m.b.b.s. - Bds Admission prospectus

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ð GOVERNMENT OF TAMILNADU PROSPECTUS FOR ADMISSION TO MBBS/BDS COURSES 2015-2016 Session

Prospectus for admission to MBBS/BDS Courses 2015-2016 session as per  G.O.(D) No. 540 Health & Family Welfare (ME) Department Dated 24-04-2015 and as amended from time to time. LAST DATE FOR SUBMISSION OF APPLICATION 29-05-2015 UPTO 5.00 PM MED I  I C  C A   O F    O L  

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SELECTION

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N      

COMMITEE

SELECTION COMMITTEE DIRECTORATE OF MEDICAL EDUCATION 162, PERIYAR E.V.R HIGH ROAD, KILPAUK, CHENNAI – 600 010.

Phone No : 044-28361674 Website: www www.tnhealth.org .tnhealth.org / www.tn.gov www.tn.gov.in .in Official Mobile Number : 94457 93131 To send SMS to candidates regarding counselling counselli ng only ( If required )

ò

Cost :

1

ñ

500/-

 

AT A GLAN GLANCE CE ❖

D ate of N oti f i c at i on

:

10-05-2015 (Sunday)



Commen Com mencem cement ent of Sale Sale of applic applicati ation on & downlo downloadi ading ng :

11- 05 05-2 -201 015 5



L a st d a t e f o r is s u e o f a p p l ic a t i o n & d o w n lo a d i n g L a st d a t e f o r s u b m i ss i o n o f t h e a p p li c a t i o n

: :

2 8 - 0 5- 2 0 15 5. 0 0 pm 29-05-2015 5. 5 .0 0 pm



E x p e c te d da t e f o r d e c l a r a t i o n o f M e r i t

:

12 -06-2015

 Allotme  Allo tment nt of sea seats ts by Personal Pers onal appea ap pearan rance ce

:





I Phas hase :

19-06-2015 onwards

II Phase Phase :

Schedul Schedule e will will be hosted hosted on the website website only after after the completio completion n of the II round of All India counselling.

Last date of admission : The time as mentioned in the allotment order of the candidate ❖

Merit list will be available on the Website:1) Website: 1) tnhealth.org 2) tn.gov.in.  tn.gov.in.   Results of  candidates will not be informed individually. individ ually.



 Applica  App licatio tions ns can be down d ownloa loaded ded fro from m the t he webs w ebsites ites 1) tnhealth.org 2) tn.gov.in and tn.gov.in and the filled application along with necessary enclosures and 3 self addressed envelopes measuring 24 x 12 cms and sent in a large sized cover measuring 38cm X 28cm super  scribed ‘APPLICATION FOR MBBS / BDS COURSE 2015 – 2016 SESSION’ to the Secretary,, Selection Committee, Kilpauk, Chennai -10 before the last date along with a Secretary Demand Draft for

500 /- tow towards ards the cost of application form drawn in favour of The

Secretary, Selection Committee and payable at Chennai. The name of the candidate and the name of the course (MBBS/ BDS ) should be written on the reverse of the Demand Draft. The Draft. The template with requisite details available for download should be printed and pasted on the cover. SC/SCA and ST candidates who are Natives of Tamil Nadu are exempted from payment of the cost of the Application Form. ❖ ❖

 AR Number Num ber will wi ll be as assig signed ned by the t he Select Sel ection ion Commi Co mmitte ttee. e. Candidates can track their applications on the websites by entering either their Application Application number or the Plus Two/Equivalent Examination Register number of first appearance with the year.



Eligible candidates can download their call letters from the websites websites   1) tnhealth.org 2) tn.gov.in by entering their AR No allotted by the Selection Committee and their Date of  Birth and attend the counseling as per the date and time mentioned in the counselling schedule which will also be available on the websites. Candidates are requested request ed to paste their photographs on the call letters which is to be attested by a Gazetted Officer. ( The photograph must be a copy of the same one pasted on the Applicati Application) on)

2

 

CONTENTS S . NO

PARTICULARS

CL AUSE NO

P A GE NO.

1

4

2-8

4

SUBMISSION OF APPLICATION

9-19

8

1

I

GENERAL INSTRUCTIONS

2

II

ELIGIBILITY

3

III

PROCEDURE FOR FILLING &

4

IV

METHOD OF SELECTION & ADMISSION

20-21

10

5

V

MERIT LIST

22-23

10

6

VI

COUNSELLING PROCEDURE

24-37

11

7

VII

ALL INDIA QUOTA SURRENDERED SEATS

38

13

8

VIII

CATEGORIES OF SEATS

39-41

13

DURATION OF COURSE

42

16

9 10

IX

T UI T I O N F E ES

43 -45

16

11

X

BOND

46-49

19

12

XI

COMMUNICATION

50-51

20

13

XII

RAGGING

52-53

20

14

C O U N S EL L I N G F O R M ( S P E C I M E N C O P Y)

15

AN N EXU R ES I t o X VI I

21 23-50

3

 

I.

GENERAL IN INSTRUCTIONS : -

1.

(a)

Cand Candid idat ates es se seek ekin ing g adm admis issi sion on to MBBS MBBS/B /BDS DS co cour urse ses s shou should ld su subm bmit it th the e application form with form  with necessary enclosures which should reach THE SECRETARY SE CRETARY,, SELECTION COMMITTEE, 162, E.V.R. PERIYAR SALAI, KILPAUK, CHENNAI – 600 010. on or before 29-05-2015 by 5.00 p.m.

(b)

The candi candidat dates es shall shall ens ensure ure that that the comp complet leted ed applic applicati ation on form form with with all parti particul culars ars an and d enclosures reaches the Selection Committee Committee within the date and time specified. Applications Applications received by Speed post / courier or any other means, after the last date & time will not be accepted irrespective accepted  irrespective of the date of booking.

(c) (c)

The Sel Select ection ion Commit Committee tee shall shall n not ot be be respo responsi nsible ble for any delay delay in the receip receiptt or for the loss loss in transit of application form etc.,

(d) (d)

Reque Request st fo forr extensio extension n of time for submiss submission ion of of documents documents called called for, for, after after the the specifie specified d date date and time will not be entertained.

(e)

Can Candid didate ates s seeking seeking admis admissio sion n unde underr Spec Special ial C Cate ategory gory for for both both MBBS MBBS and BDS BDS cours courses es (Orthopaedically (Orthopaed ically Physically disabled & Children of Ex-Servicemen exept Sports Quota) shall submit the separate Special Catogery Form I along I along with the main application in the prescribed format available available along with the Prospectus with an additional fee of 100/-by way way of a Demand Draft for each special category enclosing category enclosing the relevant certificates.If the certificates are not enclosed the candidates will not be considered under that category without any intimation to the candidate.

(f)

Cand Candid idat ates es se seek ekin ing g adm admis issi sion ons s und under er Sports Quota  Quota  are directed to submit their main application as well well as the special category form II prescribed for Sports Sports along with the Certificates and the additional fee of 100 /- by way of a Demand Draft only in person on person on or  before 29.5.2015. 29.5.2015. If the Original certificates are not produced in person directly at the Sports Counter in Selection Committee, the candidates will not be considered under  that category without any intimation to the candidate. Sending Xerox copy of sports evidence by post / courier will not be accepted under any circumstances.

(g)

Al Alll tthe he demand demand draft drafts s shou should ld be drawn drawn in favour favour of “THE SECRETARY, SELECTION COMMITTEE” payable COMMITTEE”  payable at Chennai.

(h) (h)

Can Candida didates tes selec selected ted under under Genera Generall Categor Category y will will not be allo allowed wed to claim claim the the very very same same status status as the candidates selected under Special Category and vice versa.

(i)

No oral oral en enqu quir iry y wou would ld be en ente tert rtai aine ned. d.

(j (j))

Ph Phot otoc ocopy opy// Fax Fax copy copy of of the the appl applic icat atio ion n wi will ll n not ot be be acce accept pted ed..

(k)

Both Both upper upper limbs, limbs, visi vision on an and d hearing hearing s shou hould ld be n norma ormall for all all candi candidate dates s (inclu (including ding for candida candidates tes applying under Orthopaedically physically disabled category).

II. II.

ELIGIBILITY CRI CRITERIA : -

2.

a)

Candidate should be a Citizen of India.

b)

Overse Overseas as Citiz Citizens ens of of India India who who are are regist registered ered under under secio secion n 7A of the the Citize Citizensh nship ip Act, Act, 1955 (Central Act 57 of 1955) are eligible to apply for MBBS/BDS courses subject to the production of proof of such registration.

4

 

3.

Nativity : -

i)

Cand Candid idat ate e sho shoul uld d be be a Nati Native ve of Tamil amil Na Nadu du

iiii))

Can Candid didate ates s who who have have studi studied ed fr from om VIII VIII to to XII standa standards rds in in school schools s in Tamilna amilnadu du need need not not enclose the “ Nativity Certificate”

iiiii) i)

Candid Candidate ates s who who are native native of TamilNa amilNadu du but stu studied died from VII VIIII tto o XII Std either either partly partly or  completely in schools situated outside Tamil Nadu  Nadu  should produce the “Nativity Certificate.

iv)

The Certificate of Nativity in Tamil Tamil Nadu should be issued by the competent authority only b)  and and supported in the specified format available format available in the prospectus (annexure XIII b)  supported by a copy of Passport/ Ration Card / Card / Birth Certificate. Certificate. If the copy of the supporting supporting document is not produced, then the application form will be rejected. Nativity Certificate submitted later will be summarily rejected.

v)

Applic Applicati ations ons wit withou houtt a prop proper er N Nati ativit vity y Ce Certi rtific ficate ate wil willl not not be consid considere ered. d.

vi)

Pe Perm rman anen entt Resi Reside denc nce e Ce Cert rtif ific icat ate e will will not not be acc accep epte ted. d.

vi vii) i)

Nativity Nativity certific certificate ate shou should ld be be produc produced ed as as per per instru instructio ctions ns for for Nativ Nativity ity Certific Certificate ate in Annexure Annexure XIII (a).

vi viiiii))

Producin Producing g false Na Nativi tivity ty Certifi Certificate cate,, if found later later during during the course course of study study will will result result in expulsio expulsion n of the candidate from the course and also initiation of criminal proceedings against the candidate as well as the parents as per provision of law.

4. Age Limit :Should have completed the age of Seventeen  years on or before 31st December 2015. Evidence Seventeen years should be produced. 5. Educational Qualifications: Candidates should have passed in all the subjects of the qualifying examination of the Higher  Secondary Certificate Examination (Academic) conducted by the Tamil Tamil Nadu State Board /any other equivalent Board in one and the same attempt ( Single Sitting ) in )  in the following group of  subjects with the minimum eligible marks. (a)

Ph Phys ysic ics, s, Che Chemi mist stry ry,, Bota Botany ny and and Zoo Zoolo logy gy.. (or)

(b)

Physic Physics, s, Che Chemis mistry try,, Biolog Biology y wit with h any other subjec subject. t.

6.

(a) (a)

Candidat Candidates es who have have passe passed d th the e H.S. H.S.C C in tthe he Voca Vocation tional al Strea Stream m and private private candidat candidates es are not eligible to apply for Medical / Dental course.

(b) (b)

The selec selection tion and and admiss admission ion of candi candidate dates s of other other Univers Universiti ities es / Boards Boards will will be provi provisio sional nal subject to recognition recogn ition of the qualifying qualifyi ng examination examinatio n by the Tamil Nadu Dr. M.G.R. M.G.R. Medical University under which the candidate gets admitted. In case, the recognition is not accorded for the admission of the candidate on any ground, the provisional admission will not entitle the candidate for the continuance of the course and the admission will be cancelled.

(c) (c)

Candid Candidate ates s underg undergoin oing g MBBS MBBS cou course rse are are NOT NOT ELIGIB ELIGIBLE LE to appl apply y for MBBS MBBS cou course rse..

(d)

Can Candid didate ates s underg undergoin oing g BDS c cour ourse se ar are e NOT ELIG ELIGIBL IBLE E to apply apply for for BDS BDS cou course rse..

5

 

7.

Minim inimu um Elig Eligib ibil ilit ity y Marks rks : -

A.

MBBS :

(i)

Other Communit itiies : -

(a)

A minimu minimum m of 60 60% % marks marks in in Bio Biolog logy y or Botan Botany y and Zoolo Zoology gy take taken n togeth together er..

(b)

A minimu minimum m of 60% 60% marks marks in each each of th the e subjec subjects ts o off Physic Physics s and Chem Chemist istry ry..

