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APPENDIX I

Instructions for filling in the Basic Data Sheet


Note:


The Basic Data Sheet must be filled in terms of codes, in capital letters or numericals as explained below. Not more than one numerical should be written in any one box. Start filling the form from item 1 only. The Roll Number will be filled in by the office.

Item 1. Write your name as filled in application form.

Item 2. Write your full mailing address in block letters along with the pin code for correspondence.

Item 3. Write the date/due date of completion of Internship in terms of date, month and year,
e.g. if date of completion of Internship is 15th January, 1990 fill in.

1    5    0    1    9    0

Item 4. Indicate your date of birth in terms of date, month and year. For e.g. if the date of the birth is 29th August 1961 you fill in. Indicate your date of birth in terms of date, month and year.
For e.g. if the date of the birth is 29th August 1961 you fill in.

2    9    0    8    6    1

Item 5. Write the code for the college from which you have obtained MBBS degree from the list given below.

Sl. No. List of Medical Colleges Code
1. Andhra Medical College, Vishakhapatnam 001
2. Rangaraya Medical College, Kakinada 002
3. Guntur Medical College, Guntur 003
4. Sidhartha Medical College, Vijaywada 004
5. Osmania Medical College, Hyderabad 005
6. Gandhi Medical College, Hyderabad 006
7. Kakatiya Medical College, Warangal 007
8. Kurnool Medical College, Kurnool 008
9. S.V Medical College, Tirupati 009
10. Deccan College of medical Sciences, Hyderabad 010
11. Guwahati Medical College, Guwahati 011
12. Silchar Medical College, Silchar 012
13. Assam Medical College, Dibrugarh 013
14. Darbhanga Medical College, Laheriasarai 014
15. Sri Krishna Medical College, Muzaffarpur 015
16. Patna Medical College, Patna 016
17. Rajendra Medical College, Ranchi 017
18. .M.G.M Medical College, Jamshdpur 018
19. Jawaharlal Nehru Medical College, Bhagalpur 019
20. A.N Magadh Medical College, Gaya 020
21. Nalanda Medical College, Patna 021
22 Patliputra Medical College, Dhanbad 022
23 Government Medical College Chandigarh 023
24. All India Institute of Medical Sciences, New Delhi 024
25. Lady Hardinge Medical College, New Delhi 025
26. Maulana Azad Medical College, New Delhi 026
27. University College of Medical Sciences, Delhi 027
28. Goa Medical College, Panaji 028
29. B.J Medical College, Ahmedabad 029
30. Municipal Medical College, Ahmedabad 030
31. Medical College, Baroda 031
32. M.P Shah Medical College, Jamnagar 032
33. Govt. Medical College, Surat 033
34. Pramukh Swami Medical College, Karamsad 034
35. Pandit Bhagwat Dayal Sharma Postgraduate Instt of Medical Sciences, Rohtak 035
36. Indira Gandhi Medical College, Shimla 036
37. Govt. Medical College, Srinagar 037
38. Govt. Medical College, Jammu 038
39. Kasturba Medical College, Manipal 039
40. Kasturba Medical College, Mangalore 040
41. Bangalore Medical College, Bangalore 041
42. St. John's Medical College, Bangalore 042
43. M.S. Ramaiah Medical College, Bangalore 043
44 Dr. B.R Ambedkar Medical College, Bangalore 044
45. Kempegowda Instt. of Medical Sciences, Bangalore 045
46. Sidhartha Medical College, Tumkur 046
47. Sri Devraj Urs. Medical College, Tamaka Kolar 047
48. Mysore Medical College, Mysore 048
49. J.S.S Medical College, Mysore 049
50. Adichum-Changiri Instt of Medical Sciences, Bellur 050
51. J.J.M. Medical College, Davangere 051
52. Karnataka Instt. of Medical sciences,Hubli 052
53. J.L.N Medical College, Belgaum 053
54. B.L.D.E.A's Sri B.M Patil Medical College, Hospital and Research Centres, Bijapur 054
55. Al-Ameen Medical College, Bijapur 055
56. M.R Medical College, Gulbarga 056
57. Vijaynagar Instt. of Medical Sciences, Bellary 057
58. Medical College, Trivandrum 058
59. T.D Medical College, Alleppey 059
60. Medical College, kottayam 060
61. Medical College, Calicut 061
62. Medical College, Trichur 062
63. Netaji Subash Chandra Bose Medical College, Jabalpur 063
64. G.R Medical College, Gwalior 064
