No.125,126 and 127 HM&FW
Dept Dated:22.09.2022.

Signature of the Parent

Witnesses

1.

2.
 PROFORMA FOR UNDERTAIKNG IN THE FORM OF AFFIDAVIT(ON NON-
JUDICIAL STAMP PAPERS OF RS.100/-)

UND ERTAKIN G

I, .......................................................................................... (Candidate name)

S/o / D/o ...................................................................................... , bearing UG NEET 2023

Rank No ………………………….. and I, . ……………………………………………………………………………………….

(Parent name ) F/o ..................................................................., bearing UG NEET 2023

Rank No …………………………..

hereby give an undertaking as below, in connection with our claim with regard to
certificates submitted for admission into UG Medical and Dental Courses for the Academic Year
2023-24 in Colleges affiliated to KNR University of Health Sciences. We, hereby declare that all
our certificates are genuine.

I am aware that if the submitted relevant certificate (s) is / are found to be not genuine at
a later date, my admission is liable to be cancelled and I am liable for criminal prosecution, as
may be legally deemed fit. Further I agree that I abide by the Rules and Regulations of KNR
University of Health Sciences. I also hereby undertake that I shall not enter into legal litigation,
if the seat allotted to me is cancelled, for the above reasons.

Signature of the Parent / Guardian Signature of the Candidate

Aadhar No.

Address :

Date:

Place
 (ON NON- JUDICIAL STAMP PAPER OF RS.100/-)

ANNEXURE I

AFFIDAVIT BY THE STUDENT

I Registration No.

S/o, D/o , having been admitted to Kakatiya Medical

College, Hanumakonda, have received a copy of the UGC Regulations on Curbing the Menace of
Ragging in Higher Educational Institutions 2009. (Hereinafter called the “Regulations”) carefully read
and fully understood the provisions constrained in the said Regulations.

2) I have, in particular, perused clause 3 of the Regulations and am aware as to what fully constitutes
ragging.

3) I have also, In particular, Perused clause 7 and clause 9.1 of the Regulations and am fully aware of the
penal and administrative action that is liable to be taken against me in case I am found guilty of or
abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.

4) I hereby solemnly ever and undertake that

a) I will not indulge in any behavior or act that may be constituted as ragging under clause 3 of
the Regulations.

b) I will not participate in or abet or propagate through any act of commission or omission that
may be constituted as ragging under clause 3 of the Regulations.

5) I hereby affirm that, if found guilty of ragging, I am liable punishment according to clause 9.1 of the
Regulations, without prejudice to any other criminal action that may be taken against me under any
penal law or any law for the time being in force.

6) I hereby declare that I have not been expelled or debarred form admission in any institution in the
country on account of being found guilty of, abetting or being part of a conspiracy to promote,
ragging; and further that affirm that, in case the declaration is found to be untrue, I am aware that my
admission is liable to be cancelled.

Declared this day of month of year.

Signature of the Student

Name:

NOTARY
 (ON NON- JUDICIAL STAMP PAPER OF RS.100/-)
ANNEXURE - II
AFFIDAVIT BY PARENT / GUARDIAN
1) Mr. /Mrs./Ms. (full name of parent /
guardian) father / mother / guardian of
(full name of student with admission / registration / enrolment number) having been admitted to
Kakatiya Medical College, Hanumakonda , have received a copy of the UGC Regulations on Curbing the
Menace of Ragging in Higher Educational Institutions 2009. (Here in after called the “Regulations”)
carefully read and fully understood the provisions constrained in the said Regulations.
2) I have, in particular, perused clause 3 of the Regulations and am aware as to what fully constitutes
ragging.

3) I have also, In particular, Perused clause 7 and clause 9.1 of the Regulations and am fully aware of the
penal and administrative action that is liable to be taken against me in case I am found guilty of or
abetting ragging, actively or passively, or being part of a conspiracy to promote ragging.

4) I hereby solemnly ever and undertake that

a) My ward will not indulge in any behavior or act that may be constituted as ragging under
clause 3 of the Regulations.

b) My ward will not participate in or abet or propagate through any act of commission or
commission that may be constituted as ragging under clause 3 of the Regulations.

5) I hereby affirm that, if found guilty of ragging, my ward liable for punishment according to clause 9.1
of the Regulations, without prejudice to any other criminal action that may be taken against my ward
under any penal law or any law for the time being in force.

6) I hereby declare that my ward has not been expelled or debarred form admission in any institution in
the country on account of being found guilty of, abetting or being part of a conspiracy to promote,
ragging; and further that affirm that, in case the declaration is found to be untrue, the admission of
my ward is liable to be cancelled.

Declare this day of month of year.

Signature of the Parent

Name:

Address:

Telephone / Mobile No.

NOTARY