(c) (c)

Wei Weighte ghted d aggreg aggregate ate o off the percent percentage age of of marks marks in (a) and and the the percent percentage age of of marks marks in (b) should not be less than 140 out of 200 marks.

(ii) (ii)

Back Backwa ward rd Cl Clas ass s and and Ba Back ckwa ward rd Cl Clas ass s Mus Musli lim m : -

(a)

A minimu minimum m of 60 60% % marks marks in in Bio Biolog logy y or Botan Botany y and Zoolo Zoology gy take taken n togeth together er..

(b)

A minimu minimum m of 60% 60% marks marks in each each of th the e subjec subjects ts o off Physic Physics s and Chem Chemist istry ry..

(c) (c)

Wei Weighte ghted d aggre aggregat gate e of of tthe he percenta percentage ge of marks marks iin n ((a) a) and the percent percentage age of should not be less than 130 out of 200 marks

(ii (iii) i)

Mo Most st Ba Backw ckwar ard d Clas Classe ses s and Deno Denotif tified ied Co Commu mmunit nities ies :  : -

(a)

A minimu minimum m of 55% marks marks in in Biolo Biology gy o orr Botan Botany y and and Zoolo Zoology gy take taken n togeth together er..

(b)

A minimum minimum of 5 55% 5% marks marks in each each of tthe he subje subjects cts of Phys Physics ics and Chemis Chemistry try..

(c) (c)

Wei Weighte ghted d aggre aggregate gate of the the perc percenta entage ge of marks marks in (a) and the percent percentage age of marks marks iin n ((b) b)

(iv) (iv)

should not be less than 120 out of 200 marks . Sche Schedule duled d Cas Castes tes,, Sch Schedu eduled led C Cast aste–Ar e–Arunt unthath hathiyar iyar , Sche Schedule duled dT Tribe ribes s:-

(a)

A minimu minimum m of 40% marks marks in in Biolo Biology gy o orr Botan Botany y and and Zoolo Zoology gy take taken n togeth together er..

(b)

A minimu minimum m of 40% 40% marks marks in each each of th the e subjec subjects ts o off Physic Physics s and Chem Chemist istry ry..

(c) (c)

Wei Weighte ghted d aggre aggregate gate of the the perc percenta entage ge of of marks marks in (a) (a) and and the the perc percenta entage ge of of marks marks in in (b) (b) should not be less than 80 out of 200 marks. mar ks.

v)

The minimum minimum marks marks for for the candida candidates tes under under Ortho Orthopae paedica dically lly Phys Physical ically ly Disabled Disabled Category – (Locomotory disability of Lower Limbs alone)is as follows: a)

marks marks in in ((b) b)

OC / BC BC / BCM BCM / MBC MBC / DNC DNC - 45% of mark marks s in in tthe he ab abov ove e presc prescri ribe bed d sub subje ject cts s ttak aken en together in the qualifying examination

b) (B)

SC/SCA SC/SCA/ST /ST-- 40% of marks marks in abov above e pr presc escrib ribed ed subj subject ects s take taken n tog togeth ether er in tthe he quali qualifyi fying ng examination. BDS :-

The candidates (OC/BC/ BCM/ BCM/ MBC/DC ) should have obtained not less than 50% of the aggregate marks in Physics, Chemistry and Biology / Botany and Zoology taken together at the qualifying examination. Scheduled Caste, Scheduled Caste – Arunthathiyar and Scheduled Tribe the aggregate marks required for admission shall be 40%. The minimum marks for the candidates under Orthopaedically Physically Disabled Category – (Locomotory disability of Lower Limbs alone)is as follows: a)

OC / BC BC / BCM / M MBC BC / DNC -45% -45% of mark marks s in the above above pres prescri cribed bed subjec subjects ts taken taken together in the qualifying examination

b)

SC/SCA SC/SCA/ST /ST should should hav have e ob obtai tained ned a minimu minimum m of 40% of marks marks in a abov bove e presc prescrib ribed ed subjects taken together in the qualifying examination.

6

 

Note:i)

Only Only tthe he Mar Marks ks obtain obtained ed in the sci scienc ence e s subj ubject ects s iin n tthe he H.Sc H.Sc qual qualify ifying ing examina examinatio tion n as as a whole in the first appearance will appearance will alone be taken into consideration for the allotment of seats to the candidates as per the G.O. G.O.Ms.No.184, Ms.No.184, Higher Education(J2) Dept., dt 09.06.2005 and G.O. (Rt) No.143 Higher Education (J2) Dept dt 06.05.2008.

iiii))

Can Candid didate ates s who who have have passed passed any othe otherr equiva equivalen lentt examin examinati ations ons in in the fir first st attem attempt pt with with the the same group of subjects mentioned above should produce the eligibility certificate from the Tamil Nadu Dr. MGR Medical University before admission to the course

iii iii))

In the the cas case e of ca candi ndidat dates es who who have have furnish furnished ed th the e mark mark sheets sheets of of the quali qualifyi fying ng examin examinati ation, on, only in GRADES, the minimum marks of the grades alone will be taken into consideration while determining the marks in the select Science subjects of Physics, Chemistry and Biology or Botany and Zoology. Zoolog y.

iv)

Candid Candidate ates s who have have sub submit mitted ted mark mark s shee heets ts with with GRADE GRADES S sho should uld obta obtain in the the stateme statement nt of  marks indicating the actual marks secured from the examination authority and attach a certified copy as an enclosure to the application.

v)

Normal Normaliza izatio tion n method method will will be be ado adopted pted for c calc alcula ulatin ting g the minimum minimum eli eligib gibili ility ty mark mark for for the candidates who have passed any other equivalent examination.

8.

Normalization O Off Ma Marks: -

 As per the Tamil Nadu Act No 3 of 2007, dt 05.03.2007 and G.O( Ms) No 77 Higher Education (J2) Dept , dt: 05.04.2007, the marks obtained by the students in the relevant subjects in the qualifying examination conducted by the various Boards or Authority shall be equated with the marks obtained by the students in the same subjects in the qualifying examination conducted by the State Board of  Tamil Nadu by adopting the method of normalization Explanation : 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 mark secured by the student studen t of State Board in Physics is 100 and the highest mark secured by a student of any other o ther Board in the same subject is 90, both the highest mark 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 r elevant subjects in the qualifying examination conducted by different Boards, the qualified students of different Boards will be merged into a common merit list. Incase of candidate who have qualified from National boards such as CBSE and ISCE etc., the highest marks obtained by candidate at the National Level alone will be taken into consideration.

7

 

III. PROCEDURE FOR FILLING AND SUBMISSION OF APPLICATION:9. 9...

a.

Before filling up the application form and OMR sheet, read all the instructions carefully.

b.

Each Each applic applicati ation on form form bears bears a unique unique number number which which is printed printed on the Prospe Prospectu ctus, s,  Application form and the OMR. OMR. Candidates  Candidates are requested to check the number  and ensure that the same number is printed on the Prospectus, Application form , OMR, Outer & Inner covers and Acknowledgement Card. In case any discrepancy is noted, it should be immediately brought to the notice of the Selection Committee before the last date for the receipt of applications. applications. However the serial number  of the OMR will be considered as the final number for correspondence purposes .

b.

Each Each applic applicati ation on form form bears bears a unique unique number number which which is printed printed on the Prospe Prospectu ctus, s,  Application form and the OMR. Candidates are requested to check the number and ensure that the same number is printed on the Prospectus, Application form , OMR, Outer & Inner covers andAcknowledgement Card. The serial number of the OMR will be considered for correspondence purposes .

10

a)

Cand Candid idat ates es shou should ld use use onl only yo one ne ap appl plic icat atio ion n ffor orm m for for bo both th MBBS MBBS an and d BDS BDS co cour urse ses s prescribed for the academic year.

b)

If cand candida idate te a appl pply y fo forr MBBS/ MBBS/BDS BDS Course Courses s in forms forms othe otherr than than the the one one prescri prescribed bed the application will be summarily rejected

11.

Fill up the application form and OMR sheet legibly, legibly, neatly and correctly correctly.. The information will be processed by using a computer. Any mistake committed by the candidate will prejudice the selection.

12

Do not fold the OMR sheet under any circumstance. Making a hole, using a pin or a stapler  on the OMR sheet should be avoided. Cutting, overwriting and erasing in the Application Application form and in the OMR Sheet or Scrutiny Form (for Downloaded applications) should be strictly avoided

13

Application with incomplete or insufficient particulars or without enclosures or those received after the last date mentioned will be summarily rejected without intimation to the candidate.

14 14..

Filled Filled up ap appli plicat cation ion witho without ut the signat signature ure of the the candida candidate te will will be reject rejected. ed.

15.

The Government Orders issued and to be issued from time to time pertaining to any of the matters contained in the prospectus should be read as part and parcel of this prospectus and such terms and conditions in the Government Order are deemed to have been incorporated in this prospectus. prospectus.

16 16..

Candid Candidate ates s shoul should d affix affix rec recent ent passpo passport rt s size ize photogr photograph aphs s taken with name and date (as shown in the Instructions- Annexure XI ))   in places provided in the application form and the OMR. The Photograph pasted in the common application form alone should be duly attested by Group A or Group B officer of the Government of Tamil Nadu or Central Government or the Head of the Institution last studied.The studied. The photograph affixed in the OMR need not be attested.

17.

The Re Regist gistrati ration on Number Number all allotte otted d by the Direct Directorat orate e of Governme Government nt Examina Examination tion / Conce Concerned rned Boards should be indicated  along with the year of +2 examination/ equivalent in the application. indicated along

8

 

18.

19.

All the entries entries in the the applicatio application n form and OMR OMR sho should uld be written written legibly legibly by by the candidate 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 enclosure are correct. The candidate is informed that if after proper scrutiny of his/her application, the marks furnished by him/her in the application are not correct or any other information is found to be incorrect, then; a.

he/she will forfeit the admission no matter matte r at what stage of the course, he / she will be at that time;

b.

he/ he/she she wil willl be deb debarr arred ed from from pursui pursuing ng a any ny o othe therr cours course e for for a peri period od of of three three years; years;

c.

legal action will be instituted against the candidate and the parents/guardian for furnishing incorrect information;

d.

Criminal action will be instituted against him/her for furnishing false Mark Sheets / false Community Certificate/ false nativity certificate.

No documen documentt enclose enclosed d wit with h the ap applic plicatio ation n will will be return returned. ed. Candid Candidates ates are are require required d to enclose only photocopies of the following certificates along with the original application. a)

H.S.C. H.S.C. Mark sheet sheet ((bot both h sides sides of mark mark sheet sheet shou should ld be be photoc photocopie opied) d) or or any any other  other  equivalent examination of the first appearance.

(b) (b)

Transfer Transfer certifica certificate te obtain obtained ed after after the compl completio etion n of H.S.C. H.S.C. or equiva equivalent lent courses. courses.

(c) (c)

Nati Nativi vity ty cert certif ific icat ate e (if (if appl applic icab able le))

(d)

Pe Perm rman anen entt C Com ommu muni nity ty Cert Certif ific icat ate e Car Card. d.

(e)

X sta tan ndard Mar Mark Sheet .

(f)

Certif Certifica icate te for proof proof of stud study y from from VII VIIII s stan tandar dard d to XI XIII stand standard ard..

(g)

H.S.C Hall Ticket

(h) (h)

First graduate graduate certificate certificate (if appli applicable cable).Cert ).Certific ificate ate submitted submitted along with application application alone will be considered. If submitted later to the college authorities it will be summarily rejected (Annexure XVI- a & b)

(i) (i)

Special pecial c cate ategor gory y form form(s) (s) with with Dema Demand nd Draf Drafts ts and and releva relevant nt certif certifica icates tes (if (if applica applicable ble). ).

Note: (i (i))

Candid Candidate ate b belo elongin nging g to Sched Schedule uled d Tri Tribe be sh shoul ould d pro produc duce e Com Communi munity ty Certi Certific ficate ate obtai obtained ned from from a competent authority not below the rank of a Revenue Divisional Officer. If he/she claims ST status in common application without producing any evidence or claiming that ST status is under process of scrutiny will be treated as Open Category candidates.

(i (ii) i)

Produc Producing ing a fal false se communi community ty,, Nativit Nativity y or any other other certif certifica icate te if det detect ected ed later later at any point point of  time during the course of study will result in expulsion of the candidate from the course and also criminal proceedings will be initiated against the candidate as well as the parents as per  provision of law.

