INSTRUCTION TO CANDIDATES

Candidates can download the Application form for 16 Para Medical Certificate courses along with the following enclosure from this website and submit the filled in Application form along with the OMR sheet obtained from the near by Medical College. Encl: 1.Application form 2. Scrutiny form 3. Intimation card 4.OMR sheet . The candidates are also instructed to submit their Application form with enclosures along with Demand Draft for Rs:200/- in favour of The Secretary, Board of Para Medical Education, KIPM&R ,Chennai-32

Application should be submitted to the following address

The Secretary, Board of Para Medical Education, KIPM&R ,Chennai-32

Last date for submission 26.09.2011 before 05.00pm

For Director of Medical Education Application No.

GOVERNMENT OF TAMIL NADU

ADMISSION TO PARAMEDICAL COURSES

2011 2012

PROSPECTUS FOR PARAMEDICAL CERTIFICATE COURSES / DIPLOMA COURSES / COURSES IN MEDICAL RECORD SCIENCE

LAST DATE FOR SUBMISSION OF APPLICATION UP TO 5.00 P.M. ON 26.09.2011 AT

BOARD OF PARAMEDICAL EDUCATION

KING INSTITUTE OF PREVENTIVE MEDICINE & RESEARCH, GUINDY
CHENNAI-32 Phone Number Website : : 044 22501520, 22501521, 22501522, 22501523 www.tn.gov.in / tnhealth.org

COST Rs. 200/=

GENERAL INSTRUCTIONS TO CANDIDATE 1. Read all the instructions carefully before filling up of the Application form and OMR sheets. 2. Different application forms are printed separately for each course viz., Paramedical Certificate Course / Paramedical Diploma Course / Courses in Medical Record Science. Use separate application form for each course. Details of Certificate / Diploma courses / Courses on Medical Record Science furnished in Annexure - I. 3. (i) Application form must be filled up by the candidates in their own handwriting. (ii) Fill up the Application form, OMR sheets/Scrutiny form legibly, neatly and correctly. Any mistake committed by the candidate will prejudice the selection. 4. The Application form, OMR sheets/Scrutiny form should not be folded under any circumstances. Making hole, using pin or stapler on the OMR sheets should be avoided. Cutting, overwriting and erasing in the application form, OMR sheets/Scrutiny form should be strictly avoided. 5. ALL PRESCRIBED ENCLOSURES SHOULD BE ONLY ATTESTED XEROX COPIES. Original certificates need not be enclosed. 6. Application with enclosures received up to the last date and time specified only will be accepted. 7. Application received after the due date and time will not be considered. Any request for extension of time for submission of documents called for after the prescribed date and time will not be entertained. 8. 9.
10.

Incomplete applications will be rejected.

The Secretary, Board of Paramedical Education cannot be held responsible for the rejection of application for delayed receipt or loss in transit on any ground. Completed application forms with enclosures may be delivered in person or sent in the cover provided, by Registered post / Courier service / Speed Post to reach the Secretary, Board of Paramedical Education, King Institute of Preventive Medicine & Research, Guindy. Chennai - 32 before 5.00 P.M on 26.09.2011

11.

Any further correspondence with the Dean of the Medical College / Higher authorities will not be entertained.

GOVERNMENT OF TAMIL NADU DEPARTMENT OF MEDICAL EDUCATION BOARD OF PARAMEDICAL EDUCATION, KING INSTITUTE OF PREVENTIVE MEDICINE AND RESEARCH, GUINDY. CHENNAI - 32
ADMISSION TO PARAMEDICAL CERTIFICATE COURSES / DIPLOMA COURSES / COURSES IN MEDICAL RECORD SCIENCE AT GOVERNMENT MEDICAL INSTITUTIONS IN TAMIL NADU - 2011-2012 SESSION.

PROSPECTUS 1. ELIGIBILITY The candidate should be a citizen of India. 2. NATIVITY

i. Candidate should be a Native of Tamil Nadu. ii. Candidates who have studied from VIII to XII standards in schools in Tamil Nadu need not enclose the Nativity Certificate. iii. Candidates who are native of Tamil Nadu but studied from VIII to XII standards either partly or completely in schools situated outside Tamil Nadu should produce the Nativity Certificate. iv. The Certificate of Nativity in Tamil Nadu should be issued by the competent authority only in the specified format available in the application form and supported by a copy of Passport / Ration Card / Birth Certificate. If the copy of the supporting document is not produced, then the application form will be rejected. Nativity Certificate submitted later will be summarily rejected. v. Applications without a proper Nativity Certificate will not be considered. vi. Permanent Residence certificate will not be accepted. Note: a. b. Nativity Certificate should be produced as per Annexure V see Instructions for Nativity Certificate. Producing false nativity certificate if detected at any time later during the course of study will result in expulsion of the candidate and also initiation of criminal proceedings against the candidate as well as the Parents as per law.

3.

AGE LIMIT Diploma Courses and Courses in

For all Paramedical Certificate Courses , Medical Record Science : Minimum age Maximum age For SC/ST 17 years 32 years 37 years

as on 31.12.2011

(b) Evidence should be produced for age proof.

4. Sl. No

EDUCATIONAL QUALIFICATION : MINIMUM ELIGIBILITY Course Details Duration of the Course Eligibility

PARAMEDICAL CERTIFICATE COURSES 1 2 3 4 5 6 7 8 9 10 11 12 13 Cardio Sonography Technician ECG / Tread Mill Technician Pump Technician Cardiac Catheterisation Lab Technician Emergency Care Technician Respiratory Therapy Technician Dialysis Technician Anaesthesia Technician Theatre Technician Orthopaedic Technician Audiometry Hearing Language and Speech Clinical, Therapeutic, Nutrition & Food Service Management Certified Radiological Assistant E.E.G./E.M.G. Course Nursing Assistant Course Training (a) For service candidates : 6 months inservice training (b) For Non service candidates: 6 months internship training One Year Candidate who have passed Higher Secondary Certificate (Academic) Examination conducted by the Tamil Nadu Higher Secondary State Board or Equivalent Board with science subjects shall be eligible for consideration for admission. a. Physics,Chemistry,Botany and Zoology (or) b. Physics, Chemistry, Biology

14 15 16

One year

Candidates who have passed S.S.L.C. in the State of Tamil Nadu or equivalent.

Course 6 months Training 6 months

PARAMEDICAL DIPLOMA COURSES 17 18 Dental Mechanic (Male) Dental Hygienist (Female) Two Years Candidates who have passed H.S.C. with Science subjects in the State of Tamil Nadu or equivalent. a. Physics, Chemistry, Botany and Zoology (or) b. Physics, Chemistry, Biology Candidates who have passed H.S.C. with Science subjects in the State of Tamil Nadu or equivalent. a. Physics, Chemistry, Botany and Zoology

19

Diploma in Medical Two years Laboratory Technology

20 21

Diploma in Radiological Two years Technology - D.R.D.T Diploma in Radiological Technology - D.R.T.T.

22

Diploma in Optometry

Two years

(or) b. Physics, Chemistry, Biology with any other subject (or) c. Vocational Medical Laboratory Technician Course Candidates who have passed H.S.C. with Science subjects in the State of Tamil Nadu or equivalent. a. Physics, Chemistry, Botany and Zoology (or) b. Physics, Chemistry, Biology with any other subject Candidates who have passed H.S.C. with Maths & Physics subjects in the State of Tamil Nadu or equivalent. a. Maths, Physics, Chemistry, and Biology (or) b. Maths, Physics, Chemistry with any other subject.

COURSES IN MEDICAL RECORD SCIENCE 23 Medical Record Technician Six months 1. Candidates who have passed H.S.C. with Science subjects and 2. Course certificate in M.S. Office in Computer from any institutions. 1. Candidates must have passed any degree in regular stream in any recognized University. Open University stream will not be entertained. 2. A Certificate / Degree / Diploma in Medical Record Technician Course in any one of the institutions recognized by Government of Tamil Nadu and Government of India which is essential 3. Course certificate in M.S. Office in Computer from any institutions Eligibility

24

Diploma in Medical Record One year Science

5.

MINIMUM ELIGIBILITY MARKS: Courses

Paramedical Certificate Courses except A pass in H.SC. in all the subjects with minimum 35% Nursing Assistant Course marks and with not less than 45% aggregate in all the subjects and 40% aggregate for SC/ST/SCA candidates. Nursing Assistant Course A pass in S.S.L.C. with minimum 35% marks and with not less than 40% aggregate in all the subjects and 35% aggregate for SC/ST/SCA candidates. Paramedical Diploma Courses A pass in Physics, Chemistry, Botany and Zoology (or) Biology (or) Maths both in theory and practical with minimum 35% marks and with not less than 50%

Courses in Medical Record Science

aggregate in the above subjects and 45% aggregate for SC/ST/SCA candidates. i. Medical Record Technician Individual pass in Physics, Chemistry, Botany and Zoology (or) Biology both in theory and practical with minimum 35% marks and with not less than 50% aggregate in the above subjects and 45% aggregate for SC/ST/SCA candidates and a pass in MS Office in Computer in any institution. ii. Diploma in Medical Record Science: A pass in any degree in regular stream in any recognized University with a Certificate / Degree / Diploma in Medical Record Technician & MS Office in Computer.

For all the courses, a pass in English with minimum 35% of marks is mandatory. 6. METHOD OF SELECTION AND ADMISSION I. Selection will be made purely on merit basis on the aggregate of qualifying examination and by applying the rule of reservation. i) The Rule of Reservation shall be as follows: Open Competition (OC) Backward Classes (BC) Backward Class Muslim (BCM) Most Backward Classes/ Denotified Community (MBC) Scheduled Caste (SC) SC Arundathiyar (SCA) Scheduled Tribe (ST) ii)

marks obtained in the

31 % 26.5 % 3.5 % 20 % 15 % 3% 1%

iii)

However the percentage of allocation of seats for OC, BC, BCM, MBC/DNC, SC, SCA and ST or any other category under the Rule of reservation for admission shall be in accordance with the rule of reservation in force at the time of admission. Candidates claiming admission against reservation of seats for BC, BCM, MBC/DNC, SC, SCA and ST in the above course should submit a certified Xerox copy of the permanent community card showing the social status (OC, BC, BCM, MBC/DNC, SC, SCA and ST) of the applicant issued by an authorized officer of the Revenue Department of the Government of Tamil Nadu duly attested by Grade A or Grade B officer of Government of Tamil Nadu or Central Government. The candidates who belong to Scheduled Tribe should submit a certified xerox copy of the permanent community card obtained from the respective Revenue Divisional Officer of the revenue division duly attested by Grade A or Grade B officer of Government of Tamil Nadu or Central Government.

iv)

II.a). Ranking of the candidates will be done based on the total marks computed to a maximum of 100 as detailed below: i. Paramedical Diploma Courses except Diploma in Optometry: a) Physics and Chemistry taken together 50 Marks b) Biology or Botany and Zoology/ Medical Laboratory Assistant course 50 Marks (DMLT only) Diploma in Optometry: a) Physics and Chemistry taken together b) Mathematics

50 Marks 50 Marks

ii. Paramedical Certificate Courses except Nursing Assistant Course: a) Physics and Chemistry taken together 50 Marks b) Biology or Botany and Zoology/ 50 Marks Nursing Assistant Course: Total marks computed to a maximum of 100 in all subjects in SSLC. iii. Courses in Medical Record Science: Diploma in Medical Record Science:

Medical Record Technician Course:

Marks obtained in the qualifying exams (Degree Course) held at the end of every year computed to a maximum of 100. Open University stream will not be entertained. HSC with Science as above with Course certificate in MS Office.

