Kasturba Medical College Manipal Welcome Kit Batch of MBBS

Kasturba Medical College
Manipal
Welcome Kit
Batch of MBBS 2015-16
Page 1 of 22
INDEX
1. Dean’s message
-
-
3
2. Good to know
-
-
4
3. Student Profile Card
-
-
5
4. Hobbies / extra-curricular interests
-
-
7
5. UGC regulations on Anti-ragging
-
-
9*
6. Undertaking by the students/parents #
-
-
10
7. MCI regulations on Anti-ragging
-
-
12 *
8. Undertaking by the students/parents #
-
-
13
9. Combo Card – Bank account
-
-
15
10. Mobile connections
-
-
16
11. Vaccination information
-
-
17
12. Health Instructions
-
-
18
13. Safety Instructions
-
-
19
14. Anti-ragging – information
-
-
20
15. Student Health Clinic
-
-
21
16. Word of caution
-
-
22
17. Map of Manipal
-
-
Annexure 1 *
18. List of hotels in and around Manipal
-
-
Annexure 2 *
(* Attached separately)
# Note: Students / parents are requested to print the undertakings given in this, fill in the details and
submit the same to the College Office on the day of Orientation Programme, duly signed by the
student & parent.
Page 2 of 22
Dean’s message
Dear Student,
Congratulations! You are about to embark on your new life at KMC, Manipal,
and we are eager to welcome you to your new home at one of the premier
medical school & University. The program is designed to prepare you to thrive
in the fast-paced, ever changing world of practicing medicine.
You’ve invested a lot to prepare for this moment, and we’re committed to
making your transition to medical school as seamless as possible. You should
take considerable pride in this achievement.
We are delighted that you’ve now become a part of KMC, Manipal. It is an
honor and privilege to share your joy, your achievement and the dreams of your
parents. To the parents, let me say, thank you for entrusting your children to us.
As you stand on the threshold of beginning your life as a medical student and a
future doctor, remember you’re joining the family of illustrious names like
Hippocrates, Lister, Jenner, Roentgen, Osler, Marie & Pierre Curie. The art of
medicine is not taught by books; it is acquired only at the bedside of patients.
The art of Medicine is the heart of healing, treating and curing, competence and
humanity.
So I hope your tenure here at Manipal is a fruitful one and you gain a lot of
happy memories. I am waiting to meet you at the Orientation Programme which
is scheduled from September 1st to September 5th, 2015.
With best wishes and regards,
Dr Poornima Baliga B.
Dean
Page 3 of 22
GOOD TO KNOW !!!!

Please make sure that you bring the hard copies of the 6 forms given in this
Welcome Kit, duly filled in and signed by you and your parents.

To make you comfortable adjusting to the medical career, we have a Mentoring
System with faculty to guide you at each stage. Student and parents will meet with the
respective Mentors on the first day of Orientation week.

The Orientation week will be full of interesting activities to help you settle down and
includes a First –Aid training course.

The State Bank of India Permanent ID/Combo card requirements and to be in touch
with your family, mobile network connection details are also attached. Bring the
necessary documents.

Student information- general and other interests are to be filled in student profile card
and hobby/extracurricular interest form.

Students need to get vaccinated to prevent them getting affected during their medical
course. Information regarding the same is hereby attached. Kindly ensure it is done or
you may get it done after your arrival in Manipal. Students, who have already got
vaccinated, please possess its details.

Ragging is a criminal offence as per the Karnataka Educational Act 1983 and
Honorable Supreme Court of India. Please visit http://manipal.edu/mu/admission/antiragging-.html and kindly go through the rules and regulations. There is a declaration
form attached which needs your parent/guardian’s signature concerned to ragging,
please do fill that appropriately and it is to be submitted when you arrive here.

The nearest airport is in Mangalore situated 70 km away from Manipal. You can
reach here via a prepaid taxi. A list of hotels in Manipal and a map of Manipal is
attached for your benefit. The nearest railway stations are in Udupi (5 km away) and
in Mangalore.

