Rajiv Gandhi University of Health Sciences, Karnataka

4th 'T' Block, Jayanagar, Bangalore - 560 041.


APPLICATION FORM FOR THE ISSUE OF ELIGIBILITY CERTIFICATE FOR _________________ COURSE FOR THE ACADEMIC YEAR 2005-2006

1. Name of the Candidate (in block letters as in the marks card of the +2 examination):

2. Communication Address:

3. Age & Date of Birth:

4. Nationality:

5. Qualifying Examination Passed with Registration Number, Month and Year of Passing:

a) Particulars of the subjects passed & marks secured

English & Optional Subjects passed
Maximum Marks
Marks Obtained
1. English    
2. Physics    
3. Chemistry    
4. Biology    
5. Mathematics    
6.    
Total (Optionals)    

b) Percentage in aggregate of PCB/PCM:

6. Name of the Board / University conducting the examination:

7. Eligibility fee paid receipt / DD No. date and amount (DD shall be drawn in favour of the "Registrar, RGUHS, Bangalore")

8. Name of the College of Admission

9. Attested photocopies of the following documents must be enclosed with the application

I do certify that the information furnished above are correct to the best of my knowledge and belief.

Place:

Date:

Signature of the Candidate


Eligibility for qualifying for the 10+2/12th Grade

 

1. Afghanistan

a) Military High School Examination (12 Year Course) conducted by the Ministry of National Defense, Directorate of Training, Kabul .

 

b) Baccalaureate Certificate awarded by the Ministry of Education, Afghanistan .

2. Algeria

High School Graduation Diploma of International School , Bothium , Algeria .

3. Albania

12 years General Secondary Education 'Certificate of Maturity' DEFTESE PJEKURIE of the Ministry of Education, Albania.

4. Argentina

12 years High School Diploma of American community school (Association: Escueles Lincoln), Buenos Aires , Argentina .

5. Australia

I) Higher School Certificate Exam. of

(a) Victorian Universities & School Examinations Board , Australia

(b) Board of Senior School studies, Sydney , New South Wales .

 

II) Australian Capital Territory year 12 Certificate conducted by ACT School Authority, Canberra

.

III) 12 Year South Australian Matriculation Examination conducted by the public Examinations Board of South Australia, Adelaide .

 

IV) Year 12 Higher School Certificate awarded by the Victorian Institute of Secondary Education, Melbourne , Australia

 

V) Senior Certificate of Board of Secondary School Studies, Queensland , Australia .

6. Bahrain

Secondary School General Certificate of the State of Bahrain

7. Bangladesh

a) Higher Secondary Certificate Examination of the Boards of Intermediate & Secondary Education in Bangladesh

 

b ) 12 years High School Graduation Diploma at American International School Dhaka.

8. Belgium

a) 12 Year High School (Academic) Graduate Diploma of the International School of Brussels , Belgium

 

b ) 12 years High School Diploma of St. John's International School, Waterloo , Belgium .

9. Bhutan          

Bhuyanese School Certificate Examination conducted by the National Board of Secondary Education of the Royal Govt. of Bhutan

10. Brazil

Higher School Diploma of American School of Brasilia ( Brazil ), ( Escole American do Brasilia ).

11. Britain

a) GCE Examination of UK with passes in

( i ) 5 subjects at least at ordinary Level and 2 subjects at Advanced Level, or

(ii) 4 subjects at ordinary Level & 3 subjects at Advanced Level.

 

b) Scottish Certificate of Education (Ordinary Grade & Higher Grade) awarded by the Scottish Examination Board, Edinburgh, England, with passes in 5/4 subjects at the Ordinary Grade & 2/3 subjects at the Higher Grade (7 passes)

 

c) School Certificate & GCE 'O' Level Examination in more than 5 subjects including English & as further obtained principal passes in Physics, Chemistry & Mathematics at Higher School Certificate Examination of University of Cambridge, Cambridge .

 

d) International General Certificate of Secondary Examination of University of Cambridge .

12. Burma

a) 2 Years Pre-Degree/ Diploma Course with English as one of the subjects of Regional Colleges of Burma conducted by Examination Board of Burma Higher Education Department, Ministry of Education, Board of Colleges, Burma.