Note: Improvement marks in +2 examination of any year will not be considered. II.b) Normalization method will be adopted for calculating the minimum eligibity mark for the candidates who have passed other equivalent examination. Normalization of Marks: The marks obtained by the students in the relevant subjects in the qualifying examination conducted by various Boards or Authority will be equated with the marks obtained by the students in the same subjects in the qualifying examination conducted by the State Board (Government of Tamil Nadu) by adopting the method of normalization. Explanation: Under the method of normalization the highest mark obtained by the students of various Boards in each subject will be equated to the highest mark obtained by the students of State Board in that subject and the relative marks obtained by other students in that subject will be determined accordingly.

Illustration: If the highest marks secured by the student of State Board in Physics is 100 and the highest mark secured by a student of any other Board in the same subject is 90, both the highest marks will be considered to be equal to 100. If a student of the other Board secures 60 marks in Physics when the first mark in Physics in the same board is 90, the 60 marks will be considered to be equal to 66.66 marks as arrived at below: 100 x 60 ----------- = 66.66% 90 After normalization of marks in the relevant subjects in the qualifying examination conducted by different Boards, the qualified students of different Boards will be merged into a common merit list.

(i)

7.

Determination of Rank of the candidates obtained equal marks: Incase where more than one candidate has secured the same number of marks in H.S.C. the tie shall be resolved on the basis of the following factors in the order of priority. 1. For Paramedical Diploma Courses: a.(i) Marks obtained in Vocational subjects (For DMLT only) (ii) Marks obtained in Maths and Physics subjects (For D.Optometry only) b. Marks obtained in Botany and Zoology (or) Biology (except D.Optometry) c. Marks obtained in Chemistry and Physics d. Number of attempts e. Age (Candidate elder will be preferred to the younger). 2. For Paramedical Certificate Courses: a. Marks obtained in Botany and Zoology (or) Biology b. Marks obtained in Chemistry and Physics c. Number of attempts d. Age (Candidate elder will be preferred to the younger). 3. For Courses in Medical Record Science: a. Marks obtained in Botany and Zoology (or) Biology b. Marks obtained in Chemistry and Physics c. Number of attempts d. Age (Candidate elder will be preferred to the younger).

Selection of Candidates: Selected candidates will be called for counseling under Single Window System at the Office of the Board of Paramedical Education, King Institute of Preventive Medicine & Research, Guindy, Chennai-32. The date and time of the counseling will be intimated by post and hosted in the website (www.tn.gov.in / tnhealth.org.). Candidates should attend counseling at their own expense. Counseling does not ensure admission. 9. DURATION OF THE COURSES 1. 2. Paramedical Certificate Courses Paramedical Diploma Courses - One year. - Two years.

8.

3.

Courses in Medical Record Sciences: Diploma in Medical Record Sciences Medical Record Technician Course

- One year. - Six months.

As per the G.O. (Rt.) No. 606, Health and Family Welfare (PME) Department dated: 01.04.2008, on completion of the above Course the students have to undergo internship training for a period of 3 months without payment of any stipend (or) collection of fees and the training will be given in the Govt. Medical Colleges and Hospitals, as part of the course and the certificate will be issued to the students after completion of the said internship training. NonService Candidates of Nursing Assistant Course have to undergo internship training for a period of six months after completion of the course. The candidates selected for EEG/ENMG Course, Medical Record Technician Course, Diploma in Medical Record Science, Dental Mechanic (Male), Dental Hygienist (Female) and Diploma in Optometry Courses need not undergo 3 months internship training. 11. FEES a.1) Fees prescribed for the Paramedical Certificate Courses including E.E.G./E.M.G. Course, Nursing Assistant Course, Medical Record Technician Course, Diploma in Medical Record Sciences Course. 1) Tuition fees : Rs. 200/- per annum. 2) Special fees : Rs. 250/- per annum. 3) Library fees : Rs. 500/- per annum. 4) Exam fees : Rs. 500/- per annum. .................... Total Rs. 1450/- per annum. .................... a.2) Fees prescribed for the Diploma in Medical Laboratory Technology Course and Diploma in Radiological Technology(DRDT/DRTT) - Two years Course and Diploma in Optometry. I Year II Year 1) Tuition fees : Rs. 500/- per annum. : Rs. 500/- per annum. 2) Special fees : Rs. 500/- per annum. : Rs. 500/- per annum. 3) Library fees : Rs. 500/- per annum. --4) Exam fees --: Rs. 500/- per annum. ................... ..................... Rs. 1500/- per annum. Rs. 1500/- per annum .................... ............................. a.3) Fees prescribed for the Dental Mechanic (Male) / Dental Hygienist (Female) Courses - Two years. I Year II Year 1) Tuition fees : Rs. 500/- per annum. : Rs. 500/- per annum. 2) Special fees : Rs. 500/- per annum. : Rs. 500/- per annum. 3) Library fees : Rs. 500/- per annum. --4) Caution Deposit: Rs. 500/- per annum. --5) Students Fund : Rs. 500/- per annum. --6) Exam fees ---: Rs. 500/- per annum. ................... .................... Rs. 2500/- per annum. Rs.1500/- per annum .................... .........................

b) The selected candidates should pay the above fees. However they are liable to pay any revision in fee as and when fixed by the Government / Departments.
c) Fees once paid will not be refunded under any circumstances. d) Candidates discontinuing the course cannot claim / refund of fees paid. The Transfer Certificate and Conduct Certificate will be issued to the discontinued candidates by the Head of the Institutions on

receipt of declaration from the student and parent that they will not request for rejoining the Course or for the refund of fees paid. 12. Candidates should affix passport size photographs taken within three months prior to submission of application and duly attested by Grade A or Grade B officer of Government of Tamil Nadu or Central Government or the Head of Institution studied in the places provided in the application. Two copies of additional passport size photos of the candidates should be enclosed. 13. All the entries in the application form should be written legibly by the candidate in his / her own handwriting. The candidate should ensure that all information including the marks in the qualifying examination furnished by him / her in the application and the enclosures are correct. The candidate is informed that if after proper scrutiny of his / her application it is found that the marks furnished by him / her in the application are not correct or any other information is found to be incorrect, then; 1. He/She will forfeit the admission no matter at whatever stage of the course he/she will be at that time. 2. Action will be taken against the candidate as per rules. 14. No document enclosed with the application will be returned. Candidates are required to enclose only the attested Xerox copies or attested true copies of the following certificates along with the application. Attestation should have been made by Grade A or Grade B Officer of the State Government or Central Government or by Head of the institution where the candidate studied. The relevant certificates related to the Courses he/she is willing to study must be enclosed. a. (1) Mark sheets of S.S.L.C. examination in an appearance or appearances (Both the sides of Mark Sheets should be xeroxed) (2) Mark sheets of H.S.C. (Academic / Vocational) examinations in an appearance or appearances (Both the sides of Mark Sheets should be xeroxed) (3) Mark sheets of Degree Course examinations in an appearance or appearances (Both the sides of Mark Sheets should be xeroxed) b. Certificate Course in M.S. Office in Computer from any Institution. c. Transfer certificate obtained after the completion of H.S.C (Academic / Vocational or equivalent courses). d. Permanent Community Certificate Card. e. Nativity Certificate (Wherever necessary) f. Candidates seeking admission against Special Category seats should submit necessary certificates obtained from Appropriate Authorities in the prescribed forms and submit them along with the application (Please see format in the Annexure-VI) g. Medical Record Technician Certificate ( for Diploma in Medical Record Science Course)

15. The candidates will be called for counseling for filling up of seats in various Paramedical courses. Candidates should pay a sum of Rs.100/- as processing fees by way of Demand Draft for Rs.100/- which is non refundable, drawn in favour of the Secretary, Board of Paramedical Education, King Institute of Preventive Medicine and Research, Guindy. Chennai 32 from any one of the Nationalised Banks payable at Chennai. 16. Those who fail to join the course on the prescribed date and time will not be eligible for admission on a later date. 17. Candidates selected for admission and his / her parents/ guardian will have to sign a discipline declaration form (Annexure). Failure to sign the declaration will result in cancellation of selection. 18. Candidates who have successfully completed the course of training and the continuous internship training will be awarded a certificate and they are not guaranteed any appointment in Government Service. 19. Enquiry or any correspondence regarding the selection of candidates will not be entertained.

20. SYLLABUS AND EXAMINATION. a) The Candidates joining the course should pass the examinations conducted at the end of the year by the concerned authorities. The syllabus, course content, theory, practical classes, clinical training etc as framed by the concerned authorities will be followed. b) Passing in theory and practical examination and clinical training is compulsory for issue of completion certificate. c) Medium of instruction will be English. 21. Hostel facilities will not be provided and admitted candidates have to make their own arrangements for their stay. 22. No exemption from general educational qualification or age relaxation will be considered. 23. Outsourcing candidates who have applied for Nursing Assistant course will be considered as private candidates in general quota duly following rule of reservation. Candidates who have served for a period of one year in the Government Medical Institutions on outsourcing must obtain certificate from the Heads of the Medical institution and produce along with their application. Such certificate produced later will not be considered. 10 % of the seats allocated for Nursing Assistant Course in general quota is reserved for outsourcing candidates. 24. 10 % of the total number of seats for all Paramedical Certificate Courses are reserved for service candidates. The Service candidates those who come under the category of Hospital Worker are eligible to undergo the Nursing Assistant Course . The Sevice candidates who have passed S.S.L.C. Course and whose scale of pay is below Rs.5200-20200 (G.P.1900) are eligible to undergo the other Paramedical Certificate Courses.

25. If there are no eligible service candidates to fill up the vacant seats alloted to service candidates for Paramedical Courses, the same will be filled up with eligible private candidates and vice versa. 26. Selection for the course is only provisional. The selection and admission is liable to be cancelled at any time as and when eligibility conditions are found to be defective in addition to facts suppressed or overlooked. The right of Allotment to the selected candidates ultimately rests with the Board of Paramedical Education. 27. Candidates can exercise their option for the course and Institution in the application itself and allotment will be subject to availability of seats in that particular Institution. Individual request for transfer of college or change of course will not be entertained after the selection. The selection made by the candidate is final and cannot be changed at any cost. 28. Candidates selected for admission have to undergo Medical Examination at the College to which they are allotted before the Medical Board on the date notified by the authorities of the college. Only those candidates found medically fit will be admitted and permitted to pay the fees. 29. The Secretary, Board of Paramedical Education will have the right to enforce any of the Govt. orders / norms / guidelines / adopt suggestions on the basis of court directions issued from time to time. The Government orders issued and to be issued from time to time pertaining to any of the matters not contained in the Prospectus should be read as part and parcel of this Prospectus and such Terms and Conditions in the Government Orders are deemed to have been incorporated in the prospectus. Such Government orders will be announced on the Website and also in popular Tamil / English dailies. 30. The candidate can purchase the Application form from any of the 15 Government Medical Colleges / King Institute of Preventive Medicine & Research, Guindy, Chennai. The filled in application form should be submitted to the SECRETARY, BOARD OF PARAMEDICAL EDUCATION, KING INSTITUTE OF PREVENTIVE MEDICINE & RESEARCH, GUINDY, CHENNAI-32. 31. SEATS RESERVED FOR DIFFERENTLY ABLED (LOWER LIMB ONLY) 3 % of the total number of seats are reserved for Differently abled candidates (Lower Limb only). The reservation of seats will be provided for the candidates with 50% to 70% locomotor disabilities of the lower limbs and in case candidates are not available in that category then only candidates with disability of lower limbs between 40% to 50% may be considered for admission. The other conditions for admission into Paramedical Certificate Courses will be applicable as in the case of the general category. The above candidates are required to produce a certificate from the District Medical Board of the area concerned constituted for the purpose assessing the nature and the extent of disability in the format prescribed in the Annexure.