(ii (iii) i)

As number number of of bogus bogus communit community y cert certifi ificate cates s are being being encoun encountere tered d off late late and in order order to curb curb such practices, the authentication of the above certificate has to be verified and confirmed by the concerned authority, before the individual completes 1 st year MBBS/BDS course. The concerned candidate and parents should take necessary steps to that effect. Unless proof of authenticity of community certificate is received, the candidate will not be allowed to continue the 2 nd year.

(iv)

Community Community Certifi Certificate cate obtained obtained from from other other State State will not be considered considered and and such such candidate candidate will be treated as to the Open Category.

9

 

IV. METHOD OF SELECTION AND ADMISSION : : 20

(i) (i)

Rank Rankin ing gw wil illl be be m mad ade eo on nm mer erit it on th the e bas basis is of mark marks s obt obtai aine ned d by by the the el elig igib ible le cand candid idat ates es in the science subjects in the qualifying examinations reduced to the base of 200 marks. The marks obtained through different boards will be taken into account after  normalization.

CALCULATION Weighted Total Marks for a maximum of

200

Percentage in Biology (after normalization)

(X)

Percentage in Physics and Chemistry taken together  (after normalization)

(Y)

Percentage in Botany and Zoology taken together  (after normalization)

(Z)

Weighted total marks for a maximum of 200

Either (X+Y) OR (Z+Y)

The percentage and the weighted total should be accurate to two decimals. iiii))

Ran Rankin king g of the candida candidates tes wil willl be don done e based based on the the tota totall marks marks obta obtaine ined d in the science science subjects after normalization of marks computed to a maximum of 200.

iiii))

Onl Only y the the Marks Marks obtain obtained ed in in the the scien science ce s subj ubject ects s in the H.Sc H.Sc quali qualifyi fying ng exam examina inatio tion n as a whole.in the first appearance will alone be taken into consideration considera tion for the allotment of seats to the candidates.

21.

DETERMINATION OF RANK OF CANDIDATES OBTAINING OBTAINING EQUAL MARKS (Inter-se Merit ): ): In cases, where two or more candidates obtain equal aggregate marks for 200, the rank of  such candidates shall be determined on the basis of the following or order, der, namely:i)

Pe Perc rcen enta tage ge in in Bio Biolo logy gy or B Bot otan any y and and Zool Zoolog ogy y ta take ken n toget togethe herr iin n +2 ex exam amin inat atio ion n

ii)

Pe Perc rcen enta tage ge in Ch Chem emis istr try y iin n +2 +2 exa exami mina nati tion on

ii iii) i)

Pe Perc rcen enta tage ge in in Four Fourth th opti optiona onall subj subjec ectt in + +2 2 exam examin inat atio ion n

iv) v)

Date Date of birth birth – wei weigh ghta tage ge give given n tto o sen senio iori rity ty in age. age. Comput Computeri erized zed random random number number assign assigned. ed. Highe Higherr value value of random random number number will will be taken taken into consideration.

V. 22 22..

MERIT LIST : The S Secret ecretary ary,, Selecti Selection on Committ Committee ee will will pub publish lish the tentat tentative ive merit merit list list in in the Website:1)tnhealth.org Website: 1)tnhealth.org 2)tn.gov.in

23.

Candidate will be called for counselling as per their merit and they may exercise their option as per their eligibility norms mentioned in the Prospectus.

10

 

VI.

CO COUNS UNSELL ELLING ING PROCED PROCEDURE URE ( S SING INGLE LE WINDOW WINDOW SYS SYSTEM TEM): ): -

24 24..

The se selecti lection on will will be made on merit basis and by Counsellin Counselling g applying applying the the rule rule of reservat reservation ion by the Government of Tamil Nadu as follows:Open Op en Comp Compet etit itio ion n



31%

Bac ackw kwar ard d Clas Class s



30%

Most Mo st Back Back wa ward rd Class lass



20

Schedu eduled Caste



18%

Scheduled Tribe



1%

Within 30% reservation for Backward Classes 3.5% will be provided for Muslims and 16% of  seats out of the 18% quota earmarked earma rked to Scheduled Caste, shall be allocated to the Arunthathiyar  Community. BC, BCM, MBC / DNC, DNC, SC , SCA , ST candidates are eligible for Selecti Selection on under Open Competition as per merit in addition to the reservation made for those categories. 25 25..

Counselling Counsellin g Schedule will be available on the website. Candidates who have not received the call letter in time ti me can also attend the counselling session as per schedule and as per their merit with call letters downloaded from the website.

26.

a.

Counselling for the Special Categories will Categories will be done before the General Category.

27.

b. (i)

There will be no reallotment / change of college allotted for the Special Special Category Option once exercised during counselling will be final and cannot be changed

(ii)

a)

Candidates who fail fail to attend the counselling counselling at the specified specified date and time time will forfeit their right to admission and their name will not be considered later.

b)

Due to unforeseen reasons, if a candidate could not attend not attend the Counselling on the specified date and time he time he / she can attend on a subsequent time / date during that Counselling phase and will be allowed to take the course and college available at the time of Counselling when he/she actually attends. ( or ) He / She can authorize his / her parent on his / her behalf and the parent’s decision will be binding on the candidate.

The authorization letter must be in the prescribed format in the Annexure XII( a & b) If the candidate is absent during the 1 st phase of counseling for which he / she is called cannot attend the 2nd phase of Counselling. 28.

One of the Parents or Guardian will be allowed to attend the Counselling. They should make their own arrangements for attending attendin g the counselling session. Individual intimation will be sent for regular counselling through call letters.

29.

a.

Al Alll commun communica icatio tions ns will will be s sent ent only only to to the m mail ailing ing addr address ess giv given en in tthe he appli applicat cation ion and and self addressed envelopes (Size 24 X 12 cms). Candidates are requested to intimate any change of address immediately. The intimation / call letters will be sent either by Registered Post or Speed Speed Post or Courier Service or by e-Post e-Post whichever  whichever is feasible. Selection Committee is not responsible for any postal delay or non receipt of  call letters. letters.

11

 

b.

Any c chan hange ge or mo modif difica icatio tion n and relev relevant ant info informa rmatio tion n pertain pertaining ing to to this this admiss admission ion p proc rocess ess will be made available immediately on the websites :1) :1) tnhealth.org 2) tn.gov.in. tn.gov.in. The candidates are instructed to frequently visit the website website from the date of application till the end of counselling without fail. Please do not wait for counselling information to be received by post, as all information including the date of counselling will be put up in the websites. Call letters can also be downloaded from the websites. Candidates websites. Candidates will be permitted for counselling accordingly

30.

31 31..

32.

(a)

Candidates can exercise exercise their option for the course and the college of their own choice at the time of counselling and allotment will be subject to availability of seats.

(b) (b)

They are eligible to attend the counselling for reallotment of Colleges. The date of such counselling will be published in the website and also will be informed to the Deans of  respective Medical / Dental Colleges. No individual letter will be sent to the candidates.

a)

Re-a Re-allllot otme ment nt will will be ma made de only only fo forr ttho hose se who who hav have e jjoi oine ned d tthe he cour course se wi with thin in th the es sti tipu pula late ted d time.

b)

Re-all Re-allotm otment ent for the the vaca vacanci ncies es a aris rising ing due tto o not not joini joining ng of the candida candidates tes bot both h in the St State ate Quota / All All India Quota in government colleges and newly created seats will be done on merit / community basis subject to the availability of sufficient time before the cut off date prescribed by the Medical Council of India / Tamil Nadu Dr.M.G.R. Dr.M.G.R. Medical University.

c)

Re-all Re-allotme otment nt is is not not a m matt atter er of rig right ht of of the the candi candidat date. e. Re-a Re-allo llotme tment nt will will be done done only only through counselling on merit basis following the communal commu nal reservation if vacancies are available. If sufficient time is not available ava ilable vacancies will be filled up with the candidat candidates es from the waiting list on merit basis only.

d)

Those Those who who obtai obtained ned allotm allotment ent ord order er to a parti particul cular ar c cour ourse se in in a parti particul cular ar ca categ tegory ory and college during the counselling but do not join within the sti stipulated pulated time the particular  course and college to which they are allotted will not be considered for admission at any point of time later for that particular category.

Those who obtain Retotalled / Revalued marks mar ks can also attend the counselling on the day and session according to their new marks. If the candidate produces the Retotalled / Revalued marks after the counselling is over and within the cut off date, then his/her name, will be considered only in the existing vacancies available and he/she cannot claim any preferential rights for allotment according to merit under Retotalling / Revalued marks. Candidates who submit the Revaluation/ Retotalling marks after the cut-off date fixed by Government will not be considered for selection .

33.

The vacancies due to not joined seats in State Quota or surrender of All India quota seats or  newly sanctioned seats arising after the first phase of counselling will be filled by re-allotment as per merit and communal reservation for reservation  for the already allotted and joined candidates. The consequential vacancies after re-allotment will be filled up with the candidates in the wait list following the merit and community in which the vacancies arise.

34.

The movement of candidate from one category to another category and from one college to another college will be based on the merit following the rule of reservation.

35 35..

(a)

If a candi candidat date e choos chooses es a Gov Gover ernm nment ent Quota Quota se seat at in Se Self lf-Fi -Fina nanc ncin ing g Col Colle lege ge cate categor gory y when seats are available in Government Medical / Dental college he/she has to give a

12

 

declaration to the effect that he/she he /she will not be permitted to claim the Govt. seats later  during re-allotment / subsequent phase of counseling. (b)

If a ca candi ndidat date e opts opts out Gove Governm rnment ent Q Quot uota a in selfself-fin financ ancing ing colleg college e catego category ry when when th the e seats are available in Self financing Medical/Dental Colleges he/she cannot claim it during subsequent phase of counselling.

(c)

If ca cand ndid idat ates es op optt o out ut th they ey mu must st mark mark as NO in the column provided in the counselling form. If not marked in the counselling form it will also be considered as as   NO.

(d)

If se seats ats are are not avail availabl able e in a par partic ticula ularr cate categor gory y / categor categories ies at the the time time of counse counselli lling ng and candidates are willing to be waitlisted in that category / categories of seats they must mark WL in the column(s) provided in the counselling form. If not marked in the counselling form, they will not be considered as waitlisted in that category/ categories.

36 36..

Ind Indivi ividua duall reques requestt for tra transf nsfer er of colleg college e wi willll not be be entert entertain ained. ed.

37 37..

Mutual Mutual tran transfe sfers rs will will not not be permi permitte tted d under under any any circum circumsta stance nces. s.

VII.

Al Alll Indi India aS Sur urre rend nder ered ed se seat ats s : : -

38

(a) (a)

15% of th the e total total seats seats in each each Govern Government ment Medical/D Medical/Denta entall College College are reserve reserved d for All India Quota.

(b) (b)

If MB MBBS/ BS/ B BDS DS seat seats s earmark earmarked ed for for A Allll India India Q Quot uota a are surre surrende ndered red back back by the the Di Direc rector  tor  General of Health Services, New Delhi, the vacancies will be added to the General Pool and will be filled up with the candidates from fro m the merit list applying the rule of reservation followed by the Government Gover nment of Tamil Tamil Nadu.

VIII.

CATEGORIES OF SEATS : -

39

(i) Ca Category I - Government Medical Colleges:Seats available in MBBS course in 19 Government Medical Colleges and ESIC Medical College, Chennai. Chennai. (Govt. of India Undertaking - 65% of the total MBBS Seats).

(ii) Category II – II – Government Quota In Self – Financing Medical Colleges:65% of the total MBBS seats in Self-Financing Non-Minority Medical Colleges. 50% of the total MBBS seats in Self-Financing Minority Medical Colleges. (iii) Category III III - Government Dental College:BDS Seats available available in Tamil Tamil Nadu Government Dental College, Chennai Chennai. (iv) Category IV – IV – Government Quota In Self – Financing Dental Colleges:(a)

65% o off the total total BDS BDS seats seats in Self-Fi Self-Finan nancin cing g Non Non-mi -minor nority ity Dent Dental al Colle Colleges. ges.

(b)

50% of the the total total BDS seats seats iin n SelfSelf-Fin Financ ancing ing M Mino inorit rity y Denta Dentall Colle Colleges. ges.

Note: (a) (a)

Selec Selection tion Committee Committee will will allot candida candidates tes to the the colleges colleges based on merit merit following following the the rule rule of  of  reservation and subject to availability.

(b) (b)

The s seats eats offered by Self-fi Self-financing nancing Medical Medical / Dental Colleges Colleges will will be filled filled up up on merit basis from the merit list published by the Selection Committee for 2015-16 following the rule of  reservation reservati on in force in Tamil Nadu.

