Annexure 3B
I, Dr. ………………………………………………………….
selected for Post Graduate Degree/Diploma Course for the year 2013-14 do hereby undertake to serve the
Government of Andhra Pradesh by working in the Public Sector Hospital as a
Senior Resident for a period of one year after successful completion of the PG
Degree / Diploma Course. If I fail to join as senior resident or not completing
one year of service within a maximum period of 18 months, I undertake to pay a
sum of Rs.20,00,000/- / 15,00,000/- (Rupees twenty lakhs / Rupees fifteen lakhs
only) to Government.
Date:
Signature
of the Candidate
Witness: Sureties:
1.
Signature: 1.
Signature:
Name
and address in full Name
and address in full
2.
Signature: 2.
Signature:
Name
and address in full Name
and address in full
Annexure 3A
I,
Dr. ………………………………………………………………..
selected for Post Graduate Degree/Diploma for the year 2013-14
do hereby undertake to complete the
said course as per the requirements of the University. In the event of my leaving
the studies after joining the course, I undertake to pay to the Dr. NTR
University of Health Sciences a sum of Rs.50,000/- (Rupees fifty thousand only)
and refund the amount received as stipend upto that date to Government.
Date:
Signature
of the Candidate
Witness: Sureties:
1.
Signature: 1.
Signature:
Name
and address in full Name
and address in full
2.
Signature: 2.
Signature:
Name
and address in full Name
and address in full
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