The Apex Body for Regulation and Provision of Medical Education by Government of Tamil Nadu

Notifications Classified

Students Staff Establishment Statistics
  • Hospital Performance
    • OP
    • IP
    • Surgeries
Others
  • Transplant Authorisation

Prospectus for Nursing Assistant Courses 2009-2010

ADMISSION TO NURSING ASSISTANT COURSE
2009-2010
PROSPECTUS
FOR
NURSING ASSISTANT COURSE
LAST DATE FOR SUBMISSION OF APPLICATION
UPTO 5.00 P.M. ON 2009
AT
GOVERNMENT………………………………
MEDICAL COLLEGE HOSPITAL…………………………
GOVERNMENT OF TAMIL NADU
ADMISSION TO NURSING ASSISTANT COURSE
2009-2010
PROSPECTUS FOR NURSING ASSITANT COURSE
LAST DATE FOR SUBMISSION OF APPLICATION
UPTO 5.00 P.M. ON . . 2009
GOVERNMENT ……………………..
MEDICAL COLLEGE HOSPITAL…………………
INSTRUCTIONS TO CANDIDATE
1. Cost of Application Form is Rs.200/- Application for can be obtained from the Dean of all the Government Medical Colleges in person or payment of Demand Draft for Rs.200/- which is non refundable, drawn in favour of the Dean, Govt. …………………….. Medical College,…………………. from any one of the Nationalised Banks payable at ……………… As per G.O.(Ms) No.111, Adi Dravidar and Tribal Welfare Department, dated 22.09.1998, SC/ST candidates are exempted from payment of Demand Draft forRs.200/-They should produce an attested copy of Community Certificate issued by the appropriate Revenue Authorities.
2. Before filling up of the Application form, Scrutiny form read all the instructions carefully.
3. (a) Application form must be filled up by the candidate’s in their own handwriting.
(b) Scrutiny form should be filled up legibly, neatly and correctly. The information will be processed by using a computer. Any mistake committed by the candidate will prejudice the selection.
4. The Application form and other forms should not be folded. Making hole, using pin or stapler on the Scrutiny form must be totally avoided.
5. All prescribed enclosures should only be attested (Xerox copies). ORIGINAL CERTIFICATES NEED NOT BE ENCLOSED.
6. Application with enclosures received upto 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. Incomplete applications will be rejected.
9. The Dean of the Medical College cannot be held responsible for the rejection of application for delayed receipt or loss in transit on any ground.
10. 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 Dean Govt…………………………Medical College Hospital,………………..before 5.00 P.M. ……………….2009.
11. Any further correspondence with the Dean of the Medical College Hospital / Higher authorities will not be entertained.
12. The filled in application form should be submitted to the Government Medical College in which the candidate desire to join the course.
GOVERNMENT OF TAMIL NADU
DEPARTMENT OF MEDICAL EDUCATION
Govt. Medical Colleges.
ADMISSION TO NURSING ASSISTANT COURSE
GOVT……………………………….MEDICAL COLLEGE HOSPITAL…………………….
IN TAMIL NADU 2009-2010 SESSION
PROSPECTUS
1. ELIGIBILITY
The candidate should be citizen of India.
2. NATIVITY
Candidate should be a Native of Tamil Nadu, except the candidates who have studied in the Schools in the State of Tamil Nadu from 8th standard to 10th standard, others should produce the Nativity Certificate in the format prescribed in Annexure IV from the competent authority. The candidates who are the children of parents of Tamil Nadu origin, but living in other states should also produce the Nativity certificate as mentioned above. Permanent Residence Certificate will not be accepted.
3. AGE LIMIT
1. The candidate should have completed the age of 17 years and should not have completed 32 years as on 31.12.2009.
2. The date of birth and age as entered in the Transfer Certificate issued after completion of S.S.L.C. (Academic) / Vocational C.B.S.E. / I.S.C. or any other equivalent course shall alone be accepted.
4. EDUCATIONAL QUALIFICATION / MINIMUM ELIGIBILITY
Candidate who have passed S.S.L.C. (Academic) Examination conducted by the Tamil Nadu State Board or Equivalent Board shall be eligible for consideration for admission.
1. Candidates should have taken Tamil as First Language and English as Second Language.
2. Preference will be given to the candidates who have passed S.S.L.C. in the first appearance. If suitable candidates are not available with the first appearance, then preference will be given to candidate with less number of appearance.
3. Failed Candidates should not apply to the Course.
4. Method of Selection and Admission
I. 25% of seats in the Government Medical Institutions are reserved for Service Candidates.
II. Service Candidates application should be submitted through the Heads of Medical Institutions.
III. Selection will be made purely on merit based on the aggregate of marks obtained in all the subjects applying the rule of reservation.
IV. Ranking of the candidates will be done based on the total marks
V. The Rule of Reservation shall be as follows:
Open Competition – 31%
Backward Classes – 30%
Most Backward Classes/Denotified Community – 20%
Scheduled Caste – 18%
Scheduled Tribe – 1%
Within the 30% reservation for BC, 3.5% reservation will be provided for Muslims
5. However the percentage of allocation of seats for Open Competition, Backward Class, Backward Class Christians, Backward Class Muslims, Most Backward Class and Denotified Communities, Scheduled Caste and Scheduled Tribe 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.
