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Forms for Schools

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  1. Application Form for Indian Medical Register Certificate

    Application Form for IMR Certificate
    INSTRUCTION TO CANDIDATE FOR FILLING THE APPLICATION FORM FOR OBTAINING AN INDIAN MEDICAL REGISTER CERTIFICATE.
    THE APPLICATION FORM SHOULD BE PROPERLY AND NEATLY FILLED IN AND SHOULD BE SUBMITTED ALONG WITH THE FOLLOWING DOCUMENTS: -
    1. FOR PRIMARY REGISTRATION A BANK DRAFT OF RS. 1000/- (RUPEES ONE THOUSAND ONLY) IN FAVOUR OF “THE SECRETARY, MEDICAL COUNCIL OF INDIA, NEW DELHI” PAYABLE AT NEW DELHI SHOULD BE SENT ALONG WITH THE APPLICATION (CHEQUES ARE NOT ACCEPTED). IF, THE CERTIFICATE HAS TO BE SENT ABROAD BY COURIER THEN THE FEE WOULD BE $100 OR EQUIVALENT IN INDIAN CURRENCY. ON REVERSE OF DRAFT FOLLOWING DETAILS WILL BE FILLED IN BY THE APPLICANT AND DULY SIGNED
    (a) Name :
    (b) Father’s Name
    (c) Purpose for which the draft submitted
    (d) Telephone No with Code/Mobile No.
    2. FOR EACH ADDITIONAL QUALIFICATION REGISTRATION, A FEE OF Rs 1000/- (RUPEES ONE THOUSAND ONLY) WILL BE CHARGED AND DRAFT BE MADE
    ACCORDINGLY
    3. AN ATTESTED COPY OF PERMANENT REGISTRATION CERTIFICATE.
    4. ONE ADDITIONAL RECENT PASSPORT SIZE COLOUR PHOTOGRAPHS (FRONT VIEW)
    ALONGWITH SIGNATURE ON REVERSE OF PHOTO.
    5. RECEIPT DULY FILLED AND SIGNED BY THE RECEIVING OFFICER WILL BE OBTAINED BY THE APPLICANT FOR FUTURE REFERENCE.

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  2. Recognition of Postgraduate qualifications (MD/MS/ DM/ M.Ch./ Diploma courses) u/s 11(2) of the IMC Act, 1956

    Procedure for applying for recognition of Postgraduate qualifications (MD/MS/ DM/ M.Ch./ Diploma courses) u/s 11(2) of the IMC Act, 1956 for the qualifications which are not recognized and included in the Ist schedule to the IMC Act, 1956 and also recognition against increase of seats as well as renewal of recognition.
    Kind attention of the institution is invited to the section 11(2) of the IMC Act, 1956, which reads as under:
    “2. Any university or medical Institution in India which grants a medical qualification not included in the First Schedule may apply to the Central Govt., to have such qualification recognised, and the Central Government, after consulting the Council, may, by notification in the official Gazette, amend the First Schedule so as to include such qualification therein, and any such notification may also direct that an entry shall be made in the last column of the First Schedule against such medical qualification declaring that it shall be a recognised medical qualification only when granted after a specified date.”
    The College/ Institution attention is further invited that the permission u/s 10A of the IMC Act, 1956 for starting/ Increase of seats in postgraduate courses so granted is till the first batch admitted appears in the final examination of the postgraduate course. The institutions are advised to apply for recognition of the qualification at the time of first available examination as per the provision of Section 11(2) of the IMC Act, 1956.
    The attention of the institute is also drawn to Sections 6 (4), 6 (5) & 6 (6) of Postgraduate Medical Education Regulations, 2000 as amended by amendment notification“Postgraduate Medical Education (Amendment) Regulations, 2009 Part-II” dt. 21/07/2009 and act appropriately at the appropriate time which read as under:
    6. …
    (4) The recognition so granted to a Post Graduate Course shall be for a maximum period of 5 years, upon which it shall have to be renewed.
    (5) The procedure for Renewal of recognition shall be same as applicable for the Award of recognition.
    (6) Failure to seek timely renewal of recognition as required in sub-clause-4 shall invariably result in stoppage of admissions to the concerned Post Graduate course……”
    Accordingly, the Institution is directed to apply/ request the Affiliating University in the application forms prescribed as Appendix-A, B & C, atleast 3 months in advance.
    The fee required for the said purpose is Rs. 75,000/- per course by Demand Draft in favour of the Secretary, Medical Council of India payable at Delhi alongwith the request letter of the institute.
    The Affiliating University will forward the request of the Institute to the Secretary, Govt. of India, Ministry of Health & Family Welfare, Nirman Bhawan, New Delhi so that the Govt. of India forward the request of the University with request of the college/ Institute to Medical Council of India u/s 11(2) of the IMC Act, 1956 for onward transmission to this Council.
    The exact date of practical examination of the postgraduate course(s) can be directly intimated to the Medical Council of India, well in advance atleast one month. In case the Diploma holder has been admitted in the concerned degree course and the exemption of 1 year has been granted to the student, please intimate the same in the application with exemption letter.
    Upon receipt of the request through the Central Government with complete application in all respect, the MCI will arrange the inspection for recognition of the postgraduate course(s) at the time of Practical Examination.