           

b) 12 Years High school Graduation Diploma of International High School, Rangoon , Burma .

13. Canada

a) Secondary School Honour Graduation Diploma of the Secondary Schools in the Province of Ontarian , Canada .

 

b) Ontarian Secondary School Diploma with 6 Ontario Academic Cources of Ministry of Education, Ontario , Canada .

           

c) Senior Secondary School Graduation Certificate of the Ministry of Education, Government of British, Columbia, Canada.

 

d) Grade 12 Graduation Diploma of Saskatchewan School Programme of the Saskatchewan Department of Education, Canada .           

           

e ) 12 Years Senior High School College Preparatory Programme of the province of New Brunswick , Department of Education, New Brunswick , Canada .

           

f) Diploma of Collegial Studies - General Education Programme (Diploma D' Etudes Collegial - DEC) of General Colleges (CEGEP) of the Department of Education, Province of Quebec , Canada .

 

g) High School Completion Certificate of the Department of Education, Neva Scotia , Canada .

 

h) 12 Years General High School/Advanced High School Diploma of the Province of Alberta, Canada.

 

i ) Senior High School Graduation Diploma (Academic Stream) of the Dept. of Education, Province of Manitoba , Canada .

14. Ceylon ( Sri Lanka )

GCE Examination conducted by the Department of Examination of the Government of Sri Lanka with passes in

(a) Five subjects at the Ordinary Level and two subjects at the Advanced Level, or

(b) Four subjects at the Ordinary Level and three subjects at the Advanced Level.

15. Chile

12 years School Diploma of Nido De Anguilas International School, Santiago , Chile .

16. China         

12 years High School Diploma of Shanghai American School, Shanghai , China .

17. Cyprus

High School Colleges Preparatory Diploma of ISS International School , Cyprus .

18. Denmark    

12 years High School Diploma of Copenhagen International School, Denmark.

19. East African Countries

a) East African Advanced Certificate of Education Examination of the University of Cambridge Local Examinations Syndicate in collaboration with East African Examinations Council with a pass in any of the following combinations of subjects; Four principle subjects; three principle subjects and one subsidiary subject; two principle subjects and two subsidiary subjects.

 

(Uganda Advanced Certificate of Education Examination conducted by the Uganda National Examinations Board, Uganda .

 

c ) Uganda Advanced Certificate of Education with three Principal passes.

20. Egypt ( Arab Republic of)

a) Secondary General Education Certificate (12 Year Course) awarded by the Ministry of Education, Arab Republic of Egypt.

 

b) High School Graduation Diploma of Cairo American Colleges, Cairo , Egypt

21. Ethiopia

Ethiopian School Leaving Certificate (12 Year Course) awarded by the Ministry of Education & Fine Arts, Ethiopian.

22. Fiji

a) Fiji Seventh Form Certificate awarded by the Ministry of Education, Suve , Fiji .

 

b) Foundation programmed of the University of South Pacific Fiji .

 

c) 12 Years Certificate of Attainment / Fiji School Leaving Certificate of the Ministry of Education, Fiji .

23. France

New French Baccalaureate Examination

24. Federal Republic of Germany (FRG)

a) Graduation Diploma of International School ( International School ), Hamburg

 

b) 12 Years Graduation Diploma of Bonn American High School , Bonn .            

 

c) ' Abitur ' Examination of West Germany (FRG).

 

d) High School General Diploma (Academic Transcript issued by Saskatchewan Dept. of Education, Canada) conducted at the Black Forest Academy, West Germany.

 

e) High School Diploma of Frankfurt International School , Obororsel , Frankfurt West Germany .

25. Gaza Strip

General Secondary Education Certificate of Gaza Strip.

26. Greece

12 Years High School Diploma of American Community School , Athena Greece.

27. Guinea (Republic of)

'Diploma DU Baccalaureate (2 nd Part) Academic Stream)

28. Hong Kong

 

Hong Kong Certificate of Education & Higher/ Advanced Level Examination of Hong Kong Examination Authority on the some parity as accorded to GCE 'O' Level/ 'A' Level Examinations of British Examining Authorities.