6. Candidates claiming admission against reservation of seats for Backward Class, Backward Class Christians, Backward Class Muslims, Most Backward Class, Denotified Communities and Scheduled Caste in the above Course should submit a certified Xerox copy of the permanent community card showing the social status (Backward Class, Backward Class Christians, Backward Class Muslims, Most Backward
Class, Denotified Communities and Scheduled Caste) 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.
7. 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.
8. In case where more than one candidate has secured the same number of marks in S.S.L.C. , the tie shall be resolved on the basis of the following factors in the order of priority.
a. Age.
b. Community
c. Marks.
9. a. The Register numbers of provisionally selected candidates will be published in the Office of the Dean of the respective Govt. Medical College Hospitals / Institution.
b. Selected candidates will be called for counseling at Office of the Dean of the respective Govt. Medical Colleges / Institution. Candidates should attend counseling at their own expense.
10. DURATION OF THE COURSE
Nursing Assistant Training Course – 6 months.
11. FEES
a) Fees prescribed for the Nursing Assistant Course will be on par with the other Para Medical Certificate Courses as revised vide G.O.(Rt.) No.59, Health and Family Welfare (PME) Department, dated 15.02.2007.
1) Tuition fees : Rs.200/- per 6 months.
2) Special fees : Rs.250/- per 6 months.
3) Laboratory fees : Rs.500/- per 6 months.
4) Exam fees : Rs.500/- per 6 months.
————
Total Rs.1450/-
————-
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 return 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 space provided in the application. Four 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 after proper scrutiny of his / her application if 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 candidates 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.
a. Mark sheets of S.S.L.C. examinations in an appearance or appearances including improvement examinations or equivalent examination (Both the sides of Mark Sheets should be Xeroxed)
b. Transfer certificate obtained after the completion of S.S.L.C.
c. Permanent Community Certificate Card.
d. Nativity Certificate (Wherever necessary)
15. The selected candidates will be called for verification of certificates by the Deans of the respective Govt. Medical Colleges. Candidates will have to produce the original Mark Sheet of the qualifying examination and other original documents such as proof of age, community certificate, transfer certificate, etc at the time of verification. Selection will be cancelled if the candidates do not produce all the original documents and the original transfer certificate.
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 parent/guardian will have to sign a discipline declaration form (Annexure). Failure to sign the declaration will result cancellation of selection.
18. SYLLABUS AND EXAMINATION.
a) The Candidates joining the course should pass the examinations conducted at the end of the course 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.
19. Hostel facilities will not be provided and admitted candidates have to make their own arrangements for their stay.
20. No exemption from general educational qualification or age relaxation will be considered.
21. 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 Director of Medical Education.
22. Candidates can exercise their option for the course at the time of the counseling and allotment will be subject to availability of seats. Individual request for transfer of college will not be entertained after the selection.
23. 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.
24. The Chairman / Director of the Courses 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.
25. The candidate can purchase the Application form from any of the 15 Government Medical Colleges. The filled in application form should be submitted to the Medical College in which the candidate desires to join the course.
ANNEXURE-I
(A) DISCIPLINE DECLARATION BY THE CANDIDATE
I ………………….. the undersigned, a students selected for admission in the Course in …………………… Medical College, do hereby agree to conform from this date if I am admitted thereto 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 assure that I will not join any agitation / Strike of any kind during the course of study. 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: Signature of Candidate
STATION: Signature of Parent/Guardian
DATE : 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 the Government, negligence wantonly on his / her part.
In the presence of :
STATION: Signature of Parent / Guardian
DATE: 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: Signature of Candidate’s Parent/Guardian
DATE : Occupation and Address :
ANNEXURE-II
DECLARATION BY THE CANDIDATE FOR PAYMENT OF DUES AS A RESULT OF REVISION OF FEES AS MAY BE DECIDED BY THE GOVERNMENT
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 Department.
In the presence of: Signature of Candidate :
STATION: Signature of Parent/Guardian:
DATE: Occupation and Address:
ANNEXURE-IV
CERTIFICATE OF NATIVITY IN TAMIL NADU
Certified that Thiru/ Thirumathi………………………… Parent / 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:
Office Seal Station :
Date:
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-V
MEDICAL CERTIFICATE FOR ADMINISTRATION OF HEPATITIS-B VACCINATION