65. M.G.M Medical College, Indore 065
66. GandhiMedical College, Bhopal 066
67. S.S Medical College, Rewa 067
68. Pt. J.L.N Medical College, Raipur 068
69. Grant Medical College, Mumbai 069
70. Seth G.S Medical College, Mumbai 070
71. T.N Medical College, Mumbai 071
72. L.T.M Medical College, Mumbai 072
73. Padamshree Dr. D.Y Patil Medical College, Bombay 073
74 Mahatma Gandhi Mission Medical College, Bombay 074
75. K.J.Somaya Medical College & Research Centre, Mumbai 075
76.. Rajiv Gandhi Medical College & Chhatrapati Maharaj Hospital, Thane 076
77.. Terna Medical College, Terna, Navi Mumbai 077
78. . B.J Medical College, Pune 078
79. Armed Forces Medical College, Pune 079
80 Rural Medical College, Loni 080
81 N.D.M.V.P Samaj's Medical College, Nasik 081
82 Bharati Vidyapeeth's Medical College, Puna 082
83 Jawaharlal Medical Foundation's A.C.P.M Medical College 083
84. Shri Bhausahed Hire Govt. Medical College, Dhule 084
85. Miraj Medical College, Miraj 085
86. Dr. V.M Medical College, Solapur 086
87. Krishna Instt.. of Medical Sciences, Karad 087
88. Dr. D.Y Patil Education Society's Medical College, Kolhapur 088
89. Govt. Medical College, Aurangabad 089
90. S.R.T.R Medical College, Ambajogai 090
91. Mahatma Gandhi Mission's Medical College, Aurangabad 091
92. Govt. Medical College, Nanded 092
93. Maharshtra Institute of Medical Sciences & Research, Latur 093
94. Govt. Medical College, Nagpur 094
95. Indira Gandhi Corporation Medical College, Nagpur 095
96. Mahatma Gandhi Instt. of Medical Sciences, Sevagram Wardha 096
97. J.N. Medical College, Swangi, wardha 097
98. N.K.P. Salve Institute of Medical College, Nagpur 098
99. Dr. Panjabrao Alias Bahusahed Deshmukh Memorial Medical College, Amravati 099
100. Shri Vasanrao Naik Govt. Medical College, Yeotmal 100
101. Regional Institute of Medical Sciences, Imphal 101
102.. S.C.B Medical College, Cuttack 102
103. M.K.C.G Medical College, Berhampur 103
104. V.S.S Medical College, Burla 104
105. Jawaharlal Instt. of Postgraduate Medical Education & Research, Pondicherry 105
106. Govt. Medical college 106
107. Guru Gobind Singh Medical College, Faridkot 107
108. Christian Medical College, Ludhiana 108
109. dayanand Medical College, Ludhiana 109
110. Government Medical College, Amritsar 110
111. S.M.S Medical College, Jaipur 111
112. S.P Medical College, Bikaner 112
113. R.N.T Medical College, Udaipur 113
114. Dr. S.N Medical College, Jodhpur 114
115. J.L.N Medical College, Ajmer 115
116. Government Medical College, Kota 116
117. Chennai Medical College, Chennai 117
118. Stanley Medical College, Chennai 118
119. Kilpauk Medical College, Chennai 119
120. Christian Medical College, Vellore 120
121. Chengalpattu Medical College, Chengalpattu 121
122. Thanjavur Medical College, Thanjavur 122
123. Coimbatore Medical College, Coimbatore 123
124. Tirunelveli Medical College, Tirunelveli 124
125. Madurai Medical College, Madurai 125
126. Mohan Kumaramangalam Medical College, Salem 126
127. P.S.G. Institute of Medical Sciences, Coimbatore 127
128. *Institute of Road Transport, *Perunthurai Medical College, Perunthurai 128
129. Sri Ramachandra Medical College & Research Institute, Perur, Chennai 129
130. Rajah Muthiah Medical College, Annamalainagar 130
131. S.N Medical College, Agra 131
132. M.L.N Medical College, Allahbad 132
133. J.N Medical College, Aligarh 133
134. Instt. of Medical Sciences. BHU, Varanasi 134
135. G.S.V.M Medical College, Kanpur 135
136. M.L.B Medical College, Jhansi 136
137. K.G Medical College, Lucknow 137
138. L.L.R.M Medical College, Meerut 138
139. B.R.D Medical College, Gorakhpur 139
140. Medical College, Calcutta 140
141. R.G Kar Medical College, Calcutta 141
142. N.R.S Medical College, Calcutta 142
143. Calcutta National Medical College, Calcutta 143
144. B.S Medical College Bankura 144
145. North Bengal Medical college, Darjeeling 145
146. Burdwan Medical College, Burdwan 146
147. P.S. Instt of Medical Sciences, Peelaamadu, Coimbatore 147

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