The Medical Certificate issued by District Medical Board of the area concerned for this purpose is subject to the confirmation of the Expert Committee constituted by the Board of Paramedical Education at the time of counseling. The candidate seeking admission under this category should produce the full size photograph exhibiting the deformity. The selected candidates for PARAMEDICAL CERTIFICATE COURSES / DIPLOMA COURSES / COURSES IN MEDICAL RECORD SCIENCE will be required to undergo second Medical examination by a Medical Board constituted for the purpose by Board of Paramedical Education to ascertain and confirm the nature and extent of physically disability. For these candidates, the date will be set apart exclusively for admission to the Paramedical Courses after confirming the nature of their physical disability. Candidates with any other disability other than the locomotor disability of the lower limb will not be considered for admission into PARAMEDICAL CERTIFICATE COURSES / DIPLOMA COURSES/ COURSES IN MEDICAL RECORD SCIENCE under this Special Category.

ANNEXURE I DETAILS OF THE COURSES 1. CERTIFICATE COURSE IN CARDIAC SONOGRAPHY TECHNICIAN (1 YEAR) The course deals with the Physics of Ultrasound, Cardiac Anatomy and Physiology window techniques, normal and abnormal studies etc. and practical training in Cardiac Sonography Machine. 2. CERTIFICATE COURSE IN ECG / TREAD MILL TECHNICIAN (1 YEAR) The course deals with the proper usage of ECG / Treadmill equipments relating to detection of cardiac diseases and monitoring devices in ICCU in hospitals. 3. CERTIFICATE COURSE IN PUMP TECHNICIAN (1 YEAR) The Course deals with Heart Lung Machine and basic principles of Defibrillators and Cardioversion , Artificial Pace maker etc. in Cardiology Department. 4. CERTIFICATE COURSE IN CARDIAC CATHETERISATION LAB. TECHNICIAN (1 YEAR) The Course deals with Radiography, Cardiac Anatomy and Physiology, Oximetry, Pressure recording calculations of Haemodynamics normal and abnormal studies etc. 5. CERTIFICATE COURSE IN EMERGENCY CARE TECHNICIAN (1 YEAR) The Course deals with the Basic Anatomy, Physiology, Bio-Chemistry, Pharmacology, Applied Medical / Surgical emergencies in Trauma Ward. 6. CERTIFICATE COURSE IN RESPIRATORY THERAPY TECHNICIAN (1 YEAR) The course deals with the basic theoretical and Practical training in the treatment and patients with respiratory disorders. The Students will attend Clinical training in O.P and I.P Respiratory clinics and wards. 7. CERTIFICATE COURSE IN DIALYSIS TECHNICIAN (1 YEAR) The Course deals with the techniques of Haemodialysis, Peritoneal dialysis and Therapies in Nephrology Depts. 8. CERTIFICATE COURSE IN ANAESTHESIA TECHNICIAN (1 YEAR) The course deals with the handling and maintaining of equipments related to Anaesthesia room and operation theatre. 9. CERTIFICATE COURSE IN THEATRE TECHNICIAN (1 YEAR) The course deals with the operation theatre works. 10. CERTIFICATE COURSE IN ORTHOPAEDIC TECHNICIAN (1 YEAR) The course deals with basic training in the Casualty, Ortho Wards, Plaster room, Ambulance training and Physiotherapy department.

11. CERTIFICATE COURSE IN AUDIOMETRY (1 YEAR) The Course deals with training lower level function arise a comprehensive and practical oriented programme. The main objective is to generate Audiometricians who can take routine basic Audiometry. 12. CERTIFICATE COURSE IN HEARING LANGUAGE AND SPEECH (1 YEAR) 13. CERTIFICATE COURSE IN CLINICAL, THERAPEUTIC, NUTRITION AND FOOD SERVICE MANAGEMENT COURSE (1 YEAR) The course deals to improve dietary services in the hospitals and to impart knowledge in nutrition in order to improve the clinical and nutritional status of the patients. 14. CERTIFIED RADIOLOGICAL ASSISTANT COURSE (1 YEAR) The Course deals with giving basic training to operate X-ray and Radiotherapy equipments. 15. CERTIFICATE COURSE IN E.E.G./ E.M.G. COURSE (1 YEAR) 16. CERTIFICATE COURSE IN NURSING ASSISTANT (1 YEAR) 17. DIPLOMA COURSE IN DENTAL MECHANIC (MALE) (2 YEARS) 18. DIPLOMA COURSE IN DENTAL HYGIENIST (FEMALE) (2 YEARS) 19. DIPLOMA IN MEDICAL LABORATORY TECHNOLOGY COURSE (2 YEARS) 20. DIPLOMA IN RADIOLOGICAL TECHNOLOGY-DRDT COURSE ( 2 YEARS) 21. DIPLOMA IN RADIOLOGICAL TECHNOLOGY-DRTT COURSE ( 2 YEARS) 22. DIPLOMA IN OPTOMETRY (2 YEARS) 23. CERTIFICATE COURSE IN MEDICAL RECORD TECHNICIAN (6 MONTHS) 24. DIPLOMA IN MEDICAL RECORD SCIENCE (1 YEAR)

ANNEXURE - II (A) DISCIPLINE DECLARATION BY THE CANDIDATE I .. the undersigned, a student selected for admission in the Course in Medical College, .. do hereby agree to conform from this date, if I am admitted, I will adhere to the rules and regulations laid down hereafter by the Dean for the time being of the Colleges for the due maintenance of discipline at the said College and I further agree to make good when called upon to do so to the Government of Tamil Nadu any damage to furniture, apparatus or other articles which may be caused by any carelessness, negligence wantonly on my part. In the presence of : STATION : DATE : Signature of Candidate Signature of Parent / Guardian Occupation and Address :

(B)DISCIPLINE DECLARATION BY THE PARENT / GUARDIAN OF THE CANDIDATE

I .the Parent / Guardian of Thiru/Selvi/Tmt..also agree that my son / daughter / ward will conform to the rules and regulations referred to above, I also further agree to make good when called upon to do so to the Government of Tamil Nadu, any damage to furniture, apparatus or other articles which may be caused by any carelessness, negligence wantonly on his / her part. In the presence of : STATION : DATE : Signature of Parent / Guardian Occupation and Address :

(C)DISCIPLINE DECLARATION BY THE PARENT/GUARDIAN OF THE CANDIDATE

I assure that my son / daughter / Thiru/Selvi/Tmt. will not join any agitation / strike of any kind during the course of studies. STATION : DATE : Signature of Candidates Parent / Guardian Occupation and Address :

(D)RAGGING DECLARATION BY THE APPLICANT ANDTHE PARENT/GUARDIAN I, my son / daughter /Thiru/Selvi/Tmt. an applicant seeking admission in .. course hereby solemnly declare that I will not indulge or participate in any kind of ragging throughout my study period and if found to have indulged in ragging in any time. I am aware that I will be removed from the roll of the institution at whatever stage of study and criminal action will be taken against me. Signature of Candidate Signature of Candidates Parent / Guardian Witness: Name and Address : 1) 2)

ANNEXURE III

DECLARATION BY THE CANDIDATE FOR PAYMENT OF DUES AS A RESULT OF REVISION OF FEES AS MAY BE DECIDED BY THE GOVERNMENT FOR THE ACADEMIC YEAR 2011 2012 I .. the undersigned, a student selected for admission in the..Course in Medical College do hereby agree to pay any amount that may become due from me as and when the fee structure is revised, as may be decided by the Government. In the presence of : STATION : DATE : Signature of Candidate : Signature of Parent / Guardian : Occupation and Address :

ANNEXURE - IV DECLARATION / UNDERTAKING ON ALLOTMENT OF INSTITUTIONS OF SELECTED CANDIDATES FOR ADMISSION TO PARAMEDICAL COURSES I .. the undersigned, a student selected for admission in the Course in ..Medical College.., do hereby agree to abide the Regulations prescribed in the prospectus for admission to the above course 2011 2012 shall not make any claim for change of course for admission to a particular College as a matter of right. In the presence of : STATION : DATE : Signature of Candidate Signature of Parent / Guardian Occupation and Address :

NOTE : - to be submitted to the Head of the Institution at the time of Admission.

ANNEXURE V CERTIFICATE OF NATIVITY IN TAMIL NADU Certified that Thiru/ ThirumathiParent / Guardian of Thiru/Selvi/Thirumathi.residing at.an applicant seeking for admission to .course in Government . Medical College. in Tamil Nadu is a Native of Tamil Nadu. Signature : Name and Designation : Station : Date :

Office Seal

Note : 1. This certificate should be issued by an officer of the Revenue department not below the rank of Tahsildar of the Taluk concerned. 2. Any Foreign national irrespective of the period of study / stay in the state will not become eligible to apply for this course. No certificate of Nativity in the state of Tamil Nadu, should therefore be issued to Nationals of other countries for this purpose. 3. The Certificate should bear the stamp of the office of the officer signing the Certificate. The certifying officers should insist clear proof of the Nativity of the Parent / Guardian of the candidate and satisfy themselves on the genuineness of the residential proof. They should particularly be careful in the case of candidates whose mother tongue is not Tamil and whose place of birth is other than Tamil Nadu.

ANNEXURE - VI MEDICAL CERTIFICATE FOR ADMINISTRATION OF HEPATITIS-B VACCINATION 1. DrRegistration No.. certify that I have this day of 2011 administered the Hepatitis-B Vaccine to the candidate whose particulars are given below: 1. Name of the Candidate 2. Fathers Name 3. Sex 4. Age 5. Identification Marks 6. Dose I / II / III Signature of the applicant Place: Date: Signature of the M.O. Name and Designation Official Seal

ANNEXURE - VII MEDICAL CERTIFICATE FOR DIFFERENTLTY ABLED (LOWER LIMB ONLY) The District Medical Board.District..certify that we have this .day of 2011 examined the candidate whose particulars are given below: 1. Name of the Candidate 2. Fathers Name 3. Sex 4. Approximate Age 5. Identification marks 6. Orthopaedically handicapped Nature of Physical Handicap 7. Extent of disability (mention the % of disability) (Upper limb function must be normal) : : : : : :

8. Whether the candidate fulfills the following standard and may be considered for admission to undergo studies in Government Institutions : (a) Normal Blood Pressure (b) Mentally normal (c) No visual and auditory handicaps (d) No gross speech disorders (e) Independent in ambulation with or without calipers but without walking aids (f) Good standing balance with or without calipers but without any support (g) Hand function within normal limits without any aid (h) Good control over bowel and bladder (i) Disease must be non-progressive : : : : :

: : :

9. Whether the candidate is fit to undergo Paramedical Courses

Yes / No

(The Medical Board should satisfy itself that all the criteria mentioned in the foot note are met with before giving the fitness)

Signature of the Applicant

Member

Signature of Chairman of the Medical Board

1 Designation Office Stamp

2 Designation Office Stamp

Note: 1. Upper limbs should be normal: If it involves one lower limb it should not have more than 50% to 70% disability. If it involves both lower limbs each limb should not have more than 10% deformity. 2. The District Medical Board should give specific recommendation under (Column 9) whether the candidate is fit for admission to Paramedical Courses. 3. The above certificate should be issued only by the District Medical Board of the area concerned constituted for the purpose after due physical examination by board. 4. Certificate received without the specific recommendations (in Col.9) of the District Medical Board will not be considered for selection.