I Dr…………………………………………Registration No…………………….. certify that I have this……………………………………day of ……………………2009 administered the Hepatitis-B Vaccine to the candidate whose particulars are given below:
1. Name of the Candidate
2. Father’s Name
3. Sex
4. Age
5. Identification Marks
6. Dose I / II / III
Signature of the applicant Signature of the M.O.
Place: Name and Designation
Date: Official Seal
LIST OF DISTRICTS IN TAMIL NADU
NAME OF THE DISTRICT
CODE NO.
NAME OF THE DISTRICT
CODE NO.
Chennai
01
Ramanathapuram
17
Coimbatore
02
Salem
18
Cuddalore
03
Sivagangai
19
Dharmapuri
04
Thanjavur
20
Dindigul
05
Thiruvallur
21
Erode
06
Tiruchirapalli
22
Kancheepuram
07
Thiruvannamalai
23
Kanyakumari
08
Thoothukudi
24
Karur
09
Theni
25
Krishnagiri
10
Tirunelveli
26
Madurai
11
Tiruvarur
27
Nagapattinam
12
Vellore
28
Namakkal
13
Villupuram
29
Nilgiris
14
Virudhu Nagar
30
Perambalur
15
Ariyalur
31
Pudukkottai
16
Others
32
Details of Nursing Assistant Course conducted in the Government Medical Colleges as per G.O.(Ms) No.43, Health and Family Welfare (PME) Department, dated 29.01.2009.
Sl.No.
Name of the Institution
No.of students intake
Ratio of Male and Female in take
1.
Government General Hospital, Chennai
100
All Male & Female
25% Service candidates
75% Non Service Candidates.
2.
Government Stanley Hospital, Chennai
100
All Male & Female
25% Service candidates
75% Non Service Candidates.
3.
Kilpauk Medical College Hospital, Chennai
100
All Male & Female
25% Service candidates
75% Non Service Candidates.
4.
Government Rajaji Hospital, Madurai
100
All Male & Female
25% Service candidates
75% Non Service Candidates.
5.
Thanjavur Medical College Hospital, Thanjavur
100
All Male & Female
25% Service candidates
75% Non Service Candidates.
6.
Coimbatore Medical College Hospital, Coimbatore
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
7.
Tirunelveli Medical College Hospital, Tirunelveli
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
8.
Chengalpattu Medical College Hospital, Chengalpattu
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
9.
Government Mohan Kumaramangalam Medical College Hospital, Salem
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
10.
Annal Gandhi Memorial Government Hospital, Trichy
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
11.
Thoothukudi Medical College Hospital, Thoothukudi
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
12.
Kanyakumari Medical College Hospital, Nagerocil
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
13.
Vellore Medial College Hospital, Vellore.
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
14.
Theni Medical College Hospital, Theni.
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
15.
Government Dharmapuri Medical College Hospital, Dharmapuri
50
All Male & Female
25% Service candidates
75% Non Service Candidates.
ANNEXURE
LIST SHOWING THE SCHEDULED CASTES, SCHEDULED TRIBES, 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. Tamil Nadu Act 51 of 2008.
Code
No. I. LIST OF BACKWARD CLASSES
1. Agamudayar including Thozhu or Thuluva Vellala.
2. Agaram Vellan Chettiar.
3. Alwar, Azhavar and Alavar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District)
4. Servai (except Tiruchirapalli, Karur, Perumbalur and Pudukottai Districts).
5. Nulayar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District).
6. Archakarai Vellala.
7. Aryavathi (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District).
8. Ayira Vaisyar.
9. Badagar.
10. Billava
11. Bondil
12. 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 Caste irrespective of the generation of conversion for the purpose of reservation of seats in Educational Institutions and for seats in Public Services.
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. Gowda (including Gammala, Kalali and Anuppa Gounder).
28. Hegde.
29. Idiga.
30. Illathu Pillaimar, llluvar, Ezhuvar and Illathar.
31. Jhetty
32. Jogis (except Kancheepuram, Tiruvallur, Madurai, Theni, Dindigul, Cuddalore, Villupuram, Vellore and Tiruvannamalai Districts).
33. Kabbera.
34. Kaikolar, Sengunthar.
35. Kaladi (except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Thanjavur,Nagapattinam, Thiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts).
36. Kalari Kurup including Kalari Panicker (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
37. 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).
39. Kallar Kula Thondaman.
40. Kalveli Gounder.
41. Kambar
42. 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).
Karumaravars Appanad Kondayam Kottai Maravars (Except Sivagangai, Virudhunagar, Ramanathapuram, Madurdi, 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 Grarnani 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. Ansar
2. Dekkani Muslims
3. Dudekula
4. Labbais including Rowthar and Marakayar (Whether their spoken language is Tamil or Urdu)
5. Mapilla
6. Sheik
7. 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) (including converts to Christianity),
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 Shencottah 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, Kaur, 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
1. Adi-Andhra
2. Adi-Dravida
3. Adi-Karnataka
4. Ajila
5. Arunthathiyar
6. Ayyanavar (in Kanyakumari District and
Shenkottah taluk of Tirunelveli District)
7. Baira
8. Bakuda
9. Bandi
10. Bellara
11. Bharatar (in Kanyakumati District and
Shenkottah taluk of Tirunelveli District)
12. Chakkiliyan
13. Chalavadi
