Student Application for Electives
Please Note: Incomplete form will not be processed. To be filled in block letters.
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.
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.