Brochure For 2021-22 Mbbs Admission
Brochure For 2021-22 Mbbs Admission
Brochure For 2021-22 Mbbs Admission
Website: https://kimskarwar.karnataka.gov.in
Email id: krims2021@gmail.com
Office No.: 08382 -223901 / 226650
College fee to be paid by DD or NEFT/ RTGS transfer only (No cash/ Cheques)
Account name for DD: Dean & Director, Karwar Institute of Medical Sciences, Karwar
SBI Account details: [ only for MBBS Course Admission, Hostel admission Bank Details Are
Different ]
Account No : 35886153551
Branch : Karwar Main Branch
IFSC Code : SBIN0000857
Branch code : 000857
A/c Type : Current account
1. https://forms.gle/EgAGskaNCnMtaP2v6
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IMPORTANT
1. No forms/proforma will be issued at KIMS office as they are made available in KIMS website. Students are
instructed to get a printout of the same, fill it and be ready with all the documents and report to the institute
before 9.30 am.
2. MANAGEMENT SEATS ARE NOT AVAILABLE, AS THIS IS A GOVERNMENT COLLEGE.
3. The mobile number and email id of the candidate that is furnished to the Principal office will be submitted to the
University. During examination time, the OTP from University will be sent to the same number/ email id for
filling the examination forms. Therefore, students are hereby instructed to retain the same mobile number
through-out the course.
4. Please call only during office hours. Direction map of the College is enclosed.
5. An induction programme for all the I MBBS students will be held. Keep checking the website for further details.
6. E Stamp papers are available at Cooperative Banks, Karwar or elsewhere. Without E stamp papers, no
bond will be accepted. E-stamp papers to be done in Karnataka State only.
NOTE: 1. PLEASE BRING A COPY OF THE BROCHURE DURING THE ADMISSION PROCESS
2. PLEASE FOLLOW THE ABOVE TIMING STRICTLY
3. THE COMPLETION OF ADMISSION PROCESS IS LIKELY TO TAKE 2
WORKING DAYS. THE CANDIDATES ARE INSTRUCTED TO COME
PREPARED ACCORDINGLY.
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UNDER GRADUATE ADMISSION PROCESS 2021-22
SEQUENCE OF EVENTS
STEP-1 Online Registration on college website
Print Admission form
STEP-2 Candidate should register at the desk & collect the token
Registration
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Instructions for students seeking Admission to First MBBS (Academic Year 2021-22)
Original documents along with Two Sets of Attested true Photocopies and a Soft Copy of all the
documents along with Photograph on a CD to be submitted in the following order.
1. NEET UG Admit card.
2. NEET UG Score card and Rank Card
3. NEET /KEA Allotment Order.
4. SSLC Marks Card / Birth Certificate.
5. II PUC/12th Standard Marks card.
6. Study Certificate.
7. Transfer Certificate.
8. Domicile Certificate. (For students not studied SSLC or +2(PUC) in Karnataka) for KEA students only.
9. Caste Certificate. (For candidates claiming Reservation - Regional Language & English translated
caste certificates from eligible NEET students to be submitted during admission by SC/ST/CAT-1,
2a, 2b, 3a & 3b students who scored less than 50% and more than 40% marks in 10+2 (PCB)
examination/ entrance examination required for submission to MCI, New Delhi.
10. Income Certificate of Parent. (For candidates claiming Reservation)
11. Migration Certificate. (For CBSE/ICSE/AIQ Students)
12. Eligibility Certificate issued by RGUHS. (For CBSE/ICSE/AIQ Students) – available under
downloads – link: https://rguhs.karnataka.gov.in/rguhsec
13. Physical Fitness Certificate. (Issued by authorized Government Medical Officer)
14. Annexure –I, Part-I:-Undertaking by the student to be typed in Rs. 50/- E-stamp paper and duly attested
by notary (proforma enclosed).
