SRD-Application form-Annexure-I

Who this is for

s Examinations Passed University/Board/Institutions/Council of Examinations Month, Year of Passing No. of Attempts Secondary (10 th ) Senior Secondary(12 th ) MBBS MD/MS/DNB/Diploma Page | 3 17.Date of completion of Internship 18.NMC/State Medical Council Registration Number 16 (a) Are you a sponsored candidates of the State Govt. for pursuing studies in MBBS Course (b) If yes, whether you have signed a Bond to serve the State Govt. for a mandatory period of 5 years service on completion of MBBS Course (c) If yes, have you obtained NOC from the state Govt. to apply the post of SRD in the Insti