MAHARISHI MARKANDESHWAR UNIVERSITY, KUMARHATTI-SOLAN (HP)

(Established under H.P. Govt. Act. No. 22 of 2010 and approved by the UGC under Section 22 of the UGC Act, 1956)

APPLICATION FORM SESSION 2024–25

IMPORTANT 1. This Application form is mainly for the purpose of registration of the candidates seeking
admission to various courses in M.M. University.
2. Application forms for taking Competitive Entrance Tests (for admission to courses requiring
entrance test) shall be required to be filled and submitted separately for becoming eligible to take
the examination
3. Admission to MD/MS and MBBS courses are conducted on the basis of NEET merit and through
admission- applications invited by HP Govt. as per Notification and Prospectus/Application as
appearing at the website www.amruhp.ac.in , www.hp.gov.in/hpdmer , www.igmcshimla.edu.in
Please send PHOTOCOPY of application to MM University also for registration.
4. Admission to Ph.D Programme & Nursing Courses (M.Sc./B.Sc.) will be made through an
Entrance Examination conducted by MM University, Solan in accordance with the direction of
the Govt. of Himachal Pradesh. which will be posted on the website of the University
(www.mmusolan.org) and will also be advertised in major Newspaper of North India.
5. Please retain a photocopy of this registration form and attach self-attested photocopies of all
documents.

Please tick √ the appropriate boxes.

1. Course Applied For:

 PARAMEDICAL COURSES: Paste latest color
photo & attach
PG COURSES two additional
☐ 3-yrs. M.Sc. Medical Microbiology ☐ 3-yrs. M.Sc. Medical Anatomy copies.

☐ 3-yrs. M.Sc. Medical Biochemistry ☐ 3-yrs. M.Sc. Medical Physiology

☐ 3-yrs. M.Sc. Medical Pharmacology

☐ 2-yrs. M.Sc. Medical Lab. Technology (MLT) ☐ 2-yrs. M.Sc. Medical Radiology & Imaging Technology
☐ 2-yrs. M.Sc. Optometry ☐ 2-yrs. M.Sc. Operation Theater Technology (OTT)
☐ 2-yrs. Master of Physiotherapy (MPT)
☐ Musculoskeletal ☐ Pediatrics ☐ Sports
☐ Neurology ☐ Cardiothoracic and Pulmonary Disorders
UG COURSES
☐ 3½ yrs. B.Sc. Medical Lab. Technology ☐ 3½ yrs. B.Sc. Medical Radiology & Imaging Technology
☐ 3+1 yrs. B.Sc. Optometry ☐ 3½ yrs. B.Sc. Operation Theater Technology (OTT)
☐ 3½ yrs. B.Sc. Medical Microbiology ☐ 3½ yrs. B.Sc. Medical Biochemistry
☐ 3+1 yrs. B.Sc. Dialysis Technology ☐ 4 ½ yrs. Bachelor of Physiotherapy (BPT)
☐ 3½ yrs. B.Sc. Multipurpose Health Worker
☐ B.Sc. 2nd Year Course (Lateral Entry) ______________________________
VALUE ADDED COURSES
☐ 4-5 months Pharmaco Vigilance ☐ 4-5 months Research Methodology
☐ 4-5 months Professional Ethics
 NURSING COURSES
UG COURSES DIPLOMA COURSE
☐ 4-yrs. B.Sc. Nursing ☐ 3-yrs. GNM
☐ 2-yrs. Post Basic Nursing
PG COURSES
☐ 2-yrs. M.Sc. Nursing
☐ Medical Surgical ☐ Obstetric & Gynaecological
☐ Child Health (Paediatric) ☐ Mental Health (Psychiatric) ☐ Community Health

2. Students Full Name (as entered in Class X Examination) : ……………………………………………………………………………

3. Age : ………… Date of Birth: ………..…………. SEX : ☐ MALE / ☐ FEMALE ; ☐ MARRIED / ☐ UNMARRIED

4. Students Cell No. : ……………………………………. E-mail : ………………………………………………………………………………..

5. Father‟s Name : ……………………………………………………. Occupation : …………………….. Cell No. : ……………..…………
Land Line (with STD code) : …………………………………… E-mail: ………………………………………………………………………
6. Mother‟s Name : ………………………………………………………Occupation :………………………… Cell No. :…………………….
Land Line (with STD code) : …………………………………… E-mail: ………………………………………………………………………
7. Permanent Address : ………………………………………..…………………………..…………………………………………………………
………………………………………………….…………………..……….. State …………….………………… Pin………………..………….
8. Students Complete Correspondence Address : ……………………………………………………….………………………………………
………………………………………………….…………………..……….. State …………….………………… Pin………………..…………..

