प्रवेशपर्ची–एफएमजीई जून 2024 :प्रमाणपत्रसंग्रह
Entry Slip - FMGE June 2024: Certificate Collection
(This document should be brought in a hard copy which shall be deposited at NBEMS
                                      office)
अनुक्रम संख्या/ Sequence No.                2412490
अनुमांक/ Roll No.                           2411101545
नाम/ Name                                   AMRITESH KUMAR
जन्म तिथि/ Date of Birth                    01/01/1998
रिपोर्टिंग की तारीख/Reporting Date          31.08.2024
रिपोर्टिंग टाइम स्लॉट/Reporting Time Slot   02:30 PM to 03:00 PM
सत्यापन के लिए स्टेशन/
                                            C
Station for Verification
                        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 June 2024.
     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:
A. Admit Card for FMGE June 2024, preferably the same copy used on the day of
examination
                                          Signature of Candidate: ________________________
                  Reviewed & Checked By _______________________________ (For office use only
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 Certificateof 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., 30.04.2024.
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.
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: ________________________
                 Reviewed & Checked By _______________________________ (For office use only
     SELF-DECLARATION OF CANDIDATE (Bring it Pre-filled to NBEMS)
The undersigned __________________________________________ (Your Name) has gone
through the information bulletin of FMGE June 2024 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.
Details of my travel to the Country of Primary Medical Qualification (CPMQ)
are as under:
        Date         of                   Validity of VISA Total duration
                        Date of Departure
Visit   Arrival      at                   issued by CPMQ spent in the
                        from CPMQ (to
Number CPMQ      (from                    covering      this CPMQ during
                        home country)
        home country)                     trip (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.
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.
· 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.,
                                               Signature of Candidate: ________________________
     minimum qualifying marks criteria in Physics, Chemistry, Biology and
                 Reviewed & Checked By _______________________________ (For office use only
English, including relaxed criteria in case the candidate belongs to a reserved
category (SC/ST/OBC) or a PwD.
                                    Signature of Candidate: ________________________
            Reviewed & Checked By _______________________________ (For office use only
     That I am in possession ofrelevant 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 June 2024 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 15 th January 2025
i.e. within six months of declaration of result of FMGE June 2024, failing which
my candidature & result for FMGE June 2024 shall stand cancelled.
Candidate Name _______________________________
Candidate Roll No _____________________________
Signature of Candidate__________________________
Date __________________________________________
Place__________________________________________
                                         Signature of Candidate: ________________________
                 Reviewed & Checked By _______________________________ (For office use only