14. Chamar, Muchi
15. Chandala
16. Cheruman
17. Devendrakulathan
18. Dom, Dombara, Paidi, Pano
19. Domban
20. Godagali
21. Godda
22. Gosangi
23. Holeya
24. Jaggali
25. Jambuvulu
26. Kadaiyan
27. Kakkalan (in Kanyakumari District and
Shenkottah taluk of Tirunelveli District).
28. Kalladi
29. Kanakkan, Padanna (in the Nilgiris
District)
30. Katimpalan
31. Kavara (in Kanyakumati District and
Shenkottah taluk of Tirunelveli District).
32. Koliyan
33. Koosa
34. Kootan, Koodan (in Kanyakumari District
and Shenkottah taluk of Tirunelveli
District).
35. Kudumban
36. Kuravan, Sidhanar
37. Madari
38. Madiga
39. Maila.
40. Mala.
41. Mannan (in Kanyakumat’i District and
Shenkottah taluk of Tirunelveli District).
42. Mavilan.
43. Moger.
44. Mundala.
45. Nalakeyava.
46. Nayadi
47. Padannan (in Kanyakumati District and
Shenkottah taluk of Tirunelveli District)
48. Pagadai.
49. Pallan
50. Palluvan
51. Pambada.
52. Panan (in Kanyakumari District and
Shenkottah taluk of Tirunelveli District).
53. Panchama.
54. Pannadi.
55. Panniandi.
56. Paraiyan, Patayan, Sambavar
57. Paravan (in Kanyakumari District and
Shenkottai Taluk of Tirunelveli District)
58. Pathiyan (in Kanyakumari District and
Shenkottai taluk of Tirunelveli District)
59. Pulayan, Cheramar
60. Puthirai Vannan
61. Raneyar
62. Samagara
63. Samban
64. Sapari
65. Semman.
66. Thandan (in Kanyakumari District and
Shenkottai taluk of Tirunelveli District)
67. Thoti.
68. Tiruvalluvar.
69. Vallon
70. Valluvan.
71. Vannan (in Kanyakumari District and
Shenkottai Taluk of Tirunelveli District.
72. Vathiliyan.
73. Velan
74. Vetan (in Kanyakumari District and
Shenkottai Taluk of Tirunelveli District)
75. Vettiyan.
76. Vettuvan (Kanyakumari District and
Shenkottah Taluk of Tirunelveli District.)
77. S.C. Converts to Buddhism.
THE SCHEDULE ( SCHEDULED TRIBES) TAMIL NADU
1. Adiyan
2. Aranadan
3. Eravallan
4. Irular.
5. Kadar
6. Kammara (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District.)
7. Kanikaran, Kanikkar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District.
8. Kaniyan, Kanyan.
9. Kattunayakan.
10. Kochu Velan.
11. Konda Kapus.
12. Kondareddis.
13. Koraga.
14. Kota (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District.)
15. Kudiya, Melakudi.
16. Kurichchan.
17. Kurumbas (in the Nilgiris District)
18. Kurumans.
19. Maha Mal as ar.
20. Malai Arayan.
21. Malai Pandaram
22. Malai Vedan
23. Malakkuravan
24. Malasar
25. Malayali (in Dharmapuri, Vellore, Pudukottai, Salem, Namakkal, Cuddalore, Villupuram, Tiruchirapalli, Tiruvannamalai, Karur and Perambalur District)
26. Malayakandi.
27. Mannan
28. Mudugar, Muduvan
29. Muthuvan.
30. Pallayan
31. Palliyan
32. Palliyar
33. Paniyan
34. Sholaga
35. Toda (excluding Kaniyakumari District and Shenkottah taluk of Tirunelveli District)
36. Uraly
*****
A. R. No:
(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION
APPLICATION FOR NURSING ASSISTANT COURSE
ADMISSION 2009 – 2010 SESSION
1. Name in Block letters
(initial at the end) …………………………………………….. SPACE FOR
PHOTOGRAPH
2. Address for Communication (TO BE ATTESTED
………………………………………. BY GRADE A/B
………………………………………. OFFICERS OF
…..…………………………………… CENTRAL / STATE
Pin…………………………………………… GOVERNMENTS)
3. Name of the Parent / Guardian………………………………………
4. Religion …………………………. 5. Mother Tongue …………………………..
6. Nationality 7. Sex 8. Date of Birth
Indian Other Male Female Date Month Year
1 2 1 2
9. Community 10. Caste Code
S.T.
S.C.
M.B.C./D.N.C.
B.C./B.C.M.
O.C.
1
2
3
4
5
11. Name of the Caste ……………………………………..
12. Community Certificate Particulars
Sl. No. and Date …………………………………………
Issuing Officer’s Designation …………………………………………
Issuing Office …………………………………………
13. Qualifying Examination 14. Medium of Instruction
S.S.L.C S.S.C.E of I.S.C.E Others Tamil English Others
CBSE
1 2 3 4 1 2 3
15. Appearance in which Qualifying Exam. was passed.
First Second Third IV and
above
1 2 3 4
16. Particulars of the Qualifying Examination
Reg. No:
Month & Year
17. Marks in Select Subjects in Qualifying Examination
.
Maximum Marks
Subjects Marks obtained
18. Weighted total marks :
19. Native District Code
20. Civic Status of your native place and School Place.
Corporation
Municipality
Town Ship
Town
Village
Others
Panchayat
Panchayat
Native Place
1
2
3
4
5
6
School Place
1
2
3
4
5
6
21. Occupation of Parent / Guardian
Agriculture
Industry
Business
State
Government
Central
Government
Private
Small
Trade
Others
1
2
3
4
5
6
7
8
22. Average Monthly income of parent
Below 1001
1001 – 1250
1251 – 2000
2001 – 4000
4001 – 6000
Above 6000
1
2
3
4
5
6
23. School of Study :
Month & Year
of Passing
Name and Place of School
X Std
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)
DEPARTMENT OF MEDICAL EDUCATION
SCRUTINY FORM FOR NURSING ASSISTANT COURSE
ADMISSION 2009 – 2010 SESSION
1. Name in Block letters SPACE FOR
(initial at the end) …………………………………… PHOTOGRAPH
(TOBE ATTESTED
2. Address for Communication (in Block Letters) BY CRADE A / B
……………………………………………… OFFICERS OF
……………………………………………… CENTRAL /STATE
……………………………………………… GOVERNMENTS)
Pin……………………….
3. Name of the Parent / Guardian :
4. Sex :
5. Date of Birth & Age :
6. Nationality :
7. Religion :
8. Community & Name of the Caste
OC / BC/BCM / MBC / DNC / SC / ST:
9. Mother Tongue :
10. Native Place – District :
11. S.S.L.C. Examination Passed in
(Academic Stream) :
1. Name of the Board / Place :
2. Year of Passing :
3. Marks in S.S.L.C. Exam :
SUBJECT
MAXIMUM MARKS
MARKS OBTAINED
Signature of the Candidate.