9. Students Nationality : ☐ INDIAN If not, mention Nationality :

10. DOMICILE : ☐ HIMACHALI ☐ NON HIMACHALI Mention State of Domicile:

11. Students Category [Please tick √ appropriate box ] : [ Please attach proof if not in GEN. category ]

☐ GENERAL ☐ SC ☐ ST ☐ OBC ☐ HANDICAPPED ☐ ANY OTHER : PS. describe : …………………………..

12. Religion (Hindu/Muslim/Sikh/Christian any other specify) ……………………………..
13. Students Blood Group: ………..…… , Aadhar Number ………………………………………………

14. Will you require Hostel Accommodation [ Please tick √ ] ☐ YES / ☐ NO

15. Will you require transport / Bus facility [ Please tick √ ] ☐ YES / ☐ NO

16. If YES, address from where pick up needed : …………………………………………………………………………..……………………

17. Name/Address of Institution last attended : ……………………………………………………………………………………..…………
18. DigiLocker ABC ID (mandatory): ………………………………………………………….. (for online verification of documents)
19. Result of Qualifying Examination : [Attach self-attested copy]

Name of Board/University Year of Detail of Total Marks Subject- wise marks with % %/CGPA
Course passing (wherever applicable)

Marks Total % Subject Marks %

Obtained Marks obtained

20. Entrance Test Detail [If taken] : ☐ NEET/CET (Dt./Yr. ……………………..) ☐ ANY OTHER …………………
21. Entrance Test Rank Obtained : …………………………………………[Please attach self-attested copy of Rank Card]

22. Professional Registration Detail: [Attach self-attested copy] (applicable for M.Sc. Nursing and Post Basic Nursing)

Qualification Registered Registration Number of Registration Number of Date of Renewal Remarks

Nurse Midwifery

23. Service/Experience Particulars : (Minimum one year of work experience after Basic B.Sc. Nursing or one year work experience prior
or after Post Basic B.Sc. Nursing) Attach self-attested copy (applicable for M.Sc. Nursing)

Name of Organization Post Held Date of Nature of Appointment (Regular/ Date of Relieve Duration of
Joining Contractual) Service
Declaration by the Applicant:

I declare that entries made by me in this Application Form are true and correct in all respects and in case, any entry or
information is found to be false, this shall entail automatic cancellation of my admission besides rendering me liable to such
action as the University may deem proper.

I note that my admission to the College and my continuance on its rolls are subject to the provisions of the University and any
other rules and instructions, which may be issued from time to time. I shall abide by rules of discipline and proper conduct,
which may be framed in this regard.

I am fully aware of the Regulations of the UGC and the Regulating Council of MCI/DCI/INC and other law regarding ragging
as well as the punishment and that if found guilty on this account. I am liable to be punished accordingly. I undertake
that I shall not indulge in any act of ragging.

I also undertake that I have read and understood the Common Prospectus of the MMU Solan, 2024-25.

Place ………………… Date …………………………….. Full Signature of the applicant ………………………

ENCLOSURE CHECK LIST (Tick whichever is Applicable)

1. Self-attested photocopy of 10th/H.S.C. or Equivalent examination pass certificate & mark sheet.
2. Self-attested photocopy of 10 +2 examination pass certificate & mark-sheet.
3. Self-attested photocopy of Degree and Marksheet for Post Graduate Courses.
4. Self-attested photocopy of Basic B.Sc Nursing/Post Basic B.Sc nursing pass certificate & Mark list.
5. Self-attested photocopy of General Nursing & Midwifery examination pass certificate & Mark- sheet.
6. Self-attested photocopy of Registered Nurse/Registered Midwifery certificate issued by State Nursing
Registration Council.
7. Self-attested photocopy of aadhar Card.
8. Self-attested photocopy of domicile.
9. Self-attested photocopy of Character Certificate last attended or good conduct certificate from the
present employer
10. Migration Certificate/Transfer Certificate from the last Board/University
11. Self-attested photocopy of Reserved Category certificate (if applicable)
12. Self-attested photocopy of Experience Certificate issued by employer.
13. Self-attested photocopy of NOC for appearing the Entrance examination & pursuing the Nursing
course from the appointing authority /Competent Authority of Govt. /Public sector
undertaking/private Sector, where the candidate is presently serving.

SEND FORM AT University Address : REGISTRAR, Maharishi Markandeshwar University,

Village Lado, Sultanpur
ANNEXURE I Road, Distt. Solan, 173229 (HP)
Website: www.mmusolan.org E-mail: [email protected]
Contact Details: +91 1792 268267/268468/268224,
ANNEXURE +91
- I 8894724501 and 8894724505
ANNEXURE I

UNDERTAKING BY THE STUDENT

1. I _______________________________________ S/o / D/o of, Mr./Mrs./Ms. ______________________________________

having being admitted to __________________________________________________, have received a copy of the UGC
Regulations on curbing the menace of ragging in higher educational institutions, 2009, (herein after called the
“Regulations”) carefully read and fully understood the provisions contained in the said Regulations.