LIST OF DISTRICTS IN TAMIL NADU NAME OF THE DISTRICT Ariyalur Chennai Coimbatore Cuddalore Dharmapuri Dindugal Erode Kancheepuram Kanyakumari Karur Krishnagiri Madurai Nagapatinam Namakkal Nilgiris Perambalur Pudukottai CODE NO NAME OF THE DISTRICT Ramanathapuram Salem Sivagangai Thanjavur Thiruvallur Thiruchirapalli Thiruvannamalai Thoothukudi Theni Tirunelveli Tiruvarur Tiruppur Vellore Villupuram Virudhu Nagar Others CODE NO

01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17

18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33

DETAILS OF PARAMEDICAL CERTIFICATE COURSES CONDUCTED IN GOVERNMENT MEDICAL COLLEGES / INSTITUTIONS

Sl.No. Madras Medical College, Chennai Stanley Medical College, Chennai Kilpauk Medical College, Chennai-10 Madurai Medical College, Madurai Thanjavur Medical College, Thanjavur Coimbatore Medical College, Coimbatore Tirunelveli Medical College, Tirunelveli Chengalpattu Medical College, Chengalpattu Government Mohan Kumaramangalam Medical College, Salem K.A.P. Viswanatham Government Medical College, Trichirapalli Thoothukudi Medical College, Thoothukudi Kanyakumari Government Medical College, Nagercoil. Vellore Medical College, Vellore Theni Medical College, Theni 20 20 20 35 35 35 35 35 35 35 20 35 35 35 20 35 35 35 20 35 35 35 20 35 35 35 10 285 245 245 225 155 225 175 155 155 155 155 Total 120 400 60 60 280 280 200 500 500 500 45 45 60 140 3190 20 10 20 10

Name of the Courses

1. 20 20 20 20 20 20 -

2. 20 20 20 20 20 20 -

50

50

50

50

50

50

50

50

3.

4.

5. 20 30 40 40 40 15 15 30 15 15 15 15 15 15 40 35 35 35 35 35 40 35 35 35 35 35 35 40 35 35 35 35 35 35 30 20 20 20 20 20 20 20 20 20 20 20 20 20 20

20

20

20

20

20

20

20

20

20

20

20

6.

7.

8.

9.

10.

11.

12.

13.

14. 370 355 290

Cardiac Sonography Technician (All Female) (9:1 General : Service candidates) ECG/Treadmill Technician (9:1 General : Service candidates) Pump Technician (9:1 General : Service candidates) Cardiac Catheterization Lab. Technician (All Male) (9:1 General : Service candidates) Emergency Care Technician (9:1 General : Service candidates) Respiratory Therapy Technician (9:1 General : Service candidates) Dialysis Technician (9:1 General : Service candidates) Anaesthesia Technician (9:1 General : Service candidates) Theatre Technician (9:1 General : Service candidates) Orthopaedic Technician (All Male) (9:1 General : Service candidates) Audiometry (9:1 General : Service candidates) Hearing Language and Speech (9:1 General : Service candidates) Clinical, Therapeutic, Nutrition and Food Service Management (9:1 General : Service candidates) Certified Radiological Assistant (9:1 General : Service candidates) 10 10 10 10 10 10 10 10 10 10 10

2. 1. Nursing Assistant Course (9 : 1 General : Service candidates) E.E.G./E.M.G. 100 130 100 100 100 50 50 50 50 50 50 50 50 50 50 1030 30 30 (Out of 90 % in General candidates seats 10% reserved for Outsourcing candidates in Government Hospitals ) 100 100 100 100 100 50 50 50 50 50 50 50 50 50 50 1000 Government General Hospital, Chennai Government Stanley Hospital, Chennai Government Kilpauk Medical College Hospital, Government Rajaji Hospital, Madurai Coimbatore Medical College Hospital, Coimbatore Chengalpattu Medical College Hospital , Chengalpattu Annal Gandhi Memorial Government Hospital, Trichirapalli Thoothukudi Medical College Hospital , Thoothukudi Kanyakumari Government Medical College Hospital, Nagercoil. Vellore Medical College Hospital, Vellore Government Dharmapuri Medical College Hospital, Dharmapuri Total

Thanjavur Medical College Hospital , Thanjavur

Tirunelveli Medical College Hospital Tirunelveli

Government Mohan Kumaramangalam Medical College Hospital, Salem

Government Theni Medical College Hospital, Theni

Sl.No.

DETAILS OF PARAMEDICAL CERTIFICATE COURSES CONDUCTED IN GOVERNMENT MEDICAL COLLEGES / INSTITUTIONS

Name of the Courses

Sl.No.

4 5 6. 115 115 115 115 115 115 115 100 115 115 100 100 100 100 50 6 6 12 30 30 6 6 30 1627

Name of the Courses

Diploma in Medical Laboratory Technician Diploma in Radiological Technology DRDT ( 2:8 General : Service Candidates) Diploma in Radiological Technology DRTT (1:4 General : Service Candidates) Dental Mechanic (Male) Dental Hygienist (Female) Diploma in Optometry 100 10 5 5 5 5 5 5 5 5 5 45 Madras Medical College, Chennai Stanley Medical College, Chennai Kilpauk Medical College, Chennai-10 Madurai Medical College, Madurai Thanjavur Medical College, Thanjavur 100 100 100 100 100 100 100 100 100 100 100 100 100 50 1450 10 10 10 10 10 10 10 10 90 Tirunelveli Medical College, Tirunelveli Chengalpattu Medical College, Chengalpattu Government Mohan Kumaramangalam Medical College, Salem Thoothukudi Medical College, Thoothukudi Kanyakumari Government Medical College, Nagercoil. Vellore Medical College, Vellore King Institute of Preventive Medicine & Research, Guindy, Chennai-32 RIO & Government Ophthalmic Hospital, Chennai Total

Coimbatore Medical College, Coimbatore

K.A.P. Viswanatham Government Medical College, Trichirapalli

Theni Medical College, Theni

DETAILS OF PARAMEDICAL DIPLOMA COURSES CONDUCTED IN GOVERNMENT MEDICAL COLLEGES / INSTITUTIONS

Tamil Nadu Govt .Dental College & Hospital, Chennai

DETAILS OF PARAMEDICAL COURSES IN MEDICAL RECORD SCIENCES CONDUCTED IN GOVERNMENT MEDICAL COLLEGES / INSTITUTIONS
Madras Medical College, Chennai

Sl.No. Institute of Child Health and Hospital for Children, Chennai

Name of the Courses

1. 10 10

15

Diploma in Medical Record Science (7:8 General : Service Candidates) Medical Record Technician (5:5 Service candidates : General) 15 10 25

Total 15

ANNEXURE LIST SHOWING THE SCHEDULED TRIBES, SCHEDULED CASTES, SCHEDULED CASTE ARUNTHATHIYAR, MOST BACKWARD CLASSES & DENOTIFIED COMMUNITIES, BACKWARD CLASSES, BACKWARD CLASSES MUSLIMS, IN THE STATE OF TAMILNADU UNLESS AND OTHERWISE SPECIFIED ****** LIST OF BACKWARD CLASSES, BACKWARD MUSLIMS, MOST BACKWARD CLASSES AND DENOTIFIED COMMUNITIES 1. G.O. Ms. No.85, BC & MBC&MW Department dated: 29-07-2008. 2. G.O. Ms.No.96, BC & MBC&MW Department dated: 08-09-2008. 3. G.O. Ms. No. 97, BC, MBC & MW Department, Dated : 11-09-2008. 4. G.O. Ms. No. 37, BC, MBC & MW Department, Dated : 21-05-2009. 5. G.O. Ms. No. 98, BC, MBC & MW (BCC) Department, Dated : 05-11-2009. Caste Code No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

I. LIST OF BACKWARD CLASSES Agamudayar including Thozhu or Thuluva Vellala. Agaram Vellan Chettiar. Alwar, Azhavar and Alavar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District) Servai (except Tiruchirapalli, Karur, Perumbalur and Pudukottai Districts). Nulayar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Archakarai Vellala. Aryavathi (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Ayira Vaisyar. Badagar. Billava Bondil Boyas (except Tiruchirappalli, Karur, Perambalur, Pudukottai, The Nilgiris, Salem, Namakkal and Dharmapuri and Krishnagiri Districts). Pedda Boyar (except Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Oddars (except Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Madurai, Theni and Dindigul Districts). Kaloddars (except Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar, Madurai, Theni, Dindigul, Pudukottai, Tiruchirapalli, Karur, Perambalur, Tirunelveli,, Thoothukudi, Salem and Namakkal Districts). Nellorepet Oddars (except Vellore and Tiruvannamalai Districts). Sooramari Oddars (except Salem and Namakkal Districts). 13 Chakkala (except Sivagangai, Virudhunagar, Ramanathapuram, Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Tiruchirapalli, Karur, Perambalur, Madurai, Theni, Dindigul and the Nilgiris Districts). 14. Chavalakarar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 15. Chettu or Chetty (including Kottar Chetty, Elur Chetty, Pathira Chetty, Valayalchetty, Pudukkadai Chetty (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 16. Chowdry. 16A. Converts to Christianity from Scheduled Castes irrespective of the generation of conversion (except the Paravar converts to Christianity of Kanniyakumari District and Shenkottah Taluk of Tirunelveli District) 16B. C.S.I formerly S.I.U.C. (in Kanyakumari District and Shenkottah Taluk of Tirunelveli District) 17. Donga Dasaris (except Kancheepuram, Tiruvallur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Chennai, Salem arid Namakkal Districts). 18. Devangar, Sedar. 19. Dombs (except Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Dommars (except Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Vellore and Tiruvannamalai Districts). 20. Enadi 21. Ezhavathy (in Kanniyakumari District and Shenkottali Taluk of Tirunelveli District). 22. Ezhuthachar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 23. Ezhuva (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 24. Gangavar 25. Gavara, Gavarai and Vadugar (Vaduvar) (other than Kamma, Kapu, Balija and Reddi). 26. Gounder

27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37.

Gowda (including Gammala, Kalali and Anuppa Gounder). Hegde. Idiga. Illathu Pillaimar, llluvar, Ezhuvar and Illathar. Jhetty Jogis (except Kancheepuram, Tiruvallur, Madurai, Theni, Dindigul, Cuddalore, Villupuram, Vellore and Tiruvannamalai Districts). Kabbera. Kaikolar, Sengunthar. Kaladi (except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Thanjavur,Nagapattinam, Thiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Kalari Kurup including Kalari Panicker (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). Kalingi.

38. Kallar. Easanattu Kallar. Gandarvakottai Kallars (Except Thanjavur, Nagapattinam, Thiruvarur and Pudukottai Districts). Kootappal Kallars (Except Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Piramalai Kallars (Except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni Dindigul, Pudukottai, Thanjavur, Nagapattinam and Thiruvarur Districts). Periya Sooriyur Kallars (Except Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). Kallar Kula Thondaman. Kalveli Gounder. Kambar Kammalar or Viswakarma, Viswakarmala (including Thattar, Porkollar, Kannar, Karumar, Kollar, Thacher, Kal Thacher, Kamsala and Viswabrahmin). 43. Kani, Kanisu, Kaniyar Panikkar. 44. Kaniyala Vellalar. 45. Kannada Saineegar, Kannadiyar (Through out the State) and Dasapalanjika (Coimbatore, Erode and the Nilgiris Districts). 46. Kannadiya Naidu. 47. Karpoora Chettiar. 48. Karuneegar (Seer Karuneegar, Sri Karuneegar, Sarattu Karuneegar, Kaikatti Karuneegar, Mathuvazhi Kanakkar, Sozhi Kanakkar and Sunnambu Karuneegar). 49. Kasukkara Chettiar. 50. Katesar, Pattamkatti. 51. Kavuthiyar. 52. Kerala Mudali. 53. Kharvi. 54. Khatri. 55. Kongu Vaishnava. 56. Kongu Vellalars (including Vellala Gounder, Nattu Gounder, Narambukkatti Gounder, Tirumudi Vellalar, Thondu Vellalar, Pala Gounder, Poosari Gounder, Anuppa Vellala Gounder, Padaithalai Gounder, Chendalai Gounder, Pavalankatti Vellala Gounder, Pala Vellala Gounder, Sanku Vellala Gounder and Rathinagiri Gounder). 57. Koppala Velama. 58. Koteyar 59. Krishnavaka (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 60. Kudikara Vellalar. . 61. Kudumbi (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 62. Kuga Vellalar. 63. Kunchidigar. 63A.Latin Catholics except Latin Catholic Vannar (in Kanniyakumari District) 63B.Latin Catholics in Shenkottah Taluk of Tirunelveli District 64. Lambadi. 65. Lingayat (Jangama) 66. Mahratta (Non-Brahmin) (including Namdev Mahratta) 67. Malayar 68. Male 69. Maniagar 70. Maravars (Except Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Ramanathapuram, Sivagangai, Virudhunagar, Tirunelveli and Thoothukudi Districts). 39. 40. 41. 42.