Click here to download the Prospectus for Nursing Assistant Courses 2009 to 2010

ADMISSION TO NURSING ASSISTANT COURSE

2009-2010

PROSPECTUS

FOR

NURSING ASSISTANT COURSE

LAST DATE FOR SUBMISSION OF APPLICATION

UPTO 5.00 P.M. ON 2009

AT

GOVERNMENT………………………………

MEDICAL COLLEGE HOSPITAL…………………………

GOVERNMENT OF TAMIL NADU

ADMISSION TO NURSING ASSISTANT COURSE

2009-2010

PROSPECTUS FOR NURSING ASSITANT COURSE

LAST DATE FOR SUBMISSION OF APPLICATION

UPTO 5.00 P.M. ON . . 2009

GOVERNMENT ……………………..

MEDICAL COLLEGE HOSPITAL…………………

INSTRUCTIONS TO CANDIDATE

1. Cost of Application Form is Rs.200/- Application for can be obtained from the Dean of all the Government Medical Colleges in person or payment of Demand Draft for Rs.200/- which is non refundable, drawn in favour of the Dean, Govt. …………………….. Medical College,…………………. from any one of the Nationalised Banks payable at ……………… As per G.O.(Ms) No.111, Adi Dravidar and Tribal Welfare Department, dated 22.09.1998, SC/ST candidates are exempted from payment of Demand Draft forRs.200/-They should produce an attested copy of Community Certificate issued by the appropriate Revenue Authorities.

2. Before filling up of the Application form, Scrutiny form read all the instructions carefully.

3. (a) Application form must be filled up by the candidate’s in their own handwriting.

(b) Scrutiny form should be filled up legibly, neatly and correctly. The information will be processed by using a computer. Any mistake committed by the candidate will prejudice the selection.

4. The Application form and other forms should not be folded. Making hole, using pin or stapler on the Scrutiny form must be totally avoided.

5. All prescribed enclosures should only be attested (Xerox copies). ORIGINAL CERTIFICATES NEED NOT BE ENCLOSED.

6. Application with enclosures received upto 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. Incomplete applications will be rejected.

9. The Dean of the Medical College cannot be held responsible for the rejection of application for delayed receipt or loss in transit on any ground.

10. 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 Dean Govt…………………………Medical College Hospital,………………..before 5.00 P.M. ……………….2009.

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

12. The filled in application form should be submitted to the Government Medical College in which the candidate desire to join the course.

GOVERNMENT OF TAMIL NADU

DEPARTMENT OF MEDICAL EDUCATION

Govt. Medical Colleges.

ADMISSION TO NURSING ASSISTANT COURSE

GOVT……………………………….MEDICAL COLLEGE HOSPITAL…………………….

IN TAMIL NADU 2009-2010 SESSION

PROSPECTUS

1. ELIGIBILITY

The candidate should be citizen of India.

2. NATIVITY

Candidate should be a Native of Tamil Nadu, except the candidates who have studied in the Schools in the State of Tamil Nadu from 8th standard to 10th standard, others should produce the Nativity Certificate in the format prescribed in Annexure IV from the competent authority. The candidates who are the children of parents of Tamil Nadu origin, but living in other states should also produce the Nativity certificate as mentioned above. Permanent Residence Certificate will not be accepted.

3. AGE LIMIT

1. The candidate should have completed the age of 17 years and should not have completed 32 years as on 31.12.2009.

2. The date of birth and age as entered in the Transfer Certificate issued after completion of S.S.L.C. (Academic) / Vocational C.B.S.E. / I.S.C. or any other equivalent course shall alone be accepted.

4. EDUCATIONAL QUALIFICATION / MINIMUM ELIGIBILITY

Candidate who have passed S.S.L.C. (Academic) Examination conducted by the Tamil Nadu State Board or Equivalent Board shall be eligible for consideration for admission.

1. Candidates should have taken Tamil as First Language and English as Second Language.

2. Preference will be given to the candidates who have passed S.S.L.C. in the first appearance. If suitable candidates are not available with the first appearance, then preference will be given to candidate with less number of appearance.

3. Failed Candidates should not apply to the Course.

4. Method of Selection and Admission

I. 25% of seats in the Government Medical Institutions are reserved for Service Candidates.

II. Service Candidates application should be submitted through the Heads of Medical Institutions.

III. Selection will be made purely on merit based on the aggregate of marks obtained in all the subjects applying the rule of reservation.

IV. Ranking of the candidates will be done based on the total marks

V. The Rule of Reservation shall be as follows:

Open Competition – 31%

Backward Classes – 30%

Most Backward Classes/Denotified Community – 20%

Scheduled Caste – 18%

Scheduled Tribe – 1%

Within the 30% reservation for BC, 3.5% reservation will be provided for Muslims

5. However the percentage of allocation of seats for Open Competition, Backward Class, Backward Class Christians, Backward Class Muslims, Most Backward Class and Denotified Communities, Scheduled Caste and Scheduled Tribe 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.

6. Candidates claiming admission against reservation of seats for Backward Class, Backward Class Christians, Backward Class Muslims, Most Backward Class, Denotified Communities and Scheduled Caste in the above Course should submit a certified Xerox copy of the permanent community card showing the social status (Backward Class, Backward Class Christians, Backward Class Muslims, Most Backward

Class, Denotified Communities and Scheduled Caste) 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.

7. 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.

8. In case where more than one candidate has secured the same number of marks in S.S.L.C. , the tie shall be resolved on the basis of the following factors in the order of priority.

a. Age.

b. Community

c. Marks.