15. Annexure I. Part-II:- Undertaking by parent /guardian-to be typed in Rs. 50/- E-stamp paper and duly
attested by notary (proforma enclosed)
16. Rural service bond by candidates who select MBBS seats in KIMS, Karwar-to be typed in Rs.100/- E-
stamp paper and attested by a notary (proforma enclosed)
17. Annexure I General Affidavit
18. Photograph. (3 Pass Port Size and Soft copy in JPG less than 45KB)
19. Aadhar card. (Photo copy)
20. Physical Disability Certificate. (For differently abled candidates)
21. 2 zip folders/file. Please provide good quality thick zip folders for safe keeping of your ORIGINAL
certificates voluntarily deposited with college. (Image attached in brochure) (Available in Karwar)
22. Original challan for having paid college fee in KEA
23. Original DD for college fee / Account transfer details.
24. Rural / Kannada certificate / HK Quota certificate.
25. CD (Photo JPG & all documents in pdf separately (Do not merge)
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KARWAR INSTITUTE OF MEDICAL SCIENCES, KARWAR
DATED: _____________________
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THE FOLLOWING DOCUMENTS TO BE FILLED UP IN CAPITAL LETTERS ONLY
(Format provided to be downloaded)
OFFICE NOTE.
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KARWAR INSTITUTE OF MEDICAL SCIENCES, KARWAR
OFFICE NOTE
Sub: - Admission to Under Graduate Course for the Academic Year 2021-22 – reg.
*****
TO BE FILLED IN CAPITAL LETTERS ONLY
Part I filled by candidate
DEGREE MBBS 2021-22 AIQ KEA Counseling session( Round) I II III MOP UP
Mr./Miss
Mother’s Name
Father’s Name
UG NEET Roll No.
All India Rank No.
CET No.
UG NEET Score /720
UG NEET Percentage %
UG NEET Percentile
has submitted the following Original certificates voluntarily
Part II Office
Sl No Particulars Submitted Not Submitted
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PARTICULARS OF UNDER GRADUATE STUDENT (MBBS) ACADEMIC YEAR 2021-22
Counseling session
MBBS 2021-22 AIQ KEA I II III MOP UP
(Round)
1.
Name of the Candidate
2. Gender
3. Native Place
4. Mother tongue
5. Nationality
6. State
7. Urban / Rural
8. Karnataka / Non Karnataka
9. Date of Birth with Age
10. Place of Birth
11. Mother’s Name
12. Father’s Name
20. Religion
21. Caste
22. Sub-caste
If any of the information above is wrong, and if I lose admission, I will not hold the University or the
college responsible.
Place: Karwar
Date:
Signature of Candidate Signature of Parent/Guardian
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(On E-stamp paper of Karnataka state only)
ANNEXURE l – PART l
2. I have received a copy of the MCI Regulations on Curbing the Menace of Ragging in
Higher Educational Institutions, 2009 and have read it and understood fully.
I will not indulge in any behavior or act that may come under the definition of
ragging I will not participate in or abet or propagate ragging in any form,
I will not hurt anyone physically or psychologically or cause any other harm.
I will resubmit such an undertaking again yearly to the Principal KIMS and reiterate
my commitment
4. I hereby agree that if I found guilty of any aspect of ragging, I may be punished as per
the provisions of the MCI Regulations mentioned above and/or as per the law in force
without any warning or notice.
Address:__________________________
_________________________________
_________________________________
Mobile Number:
l. Party-Student
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(On E-stamp paper of Karnataka state only)
ANNEXURE l, PART ll
UNDERTAKING BY PARENT/GUARDIAN
________________________________________________________________________
(correspondence address) have carefully read and fully understood the law prohibiting
ragging and the directions of the Honorable Supreme Court and the Central/State
Government in this regard as well as the MCI Regulations on Curbing the Menace of
Ragging in Higher Educational Institutions, 2009.
2. I assure you that my son /daughter will not indulge in any act of ragging.
3. I hereby agree that if he/she is found guilty of indulging in ragging, he/she may be
punished as per the provisions of the MCI Regulations mentioned above and/or as per the
law in force.