29. Indonesia

a) 12 year Higher Secondary Examination (Courses offered at the Gandhi Memorial School ) conducted by the Board Secondary Education, Indian Schools , Indonesia .

 

b) Secondary School Diploma (College Preparatory Programme ) of Jakarta International School , Jakarta Indonesia .

 

c) SMA/SLTA (Senior High school/Secondary school advanced stage) Examination of Indonesia.

 

d ) 12 years High School Diploma of Surabaya International School, Surabaya , Indonesia .

30. Iran

4 th year Diploma of Secondary Schools (12 year Course offered under the new pattern of school Education) awarded by the Ministry of Education, Iran .

31. Iraq

Baccalaureate Examination for Secondary Schools (12 year Course) conducted by the Ministry of Education, Republic of Iraq .

32. Ireland

Leaving Certificate Examination (Department of Education) Ireland with Higher/ honours level passes

33. Italy

a) Diploma Maturia Technical Feminine (Diploma of Feminine Technical School Leaving Certificate) awarded by the provincial Education Authority in Benevento , ( Italy )

 

b) 12 years High School Diploma of American overseas School, Rome .

 

c)    High School Graduation Diploma of Mary mount International School, Rome .

 

d) 12 years High School Diploma of American School of Milan , Italy .

34. Israel

a) 12 years Matriculation ' Bagrut ' Examination (Academic Stream) of the Ministry of Education & Culture , Israel .

 

b) 12 Years High School Diploma of Walworth Barbour American International School , Israel .

35. Ivory Coast

High School Diploma of International community School of Abidjan .

36. Japan

a) 12 year Diploma of St. Mary's International School , Tokyo .

 

b) High School Graduation Diploma (Certificate of Graduation) of the International School of the Sacred Heart, Tokyo .

 

c) High School Diploma of Seison International School , Tokyo .

 

d) 12 Years Senior High School Diploma of Marist Brothers' International School , Kobo , Japan .

 

e) High School Graduation Diploma of Canadian Academy Koba , Japan .

 

f ) 12 years Upper Secondary School Leaving Certificate of Japan.

37. Jordan

a ) General Secondary Education Certificate ( Tawjihi ) (12 year Course) Examination   conducted by the Ministry of Education Jordan.

 

b ) General Vocational Secondary Certificate (12 year Course) awarded by the Ministry of   Education, Jordan .

 

c) High School Diploma of American community school, Amman , Jordan .

38. Kenya

a) Kenya Advanced Certificate of Education Examination conducted by the Kenya National Examinations Council, Kenya .

 

b ) 8+4   Kenya Certificate of Secondary Education of Kenya National Examination Council with 5 (five) passes in ABC Grades.

39. Korea (South)

a ) 12 years College Preparatory Diploma of Seoul Foreign School, Seoul .

 

b ) 12 years High School Honours Diploma of Pusan American School, Pusan , South Korea .

 

c ) 12 years College Preparatory Diploma of Seoul International School, Seoul , Korea .

40. Korea (Republic of)

High School Diploma with good grades of accredited school of Republic of Korea .

41. Kuwait

General Secondary Education Certificate Examination (12 years Course) conducted by the Ministry of Education, Kuwait .

42. Lebanon

a) 12-years Diploma of American Community School , Beirut .

 

b) Baccalaureate Diploma (Final part II) of the Ministry of National Education, Lebanon .

43. Libyan Arab Republic

General Secondary Education Certificate awarded by the Ministry of Education, Libyan Arab Republic .

44. Malaysia

a) Higher School Certificate Examination (10 year Course) conducted by the University of   Cambridge Local Examinations Syndicate in Collaboration with the University of Malaysia and the University of Singapore.

 

b) Sijil Tinggi Persekolshon Examination conducted by the Ministry of Education, Malaysia .

 

c ) 12 years High School Graduation   Diploma of International School of Kuala Lumpur, Malaysia.

 

d) Sijil Tinggi Parsekolshan Malaysia (STPM) Examination with pass in English Language paper conducted by the University of Cambridge Local Examinations Syndicate/Malaysian Examination Council , Malaysia .