9. a. The Register numbers of provisionally selected candidates will be published in the Office of the Dean of the respective Govt. Medical College Hospitals / Institution.

b. Selected candidates will be called for counseling at Office of the Dean of the respective Govt. Medical Colleges / Institution. Candidates should attend counseling at their own expense.

10. DURATION OF THE COURSE

Nursing Assistant Training Course – 6 months.

11. FEES

a) Fees prescribed for the Nursing Assistant Course will be on par with the other Para Medical Certificate Courses as revised vide G.O.(Rt.) No.59, Health and Family Welfare (PME) Department, dated 15.02.2007.

1) Tuition fees : Rs.200/- per 6 months.

2) Special fees : Rs.250/- per 6 months.

3) Laboratory fees : Rs.500/- per 6 months.

4) Exam fees : Rs.500/- per 6 months.

————

Total Rs.1450/-

————-

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 return 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 space provided in the application. Four 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 after proper scrutiny of his / her application if 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 candidates 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.

a. Mark sheets of S.S.L.C. examinations in an appearance or appearances including improvement examinations or equivalent examination (Both the sides of Mark Sheets should be Xeroxed)

b. Transfer certificate obtained after the completion of S.S.L.C.

c. Permanent Community Certificate Card.

d. Nativity Certificate (Wherever necessary)

15. The selected candidates will be called for verification of certificates by the Deans of the respective Govt. Medical Colleges. Candidates will have to produce the original Mark Sheet of the qualifying examination and other original documents such as proof of age, community certificate, transfer certificate, etc at the time of verification. Selection will be cancelled if the candidates do not produce all the original documents and the original transfer certificate.

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 parent/guardian will have to sign a discipline declaration form (Annexure). Failure to sign the declaration will result cancellation of selection.

18. SYLLABUS AND EXAMINATION.

a) The Candidates joining the course should pass the examinations conducted at the end of the course 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.

19. Hostel facilities will not be provided and admitted candidates have to make their own arrangements for their stay.

20. No exemption from general educational qualification or age relaxation will be considered.

21. 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 Director of Medical Education.

22. Candidates can exercise their option for the course at the time of the counseling and allotment will be subject to availability of seats. Individual request for transfer of college will not be entertained after the selection.

23. 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.

24. The Chairman / Director of the Courses 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.

25. The candidate can purchase the Application form from any of the 15 Government Medical Colleges. The filled in application form should be submitted to the Medical College in which the candidate desires to join the course.

ANNEXURE-I

(A) DISCIPLINE DECLARATION BY THE CANDIDATE

I ………………….. the undersigned, a students selected for admission in the Course in …………………… Medical College, do hereby agree to conform from this date if I am admitted thereto 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 assure that I will not join any agitation / Strike of any kind during the course of study. 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: Signature of Candidate

STATION: Signature of Parent/Guardian

DATE : 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 the Government, negligence wantonly on his / her part.

In the presence of :

STATION: Signature of Parent / Guardian

DATE: 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: Signature of Candidate’s Parent/Guardian

DATE : Occupation and Address :

ANNEXURE-II

DECLARATION BY THE CANDIDATE FOR PAYMENT OF DUES AS A RESULT OF REVISION OF FEES AS MAY BE DECIDED BY THE GOVERNMENT

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 Department.

In the presence of: Signature of Candidate :

STATION: Signature of Parent/Guardian:

DATE: Occupation and Address:

ANNEXURE-IV

CERTIFICATE OF NATIVITY IN TAMIL NADU

Certified that Thiru/ Thirumathi………………………… Parent / 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:

Office Seal Station :

Date:

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-V

MEDICAL CERTIFICATE FOR ADMINISTRATION OF HEPATITIS-B VACCINATION

I Dr…………………………………………Registration No…………………….. certify that I have this……………………………………day of ……………………2009 administered the Hepatitis-B Vaccine to the candidate whose particulars are given below:

1. Name of the Candidate

2. Father’s Name

3. Sex

4. Age

5. Identification Marks

6. Dose I / II / III

Signature of the applicant Signature of the M.O.

Place: Name and Designation

Date: Official Seal

LIST OF DISTRICTS IN TAMIL NADU

NAME OF THE DISTRICT

CODE NO.

NAME OF THE DISTRICT

CODE NO.

Chennai

01

Ramanathapuram

17

Coimbatore

02

Salem

18

Cuddalore

03

Sivagangai

19

Dharmapuri

04

Thanjavur

20

Dindigul

05

Thiruvallur

21

Erode

06

Tiruchirapalli

22

Kancheepuram

07

Thiruvannamalai

23

Kanyakumari

08

Thoothukudi

24

Karur

09

Theni

25

Krishnagiri

10

Tirunelveli

26

Madurai

11

Tiruvarur

27

Nagapattinam

12

Vellore

28

Namakkal

13

Villupuram

29

Nilgiris

14

Virudhu Nagar

30

Perambalur

15

Ariyalur

31

Pudukkottai

16

Others

32

Details of Nursing Assistant Course conducted in the Government Medical Colleges as per G.O.(Ms) No.43, Health and Family Welfare (PME) Department, dated 29.01.2009.

Sl.No.

Name of the Institution

No.of students intake

Ratio of Male and Female in take

1.

Government General Hospital, Chennai

100

All Male & Female

25% Service candidates

75% Non Service Candidates.

2.