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  3. Eligibility Certificate Application Form

    For getting admission to Graduate Medical Course in a Foreign Medical Institution u/s 12 and 13(4B) of Indian Medical Council Act, 1956
    Instructions
    1)Incomplete documents and applications without originals will not be accepted. The application must be complete in all respects. No alteration will be allowed to be made in the application form after it has been submitted to the Council.
    2) The applicant who applies through post must enclose the original certificates properly tagged along with the application form. The same will be returned after issuance of Eligibility Certificate.
    3) The Form should be filled up using Capital letters in candidate’s own legible handwriting.
    4) Demand draft for Rs.2000/- (Rupees Two Thousand only) in favour of “The Secretary, Medical Council of India”, Payable at New Delhi. On the reverse of demand draft please mention applicant’s Name, Father’s Name, the purpose for which the draft submitted and Telephone Number. The applicant is required to affix one recent front view colour photograph on the application form.
    5) All the documents should be submitted in original (along with three legible self-attested photocopies)
    6) Original Matriculation Certificate showing Date of Birth (with three self-attested photocopies.)
    7) Original Marksheet of the 11th class (with three self-attested photocopies).
    8) Original +2 Marksheet & Pass Certificate (with three self-attested photocopies).
    9) Original and three attested copies of School/College Leaving Certificate for Bihar Board and Tamilnadu Board Students.
    10) Original SC/ST/OBC Certificate (with three attested photocopies) (in case of reserved category candidates) and a copy of English Version in case of Caste Certificate is in regional language.
    11) Original Proof of Admission in Foreign Medical University (along with three self-attested photocopies)
    12) Applicant to retain one copy of application form and draft for future reference.
    13) Equivalency Certificate from AIU to the +2 equivalent qualifications, if obtained from abroad.
    14) Fee for verification of qualifying examination as prescribed by the State Boards/Universities concerned, as mentioned below in Column No. 16.
    15) Eligibility Certificate is issued only through email and no hard copy is issued. Therefore, candidates must have a valid email ID on which the Eligibility Certificate to be sent. 16) Verification fees to be submitted by way of DD/Pay Order by the candidate who has qualified 10+2 examinations from the following States

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  4. Common Application Form for the Admission under EWS & Disadvantaged Group Category (RTE Act 2009)

    Common Application Form for the Admission under EWS & Disadvantaged Group Category (RTE Act 2009) For the Session 2014-15
     
    Submit all)' one of the following documents as proof: •
    (I) Birth certificate under the Birth, Death and Marriages Certification Act, 1986.
    (2) Hospital/Auxillary Nurse and Midwife (ANM) register record.
    (3) Anganwadi Record.
    (4) Declaration of age of the child by the parent or guardian.
     
    (I) Ration card issued in the name of parents (mother/father having name of the child.
    (2) Domicile certificate of child or his/her parents.
    (3) Voter I card of any of the parents.
    (4) Electricity bill/mtnl telephone bill/water bill.
    (5) Unique Identity Card of mother/father/child issued by Government of India.
    (6) Passport in the name of any of the parents or child.
     
    •••
    (I) Income certificate issed by a Revenue Officer not below the rank of Tehsildar.
    (2) BPL Ration card (Yellow Coloured).
    (3) AAY Ration Card (Pink Coloured)
     
    ****
    (I) A Certificate issued by a Revenue Officer not below the rank ofTehsildar or any other Competent Authority.
    (2) Caste Certificate issued by DC Office.
    (3) Medical Certificate from Govr. Hospital, in case of children with specialneeds/ disabilities.
    (4) A Certificate issued in accordance with instruction issued by the Department of Women and Child Development, GNCT of Delhi, vide order dated 11.12 12 in case of Orphan Child.

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    • Application Form for IMR Certificate

      INSTRUCTION TO CANDIDATE FOR FILLING THE APPLICATION FORM FOR OBTAINING AN INDIAN MEDICAL REGISTER CERTIFICATE.

      THE APPLICATION FORM SHOULD BE PROPERLY AND NEATLY FILLED IN AND SHOULD BE SUBMITTED ALONG WITH THE FOLLOWING DOCUMENTS: -

      1. FOR PRIMARY REGISTRATION A BANK DRAFT OF RS. 1000/- (RUPEES ONE THOUSAND ONLY) IN FAVOUR OF “THE SECRETARY, MEDICAL COUNCIL OF INDIA, NEW DELHI” PAYABLE AT NEW DELHI SHOULD BE SENT ALONG WITH THE APPLICATION (CHEQUES ARE NOT ACCEPTED). IF, THE CERTIFICATE HAS TO BE SENT ABROAD BY COURIER THEN THE FEE WOULD BE $100 OR EQUIVALENT IN INDIAN CURRENCY. ON REVERSE OF DRAFT FOLLOWING DETAILS WILL BE FILLED IN BY THE APPLICANT AND DULY SIGNED

      (a) Name :

      (b) Father’s Name

      (c) Purpose for which the draft submitted

      (d) Telephone No with Code/Mobile No.

      2. FOR EACH ADDITIONAL QUALIFICATION REGISTRATION, A FEE OF Rs 1000/- (RUPEES ONE THOUSAND ONLY) WILL BE CHARGED AND DRAFT BE MADE

      ACCORDINGLY

      3. AN ATTESTED COPY OF PERMANENT REGISTRATION CERTIFICATE.

      4. ONE ADDITIONAL RECENT PASSPORT SIZE COLOUR PHOTOGRAPHS (FRONT VIEW)

      ALONGWITH SIGNATURE ON REVERSE OF PHOTO.

      5. RECEIPT DULY FILLED AND SIGNED BY THE RECEIVING OFFICER WILL BE OBTAINED BY THE APPLICANT FOR FUTURE REFERENCE.
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