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0% found this document useful (0 votes)
48 views5 pages

Entry Slip

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masterprintekm
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
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प्रवेश पर्ची सह घोषणा – एफएमजीई Entry Slip cum Declaration - FMGE

दिसंबर 2025: प्रमाणपत्र कलेक्शन December 2025: Certificate Collection

(यह दस्तावेज़ हार्ड कॉपी में लाया जाना चाहिए जिसे एनबीईएमएस कार्यालय में जमा किया जाएगा / This
document should be brought in a hard copy which shall be deposited at NBEMS office)

अनुक्रम संख्या / Sequence No. 25201797

अनुमांक / Roll No. 2511213110

नाम / Name RIBIN PADMANABHAN

जन्म तिथि / Date of Birth 30-05-2000

रिपोर्टिंग की तारीख / Reporting Date 02.03.2026

रिपोर्टिंग टाइम स्लॉट / Reporting Time Slot 12:00 PM to 12:30 PM

सत्यापन के लिए स्टेशन / Station for Verification C2

निर्देश: ध्यानपूर्वक पढ़ें / INSTRUCTIONS: READ CAREFULLY

Use of Mobile Phones is NOT permitted in the FMGE Pass Certificate Distribution Area.

Misrepresentation of identity is an offence and shall be dealt with as per applicable


academic & criminal procedures.

Unfair means case shall be registered against the candidates who are found to have
produced false/forged documents/ID Proofs or have resorted to any unfair practice as
per Information Bulletin of FMGE December 2025.

Failure to produce required certificates in original would lead to denial of issuance of


the FMGE PASS certificate. NBEMS reserves its right to withhold the certificate of any
FMGE qualified candidate for further verifying the genuineness of identity and/or
documents through measure over and above those specified herein below:

1. Qualified and Eligible candidates are required to be present at specified date and
time for collection of their Pass certificates. They shall be required to bring the
following documents in ORIGINAL to collect the certificates:
Signature of Candidate (with date): __________________________
A. Admit Card for FMGE December 2025, preferably the same copy used on the
day of examination

B. Passport:

a. Indian Citizens (including NRI) are required to bring Passport issued by


Govt. of India. All copies of old passport, if any, are to be carried.
b. Overseas Citizens of India (OCI) are required to bring OCI Card issued by
Govt. of India along with the Passport issued by country of their citizenship.
c. Citizens of Nepal are required to bring a photo ID issued by Govt. of India. If
they have obtained their primary Medical Qualification outside Nepal, they are
required to bring the passport issued by the Govt. of Nepal also.
C. Degree Certificate/Provisional Pass Certificate of Primary Medical
Qualification duly apostilled by appropriate authority/attested by Embassy of
India in the country concerned. The certificate must clearly establish that the
result of the final examination for such a primary medical qualification was
declared on or before the cut-off date i.e., 31.10.2025.

Note: To refrain any confusion, if the attestation/apostille is on separate


paper/document, candidate is required to bring both – The Original Primary
Medical Degree/Pass Certificate and the original attestation/apostille of it.

D. Eligibility Certificate (EC) issued by MCI/NMC. However, if you had joined the
primary medical qualification during the period when EC was exempted/not
required, the proof of admission to the primary medical qualification during that
period should be brought confirming the date of admission. Those candidates
who have submitted NEET-UG score card in lieu of Eligibility Certificate are
mandatorily required to bring mark sheet of senior secondary (Class 12th) “in
original”; and their caste certificate issued by competent authority at the time of
admission to primary medical qualifications, in cases where any relaxation in
qualifying marks of Physics, Chemistry & Biology has been claimed as per
provisions of Graduate Medical Education Regulations, 1997.

Signature of Candidate (with date): __________________________


E. Govt. of India Issued one valid photo ID Proof (In addition to the Passport):
Voter ID Card/ PAN Card/ Driving License/ Aadhaar Card bearing coloured
photograph

2. Entry of candidates is restricted STIRCTLY as per TIME SLOTS allotted. Candidates


are advised to report to NBEMS office strictly as per assigned time slot in order to
avoid any crowding. Candidates not reporting as per time slots on assigned days
will have to wait for their turn depending on availability of vacant slots. Kindly do not
report to NBEMS office to collect your certificate on any day other than the
scheduled date unless your appointment for the same has been confirmed by
NBEMS.