Karumaravars Appanad Kondayam Kottai Maravars (Except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni and Dindigul Districts). Sembanad Maravars (Except Sivagangai, Virudhunagar and Ramanathapuram Districts). 71. Moondrumandai Enbathunalu (84) Ur. Sozhia Vellalar. 72. Mooppan. 73. Muthuraja, Muthuracha, Muttiriyar, Muthiriyar, Mutharaiyar. 74. Nadar, Shanar and Gramani including Christian Nadar, Christian Shanar and Christian Gramani. 75. Nagaram 76. Naikkar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 77. Nangudi Vellalar 78. Nanjil Mudali (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 79. Odar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 80. Odiya. 81. Oottruvalanattu Vellalar. 82. O.P.S. Vellalar. 83. Ovachar. 84. Paiyur Kotta Vellalar. 85. Pamulu. 86. Panar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled caste). 86A. Pandiya Vellalar 87. Omitted 88. Kathikarar in Kanniyakumari District. 89. Pannirandam Chettiar or Uthama Chettiar. 90. Parkavakulam (including Surithimar, Nathamar, Malayamar, Moopanar and Nainar). 91. Perike (including Perike Balija). 92. Perumkollar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 93. Podikara Vellalar. 94. Pooluva Gounder. 95. Poraya. 96. Pulavar (in Coimbatore and Erode Districts). 97. Pulluvar or Pooluvar. 98. Pusala. 99. Reddy (Ganjam) 100. Sadhu Chetty (including Telugu Chetty, Twenty four Manal Telugu Chetty) 101. Sakkaravar or Kavathi (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District) 102. Salivagana. 103. Saliyar, Padmasaliyar, Pattusaliyar, Pattariyar and Adhaviyar. 104. Savalakkarar. 105. Senaithalaivar, Senaikudiyar and Illaivaniar. 105A.Serakular Vellalar 106. Sourashtra (Patnulkarar) 107. Sozhiavellalar (including Sozha Vellalar, Vetrilaikarar, Kodikalkarar and Keeraikarar) 108. Srisayar. 109. Sundaram Chetty. 110. Thogatta Veerakshatriya 111. Tholkollar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District) 112. Tholuva Naicker and Vetalakara Naicker. . 113. Omitted. 114. Thoriyar. 115. Ukkirakula Kshatriya Naicker. 116. Uppara, Uppillia and Sagara 117. Urali Gounder (except Tiruchirappali, Karur, Perambalur and Pudukottai Districts) and Orudaya Gounder or Oorudaya Gounder (in Madurai, Theni, Dindigul, Coimbatore, Erode, Tiruchirapalli, Karur, Perambalur, Pudukottai, Salem and Namakkal Districts). 118. Urikkara Nayakkar. 118A.Virakudi Vellala 119. Vallambar. 119A.Vallanattu Chettiar 120. Valmiki

121. Vaniyar, Vania Chettiar (including Gandla, Ganika, Telikula and Chekkalar) 122. Veduvar and vedar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the Community is a Scheduled Caste), 123. Veerasaiva (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 124. Velar. 125. Vellan Chettiar. 126. Veluthodathur Nair (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District) 127. Vokkaligar (including Vakkaligar, Okkaligar, Kappiliyar, Kappiliya, Okkaliga Gowda, Okkaliya Gowda, Okkaliya Gowder, Okkaliya Gowda). 128. Wynad Chetty (The Nilgiris District) 129. Yadhava (including Idaiyar, Telugu Speaking Idaiyar Known as Vaduga Ayar or Vaduga Idaiyar or Golla and Asthanthra Golla). 130. Yavana 131. Yerukula 131A. Converts to Christianity from any Hindu Backward Classes Community or Most Backward Classes Community (except the converts to Christianity from Meenavar, Parvatharajakulam, Pattanavar, Sembadavar, Mukkuvar or Mukayar and Paravar) or Denotified Communities 132. Orphans and destitute Children who have lost their parents before reaching the age of ten and are destitutes and who have nobody else to take care of them either by law or custom; and also who are admitted into any of the schools or orphanages run by the Government or recognized by the Government. II.LIST OF BACKWARD CLASSES CHRISTIANS Omitted III.LIST OF BACKWARD CLASSES MUSLIMS 1. 2. 3. 4. 5. 6. 7. Ansar Dekkani Muslims Dudekula Labbais including Rowthar and Marakayar (Whether their spoken language is Tamil or Urdu) Mapilla Sheik Syed IV. LIST OF MOST BACKWARD CLASSES 1. Ambalakkarar. 2. Andipandaram 2A. Arayar (in Kanniyakumari District) 3. Bestha, Siviar. 4. Bhatraju (Other than Kshatriya Raju) 5. Boyar, Oddar. 6. Dasari. 7. Dommara. 8. Eravallar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled Tribe). 9. Isaivellalar. 10. Jambuvanodai. 11. Jangam. 12. Jogi. 13. Kongu Chettiar (in Coimbatore and Erode Districts only) 14. Koracha. 15. Kulala (including Kuyavar and Kumbarar). 16. Kunnuvar Mannadi. 17. Kurumba, Kurumba Gounder 18. Kuruhini Chetty. 18A.Latin Catholic Christian Vannar (in Kanniyakumari District) 19. Maruthuvar, Navithar, Mangala, Velakattalavar, Velakatalanair and Pronopakari. 20. Mond Golla. 21. Moundadan Chetty. 22. Mahendra, Medara. 23. Mutlakampatti. 24. Narikoravar. 25. Nokkar

25A.Panisaivan / Panisivan 26. Vanniyakula Kshatriya (including Vanniyar, Vanniya, Vannia Gounder, Gounder or Kander,Padayachi, Palli and Agnikula Kshatriya). 27. Paravar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled Caste) 27A. Paravar converts to Christianity including the Paravar converts to Christianity of Kanniyakumari District and Shenkottah Taluk of Tirunelveli District 28. Meenavar (Parvatharajakulam, Pattanavar, Sembadavar) (including converts to Christianity). 29. Mukkuvar or Mukayar (including converts to Christianity). 30. Punnan Vettuva Gounder. 31. Pannayar (other than Kathikarar in Kanniyakumari District). 32. Sathatha Srivaishnava (Including Sathani, Chattadi and Chattada Srivaishnava). 33. Sozhia Chetty. 34. Telugupatty Chetty. 35. Thottia Naicker (including Rajakambalam, Gollavar, Sillavar, Thockalavar and Thozhuva Naicker and Erra Gollar). 36. Thondaman. 36A. Thoraiyar(The Nilgiris) 36B. Thoraiyar (Plains) 37. Valaiyar (including Chettinad Valayars). 38. Vannar (Salavai Thozhilalar) (including Agasa, Madivala, Ekali, Rajakula, Veluthadar and Rajaka) (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled Caste). 39. Vettaikarar. 40. Vettuva Gounder. 41. Yogeeswarar. V. LIST OF DENOTIFIED COMMUNITIES 1. Attur Kilnad Koravars (Salem, Namakkal, Cuddalore, Villupuram, Ramanathapuram, Sivagangai and Virudhunagar Districts). 2. Attur Melnad Koravars (Salem and Namakkal District). 3. Appanad Kondayam Kottai Maravar (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni and Dindigul Districts). 4. Ambalakkarar (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 5. Ambalakkarar (Suriyanur, Tiruchirapalli District). 6. Boyas (Tiruchirapalli, Karur, Perambalur, Pudukottai, The Nilgiris, Salem, Namakkal and Dharmapuri Districts). 7. Battu Turkas. 8. C.K.Koravars (Cuddalore and Villupuram Districts). 9. Chakkala (Sivagangai, Virudhunagar, Ramanathapuram, Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Tiruchirapalli, Karur, Perambalur, Madurai, Theni, Dindigul and the Nilgiris Districts). 10. Changyampudi Koravars (Vellore and Tiruvannamalai Districts) 11. Chettinad Valayars (Sivagangai, Virudhunagar and Ramanathapuram Districts) 12. Dombs (Pudukottai, Tiruchirapalli, Karur and Perambalur Districts) 13. Dobba Koravars (Salem and Namakkal Districts) 14. Dommars (Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Vellore and Tiruvannamalai Districts.) 15. Donga Boya. 16. Donga Ur.Korachas. 17. Devagudi Talayaris. 18. Dobbai Korachas (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) 19. Dabi Koravars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Vellore and Tiruvannamalai District. 20. Donga Dasaris (Kancheepuram, Tiruvallur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Chennai, Salem and Namakkal Districts). 21. Gorrela Dodda Boya. 22. Gudu Dasaris. 23. Gandarvakottai Koravars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Cuddalore and Villupuram Districts). 24. Gandarvakottai Kallars (Thanjavur, Nagapattinam, Thiruvarur and Pudukottai Districts.)

25. Inji Koravars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) 26. Jogis (Kancheepuram, Tiruvallur, Chennai, Cuddalore, Villupuram, Vellore and Tiruvannamalai Districts) 27. Jambavanodai. 28. Kaladis (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts.) 29. Kal Oddars (Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar, Madurai, Theni, Dindigul, Pudukottai, Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Tirunelveli, Thoothukudi, Salem and Namakkal Districts.) 30. Koravars (Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar, Pudukottai, Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Tirunelveli, Thoothukudi, Chennai, Madurai, Theni, Dindigul and the Nilgiris Districts) 31. Kalinji Dabikoravars (Thanjavur, Nagapattinam, Thiruvarur and Pudukottai Districts.) 32. Kootappal Kallars (Tiruchirapalli, Karur, Perambalur and Pudukottai District) 33. Kala Koravars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai District) 34. Kalavathia Boyas. 35. Kepmaris (Kancheepuram, Tiruvallur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts.) 36. Maravars (Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Ramanathapuram, Sivagangai, Virudhunagar, Tirunelveli and Thoothukudi Districts) 37. Monda Koravars 38. Monda Golla (Salem and Namakkal Districts.) 39. Mutlakampatti (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts) 40. Nokkars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) 41. Nellorepet Oddars (Vellore and Tiruvannamalai Districts.) 42. Oddars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Madurai, Theni and Dindigul Districts) 43. Pedda Boyas (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) 44. Ponnai Koravars (Vellore and Thiruvannamalai Districts.) 45. Piramalai Kallars (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Pudukottai, Thanjavur, Nagapattinam and Thiruvarur Districts) 46. Peria Suriyur Kallars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) 47. Padayachi (Vellayar Kuppam in Cuddalore District, Tenore in Tiruchirapalli District) 48. Punnan Vettuva Gounder (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) 49. Servai (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts) 50. Salem Melnad Koravars (Madurai, Theni, Dindigul, Coimbatore, Erode, Pudukottai, Tiruchirapalli, Karur, Perambalur, Salem, Namakkal, Vellore and Tiruvannamalai Districts.) 51. Salem Uppu Koravars (Salem and Namakkal Districts.) 52. Sakkaraithamadai Koravars (Vellore and Tiruvannamalai Districts.) 53. Saranga Palli Koravars. 54. Sooramari Oddars (Salem and Namakkal Districts) 55. Sembanad Maravars (Sivagangai, Virudhunagar and Ramanathapuram Districts) 56. Thalli Koravars (Salem and Namakkal Districts.) 57. Thelungapatti Chettis (Tiruchirapalli , Karur, Perambalur and Pudukottai Districts.) 58. Thottia Naickers (Sivagangai, Virudhunagar, Ramanathapuram, Kancheepuram, Tiruvallur, Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Tirunelveli, Thoothukudi, Salem, Namakkal, Vellore, Tiruvannamalai, Coimbatore and Erode Districts.) 59. Thogamalai Koravars or Kapmaris (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) 60. Uppukoravars or Settipalli Koravars (Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Madurai, Theni, Dindigul, Vellore and Tiruvannamalai District). 61. Urali Gounders (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts. 62. Wayalpad or Nawalpeta Korachas. 63. Vaduvarpatti Koravars (Madurai, Theni, Dindigul, Ramanathapuram, Sivagangai, Virudhunagar, Tirunelveli, Thoothukudi, Tiruchirapalli, Karur, Perambalur and Pudukottai Districts. ) 64. Valayars (Madurai, Theni, Dindigul, Tiruchirapalli, Karur, Perambalur, Pudukottai, Erode and Coimbatore Districts.) 65. Vettaikarar (Thanjavur, Nagapattinam, Thiruvarur and Pudukottai Districts.) 66. Vetta Koravars (Salem and Namakkal Districts.)

