PG Certificate Course in Accident & Emergency Care
Application Form
   PLEASE FILL ALL THE BELOW DETAILS IN CAPITAL LETTERS ONLY
Name
                                             
Father's/Husband's Name
                                   
Qualification
                                       
Postal Address
                                             

Only "Individuals" to affix recent photograph


                                                           
                             
State
 
Pin code
           
Phone (Off/Res)
                           
Phone(mob)
                   
E-mail
 
Date of Birth
   
 
   
 
   
D D   M M   Y Y
Educational Details
S.No. Qualification Year of Passing University
 





 

 

 

 

 
Payment Details  
D D
 
M M
 
Y Y
D D No
           
Bank
                             
Date
   
 
   
 
   
Amount Rs.
               
In Words
 
I hereby declare that the particulars provided in the application form are true and correct and I have gone through the prospectus before filling the application. I certify that the certificates submitted by me are genuine. I shall be disciplined and adhere to all the rules and regulations of Medvarsity Online Ltd.
Date
   
 
   
 
   
D D   M M   Y Y
  SIGNATURE



Instructions

  • Please fill the application form completely and furnish all details required therein.
  • 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.

Terms and Conditions

  • Certificate in any course would be awarded only after payment of full fee and successfully passing the final Exam.
  • 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.
  • 60 % of the course fee is towards non-refundable administrative charges.
  • Candidates shall be eligible to attend contact program only after successfully completing study modules, internal exams and any other criterion set by course coordinator.
  • Contact programs 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.
  • In the event a candidate does not pass final exam, he/she may be allowed for one more time only to write subsequent exam after paying necessary exam fee as prescribed in the prospectus.
  • All disputes with regard to this course are subject to the jurisdiction of Hyderabad.
For further details contact
Medvarsity Online Limited
Life Sciences Building, Apollo Hospitals Complex, Film Nagar, Hyderabad - 500 096,
Tel : 040-23541654 /23554723
E-mail: medvarsityinfo@gmail.com, enquire@medvarsity.com.
w w w .medvarsity.com