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PGMEE 2013 Prospectus - HIHT University

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<strong>HIHT</strong> UNIVERSITY<br />

(Under Section 3 of UGC Act 1956)<br />

APPENDIX – V<br />

POSTGRADUATE MEDICAL ENTRANCE EXAMINATION<br />

MD/MS/DIPLOMA COURSES – <strong>2013</strong><br />

UNDERTAKING REGARDING AUTHORIZATION<br />

(for candidates not appearing in person)<br />

I, Dr. ------------------------------------------------------------------------------------------ son / daughter / wife of<br />

Dr. / Mr. ------------------------------------------------------- aged about ------------------years bearing Roll.<br />

no. ----------------------------- placed at rank no. -------------------- in Postgraduate Medical Entrance<br />

Examination- <strong>2013</strong> for admission into MD / MS / Diploma courses, do hereby solemnly affirm and<br />

undertake that the decision of my authorized representative, Mr./Ms/ ---------------------------------------<br />

--------------------------------------------- son / daughter / wife of Dr. / Mr. ------------------------------------------<br />

----- aged about --------------------- years regarding selection / rejection of the seat on the date of<br />

personal appearance shall be binding on me and I shall not have any claim whatsoever, other than<br />

the decision taken by my authorized representative on my behalf on -----------------.<br />

___________________<br />

Signature of Candidate<br />

Date:……………………<br />

_________________________<br />

Signature of authorized person<br />

Date:……………………<br />

Name : -----------------------------------------<br />

Roll no. : -----------------------------------------<br />

Rank : -----------------------------------------<br />

Address : -----------------------------------------<br />

-----------------------------------------<br />

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