3. Candidates are advised to make their return journey travel arrangements preferably
for the end of the certificate collection day, considering any unexpected time being
taken in verification of identity and documentation.

4. Candidates are advised to refrain from tattooing their fingers with henna/colours in
order to avoid difficulties in verification of finger biometrics.

Signature of Candidate (with date): __________________________


उम्मीदवार की स्व-घोषणा / SELF-DECLARATION OF CANDIDATE

The undersigned __________________________________________ (Your Name) has gone


through the information bulletin of FMGE December 2025 and hereby certify/ understand
that:

That I myself have physically attended the course of my primary medical


qualification for the mandated period as per requirement of the University
concerned toward award of my primary medical qualification degree certificate.

Date of Arrival Date of Validity of VISA Total duration


Visit at CPMQ* Departure from issued by CPMQ spent in the
Number (from home CPMQ (to covering this trip CPMQ during
country) home country) (From – To) this trip

June 2018 to June 9 months 27


Example 20.08.2018 15.06.2019
2019 days

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

*CPMQ - Country of Primary Medical Qualification


The details mentioned herein above should be supported with immigration stamps
in the Passport and VISA documents which may be asked for verification at the
time of in-person credential verification.
That I fulfil the eligibility requirements for FMGE and have furnished factual and
correct information in my FMGE application form. I further understand that any
instances of furnishing incorrect information/documents detected during any stage
of the examination process and/or subsequently while/after seeking registration
with a medical council will automatically disqualify me for the FMGE and for any
consequential registration/ employment/ education. Accordingly, if such instances
go undetected during the current verification process but, are detected in
subsequent years, such disqualification will take place with retrospective effect.

Signature of Candidate (with date): __________________________


That I have gone through the Graduate Medical Education Regulations, 1997;
Eligibility Requirement for taking admission in an undergraduate medical course in a
Foreign Medical Institution Regulations, 2002; Screening Test Regulations, 2002 and
their subsequent amendments, if any, and certify that
> The undersigned fulfilled the age criterion prescribed for admission to MBBS
course in above regulations at the time of joining the Primary Medical
Qualification.
> The undersigned fulfils the eligibility criteria for admission to MBBS course
in India as prescribed in the Graduate Medical Education Regulations, 1997,
i.e., minimum qualifying marks criteria in Physics, Chemistry, Biology and
English, including relaxed criteria in case the candidate belongs to a reserved
category (SC/ST/OBC) or a PwD.
> That I am in possession of relevant caste certificate (SC/ST/OBC) from a
competent authority issued at the time of my admission to Primary Medical
Qualification, in case I have claimed any relaxed criteria towards minimum
qualifying marks in Physics, Chemistry, Biology and English.

That the documents produced in the application form of FMGE and those produced
in original on the day of in-person credential verification are bonafide & genuine
documents belonging to me. There is no misrepresentation of any of the documents
as mine/original which is otherwise not the case.
That I have not indulged in any unfair means in conduct of FMGE and agrees to
abide by the Unfair Means Guidelines of NBEMS. In an event if it is detected at any
stage that I have resorted to use of any unfair practice to seek an eligibility to
appear in FMGE and/or any unfair means to qualify the FMGE and/or to seek
registration with any medical council in the country, I will be liable of an academic
and a criminal punishment as may be applicable and decided to be imposed by
NBEMS/law enforcing agencies.
That in an event due to some exigency I fail to collect my FMGE December 2025
Pass Certificate on my scheduled day of certificate collection, I will collect the same
seeking a fresh appointment at the earliest but not later than 29th July 2026 i.e.
within Six months of declaration of result of FMGE December 2025, failing which my
candidature & result for FMGE December 2025 shall stand cancelled.

Candidate Name: _______________________________

Candidate Roll No.: _____________________________

Place: NEW DELHI

Signature of Candidate (with date): __________________________

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