2. I have, in particular, per used clause 3 of the Regulations and am aware as to what constitutes ragging.

3. I have also, in particular per used clause 7 and clause 9.1 of the Regulations and am fully aware of the penal
and administrative action that is liable to be taken against me in the case I am found guilty of or abetting
ragging, actively or passively or being part of a conspiracy to promote ragging.

4. I hereby solemnly aver and undertake that:

a) I will not indulge in any behavior or at that may be constituted as ragging under clause 3 of the
Regulations.
b) I will not participate in or abet or propagate through any act of commission or omission that may be
constituted as ragging under clause 3 of the Regulations.

5. I am not participating in any type of Ragging & also not advertisement in any type of ragging.

6. I hereby affirm that, it found guilty of ragging, I am liable for punishment according to clause 9.1 of the
Regulations without prejudice to any other criminal action that may be taken against me under any penal law
or any law of the time being in force.

7. I hereby declare that I have not been expelled or debarred from admission in any institution in country or
account of being found guilty of, abetting or being part of a conspiracy to promote, ragging and further affirm
that in case the declaration is found to be untrue, I am aware that my admission is liable to be cancelled.

Declared this __________ day of _______ month of ___________ year.

Signature of Deponent

Name: ...................................

VERIFICATION
Verified that the contents of this affidavit are true to the best of my knowledge and no part of the affidavit is false
and nothing has been concealed or misstated therein.

Verified at (Place) ________________ on this the (day) ________ of (month) _____________ (year) _________

Signature of Deponent
ANNEXURE II

(UNDERTAKING BY PARENT/GUARDIAN)

1. Mr./Mrs./Ms. ____________________________________________________________ (Full name of parent/guardian)

Father/mother/guardian of (full name of student with admission/registration/enrolment number)
______________________________________________________________________________ having been admitted to (name
of the institution) ____________________________________________________ have received a copy of the UGC
regulations on Curbing the Menace of Ragging in Higher Educational Institutions, 2009, (here in after called the
“Regulations”) carefully read and fully understood the provisions contained in the said Regulations.

2. I have in particular perused clause 3 of the Regulations and am aware as to what constitutes ragging.

3. I have also, in particular perused clause 7 and clause 9.1 of the Regulations and am fully aware of the penal
and administrative action that is liable to be taken against my ward he/she is found guilty of or abetting
ragging, actively or passively or being part of a conspiracy to promote ragging.

4. I hereby solemnly aver and undertake that :

a) My ward will not indulge in any behavior or act that may be constituted as ragging under clause 3 of the
Regulations.

b) My ward will not participate in or abet or propagate through any act of commission or omission that may
be constituted as ragging under clause 3 of the Regulations.

5. I hereby affirm that, if found guilty of ragging, my ward is liable for punishment according to clause 9.1 of the
regulations without prejudice to any other criminal action that may be taken against my ward under penal law
for the time being in force.

6. I hereby declare that my ward has not been expelled or debarred from admission in any institution in country
on account of being found guilty of abetting or being part of a conspiracy to promote , ragging and further
affirm that in case the declaration is found to be untrue, the admission of my ward is liable to be cancelled.

Declared this ____________ day of _________ month of ___________ year.

Signature of Deponent

Name.......................................................
Address...................................................
...............................................................
...............................................................
Tel. No. / Mobile No.: ………………………….

VERIFICATION
Verified that the contents of this affidavit are true the best of my knowledge and no part of the affidavit is false and
nothing has been concealed or misstated therein.

Verified at (Place)__________________ on this the (day) _____________ of (month) __________ (year) ____________

Signature of Deponent
FORMAT OF UNDERTAKING TO BE GIVEN BY THE CANDIDATE IF THE
RESULT OF QUALIFYING EXAMINATION HAS NOT BEEN DECLARED

Such candidates have to furnish following undertaking at the time of document checking/„In person‟ counseling.

“I _______________________________ S/D of Shri ________________________________________ am applying on my own

risk and responsibility as my final result of the qualifying exam has not been declared.

I do hereby declare that I do not have any backlog paper in any of the previous semesters (Years) of study of the

qualifying examination with the minimum percentage of marks required on or before September 30, 2020, failing

which my admission shall stand cancelled and I shall not claim any right on any count whatsoever.”

Dated: __________ ______________________

Signature of candidate

_______________________

Signature of Father/Mother
FORMAT OF GAP PERIOD

I_________________________________________ (Name) S/D of Shri_____________________________

and resident of____________________________________________________________________(address)

do hereby declare that I was not involved in any kind of illegal or unlawful activity during the

period_______________________________ (Mention the period of GAP).

_____________

(Signature)