Government Stanley Hospital, Chennai

100

All Male & Female

25% Service candidates

75% Non Service Candidates.

3.

Kilpauk Medical College Hospital, Chennai

100

All Male & Female

25% Service candidates

75% Non Service Candidates.

4.

Government Rajaji Hospital, Madurai

100

All Male & Female

25% Service candidates

75% Non Service Candidates.

5.

Thanjavur Medical College Hospital, Thanjavur

100

All Male & Female

25% Service candidates

75% Non Service Candidates.

6.

Coimbatore Medical College Hospital, Coimbatore

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

7.

Tirunelveli Medical College Hospital, Tirunelveli

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

8.

Chengalpattu Medical College Hospital, Chengalpattu

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

9.

Government Mohan Kumaramangalam Medical College Hospital, Salem

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

10.

Annal Gandhi Memorial Government Hospital, Trichy

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

11.

Thoothukudi Medical College Hospital, Thoothukudi

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

12.

Kanyakumari Medical College Hospital, Nagerocil

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

13.

Vellore Medial College Hospital, Vellore.

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

14.

Theni Medical College Hospital, Theni.

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

15.

Government Dharmapuri Medical College Hospital, Dharmapuri

50

All Male & Female

25% Service candidates

75% Non Service Candidates.

ANNEXURE

LIST SHOWING THE SCHEDULED CASTES, SCHEDULED TRIBES, 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. Tamil Nadu Act 51 of 2008.

Code

No. I. LIST OF BACKWARD CLASSES

1. Agamudayar including Thozhu or Thuluva Vellala.

2. Agaram Vellan Chettiar.

3. Alwar, Azhavar and Alavar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District)

4. Servai (except Tiruchirapalli, Karur, Perumbalur and Pudukottai Districts).

5. Nulayar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District).

6. Archakarai Vellala.

7. Aryavathi (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District).

8. Ayira Vaisyar.

9. Badagar.

10. Billava

11. Bondil

12. 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 Caste irrespective of the generation of conversion for the purpose of reservation of seats in Educational Institutions and for seats in Public Services.

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. Gowda (including Gammala, Kalali and Anuppa Gounder).

28. Hegde.

29. Idiga.

30. Illathu Pillaimar, llluvar, Ezhuvar and Illathar.

31. Jhetty

32. Jogis (except Kancheepuram, Tiruvallur, Madurai, Theni, Dindigul, Cuddalore, Villupuram, Vellore and Tiruvannamalai Districts).

33. Kabbera.

34. Kaikolar, Sengunthar.

35. Kaladi (except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Thanjavur,Nagapattinam, Thiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts).

36. Kalari Kurup including Kalari Panicker (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).

37. 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).

39. Kallar Kula Thondaman.

40. Kalveli Gounder.

41. Kambar

42. 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).

Karumaravars Appanad Kondayam Kottai Maravars (Except Sivagangai, Virudhunagar, Ramanathapuram, Madurdi, 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 Grarnani 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. Ansar

2. Dekkani Muslims

3. Dudekula

4. Labbais including Rowthar and Marakayar (Whether their spoken language is Tamil or Urdu)

5. Mapilla

6. Sheik

7. 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) (including converts to Christianity),

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 Shencottah 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, Kaur, 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

1. Adi-Andhra

2. Adi-Dravida

3. Adi-Karnataka

4. Ajila

5. Arunthathiyar

6. Ayyanavar (in Kanyakumari District and

Shenkottah taluk of Tirunelveli District)

7. Baira

8. Bakuda

9. Bandi

10. Bellara

11. Bharatar (in Kanyakumati District and

Shenkottah taluk of Tirunelveli District)

12. Chakkiliyan

13. Chalavadi

14. Chamar, Muchi

15. Chandala

16. Cheruman

17. Devendrakulathan

18. Dom, Dombara, Paidi, Pano

19. Domban

20. Godagali

21. Godda

22. Gosangi

23. Holeya

24. Jaggali

25. Jambuvulu

26. Kadaiyan

27. Kakkalan (in Kanyakumari District and

Shenkottah taluk of Tirunelveli District).

28. Kalladi

29. Kanakkan, Padanna (in the Nilgiris

District)

30. Katimpalan

31. Kavara (in Kanyakumati District and

Shenkottah taluk of Tirunelveli District).

32. Koliyan

33. Koosa

34. Kootan, Koodan (in Kanyakumari District

and Shenkottah taluk of Tirunelveli

District).

35. Kudumban

36. Kuravan, Sidhanar

37. Madari

38. Madiga

39. Maila.

40. Mala.

41. Mannan (in Kanyakumat’i District and

Shenkottah taluk of Tirunelveli District).

42. Mavilan.

43. Moger.

44. Mundala.

45. Nalakeyava.

46. Nayadi

47. Padannan (in Kanyakumati District and

Shenkottah taluk of Tirunelveli District)

48. Pagadai.

49. Pallan

50. Palluvan

51. Pambada.

52. Panan (in Kanyakumari District and

Shenkottah taluk of Tirunelveli District).

53. Panchama.

54. Pannadi.

55. Panniandi.

56. Paraiyan, Patayan, Sambavar

57. Paravan (in Kanyakumari District and

Shenkottai Taluk of Tirunelveli District)

58. Pathiyan (in Kanyakumari District and

Shenkottai taluk of Tirunelveli District)

59. Pulayan, Cheramar

60. Puthirai Vannan

61. Raneyar

62. Samagara

63. Samban

64. Sapari

65. Semman.

66. Thandan (in Kanyakumari District and

Shenkottai taluk of Tirunelveli District)

67. Thoti.

68. Tiruvalluvar.

69. Vallon

70. Valluvan.

71. Vannan (in Kanyakumari District and

Shenkottai Taluk of Tirunelveli District.

