APPLICATION FORM

PLEASE FILL ALL THE BELOW DETAILS IN CAPITAL LETTERS ONLY Name

No.:

Father's/Husband's Name Qualification Postal Address

Only 'Individuals' to affix recent photograph

Courses Applied for City Phone (Off) E-mail State Phone (Res) Date of Birth D D Year of Passing University M M Y Y Pin

Educational Details
S.No. Qualification

Payment Details
D D No Amount Rs. Bank In Words Branch

D D

M M

Y Y

Date

I hereby declare that the particulars provided in the application form are correct and I have gone through the prospectus before filling the application. I shall be disciplined and adhere to all the rules and regulations of Apollo Hospitals Educational and Research Foundation and Medvarsity Online Ltd., I have gone through the instructions and Terms and conditions given overleaf before filling in the application form

Date
D D M M Y Y

SIGNATURE

ACKNOWLEDGEMENT
Received from Bank Name Date Sum of Rs. to wards by Cheque/ DD Drawn on

No.:

Cash payments are not accepted by Medvarsity and Medvarsity is not responsible for any cash payments made.

for Medvarsity Online Limited

Instructions
Please fill the application form completely and furnish all details required there in. Please enclose attested copies of relevant certificates along with two stamp size photographs. The completed admission form must reach us before the last date for admissions. AHERF or Medvarsity is not responsible for any postal delays. Application for online course to be posted to Medvarsity Online Ltd, Life Sciences Building, Apollo Hospitals, Film Nagar, Hyderabad-96 A.P., India All disputes with regard to this course are subject to the jurisdiction of Hyderabad. DD should be made in the name of Medvarsity Online Ltd. payable at Hyderabad. ONLINE PAYMENT CAN BE DONE USING CREDIT CARD. Click on Payments in the home page of www.medvarsity.com. Cash payments are not accepted by Medvarsity and Medvarsity is not responsible for any cash payments made.

Terms and Conditions - Placements

1. Placement assistance is a facility provided by Medvarsity Online Limited and placements are NOT guaranteed to any student. 2. All the students who have successfully completed the course and are seeking employment may register with placement division of Medvarsity Online within six months from the date of completion. However, students not interested in placements are requested not to register. 3. It is compulsory for all the students registered with placement division to fill up the prescribed registration form and submit their resume to Placement division of Medvarsity Online Limited. 4. Students may have to modify the resume depending on the job requirements made by the company. 5. If there are any changes in contact details, registered students are advised to update their contact details immediately with placement division. 6. Placement assistance will be provided for one year only. a. Placement assistance is given to the student for Six months only from the date of registration with Placement Division of Medvarsity Online. On completion of the Six months from the date of registration, irrespective of whether the students get a job or not, his / her name will be removed from the database. b. However, if the student wishes to continue to get the placement assistance for another Six Months he/she has to pay a nominal re-registration fee prevailing at that point of time. 7. Placement division will send you the job descriptions of the openings to the email addresses provided at the time of registration. The same job description will be available on the placement section of Medvarsity website. The mail will also mention the deadline / time frame to respond. Placement division is not responsible for the delay in communication from students end and will not forward the resumes to the organization if the student does not respond within the deadline / time frame. 8. Registered students are advised to read the job descriptions, go through the company web sites and apply only if interested. 9. Placement division will inform you about your shortlisting and interview schedule only after receiving information / communication from the respective organization. 10. It is compulsory for all the shortlisted students to attend the interview with the organization failing which placement assistance will be withdrawn and will not receive communication about the future opportunities / openings. 11. Student must be formally dressed whenever they attend interview. Generally preferable dress code for Gents Formal dark pant with light shirt, neck tie and formal shoes and for Ladies Churidar / Salwar / Shirt-Pant with overcoat and shoes. 12. While going for interview students are advised to carry hardcopy of their resume, passport size photograph, Photo identity proof, certificates and any other specific document asked by the employer. 13. There is a possibility that the all the registered students may not get the opportunities in or from their hometowns only and hence are required to travel for attending interviews. Travailing charges for attending interviews are to be borne by the students only. 14. Wherever there is a possibility, the placement division will try and arrange interviews telephonically or through Skype. Hence students are advised to have a Skype account. 15. Student is bound to accept the job offer of a company, once selected, and join the same organization. In case, students decide not to join the company, they should inform the company in writing with reasons. They are also required to submit a copy of that letter to the Placement division. The placement division will stop further assistance to such students in the future. 16. Once selected, the students name will be removed from the registered list and will not be communicated about the future openings. 17. If any student gets placed through our efforts, the student is bound to send a copy of the Offer letter to Medvarsity Online for our official records. 18. Medvarsity is not responsible to provide placement assistance again to a candidate who gets an offer and doesnt join the organization or leaves the organization after joining. 19. A registered student is advised to inform us, if he gets a job and joins any organization through his own efforts. 20. Placement rules are reviewed periodically and are changed accordingly; the changes will be intimated to the registered students by emails only and they have to abide by them.

Terms and Conditions

Certificate of course completion would be awarded only after payment of full fee and successfully passing the final Exam. The course Fee is inclusive of all taxes. Medvarsity reserves the right to disqualify a candidate for providing false information, submitting improper documents or for misconduct in a particular course. Medvarsity reserves the right to revise / change the curriculum, the course structure or course delivery methodology without prior notice. Fees once paid will not be refunded . Fee transfer to other person is not entertained under any circumstances. Fees can be paid through Cheque / Demand Draft / Online payment / EFT (No cash payments will be accepted and Medvarsity is not responsible for the cash payments made by the applicant) The payment will be refunded completely if the applicant is not selected for the program by the Company. Cheque / Demand Draft to be drawn in favor of Medvarsity Online Limited. Kindly write your Name, Address & Phone Number on the reverse side of the Cheque / Demand Draft. EFT payment to be made to the following account Account Name: Medvarsity Online limited Branch : Jubilee Hills, Hyderabad Account No. 007605000171 IFSC/NEFT/RTGS Code: ICIC0000076 Write your name & contact number in the remarks column while making the EFT payment. In the application form, mention the EFT transaction number, date of transaction and the bank details clearly. The application form will be processed only after the payment is realized/received by Medvarsity Switching to other Medvarsity courses is allowed subject to approval by Academic council within 3 months of enrollment. No refunds or no fee adjustments would be made in this regard. Candidates shall be eligible to attend contact program only after full payment of fee and successfully completing study modules, internal exams and any other criterion set by course coordinator. Contact programs wherever applicable shall be conducted in batches and therefore may not start immediately after completion of study modules. This may result in extended duration of the entire course. There shall be a minimum batch size to conduct contact program. In the event of the batch size being below the minimum number, contact program shall be moved to next batch. Eligible candidates shall be informed about the dates of Contact programs in advance. Once intimated, it is necessary for the candidate to attend the contact program. In the event candidate is not able to attend the contact program, Medvarsity shall not be held responsible. Medvarsity shall try to accommodate such candidates in the contact program for subsequent batch but shall not be liable to do so. The course is to be completed in the stipulated duration. Every course is provided a grace extension of 6 months beyond which a reactivation fee of Rs. 2500 is chargeable for course duration extension. In the event a candidate does not pass final exam, he/she may be allowed for reattempt only after paying necessary exam fee as prescribed in the prospectus. All disputes with regard to this course are subject to the jurisdiction of Hyderabad. In case of provisional admission if the candidate is found to be ineligible Rs.1000/- will be deducted as application and processing charges and the rest of the fee will be refunded in 30 days.

I have read, understood, agree and abide by the placements terms and conditions of Medvarsity Online Limited
Name of the candidate : Date : Signature