13

 

(c)

The fee fee structur structure e for SelfSelf-fin financ ancing ing Me Medic dical al and Dent Dental al College Colleges s will will be adopte adopted d as fixed fixed by the the Committee constituted by the Government of Tamil Nadu for that purpose.

(d)

The fees struct structure ure for ESIC ESIC Medic Medical al C Coll ollege, ege, Che Chennai nnai wil willl be as fixe fixed d by the Govt. Govt. of of India India..

(e) (e)

Certain Certain seats seats in Govern Government ment / Self financin financing g col college leges s are subj subject ect o off routine routine Medi Medical cal Council of India renewal and approvals. Therefore, allotment will be made only for  colleges for which Medical / Dental Council of India / Governme Government nt of India / Govt. of  Tamil Nadu / Tamil Nadu Dr. MGR Medical University permission are available on the date of counselling. Allotment will also be made for newly sanctioned colleges if any within the cut off date.

(f) (f)

Sea Seatt matrix matrix ffor or Govt. Govt. Q Quota uota in Self Self Finan Financing cing Medical Medical a and nd Self Self Financ Financing ing Denta Dentall will will be displ displayed ayed at the time of counseling.

40.

Choi Choice ce of Cand Candid idat ates es : -

a)

Candid Candidate ates s can exerc exercise ise thei theirr option option for for allotm allotment ent of seat seats s subjec subjectt to ava availa ilabil bility ity in in any of tthe he categories. If no seats are available in the particular category, he / she can be waitlisted.

b)

No candi candidat date e can opt tto o be wait waitlis listed ted ffor or a parti particul cular ar colle collegew gewhen hen seat seats s are availal availale e in other  other  colleges for the particular community/category at his/her turn.

c)

When When a ca candi ndidat date e is absen absentt / op opted ted out out fo forr the Counse Counselli lling ng to self self fin financ ancing ing Medi Medical cal / Dental Dental colleges to which he/she is called , he /she will not be considered for that particular category. But he/ she will be wait listed for Government Medical / Dental college.

41. SPECIAL CATEGORIES : Seats Reserved for Special Categories in Government Colleges:Seats earmarked for the special categories will be allotted following the Horizontal Reservation. Reservation. The Seats will be allotted as per merit order in the concerned special category and those seats will be deducted in the concerned compartment com partment (OC/ BC/ BCM/ MBC/DC/ SC/ SCA/ST) and the remaining seats will be allotted to the General Category. If adequate number of eligible candidates are not available under S Special pecial category the earmarked seats will be reverted back to general gener al category. Explanation:: Explanation Candidates who got selected under this category and not joined/discontinued the course at a later date will not be eligible to apply app ly under this category. (i) (i)

Se Seats ats Reser Reserved ved fo forr tthe he Chi Childr ldren en of Ex-Se Ex-Servi rvice cemen men :NO. OF SEATS RESERVED M.B.B.S. – 5 & B.D.S. – 1

The candidate should furnish a certificate as prescribed in the format in the Annexure – II, obtained from the competent authority. authority. The special committee from the Defence authorities constituted for this purpose will scrutinize certificates submitted by the candidates. Eligible candidates will will be selected on merit basis. The other eligibility conditions for admission to MBBS/BDS course will be applicable as in the case of  General Category. (ii (ii))

Se Seat ats s Res Reserv erved ed fo forr Emin Eminen entt Spo Sports rtspe pers rson on :NO. OF SEATS RESERVED IN M.B.B.S. M.B.B.S . - 3 Selection will be done by the Common Commo n committee constituted constitu ted for this purpose at Anna University,

Chennai. The mode of selection will be made as per the guidelines given in Annexure – III (a).

14

 

The candidates should submit the filled-in Special Category Form II along with two sets of  attested Xerox Copies of certificates and testimonials of sports along with common application form (General Category) in the office of the Selection Committee in person on or before the last date prescribed for submission of application. If the Original certificates are not produced in person directly person directly at the Sports Counter in selection committee, the candidates will not be considered under that category without any intimation to the candidate. Sending photo copy of sports evidence by post/courier will not be accepted under any circumstances. Selection will be made by the Common Committee at Anna University. Decision of the common committee shall be final. The candidates are requested requ ested to arrange the certificates as per the serial number starting from June 2011 as given in the Annexure III (b) and submit them along with the applications in person. All the particulars are to be filled up as per the guidelines given in the Annexure III (a). The other eligibility conditions for admission to MBBS course will be applicable as in the case of General Category. (iii)

Seats Seats Res Reserve erved d for for Orthopae Orthopaedica dically lly Physical Physically ly Disab Disabled led:: (a)

3% of tthe he total total numbe numberr of seats seats avai availab lable le in G Gove overnme rnment nt Medic Medical al / De Denta ntall Instit Instituti utions ons are reserved for the Orthopedically Physically disabled candidates. In the first first instance  instance in the reservation of seats, candidates with disability of lower limbs between 50% to 70% shall 70%  shall be considered and in case candidates are not available in that category then candidates with disability of lower limbs between 40% to 50% may 50% may be considered. The other conditions for admission into MBBS / BDS Course will be applicable as in the case of the general ge neral category.

(b)

The ca candi ndidat dates es are requi required red to pr produ oduce ce a certifi certificat cate e from the the Distri District ct Medica Medicall Boar Board d of  the area concerned constituted for the purpose of assessing the nature and the extent of disability only in the format prescribed in the Annexures - IV (a) & (b).Certificates in any other format will be summarily rejected.

(c) (c)

The Certi Certific ficate ate must must have have b been een obtai obtained ned w with ithin in three three mont months hs prior prior to to submit submittin ting g the application for seeking admission admiss ion under this category. If the Certificate has been obtained earlier, the application will be rejected.

(d)

The C Cand andida idates tes s seek eeking ing MBBS MBBS/BD /BDS S course courses s under under this this categ category ory will will be be require required d to undergo second medical examination by a Special Medical Board  Board  constituted by Director of Medical Education to ascertain and confirm the nature nat ure and extent of Orthopedic Physical Disability at the time of counselling.

 The candidate seeking admission under this category should produce a full size photograph exhibiting the deformity. deformity. (e)

Can Candid didate ates s with with any ot other her disa disabil bility ity o othe therr than the the locom locomoto otory ry disabil disability ity of of the lower  lower  limb will not be considered for admission into MBBS/BDS Course under this Special Category. Such applications will be summarily rejected without any intimation to the candidate. Both Upper limbs, Vision, Hearing should be normal.

(f)

Candid Candidate ates s who who previ previous ously ly a appl pplied ied for MBBS/B MBBS/BDS DS C Cours ourses es unde underr Ortho Orthopedi pedical cally ly Physically Disabled Category and were rejected by Special Medical Board constituted by the Director of Medical Education for this purpose are not eligible to apply under this category.. Such application will be summarily rejected. category

The decision of the Director of Medical Education in this regard will be final.

15

 

42. DURATION OF THE COURSES : -

IX.

M.B.B.S :

5½ years including one year Compulsory Rotatory Resident Internship.

B.D.S.

5 years including one year Compulsory Rotatory Resident Internship.

:

43. TUITION FEES :S.NO.

COURSE

FEES FOR GOVT. COLLEGES (

1

MBBS

Per Annum)

Tuition fees

:

4000/-

Special fees

:

950/-

Caution Deposit

:

1000/-

Library fees

:

1000/-

University fees

:

6050/-

LIC(Gp Insurance)

:

300/-

Red Cross

:

100/-

Miscellaneous fee

:

100/-

Flag Day

:

100/-

Total

:

13600/-

Tuition fees

:

2000/-

Special fees

:

950/-

Caution Deposit

:

1000/-

Library fees

:

1000/-

University fees

:

6050/-

LIC(Gp Insurance)

:

300/-

Red Cross

:

100/-

Miscellaneous fee

:

100/-

Flag Day

:

100/-

Total

:

11600/-

(incl Medical Exam)

2

BDS

(incl Medical Exam)

16

 

Course

Self Financing C Co ollege

Tuition Fee in Rs for   2015– 2016

MBBS

IRT, Perundurai Medical College, Perundurai.

2.80 Lakhs

Sree Mookambigai Medical College, Kulasekaram

3.00 Lakhs

PSG Medical College, Coimbatore

3.00 Lakhs

 Adiparasakthi  Adiparas akthi Medical College, College, Melmaruvathur Melmaruvathur

2.80 Lakhs

Karpaga Vinayaga Medical College, Chinnakolambakkam, Madurantakam, Kanchipuram District

3.00 Lakhs

Chennai Medical Hospital & Research Centre, Trichy

3.00 Lakhs

Sree Muthukumaran MedicaCollege, Mangadu, Chennai

3.00 Lakhs

Karpagam Medical College, Coimbatore

2.80 Lakhs

Madha Medical College, Chennai

3.00 Lakhs

Dhanalakshmi Srinivasan Medical College, Perambalur

3.00 Lakhs

 Annapoorna Medical College, Salem.

3.00 Lakhs

Velammal Medical College, Madurai

2.50 Lakhs

Tagore Medical College, Chennai ESIC Medical College, Chennai BDS BD S

 All Self Financing Colleges

3.00Lakhs 24,000/1.30 Lakhs

Any modification in the Fee for 2015 – 2016 as fixed by the fee committee will be informed during counseling. (a) (a)

Deta Detailed iled inform informatio ation n regar regarding, ding, Scho Scholars larship, hip, Fe Fee e Concessi Concession, on, Ho Hostel stel Facil Facilitie ities, s, etc., etc., etc., etc., can be obtained from the Head of the Institution in which the candidate joins.

17

 

(b)

The mode mode o off fee to to be remit remitted ted at at the ttime ime of of gettin getting g allotme allotment nt order order is is detail detailed ed below below::

Sl. No.

Category

Community

Amount of Demand Draft (Processing fee/ Tuition Fee)

1

2

3

OC/BC/BCM/MBC

500/- + 13,600/-

SC/SCA/ST

500/- + 11,600/-

OC/BC/BCM/MBC

500/- + 11,600/-

SC/SCA/ST

500/- + 9,600/-

Allottment of Govt.

OC/BC/BCM/MBC/

 500/- +

MBBS / BDS

SC/SCA/ST

Allotment for

Allotment for

Govt. MBBS

Govt. BDS

9,600/-

(Vide G.O.

(Orthopaedically

(MS) No.30, Welfare of 

Physically Disabled)

Differently Abled Persons Dept., Dt : 28.06.2010)

4

Allotment for

OC / BC / BCM / MBC

SF MBBS & SF BDS

SC/SCA/ST

500/- +

25,000/-

500/- +

25,000/-

(Whose parents’ annual income is higher  than

2.5 lakhs

SC/SCA/ST (W SC/SCA/ST ( Whose pa pare rent nts’ s’ an annu nual al in inco come me

500/- only (Exe (Exemp mpte ted d ffro rom m

is less than

Payment of 

 2.5 lakhs

25000/-)

Scheduled Caste

500/- +

Converted to

25,000/-

Christianity (whose Parents’annual income is higher than 2.00 lakhs Scheduled Caste

500/- only

Converted to

(Exempted

Christianity (w (wh hos ose e Parents’annual

from Payment of 25 2500 000/ 0/-) -)

income is less than 2.00 lakhs (i)

Students of SC/SCA/ST community whose parents’/guardians’ parents’/guardians’ annual income is less than   2,50,000 (Rupees Two lakhs fifty thousand only) are exempeted from payment of all coumpulsory, Non refundable fees (Enrolment/ (Enro lment/ Registration, Tution, Games, Union,Library, Magazine, Medical Examination and such other fee compulsorally payable by the scholar to to the Institution or University/Board) and also exempted from all compulsory Non refundable fees fixed by the “Fee Commilttee”. The fees, so exempted shall be claimed by the respective Institutions under the Scholarship Programme of the Government of India, as per G.O.(Ms)No.6 G.O.(Ms)No.6  Adi Dravidar Dravidar and Tribal Tribal Wel Welfare fare Departme Department nt dated dated 09-01-201 09-01-2012 2 and G.O.(Ms) .O.(Ms) No.51 No.51 Adi Dravidar  Dravidar  and Tribal Welfare Dept. dt 7.8.2013.

