PGMEE 2013 Prospectus - HIHT University
PGMEE 2013 Prospectus - HIHT University
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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