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(On E-stamp paper of Karnataka state only)
I,
Mr./Kum……………………………...……….……………S/o./D/o…..…………………… ……………
………….. a candidate with NEET 2021 Admission Ticket
No …………… ……………… ………………….residing
at ………………………… ……… ……… ………………………………………………………………
………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
…………………
have on my own volition allotted a MBBS seat on …………………………….
In …..………….………….. ………………………… ………………………………… …… …………
……..……...…vide admission order
number ……………………… ……………………………dated……………………………and do
hereby undertake as follows:
In accordance with the Amendment to Rule 11 of the Karnataka Selection of Candidates for
Admission to MBBS seats in Professional Educational Institutions Rules, 2006, vide Government
Notification - 1. No. HFW 79 RGU 2011 dated 17-07-2017 and Amendment act 2017 dated 6-7-2017 I
am prepared on completion of the course to serve in any Primary Health centre or Primary Health unit
situated in Rural Areas in the state of Karnataka for a minimum period of ONE year and I will abide to
rules and regulation of Government of Karnataka.
What is stated above is true and correct and I and my parent/Guardian hereby undertake to act
accordingly.
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ANNEXURE -I
GENERAL AFFIDAVIT
(To be submitted on Rs.20/- Bond paper (To be deposited after allotment of seats along with other originals)
I hereby solemnly declare that during 2021, I have not taken MBBS /BDS admission in any
college allotted by other exam conducting bodies. I have not surrendered any seat in past UG
exams/other UG entrance exams conducted by Central/State Government and various other authorities.
I shall also not surrender any seat after the admission at Institute level through any seat allotting
bodies; if I need to surrender I shall do so at Karnataka Examinations Authority, Bangalore.
I shall produce all required original documents for verification and submit the same after
allotment of seat to Concern College.
I will for feet the seat allotted to me and also I am liable for criminal proceedings if any one of
the above information /documents produced by me is found to be false /incorrect.
Date:
Place Deponent
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GENERAL INSTRUCTIONS FOR THE STUDENTS WHO ARE TAKING ADMISSION
FOR I- MBBS COURSE AT KARWAR INSTITUTE OF MEDICAL SCIENCES, KARWAR
1. Students must report in KIMS office for MBBS admission on or before last date indicated on
their selection letter issued by KEA /AIQ at 10-00 am. If any student fails to report before last
date indicated in the office letter, his / her admission will stand cancelled and the same will be
intimated to concerned authorities.
2. The students are instructed to download all the mentioned forms and must be filled in by
his / her own handwriting with blue or black point pen neatly and legibly in English or
computer typed in capital letters only, except for signature. Submit the same at the time of
admission.
3. One of the parent / guardian must accompany students at the time of admission or demitting seats
as certain documents are to be signed by them.
4. The admission/demitting process is likely to take two working days. Outstation candidates
are requested to not cause hurry in admission or demitting seats.
5. The admission offered to a candidate will be only provisional. DME & RGUHS are final
authorities.
6. The students are instructed to keep the 5-6 attested true copies with themselves of their original
documents until the documents are returned from Rajiv Gandhi University of Health Sciences,
Bangalore at the end of the course. Once submitted no original will be returned, please co-
operate.
7. Overwriting, cutting, erasing in the form may lead to rejection and should be avoided. Check
thoroughly whether you have filled all your relevant details correctly in the concerned forms.
8. Important: No forms / proforma will be issued at KIMS, Karwar office as they are made
available in KIMS website. www.kimskarwar.kar.nic.in
9. Institute working hours: 9.00 am to 1.00 pm and 2.00 pm to 4.30 pm.
10. In case of AIQ/NEET seats-seat surrender procedure be duly followed. Kindly generate the
online seat surrender receipt and contact in person to KIMS OFFICE on any working day.
SUNDAYS AND GOVERNMENT OF KARNATAKA HOLIDAYS ARE NOT WORKING
DAYS. KINDLY CALL ON OFFICE NUMBERS
08382-223901/226650 and speak in Hindi, English or Kannada.
11. Learning Kannada for a medical student may be necessary since MBBS students will be
interacting with patients.
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NOTE
1. Students admitted to this institute are expected to strictly follow the codes of discipline
indicated by college authorities, university, and government.