18

 

Students of Scheduled Caste Converted to Christianity Christiani ty communit community y whose parents’/

(ii)

guardians’ annual income is less than 2,00,000 (Rupees Two lakhs only) are exempeted from payment of all coumpulsory, Non refundable fees (Enrolment/ (Enrolmen t/ Registration, Tution, Games, Union,Library,, Magazine, Medical Examination and such other fee compulsorally payable by Union,Library the scholar to the Institution or University/Board) and also exempted from all compulsory Non refundable fees fixed by the “Fee Commilttee”. The fees, so exempted shall be claimed by the respective Institutions Instit utions under the Scholarsh Scholarship ip Programme of the Government Governme nt of India. G.O G.O No.92 Adi Dravidar and Tribal welfare Dept dt 11.9.2012.  After receipt of the joining report from the Deans of the respective colleges this amount will be transferred to the colleges concerned. This fee is not refundable. If the candidate does not  join the said institution, he/she has to forfeit the amount paid during counseling, and the seat already allotted will automatically stand cancelled. Those candidates who discontinue the course will also forfeit the amount. (c)

Candid didate ates s se elected to the Government Quota seats in Self Financing Institutions will have to remit a sum of 25000/- by means of a Demand draft drawn in favour of “The Secretary,, Selection Committee, Chennai”, at the time of counselling for allotment of seats. Secretary This will be adjusted towards the tuition fee that has to be paid to the colleges and the balance amount towards tuition fee has to be paid in the respective colleges at th the e time of joining the course. The amount of 25,000/- will not be refunded to those candidates who have got an allotment but do not join or discontinue the course.

(d)

All the Cand Candida idates tes attendi attending ng MBBS MBBS / BDS BDS couns counsell elling ing wil willl have have to to rem remit it a non-ref non-refunda undable ble amount of 500/- by means of Demand Draft drawn in favour of the Secretary Secretary,, Selection Committee as processing fee for allotment and reallotment in each category of seats

44.

The Selected Candidates should produce all the original documents at the time of admission to the Deans/Principals of Medical/Dental Colleges concerned. Selection will be cancelled if  the candidates do not produce the original documents at the time of o f admission.

45.

The candidates will be required 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 pursue the course.

X.

BOND :-

46.

(i) (i)

Candid Candidate ates s selec selected ted for admissi admission on a and nd h his/ is/her her parent parent / Guardi Guardian an will will have have to execut execute e an Agreement Bond during admission to College as prescribed pr escribed in Annexure VII. Failure to execute the Agreement Bond will lead to cancellation of selection.

(ii) (ii)

Candi Candidat dates es who disco disconti ntinu nue e tthe he co cours urse e bet betwee ween n 25 25th September and 29th September  of the year of admission are bound by the bond and thereby they shall have to pay a sum of 1,00,000/ as a penalty for having breached the contract contra ct in the bond and the 1,00,000/- as candidates who discontinue the course on or after 30th September 2015 of 2015 of the year  of admission and in any date of the subsequent years shall have to pay a sum of  10,00,000/- as 10,00,000/ as penalty. penalt y.

Note:-

(iii)

This penalty is only for candidates who discontinue the course and not for reallotment and movement from one to another category. Those Those candid candidates ates who who fail fail to comply comply with with cla clause use 3( 3(i) i) of the bond bond in Annexur Annexure e VII of th the e prospec prospectus tus shall have to pay a sum of 5,00,000/- as penalty for having breached the contract in the bond.

19

 

47.

Candidates selected for admission and his / her parent / guardian will have to sign the discipline declaration form in Annexure X Failure to sign the declaration will result in the cancellation of  selection

48 48..

No adm admissi ission on / re-allo re-allotmen tmentt / transfer transfer shall shall be made made after after 30th Septe September mber 2015 2015 for for the academ academic ic year as per the guidelines issued by the Medical Council of India ,Directorate General of  Health Services, New Delhi and The T Tamil amil Nadu Dr MGR Medical University, Guindy Guindy,, Chennai.

49.

 All Selections Selections and admissions for MBBS/BDS MBBS/BDS Course are only provisional. provisional. The Selection Selection and admission is liable to be cancelled at any time as and when the eligibility conditions are found to be defective or incorrect or there has been suppression or misrepresentation of facts. The Selection committee reserves the right of allotment of MBBS / BDS seats.

XI

COMMUNICATION ::-

50.

(a)

 All intimation for communication to the candidates will be sent only to the mailing address given by the candidate at the time of application. The T he Intimation / Call Letters will either be sent by Registered Post or Speed Post or Courier Service or e-Post or  they can be downloaded from the Web Sites 1) tnhealth.org 2) tn.gov.in as tn.gov.in as per  Instructions on Page 2 of this Prospectus whic whichever hever is feasible depending on the availability of time before counselling. counsellin g. Selection Committee will not be held responsible for the Postal Delay and non-viewing of website.

(b) (b)

Candidates should inform the change of address, immediately to the Selection Committee. If the change of address is not intimated to the Selection Committee in time, the Selection Committee will not be responsible for delay in communication or its consequences. The merit list will be published on the Web site Website:1) Website:1) tnhealth.org 2) tn.gov.in

51 51..

HEP HEPATITIS TITIS-B -B-V -VACC ACCINA INATIO TION: N:  All Candidates selected for admission to first year M.B.B.S./B.D.S. M.B.B.S./B.D.S. Course should take the Hepatitis–B-Vaccine Hepatitis–B-V accine before admission and produce a certificate as in Annexure–VIII.

XI XII. I.

RAGGING:-

52.

(a)

The candidates who join MBBS/BDS course should not indulge or participate in any kind of ragging. If they are found to have indulged in ragging in the past or noticed later, later, the candidates will be removed from the roll of the institution at whatever stage of study and criminal action will be taken against the candidates. candidat es.

(b)

The ex extra tract ct of lette letter/di r/direc rectio tion n from MCI MCI as per per Lr.No Lr.No.MC .MCI-34 I-34(1)/ (1)/201 2014-Me 4-Med d (Ragg.) (Ragg.)// 130894,dt 11.9.2014 is given in Annexure XVII for XVII for information of candidates.

53 53..

Candid Candidate ates s applied applied fo forr MBBS MBBS /BDS /BDS course course 2015 2015 - 16 session session are are deemed deemed to have have read the the contents in the prospectus and agreed with all conditions / clauses and will not have the right to challenge any of the clauses contained containe d in the prospectus.

DIRECTOR OF MEDICAL EDUCATION

20

 

2015-2016

21

 

43

22

 

ANNEXURE - I SPECIAL CATEGORIES WITH CODE NUMBERS Sl.No

Code

Special Category

No.

Seats reserved in

Seats Reserved in

Government

BDS in Tamil Nadu

Medical Colleges

Government

for MBBS

Dental College

1

01

Children of Ex-servicemen

5

1

2

02

Eminent Sportsperson

3

-

3

03

Orthopaedically Physically Disabled

  3%

3%

ANNEXURE - II EX-SERVICEMEN (For the Children of Ex-Servicemen of Tamil Nadu Origin Army / Navy / Air Force Service Particulars) This is to certify that Selvan / Selvi __________________________ is the son / Unmarried Daughter of the under mentioned Ex-serviceman. Rank

:

Regimental No.

:

Name

:

Name of the Unit in which last served

:

Date of Enrollment

:

Date of Discharge

:

Whether Disabled in Service

:

Name of the Corps / Service

:

Character Charac ter assessed assessed at the time time of discharge discharge :

STATION :

Signature :

DATE:

Name & Designation:

Office Seal NOTE NO TE :

Thi This s Cert Certif ific icate ate is to be issu issued ed by an Of Offic ficer er not below below th the e rrank ank of Assistant Director of  candidate’s native District Ex-Servicemen Welfare Board.

23

 

ANNEXURE III(a) SELECTION OF CANDIDATES UNDER QUOTA FOR EMINENT SPORTS PERSONS FOR 20152016 SESSION 1. The p purpo urpose se o off this this quot quota a is to recog recognis nise e an and d give give w weig eighta htage ge to to the sports sports eminenc eminence e of the candidates and hence marks for sports achievements alone will be considered in ranking the candidates. The candidates are expected to continue good performance in sports, even after  selection. 2. The c ca andidate ma may su submit all the sports certificates along with participation certificates and relevant forms, but forms, but only one highest achievement in a tournament (among the International, National, State, Divisional and District) Distr ict) in a year in the sports discipline disciplines s listed in T Table able VIII will be considered for awarding marks. Sel Select ection ion o off the cand candida idate te wi willll be base based d on th the e marks marks obtai obtained ned by by the cand candida idate te follo followi wing ng the the guidelines given in the tables. Table (I) - Marks for Recognised International Achievement

3.

Sl. No

Competition

Gold

Silver

Bronze

Participation

1.

International (Representing India Category–I)

1000

850

650

300

International (Representing India Category–II)

500

450

400

150

2.

Table (II) - Marks for Recognised National Achievement Allocation of Marks Sl. No 1.

2. 3.

4.

5.

Competition

Gold

Silver

Bronze

Participation

Nati tion ona al Champ ampionships/National games – Organised by National Federations/IOA

190

160

130

50

School Games Federation of India (SGFI) Meet (National Level)

190

160

130

50

All India Rural Sports Meet / PYKKA National Level Rural Competition (National Level)

190

160

130

50

National Sports Festival for  Women / PYKKA National National Level Women Competition (National Level)

190

160

130

50

Nati Nation ona al Int nter er Sch choo ooll Comp ompet etit itio ion n (National Level)

190

160

130

50

Table (III) - Marks for Recognised State Championship Allocation of Marks Sl. No

Competition

Gold

Silver

Bronze

Participation

1.

State Championship Representing Revenue District –  Organised by State Associations

95

80

65

20

24

 

Table (IV) – Marks for Recognised State Level Achievements Allocation of Marks Sl. No

Gold

Silver

Bronze

Participation

Bharathiar Day Sports Meet (State Level)

80

65

50

15

Republic Day Sports Meet (State Level)

80

65

50

15

3.

State Inter School Competition (State Level)

80

65

50

15

4.

KVS / CBSE Na National Sp Sports Me Meet (State Level)

80

65

50

15

PYKKA (Panchayat Y Yu uva Kr Krida  Aurkhel Abhiyan) State State Rural Competition

80

65

50

15

Chief Minister Trophy / SD SDAT State Games (State Level)

80

65

50

15

1. 2.

5.

6.

Competition

Table (V) – Marks for Recognised Divisional Level Achievements Allocation of Marks Sl. No 1. 2. 3.

Competition

Gold

Silver

Bronze

Participation

Bharathiar Day Sports Me Meet (Divisional Level)

60

45

30

10

Republic Day Sports Meet (Divisional Level)

60

45

30

10

KVS Regional / CBSE South Zone Meet (Divisional Level)

60

45

30

10

Table (VI) – Marks for Recognised District Level Achievements Allocation of Marks Sl. No 1.

2.

3. 4. 5.

Competition

Gold

Silver

Bronze

Participation

by District Sports Associations (Recognised by SDAT/TNOA)

45

30

15

5

District IIn nter Schoo hool C Com omp petition / SAI Promotion Games (District Level)

45

30

15

5

PYKKA – District Level Rural competition

45

30

15

5

PYKKA District Level Women competition

45

30

15

5

Chief Minister Trophy / SDAT State Games – District Level

45

30

15

5

District Tourn rna ament nts s / Sports Meet / Championships conducted

Gold (I Position)

Silver (II Position)

25

Bronze (III Position)

 

4. (a) (a) For International International Tournaments ournaments : Category-I :

Olympics, World Cup / Commonwealth Games and Asian games (Games organised in FOUR years frequency by the International Olymic Committee)

Catego Cat egory– ry–II II :

 A minimum of s six ix countries countries must have have been participated for International International tournaments which are not covered under Category I, and such tournaments approved by Indian Olympic Association (IOA), Sports Sports Authority of India (SAI) and Ministry Min istry of Youth Affairs andSports (MYAS), Government o off India. Open / Invitational / Memorial / any indifferent nomenclature or title of  tournaments / Championships Championships at International level, not approved by any of the above will not be considered for marks.

1.

Participation / achievement in International tournaments will be considered only with earlier achievements at National / State level tournaments.. Direct participation in any International/National tournaments International/National tournmnets will not be considered for award of marks.

2.

The highes highestt achie achievem vement ent in only only o one ne annua annuall regul regular ar tourn tourname ament, nt, off offic icial ially ly conducted ina regular mannerby the member National Olympic Committee (NOCs) authorisedby the International Olympic Committee(IOC)/InternationalSports Federations affiliated to theIOC. The Players/ Sports person representing the country in such trounments through Indian Olympic Association (IOA) / respective National Sports Federation recoginsed r ecoginsed by Ministry of Youth Affairs Affairs and Sports, Government of India / IOA will be considered for award of marks in each year.