67. Varaganeri Koravars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) 68. Vettuva Gounder (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.) THE SCHEDULE (SCHEDULED CASTES) TAMIL NADU 37. Mavilan. 1 Adi-Dravida 38. Moger. 2. Adi-Karnataka 39. Mundala. 3. Ajila 40. Nalakeyava. 4. Ayyanavar (in Kanyakumari District and 41. Nayadi Shenkottah taluk of Tirunelveli District) 42. Padannan (in Kanyakuamri District and 5. Baira Shenkottah taluk of Tirunelveli District) 6. Bakuda 43. Pallan 7. Bandi 44. Palluvan 8. Bellara 45. Pambada. 9. Bharatar (in Kanyakumati District and 46. Panan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District) Shenkottah taluk of Tirunelveli District). 10. Chalavadi 47. Panchama. 11. Chamar, Muchi 48. Pannadi. 12. Chandala 49. Panniandi. 13. Cheruman 50. Paraiyan, Patayan, Sambavar 14. Devendrakulathan 51. Paravan (in Kanyakumari District and Shenkottai Taluk of Tirunelveli District) 15. Dom, Dombara, Paidi, Pano 52. Pathiyan (in Kanyakumari District and 16. Domban Shenkottai taluk of Tirunelveli District) 17. Godagali 53. Pulayan, Cheramar 18. Godda 54. Puthirai Vannan 19. Gosangi 55. Raneyar 20. Holeya 56. Samagara 21. Jaggali 57. Samban 22. Jambuvulu 58. Sapari 23. Kadaiyan 59. Semman. 24. Kakkalan (in Kanyakumari District and 60. Thandan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District). Shenkottai taluk of Tirunelveli District) 25. Kalladi 61. Tiruvalluvar. 62. Vallon 26. Kanakkan, Padanna (in the Nilgiris 63. Valluvan. District) 64. Vannan (in Kanyakumari District and 27. Katimpalan Shenkottai Taluk of Tirunelveli District. 28. Kavara (in Kanyakumari District and 65. Vathiliyan. Shenkottah taluk of Tirunelveli District). 66. Velan 29. Koliyan 67. Vetan (in Kanyakumari District and 30. Koosa Shenkottai Taluk of Tirunelveli District) 31. Kootan, Koodan (in Kanyakumari District 68. Vettiyan. and Shenkottah taluk of Tirunelveli 69. Vettuvan (Kanyakumari District and District). Shenkottah Taluk of Tirunelveli District.) 32. Kudumban 70. S.C. Converts to Buddhism. 33. Kuravan, Sidhanar 34. Maila. 35. Mala. 36. Mannan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District).

THE SCHEDULE (SCHEDULE CASTE ARUNTHATHIYAR) IN TAMIL NADU 1. Adi-Andhra 2. Arunthathiyar 5. Madiga 6. Pagadai

3. Chakkiliyan 4. Madari

7. Thotti.

THE SCHEDULE ( SCHEDULED TRIBES) IN TAMIL NADU 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. Adiyan Aranadan Eravallan Irular. Kadar Kammara (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District.) Kanikaran, Kanikkar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District). Kaniyan, Kanyan. Kattunayakan. Kochu Velan. Konda Kapus. Kondareddis. Koraga. Kota (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District.) Kudiya, Melakudi. Kurichchan. Kurumbas (in the Nilgiris District) Kurumans. Maha Mal as ar. Malai Arayan. Malai Pandaram Malai Vedan Malakkuravan Malasar Malayali (in Dharmapuri, Vellore, Pudukottai, Salem, Namakkal, Cuddalore, Villupuram, Tiruchirapalli, Tiruvannamalai, Karur and Perambalur District) Malayakandi. Mannan Mudugar, Muduvan Muthuvan. Pallayan Palliyan Palliyar Paniyan Sholaga Toda (excluding Kaniyakumari District and Shenkottah taluk of Tirunelveli District) Uraly *****

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bgW nj bgW TL kbg 50 rjjF Fiwahk Uj ntL. jhjgl, jhjgl mUja kW gHFo d tFig rhnjh 45 rjjF Fiwahk kbg bgW Uj ntL. i. kUJt gntL Ee rhj g +2 nj aa, nta, jhtua kW ya (myJ) ca (myJ) fja Ma midJ ghlf vGJ _ykhd nj kW brKiw njf 35 rjj kbg bgW nj bgW TL kbg 50 rjjF Fiwahk Uj ntL. jhjgl, jhjgl mUja kW gHFo d tFig rhnjh 45 rjjF Fiwahk kbg bgW Uj ntL. f rhj g nj bgUf ntL. ii. kUJt gntL ma gla g 1.mffgl VjhtbjhU gfiyfHf sfiy gl nj bgUf ntL. wjbt gfiyfHf bgw gl VW bfhsglkhlhJ. 2. a muR myJ jehL murh mffgl VjhtbjhU iya kUJt gntL Eg rhj/gla/gl g nj bgUf ntL. 10. 3. f rhj (M.S. Office in Computer from any institutions) g nj bgUf ntL.

kUJt gntL ma gof

kUJt rhj midJ gfSF My 35 rjj kbg bgW nj bgUf ntL. 7. jFthj egfis njbjLF Kiw 1.m. khzt / khzaf jutirgoago murh zfgl fl dthahd l xJogo njbjLfgLt. bghJ d 31 % gLjgl tFd 26.5% gLjgl tFd (K) 3.5% f gLjgl tFd kW kud 20% jhjgl tFd 15% jhjgl tFd (mUja) 3% gHFod 1% 1.M. gHFo dij rhnjh khtl tUth mYtylUJ rh rhj bgW rkf ntL. rhbwhg bgwgl, uju rh rhj mil rkfgl ntL. bghJ d, gLjgl tFd, gLjgl tFd (K), f gLjgl tFd kW kud, jhjgl tFd kW jhjgl tFd (mUja) d thahd l xJo l xJL bgw iHgtf tUth Jiwuh mffgl mYtylUJ bgwgl uju rh rhj mil ef ka/khy mu g jF A kW jF B g mfhf myJ khzt/khzaf goj f Wtdf g jiyik mYtylUJ mjh xg bgW rkf ntL. zgjhu nkiy nj ghlf bgw kbgfis (j kW My ju) 100F ikakhf bfhL, jutirgo jFahd khzt/khzaf nj bragLt. kbg fzLj Kiw bjhFngo 7 II (a)- My cs go fzlgL.

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8. zgjhuf zF Kiw: 1.

kUJt rhj gla gf m. 1. kUJt M Tl Ee gla gF kL, nkiy nj, kUJt Mtf Tl Eg ghlij bjh f ghlkhf vLjtf bgw kbgf. 2. x gnrhjid gla gF kL, nkiy nj, fja kW aa ghl bgw kbgf. M. nkiy nj, ca (myJ) jhtua kW ya ghl bgw kbgf. . nkiynj, aa kW nta ghl bgw kbgf. <. nkiy nj nj bgw vLj Kaf vif. c. taJ _ mogil KDik mf mtf wj njid fz vLfgL. kUJt rhj rhj gf m. nkiy nj, ca (myJ) jhtua kW ya ghl bgw kbgf. M. nkiynj, aa kW nta ghl bgw kbgf. . nkiy nj nj bgw vLj Kaf vif. <. taJ _ mogil KDik mf mtf wj njid fz vLfgL. kUJt gntL ma gof m. nkiy nj, ca (myJ) jhtua kW ya ghl bgw kbgf. M. nkiynj, aa kW nta ghl bgw kbgf. . nkiy nj nj bgw vLj Kaf vif. <. taJ _ mogil KDik mf mtf wj njid fz vLfgL.

2.

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jFthj khzt/khzaf ju kW jF mogil xiw rhsu Kiw brid o neh jL kUJ iya kW Muh iya eljbgW fyjhF miHfgLt. fyjh mltiz iza js http://www.tnhealth.org & tn.gov.in _y bjJ bfhsyh. fyjhfhd miH foj ilf bgwhjtf Fl nj mtf nu/kbg mltiz Ujh Fj neu mtfS fyjh fyJ bfhsyh. fyjhF miHfgL khzt, khzaf jfsJ brhj brynyna fyjh fyJ bfhs ntL. fyjh fyJ bfhs miHfgljh, gF njbjLfgLth vgjF cuthj ilahJ. 10. g fhy ms 1. 2. kUJt rhj gla gf kUJt rhj rhj gf uL tUlf xU tUl

3.

kUJt gntL ma gof i. kUJt gntL Ee rhj g ii. kUJt gntL ma gla g

MW khjf xU tUl

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M. njbjLfgl khzt/ khzaf nkny FLs gfhd flzij brYj ntL. UD flz brYJt muR/ Jiwduh flz khw VJ mfglh mjid brYj ntL. . khzt/ khzaf brYJ flz vfhuzij bfhL U juglkhlhJ.

<. g nrj d gUJ y bfhS khzt/ khzaf gfhf brYa flzij UjUkhW nfhu ayhJ. mthW gUJ y bfhS khzt/ khzaf kW mtfsJ bgnwh L g iza nfhukhnlh vW, g flzij UjUkhW nfhukhnlh vW cWbkh mFgr mtfsJ khW rhj kW edlij rhj rgjgl kUJt iya jiytfsh U mfgL. 12. zg brJ rkF Kiw : -

1. zgYs midJ gfS bjthf brhj ifbaG Uj ntL. khzt/khzaf zgJl mDggL jftf/ Mtzf rahditahf Uj ntL. khzt/khzaf zgJl rkF Mtzf/rhjf jtwhdit vW fLofglh, m) rgjgl khzt/khzaf g vj fl UjhY mtf gUJ cldoahf fgLthf. M) bjhlJ _W MLfSF vj f gy mDkfgl khlhf. ) zgJl jtwhd jftf rkUjh khza kW bgnwhf rl ahd eltoifF cgLjgLthf. <) jtwhd kbg goaf/rh rhj/ a Foik rhj /jehL wl rhj rkUjh Fwa eltoifF cgLjgLthf. 2. zgjhu bga kW njlToa ifglid zg kW OMR Sheet- mjfhf xJfgLs l xo ka (myJ) khy mu g A myJ B mfhfl myJ mtf goj f Wtd jiyik mYtyl mjh xg bgW rkj ntL. 3. zgJl izJ mDggLs Mtzf U tHfglkhlhJ. midJ rhjf eff kLnk ca mYtyl mjh xg bgW rkfgl ntL. ka/khy mu g jF A kW jF B g mfhf myJ khzt/khzaf goj f Wtdf g jiyik mYtylUJ rhjf eff mjh xg bgW mDj ntL. FLs Mtzf zgJl izl ntL. m) M) ) <) c) C) v) V) nkiy nj kbg goa myJ mjF izahd nj tHfgl kbg goa UgfK ef vLJ mDg ntL. nkiy nj Kojikfhf tHfgl g khW rhj myJ mjF izahd gfhd rhj. jehL wl/brhj C rhj (njitglh) uju rh rhj mil gjh tF kbg goa vlh tF Kj gbulh tF tiu gojikfhd g rhj +2 njfhd EiH L (+2 Hall Ticket) gl go kbg goa

kW nj bgw rhj I) x) X) f g nj bgw rhj kUJt gntL Ee g rhj kL

kUJt gntL ma gofSF

w dUfhd l xJL bgw iHgtf, mjFa rhjiH iz VI cs got rgjgl mYtylUJ bgW rkj ntL.