Please carry sufficient number of passport size photographs, atleast 10.
Page 4 of 22
Form 1 of 6
Kasturba Medical College, Manipal
Student Profile Card
Batch: 2015 ________________
1. Name of the student
: _________________________
2. Reg. No.
: _________________________
3. Father’s Name
: _______________________________
4. Mother’s Name
:________________________________
5. Gender
: Male
6. DOB (DD/MM/YYYY)
: _________________________________
7. Blood Group
: _________________________________
8. Nationality
Affix recent
color
photograph
Female
: _________________________________
9. Passport Details:
a.
Passport No: _________________ b. Country of Issue: ________________
c. Date of Issue: ________________ d. Date of Expiry:________________
10. Visa Details(For NRI Students):
a. Visa No: _____________________ b. Place of Issue: __________________
b. Date of Issue: ________________ d. Date of Expiry: __________________
11. Social Security Number( For NRI Students): _________________________
12. Student Contact Details:
a. Hostel and Local Address: ______________________________________________
_____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
b. Phone number in Manipal (Cell/Landline):___________________________
c. Email ID:
____________________________________________________
d. If you have any relatives/ friends/acquaintance (in or around Manipal) please provide
their contact number and address:
____________________________________________________________
______________________________________________________________
_____________________________________________________________
Page 5 of 22
13. Parent’s Contact Details:
a. Permanent Address:_____________________________________________
________________________________________________________________
________________________________________________________________
b. Contact Number (Landline & Cell) :_________________________________
c. Fax Number: ___________________________________________________
d. Email ID: ______________________________________________________
14. Health Specifications:
a) Any know allergy (food/medication): ___________________________
b) Medical history (if any): _____________________________________
15. Name of the Mentor:______________________________________________
Signature of the student
Page 6 of 22
Form 2 of 6
Kasturba Medical College, Manipal
Please specify your level of expertise in the following items. This will enable us in
coordinating the college cultural and sports activities.
Name:
Reg. No.:
Activity
Average
Good
Award Winner
Sports
Badminton
Soccer
Baseball
American Football
Tennis
Swimming
Cricket
Table Tennis
Golf
Athletics
Basketball
Chess
Carroms
Quiz
Snooker, Pool &
Billiards
Cultural Activities
Sketches and Skits
Drama
Mad Ads
Page 7 of 22
Rangoli
Mime
Collage
Painting
Cartooning
Debate
Extempo speaking
Just A Minute
Eastern Vocals
Western Vocals
Eastern Dance
Western Dance
Eastern Musical Instruments (Please specify)
1
2
3
Western Musical Instruments (Please specify)
1
2
3
Other Activities, if any
1
2
3
Page 8 of 22
(Available at: http://www.ugc.ac.in/oldpdf/ragging/gazzetaug2010.pdf)
Page 9 of 22
Form 3 of 6
UNDERTAKING BY THE STUDENT
1. I Mr./Ms. _________________________________
Roll
No__________________Son/daughter
of
Mr./Mrs.
_______________________________________________, having been admitted
to___________________________________________________________,
have
received a copy of the UGC Regulations on Curbing the Menace of Ragging in
Hostels and Colleges for Higher Educational Institutions, 2009(hereinafter 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 me
in 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 act 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 hereby affirm that, if 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 for the time being in force.
6. I hereby declare that I have not been expelled or debarred from admission in any
institution in the 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, I am aware that my admission is liable to be cancelled.
Declared on ___________
(Date)
_________________
Signature of deponent
Name:
(In Capital Letters)
VERIFICATION
Verified that the contents of this undertaking are true to the best of my knowledge and no part
of the undertaking is false and nothing has been concealed or misstated herein.
Verified at ___________on_________
(Place)
(Date)
_________________
Signature of deponent
Name:
Page 10 of 22
Form 4 of 6
UNDERTAKING BY PARENT/GUARDIAN
1. I Mr./Mrs.____________________________________________
father
/mother/guardian
of,
_____________________________________Roll
No
________________having,
been
admitted
to
______________________________________have received a copy of the UGC
Regulations on Curbing the Menace of Ragging in Higher Educational Institutions,
2009, (hereinafter 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 in case 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 any penal law or any 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 the 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 on _________________