3.

Only Only tourn tournamen aments ts offici officiall ally y rrecog ecognis nised ed b by y the the Indian Indian Olympic Olympic Associ Associati ation on / respective official National Federations Federatio ns will be considered for the award of marks (for each year) (01.06.2011 to 31.05.2015 (01.06.2011 to 31.05.2012, 01.06.2012 to 31.05.2013, 01.06.2013 to 31.05.2014 and 01.06.2014 to 31.05.2015) 31.05.2015)..

4.

Certif Certifica icates tes of Part Partici icipat pation ion / Ach Achiev ievem ement ents s in tou tourna rnamen ments, ts, s subm ubmitt itted ed along with Form I alone are eligible for marks indicated in Table (I) above(should be submitted before the last date submission of application). applicati on).

5.

Players Players who partic participa ipated ted in any any o off th the e above above I and II – Table able (I) (I) Catego Category ry tourn tournment ments s (organized outside india) should produce copies of VISA / Immigration entry in passport / clearance from Ministry of Youth Af Affairs fairs and Sports (Government of  India) – Indian Olympic Association – respective National Sports Federations including BCCI / fixture or draw or schedule of events / players’ accreditation / National Medal – Merit – Participation – Form-I issued by respective National Sports Federation / Medal – Diploma or certificate singed and issued in the prescribed format by the President / Secretary General of the National Olympic Olympic Committee of the Organising Country and International Federation / Details of  Total Number of Countries participated, etc.

(b)

Fo Forr Nat Natio iona nall T Tou ourn rnam amen entts

1.

The Nati National onal tour tourname naments nts should should offi official cially ly b be e re recogn cognize ized d as the the regul regular ar annual annual champio championsh nship/ ip/ tournament tournam ent by Ministry Ministr y of Youth Youth Affairs and Sports (MYAS) / Indian Olym Olympic pic Association / SAI / SDAT SDAT / respective official National Sports Federation will be considered (for each year) for f or the award of marks.

2.

Mar Marks ks w wil illl not not be awa award rded ed ffor or sel selec ecti tion on ttri rial als/ s/co coac achi hing ng cam camps ps..

3.

Any ttour ournam nament ents s conduc conducted ted b by y the Fede Federat ration ions s whi which ch are are dereco derecogni gnized zed by by the IOA IOA or MY MYAS AS at National level for a particular period will not be considered for award of marks

(c)

For State Tournaments

1.

The State level tournaments should officially be recognized as the regular annual championship/ champi onship/ tournament by respective official State Association/SAI /SDA /SDAT T will be considered (for each year) for the award of marks.

26

 

2.

Mar Marks ks w wil illl notb notbe e award awarded ed ffor orse sele lect ctio ion n tria trials ls / coa coach chin ing g camp camps s

3.

Any ttour ournam nament ents s conduc conducted ted b by y the Associ Associati ations ons w whic hich h are dereco derecogni gnized zed by by the TNOA TNOA or  SDAT SDA T at Statelevel for a particular period will not be considered for award of marks

5.

General Conditions

1.

For c cons onside iderat ration ion of cand candida idates tes seekin seeking g ad admis missio sion n un under der the categor category y of eminent eminent sports sports person, he / she should enclose all the attested photo copies of participation certificates and the relevent Forms issued by the competent sports authorities. authorities . The application along with all the sports certificates / relevant forms /documents /documents as given in 4(a) 5, should be submitted in the person at the TNEA office, Anna University, Chennai Applications received through post will not be considered.

2.

Partic Particip ipati ation on / achieve achievemen ments ts in ea each ch academ academic ic yea yearr from 01.06 01.06.20 .201 11to 31.05 31.05.20 .2015( 15(01. 01.06. 06.201 2011 1 to 31.05.2012, 01.06.2012 to 31.05.2013, 01.06.2013 to 31.05.2014 and 01.06.2014to 31.05.2015) in sports / games shown in the list alone will be taken into account. National / State Level Championships or Tournaments conducted by Sports Federations / Associations recognised recogni sed by Ministry of Youth Affairs and Sports / Indian Olympi Olympic c Association (IOA) / Sports Development Authority of Tamilnadu (SDAT) / Tamilnadu Tamilnadu Olympic Association (TNOA) alone will be considered for award of marks. (Recognition of State Association / National Federations should be relevant to the year concerned).

3.

The rrele elevan vantt att attest ested ed copie copies s of c certi ertific ficates ates issued issued by by the compete competent nt author authoriti ities es as detail detailed ed below are to be submitted along with the application before the last date for receiving the applications. Category

Competent Authority

Form / Certificate

President / Secretary of the National Sports Federation (recognised ( recognised by Ministry of Youth Affairs International (Representing and Sports / IOA) Nation) Participation certificate / Diploma should be signed by the President / Secretary General / Chairman of the organising Committee of the host Nation

Certificate and Form – I

Secr etary, SDAT/Secre SDAT/Secretary tary of the State National (Representing State) Member Secretary,  Association  Associatio n (recognised by SDAT/TNOA) SDAT/TNOA)

Certificate and Form – II

National Games (Representing President/Secretary of IOA and Chairman of  Certificate and Form – II organising committee the State) Inspector Physical Education for National National (Representing State) Chief School Games of competitions

Certificate Form – IV and

Secretary,, SGFI School Games Federation of  President / Hon. Gen. Secretary India (SGFI) (National Level)

Certificates and Forms

National Inter School Executive Director / Director-General, Sports Competition (National Level)  Authority of India

Certificates and Forms

 All India India Rural Rural Sp Sports orts (National (National Executive Director / Director-General, Sports  Authority of India Level)

Certificates and Form – II

National Sports Festival for  Executive Director / Director-General, Sports  Authority of India Women (National Level)

Certificates and Form – II

27

 

PYKKA (Panchayat Yuva Executive Director / Director-General, Sports Krida Aurkhel Abhiyan)  Authority of India National Level Rural Tournament

Certificates

KVS Nationals (State Level)

Commissioner / Joint Commissioner of KVS

Certificates

CM Trophy (State Level)

Member Secretary, sports Development Authority of Tamil Nadu

Certificates

SDAT approved State level Member Secretary, sports Development Authority trounments of Tamil Nadu

Certificates

CBSE National Sports Meet  A. E. O. – Sports / Secretary, Secretary, CBSE (State Level) Regional Inspector of Physical Education and Chief Inspector of Physical Education

Certificates

Bharathiar Day Sports Meet Regional Inspector of Physical Education and (State Level) Chief Inspector of Physical Education

Certificates

Republic Day Sports Meet Member Secretary, Secretar y, Sports Development Authority (State Level) of Tamilnadu

Certificates

State

Certificates

Inter

School Member Secretary, Secretar y, Sports Development Authority

Competitions (State Level) PYKKA State Competition

of Tamilnadu

Rural Member Secretary, Secretar y, Sports Development Authority of Tamilnadu

Certificates

Bharathiar Day Sports Meet Regional Inspector of Physical Education and (Divisional Level) Chief Education Officer 

Certificates

Republic Day Sports Meet Regional Inspector of Physical Education and (Divisional Level) Chief Education Officer 

Certificates

KVS Regional Level (Divisional  Assistant Commissioner of KVS Level)

Certificates

CBSE South Zone Sports  A.E.O. – Sports / Secretary, Secretary, CBSE Meet (Divisional Level)

Certificates

District Inter School District Sports Officer  Competitions (Divisional Level)

Certificates

PYKKA District Competition

Certificates

Rural Member Secretary and District Sports Officer 

District Level Competitions

RIPE and District Education Officer 

Certificates

4.

Thes These e Certi Certific ficate ates s are not vali valid d unl unless ess signed signed p pers ersona onally lly in ink ink by the the autho authorit rities ies mention mentioned ed above.

5.

Ope Open n / Invita Invitatio tional nal / Memori Memorial al / any any indif indiffer ferent ent nome nomencl nclatu ature re or titl title e of tourn tourname aments nts / Champion Cham pionship ships s at District District / State / National / International International level will not be considered for  marks.

28

 

6.

Distri District ct / InterInter-Dis Distri trict ct Champ Champion ionshi ship p mean means s the cham champio pionsh nships ips cond conduct ucted ed by the the respec respectiv tive e recognised District / St State ate Sports Association for a Revenue District / Revenue Districts in the State of Tamil Tamil Nadu. Nad u.

7.

Dir Direct ect p part artici icipat pation ion / achi achieve evemen mentt at any any level level witho without ut parti particip cipati ating ng in the the quali qualifyi fying ng level level competitions such as District / State / National or direct selection conducted by District / State Sports Sports Association / National Sports Federation to repr represent esent the District / State / National / International tournaments or championships will not be considered for award of marks.

8.

For IInter nternat nation ional al ac achie hievem vement ents s in Tenn Tennis, is, mark marks s for Gold Gold / Sil Silver ver / Bron Bronze ze will will be awarded awarded to players who are a re ranked first / second / third in the ATP ATP / WTA rankings of International Tennis Tennis Federation for awarding of participation marks for the top 5 ranked players will be considered from the ATP / WTA WTA list published by the International Tennis Federation. Necessary do document cument / proof should be enclosed by the candidate. For National / State level achievement in Tennis, marks for Gold / Silver / Bronze will be awarded to players who are ranked first / second / third in the AITA / TNTA at National / State respectively.. For awarding of participation mark the respectively th e top 5 ranked players will be considered from the list published by AITA / TNTA at National / State level based on the ranking. Necessary document / proof should be enclosed by the candidate.

9.

Cer Certif tifica icate tes s shoul should d be in in pri printe nted d form form and and nece necessa ssary ry Form Form – I and II II sho should uld be be in prescribed format. (Certificates / forms issued in letter pads will be invalid).

10.

All other other sport sport dis discipl ciplines ines iin n which which ranking ranking is the the criteria criteria for for assessm assessment ent of achie achievemen vement, t, rules rules indicated in item 8 above will be applicable for award of marks.

11.

For C Cricket ricket,, the annual official official Champio Championships nships / tournament tournaments s conducted conducted within the country country under the auspices of TNCA / BCCI at District / State / National Level alone will be taken into

12.

consideration for that year. Multiple Multiple events events in a particu particular lar sport sport must must be be standardi standardised sed events events and in in accordanc accordance e with with the events organised by the approved International Federations. Events newly created and not in accordance with the requirement will not be considered for award of marks.

13. 13.

The p part articip icipatio ation n / achieveme achievement nts s of candidat candidates es with with nativity nativity of Tamil Tamil Na Nadu du who represented Tamil Nadu alone are eligible for marks under National Category.

14 14..

Only Tamil Tamil Na Nadu du candida candidates tes a are re eligible eligible to apply apply for for admissio admission n under under Sports Sports Q Quot uota a and only the KVS / CBSE schools within Tamil Nadu are eligible for marks. marks.

15.

A Common Common Committ Committee ee for E Engine ngineerin ering g and Medici Medicine ne con constit stituted uted for for this this purpose purpose will will rank rank the candidates based on the marks assigned to the certificates enclosed along with the application. Candidates with a minimum sports mark of 5 and above alone will be considered for ranking.

16 16..

All the the ach achieveme ievement nt certifica certificates tes are tto o be suppo supported rted nece necessaril ssarily y by the relevant relevant participation certificates and appropriate forms.

17. 17.

No fu further rther enclosures enclosures or ce certific rtificates ates will be be entertai entertained ned after after the last date for  submission of completed application, in person.

18.

Highest Highest achievem achievement ent / pa partic rticipati ipation on certific certificates ates obtain obtained ed by candid candidate ate at diffe different rent levels levels such as District / State / National / International in each year along alo ng with earlier achievements achievem ents should be enclosed without fail. (A candiated shall enclose enc lose copy of all eligible certificates for scrutiny) scrutiny)..

19.

Required Required number number of of candidates candidates will be cal called led ttoappear oappear for an interview interview before the common common committee for Engineering/Medicine for verification of the originals,followed by the counselling after ranking.

20.

If any candidate candidate fa fails ils to produc produce e the rrequisi equisite te Ori Original ginal Certificate Certificates s / Forms, Forms, his his / her place will be allotted to the candidate next in rank and so on. The consequential vacancy at the end of  the rank list will be filled up from among the additional candidates according to their ranks.

21.

All the the highest highest level level of of participa participation tion / achievement achievement should should be supporte supported d by earlier earlier achievemen achievements ts at all levels of competition.

22.

Selected Selected candi candidate dates s will be be couns counselle elled d and allotme allotment nt of branche branches s and college colleges s earmarke earmarked d for  the Sports Quota based on the ranking before the start of main Counselling.