13. gfhd fyjh fyJ bfhgtf brayhs, kUJt rhj f FGk, muR nehjL kUJ kW Muh iya, o, brid-32 vw bgaUF njakakhfgl tf VjhtJ x brid khw jfjhf vLfgl nfhol %.100/- ks t nf tiunthiy bgW brKiw flzkhf (Processing fees) brYj ntL. mthW brYjgL brKiw flz vfhuzij bfhL U juglkhlhJ. a mr Miz (Postal Order) kW gz mr (Money Order) VW bfhsgl khlhJ. 14. g nrUtjfhf FlgLs nj kW neu g nruhj khzt/khzaf nrif uJ bragL. 15. khzt/khzaf nrifnghJ bgnwh/Mjngh iz II Fl cWbkh got xgl ntL. mthW xglhnjh nrif uJ bragL. 16. kUJt rhj f gia Kojtf mjid bjhlJ cU gia Koj dnu rhjf tHfgL. g Koj midtU muR g mkjgLthf vw cjuthj tHfglkhlhJ. 17. zgf bjhlghd thbkh rhuiz mDkfgLtiy.

18. kUJt rhj g bgW khzt/khzaf g Mo W rgjgl mfhfsh eljbgW njf nj bgWj ntL. rgjgl mfhfsh zfgL gfhd ghl l, vGJ tkhd ghlf, brKiw ghlf Mait gwgL. 19. gid Kojjfhd rhj bgWtjF vGJ tkhd ghlfSfhd njY, brKiw njY nj bgWj ntL. g My bkhnyna gWfgL. 20. kUJt rhj g bgW khzt/khzafSF g fhy L tr VJ brJ juglkhlhJ. mtf jf brhj brynyna j gy ntL. 21. taJ myJ f jF bjhlghd js VJ mDkfglkhlhJ.

22. bt Mjhu Kiw muR kUJtkidf gJ bra cjahs gF zgtf zg g yhj j khztfSfhf (Private candidates) xJfgL lf (general quota) dthahd xJL mogil gfgL. mthW j khztfSfhf (Private candidates) xJfgL lf (general quota) 10 rjj lf bt Mjhu Kiw muR kUJtkidf gJ bra cjahs gF zgtfSbfd xJL bragL. bt Mjhu Kiw XuhL muR kUJtkidf gJ bra cjahs gF zgtf kLnk nkgo xJo g bgw jFahdtfshf fUjgLt. mthW gjikfhd rhjid rgjgl kUJt iya jiytlUJ bgW zgJl izJ rkf ntL.

23. kUJt rhj rhj gfhd bkhj lf 10 rjj lf gUJ bfhL g bgw iHgtfSF (Service Candidates) xJfgL. muR kUJtJiw kUJtkid gahsfshf ggtf bra cjahs gF jFFatf. k w kUJt rhj gfSF gjh tF nj nj bgwtf jF cilatf. 24. j khztfSfhf (Private candidates) xJfgl lf khzt nrifikah VgL fhlf muR gUJ bfhnl g bgw (Service Candidates) zg brgtfSF, gUJ g bgw zg brgtfSfhf xJfgl lf khzt nrifikah VgL fhlf j khztfSF xJfgL. 25. kUJt rhj gf nrUtjfhd l xJL Miz jfhfkhdJ. jFFa gjidf VnjD jtW fLofglh zgjhuUila lxJL vj neuY uJ bragL. gfSF nj bragL khzt/khzafSF l xJL brt brayhs, kUJt rhj f FGk, muR nehjL kUJ kW Muh iya, o, brid-32 mtf Kont WahdJ. 26. fyjh nghJ mtf jFgo Uw g kW g ikaf Uggl g kW g ikafis nj brJ bfhsyh. g kW g ika xJL bragl d vfhuz bfhL gnah myJ g ikankh kh bfhs ayhJ. 27. zgjhuf g nrU g iyaf kUJtFG br kUJt gnrhjidF cgLjgLt. mt cliy jF bgwt vW kUJt FGduh cW braglng, g iyaf nrJ bfhsgLt. mj ng g flzij brYj mDkfgLthf. 28. j bjhFngo FlgLs vj tuid muR MizfSF, cgL vj neuY khw bra brayhs, kUJt rhj f nehjL kUJ kW Muh iya, o, brid-32 mtfSF bragL khwfS, muR myJ kw Mizf iza jsY, ugykhd ehnsLf btlgL. 29. cl CdKwtfSfhf xJfgL lf: kw MizfSF FGk, muR cik cL. mthW j kW My

kUJt rhj gfSfhd lf bkhj vif 3 GfhLf cl CdKwtfSF xJfgLsJ. mtf cl Cd jik Kla rgjkhf LF UJ Cd ms 50 GfhoUJ 70 GfhL tiu Ugtf Kj gyid bragLt, mjifatf yho 40 GfhoUJ 50 GfhL tiu Ugtf gyid bragLt. iff uL Cd yhk aghf Uf ntL. ghitanwh, fhJ nfshnjh, iff CdKnwh w xJo nj braglkhlhf. nkY bghJ Flhd midJ jFfS bgUj ntL. cl CdKwtfSfhd l xJL bgw zg brgtf bjhFngo iz VI Fl got mjj khtl kUJtkidYs kUJt FGklUJ rhj bgW rkf ntL. nkgo rhj zg rkgjF _W khjF Kdjhf bgUj ntL. 3 khjfSF Kgljhf U nkgo rhj jSgo bragL. mthW bgwgl rhj, kUJt f aFe _y afgl w kUJt FGduh fyjhnghJ cW bragL.

nj bragl zgjhu mjfhf VgLjgl kUJt FGk kUJt gnrhjidF cgLjgL cljF mogil gF nrJ bfhsgLt. zgjhuf Cd jikia ugF KG cUt ifglij izl ntL. Kla Jiw rgjkhf fhf Cd cstf ju, ntW cl Cdf cstf mDkfglkhlhf. cljF mogil gF njbjLfgltf fyjhfhd nj kW neu Mait kUJt gnrhjid d jna zfgL. 30. brhj Vghogo bgnwh xUt kLnk khzaUl fyjhF mDkfgLt. jugoa mogil jFthj xbthU khzaF jjahf fyjhfhd miH foj jgh _y mDggL. 31. fyjh Fl nj kW neu fyJ bfhshjtf kWKiw fyjhF gfglkhlhf. 32. ahakhd/jf Koahj fhuzfsh fyjhF tu ayiy v, mtfis fyjh fyJ bfhs mDkgJ FJ gid bragL. mthW fyjh fyJ bfhs mDkfglh mrka cs g ikaf kLjh l xJL bragL. 33. m) midJ foj nghFtuJfS khztf vG mD jgh ciw itJ mDggL. khztfSF jftf / miH fojf, g mr, iu mr, J mr myJ j tW VjhtJ xU tif mDggL. miH foj jgh _y ilfhik kW jgh gLthlh jhkjF FGk bghWghfhJ. M) gfhd lf vifial mf vif zgjhuUF fyjhF miH foj mDggoUgjh, miH foj mDa midtUF gfhd nrifF cjuthj ilahJ. ) jgh ciw bjtw / KGikaw Kftf zgjhuuh vGjgoU, miH foj zgjhuUF ilfhk Ujh mjfhf FGk bghWghfhJ. 34. jft gkhw: m) midJ jghfS kDjhu zg FLs KftF mDggL. fyjhfhd miH foj gtr / iu mr / j VnjD x _ykhf mDggL. jgh jhkjF, khzt/khzaf iza jsij ghJ bjJ bfhshikF, FGk bghWghfhJ. M) khzt/khzaf yhr VJ khU cldoahf FGkF bjf ntL. mthW bjfiyba, jgh jhkj (myJ) w isfSF FGk bghWghfhJ.

35. kr fhkhiy jL C kUJt rhj f gfSF nj bragl zgjhuf midtU kr fhkhiy jL C brY bfhljfhd rhjiH got V FLsgo rkf ntL.

A. R. No: (To be filled by Office) DIRECTORATE OF MEDICAL EDUCATION APPLICATION FOR PARAMEDICAL CERTIFICATE COURSES ADMISSION 2011 2012 SESSION 1. Name in Block letters (initial at the end) .. 2. Address for Communication (in Block Letters) . . .....
Pin Phone No........................................................

SPACE FOR PHOTOGRAPH (TO BE ATTESTED BY GRADE A/B OFFICERS OF CENTRAL / STATE GOVERNMENTS)

3. Name of the Parent / Guardian 4. Religion . 6. Nationality 7. Sex 5. Mother Tongue .. 8. Date of Birth

Indian 1

Other 2

Male 1

Female 2

Date

Month

Year

9. Community

10. Caste Code

O.C.

B.C.

B.C.M

M.B.C. / D.N.C.

S.C..

S.C.A .

S.T.

2a

4a

11. Name of the Caste .. 12. Community Certificate Particulars Sl. No. and Date Issuing Officers Designation Issuing Office 13. Qualifying Examination S.S.L.C. 1 H.S.E 2 S.S.C.E of CBSE 3 I.S.C.E 4 Others

14. Medium of Instruction Tamil 1 English 2 Others

15. Appearance in which Qualifying Exam.was passed.

First

Second

Third

IV and above 4

16. Particulars of the Qualifying Examination

Reg. No:

Month & Year

17. Marks obtained in Qualifying Examination for courses with Science Subjects Subjects Biology Physics Chemistry Botany Zoology
Medical Laboratory Assistant Course

Maximum Marks

Marks obtained

18. Weighted total marks for a maximum of 200: a. Percentage in Biology (X) b. Percentage in Physics and Chemistry taken together (Y) c. Percentage in Botany and Zoology taken together (Z)

. .