72. Vathiliyan.

73. Velan

74. Vetan (in Kanyakumari District and

Shenkottai Taluk of Tirunelveli District)

75. Vettiyan.

76. Vettuvan (Kanyakumari District and

Shenkottah Taluk of Tirunelveli District.)

77. S.C. Converts to Buddhism.

THE SCHEDULE ( SCHEDULED TRIBES) TAMIL NADU

1. Adiyan

2. Aranadan

3. Eravallan

4. Irular.

5. Kadar

6. Kammara (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District.)

7. Kanikaran, Kanikkar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District.

8. Kaniyan, Kanyan.

9. Kattunayakan.

10. Kochu Velan.

11. Konda Kapus.

12. Kondareddis.

13. Koraga.

14. Kota (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District.)

15. Kudiya, Melakudi.

16. Kurichchan.

17. Kurumbas (in the Nilgiris District)

18. Kurumans.

19. Maha Mal as ar.

20. Malai Arayan.

21. Malai Pandaram

22. Malai Vedan

23. Malakkuravan

24. Malasar

25. Malayali (in Dharmapuri, Vellore, Pudukottai, Salem, Namakkal, Cuddalore, Villupuram, Tiruchirapalli, Tiruvannamalai, Karur and Perambalur District)

26. Malayakandi.

27. Mannan

28. Mudugar, Muduvan

29. Muthuvan.

30. Pallayan

31. Palliyan

32. Palliyar

33. Paniyan

34. Sholaga

35. Toda (excluding Kaniyakumari District and Shenkottah taluk of Tirunelveli District)

36. Uraly

*****

A. R. No:

(To be filled by Office)

DEPARTMENT OF MEDICAL EDUCATION

APPLICATION FOR NURSING ASSISTANT COURSE

ADMISSION 2009 – 2010 SESSION

1. Name in Block letters

(initial at the end) …………………………………………….. SPACE FOR

PHOTOGRAPH

2. Address for Communication (TO BE ATTESTED

………………………………………. BY GRADE A/B

………………………………………. OFFICERS OF

…..…………………………………… CENTRAL / STATE

Pin…………………………………………… GOVERNMENTS)

3. Name of the Parent / Guardian………………………………………

4. Religion …………………………. 5. Mother Tongue …………………………..

6. Nationality 7. Sex 8. Date of Birth

Indian Other Male Female Date Month Year

1 2 1 2

9. Community 10. Caste Code

S.T.

S.C.

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

B.C./B.C.M.

O.C.

1

2

3

4

5

11. Name of the Caste ……………………………………..

12. Community Certificate Particulars

Sl. No. and Date …………………………………………

Issuing Officer’s Designation …………………………………………

Issuing Office …………………………………………

13. Qualifying Examination 14. Medium of Instruction

S.S.L.C S.S.C.E of I.S.C.E Others Tamil English Others

CBSE

1 2 3 4 1 2 3

15. Appearance in which Qualifying Exam. was passed.

First Second Third IV and

above

1 2 3 4

16. Particulars of the Qualifying Examination

Reg. No:

Month & Year

17. Marks in Select Subjects in Qualifying Examination

.

Maximum Marks

Subjects Marks obtained

18. Weighted total marks :

19. Native District Code

20. Civic Status of your native place and School Place.

Corporation

Municipality

Town Ship

Town

Village

Others

Panchayat

Panchayat

Native Place

1

2

3

4

5

6

School Place

1

2

3

4

5

6

21. Occupation of Parent / Guardian

Agriculture

Industry

Business

State

Government

Central

Government

Private

Small

Trade

Others

1

2

3

4

5

6

7

8

22. Average Monthly income of parent

Below 1001

1001 – 1250

1251 – 2000

2001 – 4000

4001 – 6000

Above 6000

1

2

3

4

5

6

23. School of Study :

Month & Year

of Passing

Name and Place of School

X Std

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)

DEPARTMENT OF MEDICAL EDUCATION

SCRUTINY FORM FOR NURSING ASSISTANT COURSE

ADMISSION 2009 – 2010 SESSION

1. Name in Block letters SPACE FOR

(initial at the end) …………………………………… PHOTOGRAPH

(TOBE ATTESTED

2. Address for Communication (in Block Letters) BY CRADE A / B

……………………………………………… OFFICERS OF

……………………………………………… CENTRAL /STATE

……………………………………………… GOVERNMENTS)

Pin……………………….

3. Name of the Parent / Guardian :

4. Sex :

5. Date of Birth & Age :

6. Nationality :

7. Religion :

8. Community & Name of the Caste

OC / BC/BCM / MBC / DNC / SC / ST:

9. Mother Tongue :

10. Native Place – District :

11. S.S.L.C. Examination Passed in

(Academic Stream) :

1. Name of the Board / Place :

2. Year of Passing :

3. Marks in S.S.L.C. Exam :

SUBJECT

MAXIMUM MARKS

MARKS OBTAINED

Signature of the Candidate.

Posted in Uncategorized | dme_tn July 1, 2009

No Comments

No comments yet.

RSS feed for comments on this post. TrackBack URI

Leave a comment

Directorate of Medical Education – Government of Tamil Nadu is powered by Wordpress | WordPress Themes