29

 

23 23..

Candi Candidate dates s securing securing admis admission sions s under under Emi Eminent nent Sport Sports s Persons Persons quota quota should should sign sign an undertaking at the time of receiving allotment order assuring of participation in sports activities in the college preferred by them.

24.

Legal action would be taken taken on on parents parents / candidate candidates s for for fur furnishin nishing g bogus bogus documents documents under  this Sports Quota. They should ensure that the certificates obtained are from competent authorities.

25 25..

Ac cand andida idate te can utili utilise se the S Spor ports ts Qu Quota ota on only ly once once for Engine Engineeri ering ng / Medicin Medicine. e. SPORTS QUOTA – 2015 – LIST OF SPORTS DISCIPLINES DISCIP LINES

1.

Athletics

28.

Netball

2.

Atya Patya

29.

Powerlifting

3.

Badminton

30.

Roller Skating

4.

Ball Badminton

31.

Rowing

5.

Baseball

32.

Rugby

6.

Basketball

33.

Sailing

7.

Beach Volleyball

34.

Sepak Takraw

8.

Billiards and Snookers

35.

Shooting

9.

Body Building

36.

Silambam

10.

Boxing

37.

Soft Ball

11. 12.

Carrom Chess

38. 39.

Squash Rackets Swimming

13.

Cricket

40.

Table Tennis

14.

Cycling

41.

Taek – won – do

15.

Fencing

42.

Tennikoit

16.

Football

43.

Tennis

17.

Golf

44.

Throwball

18.

Gymnastics

45.

Triathlon

19.

Handball

46.

Volleyball

20.

Hockey

47.

Weightlifting

21.

Judo

48.

Wrestling

22. 23.

Kabaddi Karate – Do

49. 50.

Wushu Yachting

24.

Kho – Kho

51.

Yogasanas

25.

Korf Ball

52

Cycle Polo

26.

Mallakhamb

53

Archery

27.

Motor Sports

54

Soft Tennis

30

 

ANNEXURE – III (b)

Name of the Candidate :

Registration Number

:

(Plus Two/ Equivalent Examination) Details of sports certificates enclosed*   r   e   a    Y   c    i   m   e    d   a   c    A

   l   a   n   /   o    i    t   a   t   e   t   e   l    h   e   a   e    N   t   a   t    S    /   n   f   m    l    /    i   o   o   a   l   s   e   t   s   n   a   i   r   v   o   n    i   m   o    i    t    i   o   D  a   p   a   t    S    N   n   r   a   e   N    t   n    I

   ) Eligible Marks    5    V   )    1    I    /   o (As per the Guidelines)   e   r    0    I    2    I    /   a   y    /    I    i    l   n   s   N   s   a   e   p    i   e    Y   m    )   c   n    M   r    Y    )    )   n    i   s    &  o   o   (   o   n    i   n   o    t    t   o   e    i   o   r    i    d    h    F   d    d   i    t   a    1    t   e    l    t   e   t    i   z   i   s    t   p    t   v   s   n   s    i   n   1   n   s   o   i   s    l   r    i   o   o   c    0   a   o   o   o   o   r    i   o    G    t    2   v   l   c   r    P    S   P   p    M    B   P    I   e    I    I   e    l   n    I   a    I    S    I    (    (    (    P   n   e   e   u    R    J    (

Total Marks

2014-2015 (XII Std.) 2013-2014 (XI Std.) 2012-2013 (X Std.) 2011-2012 (IX Std.) Total No. of  Certificates enclosed

Grand Total

* Highest achievement/participation certificates obtained by candidate at different levels such as district/State/National/International district/State/National/International in each year alongwith earlier achievements should be enclosed without fail. Nothing prevents a candidate enclosing all eligible certificates for scrutiny scru tiny but may be arranged as per the serial number starting star ting from June 2011 and submitted alongwith the application. DECLARATION The information furnished above and all the enclosures submitted by me are true. Should it however  be found that any information furnished therein is untrue with respect to sports details, I realize that I am liable for criminal prosecution and I also agree ag ree to the forfeiture of my seat under sports quota.

Signature of the Parent

Signature of the Candidate

Date:

31

 

ANNEXURE IV (a) MEDICAL CERTIFICATE CERTIFIC ATE FOR ORTHOPAEDICALLY ORTHOPAEDICALLY PHYSICALLY DISABLED (To be issued by the District Medical Board)  (Locomotory disability of the lower limbs should be between 40% and 70%)

The District Medical Board of ——————————————— ——————————————— District , —————--—  (City/Town) certify that we have on this ——————— —Day of ———————— 2015 examined (City/Town) the candidate whose particulars are given below : 1.

Name of the candidate

:

2.

Father’s name

:

3.

Sex

:

4.

Age

:

5.

Identification marks

:

1. 2.

6.

7.

a.

Orthopaedically Physically Disabled

:

b.

Nature of Orthopedic Disability

:

Exte Extent nt of pe perm rman anen entt disa disabi bili lity ty (mention the % of disability)

a)

50% to 70%

b)

40% to 50%

Yes/No

:

(Upper limbs must be functional and normal) 8.

Whet Whethe herr the the cand candid idat ate e fulf fulfil ills ls tthe he fol follo lowi wing ng standard and may be considered for admission to undergo studies studies in Medical/Dental Medical/Dental instituti institutions ons :

(a)

Normal Blood Pressure

:

Yes/No

(b)

Mentally normal

:

Yes/No

(c)

Visual and auditory disabilities

:

Yes/No

(d)

Gross speech disorders

:

Yes /No

(e)

Independent in ambulation with or without calipers but without any support

:

Yes/ No

(f)

Good standing balance with or without calipers but without any support

:

Yes/No

32

 

g)

Hand function within normal limits without any aid

:

Yes/No

(h)

Good control over bowel and bladder

:

Good/Not good

(i)

a.

Is the disability progressive ?

:

Yes/No

b.

If progressive, is the candidate eligible :

Yes/ N No o

for further studies (j)

Height (Normal)

:

Yes/No

Place : Date

:

Recent Full size photograph of the candidate exhibiting the deformity duly attested by the medical certificate issuing authority.

Foot Note : 1.

Bo Both th uppe upperr llim imbs bs,, v vis isio ion na and nd hear hearin ing g sho shoul uld d be be nor norma mal. l.

2.

The above above c cert ertifi ificat cate e shoul should db be e issu issued ed only only by by the the Medica Medicall Boar Board d of the area area concerned constituted for the purpose after due physical examination by the board.

3.

The Can Candid didate ate seeking seeking admiss admission ion under under this this catego category ry sho should uld produc produce e a full  exhibiting the deformity. size  photograph size photograph exhibiting

33

 

ANNEXURE IV (b) CERTIFICATE CERTIFIC ATE OF LOCOMOTORY DISABILI DISABILITY TY ( For Admission to MBBS / BDS Courses) Certificate No…………………..

Date………………………..

This is to certify that ………………………………………………………………………................. aged …………………. Years, Son / Daughter of Thiru…………………………………………................ Thir u…………………………………………................ residing at …………………………………………………… ……………………………………………………………………………… ……………………………………........... …………................. ...... ……………………………………………………………………………………………………….................. is suffering from ……………………………………… ……………………………………………………………………………… ………………………………………….................. ….................. and has permanent Physical Impairment of Left /Right /Both Lower Limbs.  He/She is Loco motor disabled and has the percentage of ………………. ………….( in figure)  ……………………………… (in words ) disability of Lower Limbs. Upper Limbs –Right / Left / Both are without any deformity and Functionally Normal He/She is is eligible  eligible /NOT eligible for admission to MBBS/ BDS Courses as per the MCI/ DCI guidelines.

Signature with Name& Seal (Chairman of Board)

Note : 1)

Signature with Name & Seal (Member of Board)

Signatu turre wi with Name & Seal (Member of Board)

The candida candidates tes see seeking king adm admissi ission on u unde nderr th this is c cate ategory gory hav have e to und undergo ergo a se secon cond d Medical Examination by a Medical Board constituted for the purpose by the Director of Medical Education to ascertain and confirm the nature and extent of  physical disability.

2)

Candidat Candidates es with any oth other er disabilit disability y other other than than the locomoto locomotory ry disa disabilit bility y of the lower limb will not be considered for admission under this category.

3)

The decis decision ion of the the D Dire irecto ctorr of Medi Medica call Edu Educat cation ion in in th this is rega regard rd w will ill b be e fin final. al.

34

 

ANNEXURE V SEATS EARMARKED FOR SPECIAL CATEGORIES CATEGORIES IN GOVERNMENT COLLEGES

MBBS Special Categories Sl . No .

Em i n en t Ch C h i l d r en Or t h o Sp o r t s o f Ex p aedi c al l y To t al perso personn Service rvice Men Phy hysi sica callllyy Disabled

Nam e o f t h e Co l l eg es

1

Madras Medical College

4

4

2

Stanley Medical College

4

5

3

Madurai Medical College

4

4

4

Thanjavur Medical College

4

5

5

Kilpauk Medical College

4

4

6

Chengalpattu Medical College

3

3

7

Tirunelveli Medical College

4

4

8

Coimbatore Medical College

3

4

9

Govt Mohan Kumaramangalam Medical College

3

3

10

K.A.P.Viswanatham Government Medical College

3

3

11

Thoothukudi Medical College

4

5

12

Kanyakumari Medical College

4

4

13

Theni Medical College

1

3

4

14

Vellore Medical College

1

3

4

15

Dharmapuri Medical College

1

3

4

16

Villupuram Medical College

1

3

4

17

Tiruvarur Medical College

3

3

18

Sivagangai Medical College

3

3

19

Thiruvannamalai Medical College Total

3 65

3 73 73

1

1

1

1

3

5

BDS BD S Special Categories Sl . No .

1

Em i n en t Ch C h i l d r en Or t h o Sp o r t s o f Ex p aedi c al l y To t al perso personn Service rvice Men Phy hysi sica callllyy Disabled

Nam e o f t h e Co l l eg es

Tamil Nadu Government Dental College

-

35

1

3

4

 

ANNEXURE – VI *TENTATIVE *TENTA TIVE SEAT MATRIX FOR GOVERNMENT GOVERNME NT MEDICAL MEDICA L COLLEGES MBBS Sl . No.

NAME OF THE COLLEGE

Sanctioned All India Strength Quota (15%)

State Quota

1

Madras Medical College, Chennai

250

38

212

2 3

Stanley Medical College, Chennai Madurai Medical College, Madurai

250 155

37 23

213 132

4

Thanjavur Medical College, Thanjavur

150

23

127

5

Kilpauk Medical College, Chennai

150

22

128

6

Chengalpattu Medical College, Chengalpattu

100

15

85

7

Tirunelveli Medical College, Tirunelveli

150

23

127

8

Coimbatore Medical College, Coimbatore

150

22

128

9

Govt. Mohan Kumaramangalam Medical College, Salem

100

15

85

K.A.P K.A. P. Vis Viswa wana nath tham am Gov Govt. t. Med Medic ical al Col Colle lege ge,, Trichy

150

22

128

11

Thoothukudi Medical College, Thoothukudi

150

23

127

12

Govt.. Ka Govt Kany nyak akum umar arii Me Medi dica call Co Coll lleg ege, e, Kanyakumari

100

15

85

13

Govt. Vellore Medical College, Vellore

100

15

85

14

Govt. Theni Medical College, Theni

100

15

85

15

Govt. Dharmapuri Medical College, Dharmpuri

100

15

85

16

Govt. Villupuram Medical College, Villupuram

100

15

85

17

Govt. Thiruvarur Medical College, Thiruvarur

100

15

85

18

Govt. Sivagangai Medical College, Sivagangai

100

15

85

19

Thiru Thi ruva van nna nama mallai Med Mediica call Col Collleg ege, e, Thiruvannamalai

100

15

85

2555

383

2172

10

To t a l

*TENTATIVE *TENTA TIVE SEAT MATRIX TAMIL NADU GOVERNMENT DENTAL D ENTAL COLLEGE, CHENNAI BDS BD S Sl . No. 1

NAME OF THE COLLEGE

Sanctioned All India Strength Quota (15%)

Tam amiil Nad Nadu u Gov Gover ernm nmen entt Den Denta tall Col Collleg ege, e, Chennai

100

15

State Quota

85

*Subject to change Note : Allotment will be made only for the colleges for which Medical / Dental Council of India / Government Governm ent of India / Govt. Tamil Tamil Nadu / Tamil Tamil Nadu Dr. MGR Medical University Unive rsity permission permi ssion are available on the date of counselling. Allotment will also be made for newly sanctioned colleges, if any within the cut off date.