Weighted total for a maximum of 100 = (X + Y) or (Y + Z) ------------------------- 2 The Percentages and the weighted total should be accurate to two decimals

19. Marks obtained in Qualifying Examination except I & II Language Subjects Maximum Marks Marks obtained

other than Science subjects

Total Marks for a maximum of 100 : Marks obtained in subject I Marks obtained in subject II Marks obtained in subject III Marks obtained in subject IV Total Marks obtained in all subjects (A +B+C+D) Total Maximum Marks Total marks obtained to the Maximum of 100 (A) (B) (C) (D) = = =

800 Marks obtained x 100 ---------------------------------Total maximum marks (800)

20. Native District Code 21. Civic Status of your native place and School Place. Corporation Municipality Town Ship Town Panchayat Native Place 1 2 3 4 School Place 1 2 3 4 22. Occupation of Parent / Guardian
Agriculture Industry Business State Central Government Government Private

Village Panchayat 5 5
Small Trade

Others 6 6
Others

23. Average Monthly income of parent

Below 1001 1 1001 1250 2 1251 2000 3 2001 4000 4 4001 6000 5 Above 6000 6

24. School (s) of Study : Month & Year of Passing X Std XI Std XII Std / Equivalent

Name and Place of School

25 (a) DECLARATION BY THE APPLICANT

I (Name in full and in Block Letters) Son / Daughter of ..hereby solemnly declare that the information furnished and the statement given in the application and the enclosures are true, correct and complete. I further declare that should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the Institution at whatever stage of study, I may be liable for criminal prosecution.
Place: Date: Signature of the Applicant

25 (b) DECLARATION BY THE PARENT / GUARDIAN I (Name in full and in Block Letters) Father / Mother / Guardian of ..hereby solemnly declare that I am fully aware of the declaration made by the applicant, my son / Daughter and I declare and bind myself on the same terms contained with the above declaration. The statements and the information given are true, correct and complete. If it is found otherwise, the applicant is liable to forfeit the admission and liable for criminal prosecution. Signature of the Parent/Guardian Place: Date: Note: The Guardian can execute the above declaration only if both parents are not alive.

A.R.No.
(To be filled by Office) DIRECTORATE OF MEDICAL EDUCATION

SCRUTINY FORM FOR PARAMEDICAL CERTIFICATE COURSES ADMISSION 2011 2012 SESSION
1. Name in Block letters (initial at the end)
SPACE FOR PHOTOGRAPH (TO BE ATTESTED BY GRADE A / B OFFICERS OF CENTRAL /STATE GOVERNMENTS)

: : :

2. Name of the Parent / Guardian 3. Sex 4. Religion 5. Community & Name of the Caste

OC/BC/BCM/MBC/DNC/SC/SCA/ST: 6. Mother Tongue 7. Date of Birth & Age 8. Nationality 9. Native Place District 10. Examination Passed in ( Academic Stream) 1. Name of the Board / Place 2. Year of Passing 3. Marks in +2 Exam : : : : : : : :

Eligible

Not Eligible

SUBJECT

MAXIMUM MARKS

MARKS OBTAINED

Aggregate Marks

Signature of the Candidate (at the time of Counseling) 11. Verified against originals and originals returned to the candidate. For Office Use Aggregate Marks : Signature of the Candidate Scrutinised by (Name & Designation) : 1. 2.

A. R. No:

(To be filled by Office) DIRECTORATE OF MEDICAL EDUCATION APPLICATION FOR CERTIFICATE IN MEDICAL RECORD TECHNICIAN / DIPLOMA IN MEDICAL RECORD SCIENCE COURSE ADMISSION 2011 2012 SESSION 1. Name in Block letters (initial at the end) .. 2. Address for Communication . . .....
Pin Phone No........................................................

SPACE FOR PHOTOGRAPH (TO BE ATTESTED BY GRADE A/B OFFICERS OF CENTRAL / STATE GOVERNMENTS)

3. Name of the Parent / Guardian 4. Religion . 6. Nationality 7. Sex 5. Mother Tongue .. 8. Date of Birth

Indian 1

Other 2

Male 1

Female 2

Date

Month

Year

9. Community

10. Caste Code

O.C.

B.C.

B.C.M

M.B.C./ D.N.C.

S.C..

S.C.A.

S.T.

2a

4a

11. Name of the Caste .. 12. Community Certificate Particulars Sl. No. and Date Issuing Officers Designation Issuing Office

13. Qualifying Examination H.S.E S.S.C.E I.S.C.E Degree of CBSE 4 1 2 3 14. Medium of Instruction Tamil 1 English 2 Others 3 Certificate in M.S. Office
5

15. Appearance in which Qualifying Exam. was passed. First Second Third IV and above 4

16. Particulars of the Qualifying Examination

Reg. No:

Month & Year

17. Marks in Select Subjects in Qualifying Examination Subjects Maximum Marks Marks obtained

18. For Degree Courses Subjects Maximum Marks Marks Obtained in I Year Marks obtained in II year Marks obtained in III Year Overall percentage excluding I & II Languages

19. Native District Code 20. Civic Status of your native place and School Place. Corporation Municipality Town Ship Town Panchayat Native Place 1 2 3 4 School Place 1 2 3 4 21. Occupation of Parent / Guardian
Agriculture Industry Business State Central Government Government Private Small Trade Others

Village Panchayat 5 5

Others 6 6

22. Average Monthly income of parent

Below 1001 1 1001 1250 2 1251 2000 3 2001 4000 4 4001 6000 5 Above 6000 6

23. School / College (s) of Study : Month & Year of Passing X Std XI Std XII Std / Equivalent Degree

Name and Place of School / College

24 (a) DECLARATION BY THE APPLICANT

I (Name in full and in Block Letters) Son / Daughter of ..hereby solemnly declare that the information furnished and the statement given in the application, Scrutiny form and the enclosures are true, correct and complete. I further declare that should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the Institution at whatever stage of study, I may be liable for criminal prosecution.
Place: Date: Signature of the Applicant 24 (b) DECLARATION BY THE PARENT / GUARDIAN I (Name in full and in Block Letters) Father / Mother / Guardian of ..hereby solemnly declare that I am fully aware of the declaration made by the applicant, my son / Daughter and I declare and bind myself on the same terms contained with the above declaration. The statements and the information given are true, correct and complete. If it is found otherwise, the applicant is liable to forfeit the admission and liable for criminal prosecution. Signature of the Parent/Guardian Place: Date: Note: The Guardian can execute the above declaration only if both parents are not alive.

A.R. No. (To be filled by Office) DIRECTORATE OF MEDICAL EDUCATION

SCRUTINY FORM FOR CERTIFICATE IN MEDICAL RECORD TECHNICIAN / DIPLOMA IN MEDICAL RECORD SCIENCE COURS

ADMISSION 2011 2012 SESSION 1. Name in Block letter (initial at the end) 2. Name of the Parent / Guardian 3. Sex 4. Religion
5. Community & Name of the Caste

: :

SPACE FOR PHOTOGRAPH

(TO BE ATTESTED
BY GRADE A / B OFFICERS CENTRAL /STATE GOVERNMENTS

5.OC/BC/BCM/MBC/DNC/SC/SCA/ST: 6. Mother Tongue 7. Date of Birth & Age 8. Nationality 9. Native Place District 10. Examination Passed in ( Academic Stream) 1. Name of the Board / University 2. Year of Passing : : : : : : :

Eligible

Not Eligible

3. Marks in +2 Exam / Degree : 4. MRT Certificate 5. MS Office Certificate H.S.C. / DEGREE SUBJECT : : MAXIMUM MARKS MARKS OBTAINED AGGREGATE MARKS

Aggregate Marks

Signature of the Candidate

11. Verified against originals and originals returned to the candidate. (at the time of Counseling)

For Office Use Aggregate Marks Scrutinised by : : 1. (Name & Designation) 2.

A. R. No: (To be filled by Office) DIRECTORATE OF MEDICAL EDUCATION APPLICATION FOR PARAMEDICAL DIPLOMA COURSES ADMISSION 2011 2012 SESSION 1. Name in Block letters (initial at the end) .. 2. Address for Communication (in Block Letters) . . .....
Pin Phone No........................................................

SPACE FOR PHOTOGRAPH (TO BE ATTESTED BY GRADE A/B OFFICERS OF CENTRAL / STATE GOVERNMENTS)

3. Name of the Parent / Guardian 4. Religion . 6. Nationality Indian 1 9. Community

O.C. B.C. B.C.M M.B.C. / D.N.C. S.C.. S.C.A . S.T.

5. Mother Tongue .. 8. Date of Birth Female 2 10. Caste Code Date Month Year

7. Sex Other 2 Male 1

2a

4a

11. Name of the Caste .. 12. Community Certificate Particulars Sl. No. and Date Issuing Officers Designation Issuing Office 13. Qualifying Examination H.S.E 1 S.S.C.E of CBSE 2 I.S.C.E 3 Others 4

14. Medium of Instruction Tamil 1 English 2 Others

15. Appearance in which Qualifying Exam.was passed. First Second Third IV and above 4

16. Particulars of the Qualifying Examination Reg. No: Month & Year

17. Marks obtained in Qualifying Examination for courses with Science Subjects Subjects Biology Physics Chemistry Botany Zoology
Medical Laboratory Assistant Course

Maximum Marks

Marks obtained

18. Weighted total marks for a maximum of 200: a. Percentage in Biology (X) b. Percentage in Physics and Chemistry taken together (Y) c. Percentage in Botany and Zoology taken together (Z) . .

Weighted total for a maximum of 100 = (X + Y) or (Y + Z) ------------------------- 2 The Percentages and the weighted total should be accurate to two decimals

19. Marks obtained in Qualifying Examination other than Science subjects except I & II Language Subjects Maximum Marks Marks obtained

Total Marks for a maximum of 100 Marks obtained in subject I Marks obtained in subject II Marks obtained in subject III Marks obtained in subject IV Total Marks obtained in all subjects (A +B+C+D) Total Maximum Marks Total marks obtained to the Maximum of 100

: (A) (B) (C) (D) = = =

800 Marks obtained x 100 ---------------------------------Total maximum marks (800)

20. Native District Code 21. Civic Status of your native place and School Place. Corporation Municipality Town Ship Town Panchayat Native Place 1 2 3 4 School Place 1 2 3 4 22. Occupation of Parent / Guardian
Agriculture Industry Business State Central Government Government Private

Village Panchayat 5 5
Small Trade

Others 6 6
Others

23. Average Monthly income of parent

Below 1001 1 1001 1250 2 1251 2000 3 2001 4000 4 4001 6000 5 Above 6000 6

24. School (s) of Study : Month & Year of Passing X Std XI Std XII Std / Equivalent

Name and Place of School

25 (a) DECLARATION BY THE APPLICANT

I (Name in full and in Block Letters) Son / Daughter of ..hereby solemnly declare that the information furnished and the statement given in the application and the enclosures are true, correct and complete. I further declare that should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the Institution at whatever stage of study, I may be liable for criminal prosecution.
Place: Date: Signature of the Applicant 25 (b) DECLARATION BY THE PARENT / GUARDIAN I (Name in full and in Block Letters) Father / Mother / Guardian of ..hereby solemnly declare that I am fully aware of the declaration made by the applicant, my son / Daughter and I declare and bind myself on the same terms contained with the above declaration. The statements and the information given are true, correct and complete. If it is found otherwise, the applicant is liable to forfeit the admission and liable for criminal prosecution. Signature of the Parent/Guardian Place: Date: Note: The Guardian can execute the above declaration only if both parents are not alive.

A.R.No. (To be filled by Office) DIRECTORATE OF MEDICAL EDUCATION SCRUTINY FORM FOR PARAMEDICAL DIPLOMA COURSES ADMISSION 2011 2012 SESSION 1. Name in Block letters SPACE FOR PHOTOGRAPH (initial at the end) (TO BE ATTESTED 2. Name of the Parent / Guardian : BY GRADE A / B
3. Sex 4. Religion 5. Community & Name of the Caste OC/BC/BCM/MBC/DNC/SC/SCA/ST: 6. Mother Tongue 7. Date of Birth & Age 8. Nationality 9. Native Place District 10. Examination Passed in ( Academic Stream) 1. Name of the Board / Place 2. Year of Passing 3. Marks in +2 Exam SUBJECT : : : : MAXIMUM MARKS MARKS OBTAINED : : : : Eligible Not Eligible : :
OFFICERS OF CENTRAL /STATE GOVERNMENTS)

Aggregate Marks

Signature of the Candidate (at the time of Counseling) 11. Verified against originals and originals returned to the candidate. For Office Use Aggregate Marks : Signature of the Candidate Scrutinised by : 1. (Name & Designation) 2.