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UMDC Electives Application

Student Application for Electives
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UNITED MEDICAL & DENTAL COLLEGE

Student Application for Electives

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SECTION ‘A’: To be completed by the student

Please Note: Incomplete form will not be processed. To be filled in block letters.

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Student Declaration:

a. I accept and will abide by all applicable policies, procedures, and regulations, including the Institution’s student code of conduct set out in the Electives Guidelines.

b. I accept my ethical obligation as a medical professional to hold all information provided by the patients, families or by other members of the health care team in the strictest confidence during my visit or thereafter.

c. I understand that I will have to abide by the rules and regulations of UMDC and the Institution where I will be going for the electives.

d. All financial medical, health, travel, visas etc. costs will be borne by me.

e. I will pay the full tuition fee of UMDC irrespective of my electives.

f. I understand that I will have to submit certificates of electives attendance and progress of academic goals.

SECTION ‘B’: To be completed by the Dean

Remarks of the Dean: Application of the student is recommended. This is also a No Objection Certificate (NOC) for taking electives anywhere in the country.

Nurturing Excellence in Medical Education. 

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