 

e) Matriculation Science Course of the National University of Malaysia .

 

f) Science Matriculation Programme of University Kobangsaan , Malaysia .

 

g ) 12 years Matriculation Science Certificate of university of Malaysian and university of Science , Malaysia .

45. Morocco

High School Graduation Diploma of Robot American School , Morocco .

46. Nepal

a) Inter Arts, Science & Commence of Tribhuvan University , Katmandu .

 

b) Certificates (Courses offered at the Institutes of Humanities & Social Sciences; Science & Business Administration, Commerce & Public Administration) & Certificate in Agriculture of the Tribhuvan University .

 

c)Intermediate Science Course of Katmandu University Nepal

 

d) Higher Secondary Examination from Higher Secondary Boards of accredited to Ministry of Educated of Nepal .

47. Netherlands

High School Diploma of American School of Hague , Netherlands -with minimum two science stream credits in Physics, Chemistry, Maths /Biology.

48. Netherlands Antilles

12 Years High School Graduation Diploma of International School at Curacao , Netherlands Antilles .

49. New Zealand

a) New Zealand University Entrances Examination.

 

b) University Bursaries/Entrance Scholarship Examination with minimum of Grade 'D' of New Zealand qualifications Authority

50. Nigeria       

a) Interim Joint Matriculation Board Examination of the Institute of Education , Ahmad Belle University , Zaria ( Nigeria ).

 

b) 2 GCE 'A' level passes followed by 5 'O' Level passes of the West African Examinations Council , Nigeria .

 

c ) 12 years High School Graduation Diploma of Hillcrest High School, Jes , Nigeria .

 

d ) 2 years Pre-Degree Programme of University of Sakota , Nigeria.

 

e) 12 Years Senior School Certificate Examination of West African Examinations Council , Nigeria with minimum 5 (five) passes in grade (4) or higher grades.

51. Norway

12 years Secondary School Certificate 'Exam on Artium ' / Upper Secondary School Examination (General/Academic study) of Ministry of Church & Education, Norway.

52. Oman

12 Years General Secondary School Certificate of the Ministry of Education, Oman .

53. Pakistan

a) Higher Secondary School Certificate Examination of the Federal Board of Intermediate & Secondary Education, Islamabad ( Pakistan ).

 

b) Higher Secondary Certificate Exam. (Part-II) (12-year Course) of the Board of Intermediate & Secondary Education, Hyderbad .

 

c ) 12 years High School Diploma of International School of Islamabad, Pakistan.

 

d ) 12 years High School Graduation Diploma of Karachi American School, Karachi .

54. Palestine     

General Secondary Education Examination of Palestinian National Authority.

55. Panama

Graduation Diploma of Balboa High School (Dept. of Defense (USA) Dependent School ), Panama - those who pass with science stream should have obtained minimum credits of 2 Units in Science subjects at the High School.

56. Peru

High School Graduation Diploma at the American School of Lime ( Franklin Delano Roosevelt ), Peru .

57. Philippines

a) 12 Years College Preparatory Diploma Brent International School Manila , Philippines .

 

b) 12 years Graduate High School Diploma of International School, Manila , Philippine.

58. Poland

High School Graduation Diploma of the American School of Warsaw , Poland .

59. Qatar

General Secondary Education Stage Certificate Examination conducted by the Ministry of Education & Youth Welfare, Govt. of the State of Qatar  

60. Saudi Arabia            

12 Years General Secondary Education Certificate with English as one of the subjects of the Ministry of Education, Jeddah , Saudi Arabia .

61. Singapore

a) Singapore-Cambridge General Certificate of Education 'O' & 'A' Level Examinations on the parity as accorded to GCE Examinations of British, Examining Authorities.

 

b) Diploma (High School) of Singapore American School , Singapore .

62. South Africa

a) Matriculation Exemption Certificate/Senior Certificate with Matriculation Exemption of the Ministry of Education, Republic of South Africa .

 

b) Senior Certificate with Matriculation Examination/Matriculation Certificate of the South African Certification Council, Ministry of South Africa .