2. Drinking alcohol, smoking or consuming any intoxicants by students is strictly prohibited.
Misbehavior with other students / staff/ other personnel / patients will be dealt as per law.
3. Ragging in any form is punishable by law. An undertaking to this effect signed by the
candidate and his/her parent /guardian must be submitted at the time of admission
compulsorily. (all five affidavits)
4. Candidates are advised to keep a printed copy of their completed application form along
with forms for their record and future reference. You can photograph your submission too.
5. As per RGUHS syllabus regulation 75% attendance in both practicals and theory is a
must. Non adherence to such rules in force will invite disciplinary actions. It is also the
duty of parents/guardians to periodically ask for Internal marks and attendance of their
ward and participate in education process.
6. No vehicles are allowed to be kept by students or used in the college premises. All
parents must agree to not allow their ward to use any vehicles. If any parent wishes to
allow wards to use vehicles, they must submit a undertaking in Rs.100/- E-stamp bond
paper to warden.
7. Dress code – Decent formal dressing with formal dress code is expected from both boys
and girls during working hours. When visiting library similar rules apply. While roaming
in campus also kindly wear decent clothes.
8. Library rules and regulations must be followed.
9. Any Incidents of Ragging please report to Dr. Shivkumar G. L, Principal, Karwar
Institute of Medical Sciences, Karwar
CONTACT DETAILS
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For E- Stamp Bond Purchase and Notarization
Bank Name : Jai Shardamba Souhardha Credit Sahakari Niyamitha
Bank Address : Opp: Town Police station
Ist floor , Shan Complex
Green street , Karwar
Bank Name : Dwarka Souhardha Credit Sahakari Niyamitha
Bank Address: Opp. Shruti Sagar Hotel
Green Street, Karwar.
For Notary
1. P.N. KUVALEKAR
ADVOCATE & NOTARY
Ground floor, Krishna complex
Beside Sagar Textiles, Karwar
Mob No: 9972767795
2. Suraj G Naik
ADVOCATE & NOTARY
Basha Complex,
Above Shruti Sagar Hotel
Ist Floor, Green Street, Karwar.
Basha Complex
(FOR NOTARY)
BANK
Krishna Complex
(FOR NOTARY)
NOTE:
Can be bought from above bank or elsewhere in Karnataka
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FOR SCANNNING OF DOCUMENTS TO SAVE IN CD OR PENDRIVE
CAN VISIT LUCKY NET HOUSE, CUTINHO ROAD, KARWAR
OR
ANY COMPUTER CENTER
+91 9483531383
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Karwar Institute of Medical Sciences, Karwar
B. FEE STRUCTURE DETAILS FOR ALL INDIA QUOTA STUDENTS ONLY (15% QUOTA)
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Map of College location
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Zip files for keeping documents safely – 2 nos.
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Government of Karnataka
Karwar Institute of Medical Sciences, Karwar
(An Autonomous Institution)
M G Road, Karwar, Uttara kannada District
Website: www.kimskarwar.kar.nic.in Email id: directorkarwar2@gmail.com Phone No. 08382 -226650 Fax No. 08382-220364
1. Office Telephone number : 08382-223901 (Contact For Hostel details working hours 9am to 4pm only)
2. Enquiry about Boy Hostel Supervisor - Mr. Arun 9480485962 (Working hours 9am to 4pm only)
3. Enquiry about Girls Hostel Supervisor - Ms. Nurjahan 8861982515 (Working hours 9am to 4pm only)
Website: https://kimskarwar.karnataka.gov.in
Email id: principalkarwarmc@gmail.com
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GENERAL RULES & REGULATIONS OF KIMS HOSTELS
1) Ragging in any form is banned inside and outside the campus. and is punishable.
3) Extended hours for studying in the library will be granted on prior written permission.
4) Visitors including parents/guardians are allowed to meet the students in the visitors lounge
during visiting hours and not in their rooms. Overnight stay in the hostel is not allowed.
Entertaining unauthorized guests will lead to severe punishment including expulsion from the
hostel.