(Date)
___________________
Signature of deponent
Name:
(In Capital Letters)
Address:
VERIFICATION
Verified that the contents of this undertaking are true to the best of my knowledge and no part
of the undertaking is false and nothing has been concealed or misstated therein.
Verified at ___________on_________
(Place)
(Date)
E-mail ……………………….
_________________
Signature of deponent
Name:
E-mail:
Page 11 of 22
(Available at: http://www.mciindia.org/circulars/Anti%20Ragging%20regulation.pdf)
Page 12 of 22
Form 5 of 6
UNDERTAKING BY THE STUDENT
1. I, Mr./Ms………………………………………………………………………………
Son/daughter of Mr./Mrs……………………………………………………………
have carefully Read and fully understood the law prohibiting ragging and the
directions of the Supreme Court and the Central/State Government in this regard.
2. I have received a copy of the MCI regulations on curbing the Menace of Ragging in
Higher Educational Institutions, 2009.
3. I hereby undertake that
 I will not indulge in any behavior or act that may come under the
definition of ragging
 I will not participate in or abet or propagate ragging in any form
 I will not hurt anyone physically or psychologically or cause any other
harm
4. I hereby agree that if found guilty of any aspect of ragging, I may be punished as per
the provisions of the MCI regulations mentioned above and /or as per the law in force
Date: …………………
Signature………………………
Full Name & Roll No: ………………………………………………….
UNDERTAKING BY THE PARENT / GUARDIAN
1. I,Mr./Mrs………………………………………………………………..,...
father/mother/guardian
of
Mr./Mrs.……………………………………………………….have carefully read and
fully understood the law prohibiting ragging and the directions of the Supreme Court
and the Central/State Government in this regard as well as the MCI regulations on
curbing the Menace of Ragging in Higher Educational Institutions, 2009.
2. I assure you that my son/daughter/ward will not indulge in any act of ragging
3. I hereby agree that if he/she is found guilty of any aspect of ragging, he/she may be
punished as per the provisions of the MCI regulations mentioned above and/or as per
the law in force.
Date: ……………………..
………………………….
Signature
Full Name: ………………………………………….
Address & Contact No:………………………………………………
……………………………………………….
……………………………………………….
Page 13 of 22
Form 6 of 6
DECLARATION
I,………………………………………………….(full name of student with roll number)
Son/daughter of
admitted
Mr./Mrs./Ms………………………………………………., having been
to…………………………………………………..(name of the Institution), declare that,
I/We have been made aware that, possessing, consuming, dealing in narcotic and intoxicating
drugs is an offence punishable with imprisonment under Indian Penal Code 1860 and shall
not indulge in such activities during my study period in the campus. In case of such
indulgence or suspicion, I am willing to undergo medical examination including blood and
urine analysis as per instructions from the college authorities. I/We also declare that I shall
abide by all the rules & regulations framed by the Management from time to time and shall
not indulge in any criminal activities like assault, fighting etc. during my study period in the
campus. I am liable for such disciplinary action/punishment awarded by the Management,
including cancellation of admission.
Signed and witnessed on………………………………………………….at Manipal
Signature of the Student
Signature of the Parent
Name :
Name :
Roll No:
Address:
Phone :
Phone :
Email :
Email :
Witness:
Signature:
Name :
Address:
Phone :
Email :
Page 14 of 22
DOCUMENTS REQUIRED
FOR OPENING STATE BANK- MU CO-BRANDED CARD
AND SAVINGS ACCOUNT
The account opening form of the bank needs to be submitted to the Bank along with
the following documents:
1. Copy of Admission Order
2. Address Proof(xerox of any one of the following and original should be brought
for verification)
a. Passport
b. Voter ID
c. Driving Licence
d. Aadhar Card
3. Xerox Copy of Pan Card (If having Pan Card) otherwise form no 60 to be filled up
in the application form
4.
Two Photos (passport size colour photo)
5. Existing account (single account) holders are requested to transfer account and
CIF to SBI Manipal (04426) and submit the Combo Card application form to the
SBI Branch at Tiger circle, Manipal
Page 15 of 22
REQUIREMENTS FOR
OBTAINING MOBILE CONNECTION
(Airtel)
1. Residence Proof- passport/Driving licence / aadhar card / ration card / college letter
(if student does not have any residence proof)
2. 3 passport size photographs
.
Page 16 of 22
VACCINATION INFORMATION
MANDATORY VACCINE
 Hepatitis B
3 doses- 0, 1 and 6 months intramuscular
Approximate cost: Rs 80/-
DESIRABLE VACCINE
 Chicken pox vaccine
All adults who have never had chickenpox or received the vaccination should be
vaccinated against it. Two doses of the vaccine (subcutaneous) should be given at least
four weeks apart.
Approximate cost: Rs 1700/ MMR vaccine
If not vaccinated in last 5 years
Single dose
Approximate cost: Rs 130/-
OPTIONAL VACCINE
 Typhoid vaccine
Single dose (IM) and booster dose every 3 years
Approximate cost: Rs 290/ Hepatitis A vaccine
2 doses: 0, 6
Approximate cost: Rs 1900/-
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