 

c ) Senior Certificate of awarded by Kwazal -Natal Department of Education & Culture is not recognized.

63. Sudan

a) Higher Secondary School Certificate Exam. (12 year Course) conducted by the Sudan Examinations Committee, Sudan .

 

b) 12 years Secondary School Certificate of the Sudan Examination Committee, Ministry of Education, Sudan .

 

c) Commercial Technical Secondary School Certificate Examination of the Sudan Examinations Committee, Ministry of Education & Guidance Sudan .

 

d ) General Secondary Education Certificate of Egyptian Educational Mission in Sudan .

64. Sweden

School Leaving Certificate Courses in Natural Sciences (12-year Courses) offered at Ostermolms and Norro Reol Gymnasiums.

65. Switzerland

a) International Baccalaureate Diploma Examination conducted by the International Baccalaureate office, Geneva ( Switzerland ).

 

b) 12 years Senior Class (High School) Diploma of the International School of Geneva.

 

c) Matura Certificate awarded by the Matura commission, Switzerland .

 

d) High School Academic Diploma of International School of Borne, Switzerland .

66. Syria

a) General Certificate of Secondary Education of Ministry of Education, Syrian Arab Republic .

 

b) 12 years High Scholl Graduation Diploma of the Damascus community school, Damascus , Syria .

67. Tanzania

a) National Form VI Examination of the Ministry of National Education, United Republic of Tanzania (renamed as Advanced Certificate of Secondary Education of National Examinations Council of Tanzania.

 

b) Certificate of Secondary Education in more than 5 subjects including English and Advance Certificate of Secondary Education of the National Council of Tanzania with three principal passes.

68. Thailand

a) Higher Certificate of Education of Ministry of Education, Thailand .

 

b) Mathayam VIII, Final Examination of Upper Secondary Education Course, Final Exam, of the Secondary Education Course, Math yam Suksa 5 , Pre-University Final Examination (12-year Course) conducted by the Ministry of Education, Thailand.

 

c) 12 years High School Graduation Diploma of the International School , Bangkok , Thailand

 

d) 12 year High School Diploma awarded by the Adventist English School , Bangkok .

 

e) Grade 12 examination of Roam Rodeo International School , Bangkok .

 

f ) 12   years High School Diploma of Chiang Mai International School (CMIS), Thailand .

69. Tunisia

Baccalaureate Certificate of the Ministry of Education, Tunisia with at least 'Fairly Good' Groden and English as a subject.

70. Turkey

12 Years Graduation Diploma of Ankara American High School , Ankara , Turkey .

71. United Arab Emirates

a ) General Secondary Education Certificate awarded by the Ministry of Education, United Arab Emirates.

 

b ) 12 years High School Diploma of American community School, Abu Dhabi .

72. U.S.A.

a ) 12 years High School Diploma of U.S.A. (Accredited schools).

 

b) Independent study High School Diploma of University of Nebraska (Division of continuing studies), USA . Those passing with Science Stream subjects should provide evidence of having completed minimum   2 units of credits each in Science   subjects/Mathematics at grade 11 & 12 in accredited Institutions.

73. Venezuela

High School Diploma of Colegie International de Caracas, Venezuela .

74. Vietnam ( Socialist Republic of)

High School Final Examination (12-years Programme ) conducted by the Ministry of Education, Socialist Republic of Vietnam, Hanoi .

75. West Indies ( Caribbean Islands )

CXS (Caribbean Examination Council) Certificates in General proficiency Grads I or II in five subjects including English and 2 GCE 'A' Level passes from the recognized British Examining Bodies.

76. Yemen Arab Republic           

Secondary School Certificate awarded by the Ministry of Education, Yemen Arab Republic .

77. Yemen (Republic of People's Democratic)

General Secondary Certificate Examination conducted by the Ministry of Education of the people's Democratic Republic of Yemen.

78. Zaire (Republic)

a ) 12 year High School Diploma awarded by the American School of Kinshasa .

 

b) Diploma D' Etat , D' Etudes Secondaries DU Cycle long awarded by the Department of Primary & Secondary Education, Republic of Zaire .