5) Students are not allowed to stay in rooms other than the ones allotted to them.
10) Students will not get involved in political activities of any sort or participate in any anti-
national and anti-social or undesirable activity inside or outside the campus.
11) Students are not permitted to stay in rooms during the college hours, unless they are ill. Any
illness and medication student uses should be reported to the Warden and Principal.
12) Students are not permitted to stay away from the hostel or leave station without the prior
permission from the Warden/Principal.
13) Student once admitted to the hostel, cannot vacate it without a written request from their
parents which must be authorized by the Warden/ Principal.
14) Meetings/gathering within the hostel is not permitted. Functions of any kind should have the
prior permission of the Warden.
15) Students are allowed to use table lamps, hair dryers, iron box and chargers. The use of other
electrical appliances is not allowed.
16) Students have to keep their room clean and neat, including bathroom and toilet.
17) Students are not allowed to have meals in their rooms except under special conditions like
illness etc. The permission of the warden is required in such cases.
18) Cooking is not permitted in the hostel rooms.
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19) Students are not allowed to use terrace for any purpose without the prior permission of the
Warden.
20) Students are not allowed to use motor vehicles like bikes or cars. Those who are authorized to
use vehicles are required to park in an orderly manner in the space provided. The students
using vehicles should possess the valid driving license/ vehicle registration documents.
21) Any damage to the hostel property will attract a fine. The students residing in the room is
responsible for any damage to the property within the room and will bear the cost of damage.
In case of damage or loss of hostel property the cost will be recovered from the students of
the hostel as decided by the Warden.
22) All students are required to maintain high standards of discipline in the college campus and
hostel premises. In case of breach of discipline and failure to abide by the rules and
regulations, the hostel committee will render the students liable to disciplinary action.
23) Any indisciplinary or undesirable activities occurring in the hostel should be brought to the
notice of the Warden/Principal.
24) Warden/Principal / Director are the final authority to take up decisions in any untoward
incidents.
SD/-
Wardens of Boys Hostel
SD/-
Wardens of Girls Hostel
SD/-
Principal
Karwar Institute of Medical Sciences
Karwar
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GIRLS HOSTEL RULES
*** If students violate hostel rules and if any untoward incident happens, students are
responsible themselves & strict action will be taken.
SD/-
Chief Warden
Girls Hostel
KIMS Karwar
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BOYS HOSTEL
JOINT AFFIDAVIT BY PARENT / GUARDIAN AND STUDENT
(to be submitted by the student joining the Boys Hostel)
(This matter has to be typed on a judicial stamp paper of Rs. 100/-)
I/ we have read and understood the specified Rules and Regulations of Karwar Institute of Medical
Sciences, Karwar Girls Hostel and agree to obey by the rules.
Name:…………………………… Name:…………………………….
I Party – Student
II Party – Chief Warden, Karwar Institute of Medical Sciences, Karwar
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GIRLS HOSTEL
JOINT AFFIDAVIT BY PARENT / GUARDIAN AND STUDENT
(to be submitted by the student joining the Girls Hostel)
(This matter has to be typed on a judicial stamp paper of Rs. 100/-)
I/ we have read and understood the specified Rules and Regulations of Karwar Institute of Medical
Sciences, Karwar Girls Hostel and agree to obey by the rules.
Name:…………………………… Name:…………………………….
I Party – Student
II Party – Chief Warden, Karwar Institute of Medical Sciences, Karwar
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Government of Karnataka
Karwar Institute of Medical Sciences, Karwar
(An Autonomous Institution)
M G Road, Karwar, Uttarakannada District
Website: www.kimskarwar.kar.nic.in Email id: directorkarwar2@gmail.com Phone No. 08382 -226650 Fax No. 08382-220364
Total =22,500
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Government of Karnataka
Karwar Institute of Medical Sciences, Karwar
(An Autonomous Institution)
M G Road, Karwar, Uttarakannada District
Website: www.kimskarwar.kar.nic.in Email id: directorkarwarmc@gmail.com Phone No. 08382 -226650 Fax No. 08382-220364
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