36

 

ANNEXURE - VII AGREEMENT BOND FORM FOR CANDIDATES CA NDIDATES ADMITTED FOR M.B.B.S./B.D.S. COURSE FOR 2015 – 2016 ACADEMIC YEAR This agreement made on this _______day of ______ 2015 between the t he Governor of Tamil Tamil Nadu (hereinafter called the Governor which expression shall, where the context so admits include his successor in Office) of the one part and ___________________ son / daughter of   ______  ___ ______ ______ ______ ______ _____ __ res reside ident nt of ______ _________ ______ ______ ______ ______ ______ ______ ___in in the Talu aluk k of dis distri trict ct (he (herei reinaf nafter  ter  called the candidate) which expression shall, where the context so admits include his/her heirs, executors, administrators and representatives of the other part. WHEREAS the candidate has, on his/her application bee n selected been to undergo trainingreferred for the M.B.B.S/ B.D.S Course in the Government/Self Financing Medical/Dental College (hereinafter to as the said College).  AND WHEREAS the candidate has agreed to complete his/her training for the said course, at the said College, subject to the condition hereinafter appearing. Now THEREFORE, this agreement witnesses and it is hereby agreed as follows : (1)) (1 The candid candidate ate shall shall dilig diligentl ently y complet complete e his/her his/her train training ing for for the said said course course at the said Coll College, ege, shall abide by the rules of the said College for the time being in force regulating the conduct of  students at the said College and shall pass all the examinations prescribed for the said Course by the University or the Medical Institution concerned. (2) Upon Upo n passing passing the the final final M.B.B.S M.B.B.S./ ./ B.D.S B.D.S Examin Examinati ation on the candi candidat date e shall shall serve serve as ‘Intern ‘Intern’’ for  the prescribed period as laid down by the Medical Council Act, 1956 (Central Act 102 of 1956) and Dental Council Act. (3) (i) The candidate candidate shall, shall, on on demand made by the Government Government within two years years from the date date on which he/ she registers himself/herself as a Medical Practitioner, serve for a period of not less than five years and in such rural areas as the Government may ma y by General or Special orders specify. specify.   (4)

(5)) (5

(6)) (6

(7) (7)

(ii) Those candidates who fail to comply with clause 3 (i) shall have to pay a sum of 5,00,000/ - (Rupees Five Lakhs only) or as the Government may direct as penalty for having breached the contract in the bond. During Dur ing the the period period of of Interns Internship hip unde underr clause clause (2) (2) and whil while e in servi service ce under under clau clause se (3) (3) the candidate shall faithfully, diligently and with skill and ability perform his/her duties and observe the rules for the time being in force made by the Governor Gover nor or the President as the case may be for regulating the conduct of Government Servants. While Whi le in servi service ce under under clause clause (3) (3) the pay pay and allow allowanc ances es and othe otherr conditi conditions ons of servi service ce of the the candidate shall be regulated by the rules and orders of the Government for the time being in force, for the post to which he/she is appointed. Candidates who discontinue the course between 25th September and 29th September   ,, 2015 are 2015  are bound by the bond and thereby ther eby they shall have to pay a sum of 1,00,000/1,00,000/- (Rupees  (Rupees One Lakh only ) as penalty for having breached br eached the contract in the bond and the candidates who discontinue the course on or after 30th September , 2015 2015   and in any date of the subsequent years shall have to pay a sum of 10,00,000/- (Rupees Ten Ten Lakhs only) as penalty.  Any sum falling due from the candidate under this agreement shall be recovered from him/her 

as an arrear of land revenue  revenue . If any dispute shall arise between the parties hereto in respect of this agreement or any of the provisions herein contained or anything arising hereunto except in respect of matters on which decision of the Government under clause clau se (6) is declared to be final and binding, the sam same e shall be referred to the arbitration of Director of Medical Education whose decision thereon shall be final and binding on the parties. (9) The witn witness ess shal shalll bea bearr the stam stamp p duty duty pay payabl able e in respe respect ct of this this agre agreemen ementt if requi required. red.   In witness whereof the parties hereto have appended their signature hereunto on the dates respectively mentioned against the signature. (8)) (8

WITNESS : 1. 2.

Signature of the Candidate with date / Signature of the Parent / Guardian with date (If the Candidate is minor) and full address Signature of the Head of the Institution with date For and on behalf of the Governor.

37

 

To The Governor of Tamil Nadu WHEREAS, the Governor has, in order to secure due performance of the above agreem agreement, ent, demanded security from the candidate. Now, THEREFORE, in consideration consideratio n of the admission of the candidat candidate e to the said college and his/her continuance there, for training as aforesaid and at the request of the candidate. (i (i))

_____ __________ _________ ____ S/o D/o _____ __________ __________ _______ __ R Resid esident ent of __________ ______________ ____ in the Taluk of   ___________  ________ ___ District District of ______________( ______________( Parent/Guardian of the candidate)

(i (ii) i)

_______ __________ _______ _____ _ S/o D/o _____ ________ ______ _______ ______ __ Resid Resident ent o off ______ __________ _____ _ in the the Taluk aluk of   ___________  ______ _____ Dist District rict of ___________ ______________ ___

(i (iiiii))

____ _______ ______ ______ ___ S/o D/o _______ ___________ _______ _____ __ Reside Resident nt of _______ __________ ___ in the  ___________ Dist  ___________ District rict of ___________ ______________ ___

Taluk aluk of 

hereinafter called “the sureties” on behalf of the candidate do hereby jointly and severally agree that in the event of the candidate committing any breach of any term of the th e above agreement to which breach the decision of the government shall be final and binding on the sure sureties, ties, we shall pay the Government on demand and without demur the sum of

5,00,000/- (Rupees Five lakhs only) /

  10,00,000/- (Rupees Ten Ten lakhs only) as the case may be; or as the Government may direct and we hereby bind ourselves and representatives for such payment. We further agree that any sum due hereunder shall be recovered as an arrear of land revenue. revenue . We also agree that notwithstanding the provision of Section 133 and 135 of the India Contract Act, 1872 (Central Act IX of 1872) or any other rule of law or equity in that behalf, any indulgence of  forbearance shown by the Government Governm ent to the candidates or any variance in the terms of the contract with the candidate whether with or without the consent of the sureties or either of this shall not operate as a discharge of the sureties obligations under this bond.

Signed by us this _____________________day of ________________________ 20___

WITNESS :

1.

1.

Signature of First Surety Parent / Guardian of Candidate Full Address :

2.

2.

Signature of Second Surety Full Address :

3.

Signature of Third Surety Full Address :

38

 

ANNEXURE VIII MEDICAL CERTIFICATE CERT IFICATE FOR ADMINISTRATION OF HEPATITIS-B HEPATITIS-B VACCINATION VACCINATION

 

I, Dr. ___________________________ Registration No. _______ certify that I have this _____

day of _____ 2015 administered the Hepatitis-B Vaccine 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 Medical Officer :

PLACE : DATE

Name and Designation : Officer Seal :

:

ANNEXURE IX LIST OF RELIGIONS RELIGION

LIST OF MOTHER TONGUES

CODE NO.

MOTHER TONGUE

CODE NO.

BUDDHISM

1

HINDI

1

CHRISTIANITY

2

KANNADA

2

HINDUISM

3

MALAYALAM

3

ISLAM

4

TAMIL

4

JAINISM

5

TELUGU

5

SIKHISM

6

URDU

6

OTHERS

7

OTHERS

7

39

 

ANNEXURE X Joint Declaration by the candidate and Parent / Guardian (This should not be enclosed with the application but should be submitted only at the time of admission) I /We do hereby Solemnly and sincerely affirm 1.

that the stat stateme ements nts made and infor informat mation ion furn furnish ished ed iin n the applica applicatio tion n submit submitted ted and also also in all the enclosures thereto submitted submitted by him/her are true. Should it however be found that that any information furnished therein is untrue in material particulars, I/we realize that he/she is liable for criminal prosecution and forfeiture of his / her seat in the Institution allotted during the counseling.

2.

that my so son/da n/daugh ughter/ ter/war ward d would would co confor nform m str strict ictly ly to all all the the rules rules and and regula regulatio tions ns presc prescribe ribed d by the Tamil Tamil Nadu Dr. M.G.R. M.G.R. Medical University, Chennai in force now or which may be introduced in the Institution hereafter and that I/we realize realize that breach of discipline and rules on my son’s/daughter’s/ward’s part would entail forfeiture of his / her seat in th the e Institution.

3.

that my son/daughter/ward shall not make any claim for admission to a particular college as a matter of right during allotment/ Re-allotment.

4.

tha thatt my son/ son/dau daught ghter/ er/war ward d agrees agrees to pay pay an any y amo amount unt that that may become become due due as as and when when the fee structure is revised as may be decided by Government of Tamil Nadu /Committee appointed by the Government for the purpose.

5.

that my son/ son/daug daughte hter/w r/ward ard do do hereby hereby agree agree to conform conform to foll follow ow the the rules rules and regulat regulation ions s including those relating rela ting to the hostel laid down or to be laid down by the Dean of the Institution for due maintenance of discipline at the said College and assure that he/she will not join any agitation /strike of any kind during course of study and further agree to make good when called upon to do so to the Government of Tamil Tamil Nadu any damage to furniture, apparatus or other  articles which may be caused by any carelessness negligence and wantonly on his/her part.

6.

that my son/d son/daug aughte hter/w r/ward ard who who is a Native Native of of T Tami amill Nadu Nadu and and will will not not claim claim dual dual Nati Nativit vity y in future.

7.

that my son/ son/daug daughter hter/war /ward d hereb hereby yd decla eclare re that he/she he/she belongs belongs to —————— ————————C ——Commu ommunity nity (Sub caste —————————) and is fully aware that producing a false Community certificate leads to expulsion from any course of study at any time besides initiation of criminal action against him/ her as per law.

8.

that that we are are fully fully aware aware,, as pe perr the direc directio tions ns of the the Hon’bl Hon’ble e Suprem Supreme e Court Court of India India and and Tami Tamill Nadu Prohibition of Ragging Act 1997, Ragging is an offence, and is banned in the Institution and anyone indulging in ragging is liable to be punished by expulsion from the Institution and /or rigorous imprisonment up to 3 years, and / or fine up to 25,000/-.

Place : Date :

Signature of Candidate

40

Signature of the Parent / Guardian

 

ANNEXURE XI INSTRUCTIONS FOR PHOTOGRAPHS 1.

Thr Three ee recen recentt id ident entica icall pa passp ssport ort size size photog photograp raphs hs wi with th lilight ght back backgro ground und are are requi required red..

2.

Po Pola laro roid id pho photo togr grap aphs hs are are NOT NOT acc accep epta tabl ble. e.

3.

Ph Phot otog ogra raph phs s must must be sn snap appe ped d on or af afte terr 1st  April , 2015.

4.

Photogr Photographs aphs mus mustt be taken taken with a placar placard d indica indicating ting name of candid candidate ate ( as in in the applica application tion)) and date of taking photograph.

5.

In ca case se the the name name and date date are are writt written en on the p phot hotogr ograph aph afte afterr taking taking it, it, the the applic applicati ation on will will be rejected.

6.

The name name and and d dat ate e on on tthe he photo photogr graph aph mu must st be clea clearr and and le legi gibl ble. e.

7.

Pho Photog tograp raph h sh shoul ould dN NOT OT have have cap cap a and nd gogg goggles les.. S Spec pectac tacles les are all allowe owed. d.

8.

On One e ph phot otog ogra raph ph eac each h sho shoul uld d be past pasted ed ( NOT NOT ST STAPLE APLED D)o on n

·

Application Form

·

OMR Sheet.

9.

The phot photogr ograph aph paste pasted d on on tthe he App Applic licati ation on Form should should be attest attested ed by a G Gaze azette tted d Offi Officer cer / Headmaster / Headmistress with a clear stamp.

10 10..

The p phot hotogr ograph aph past pasted ed on on th the e OMR OMR Sheet Sheet should should not be attes attested ted..

11.

Appli Application cations s not not complyin complying g wi with th these these instr instructio uctions ns or with unclear unclear photogra photographs phs will be rejected rejected..

12 12..

Kee Keep p a few ident identica icall pho photog tograph raphs s in reser reserve ve for for use at at the time time of of admiss admission ion..

Note: If the photograph is not a recent one taken at the time of submitting the application, the application will be rejected.

41

 

ANNEXURE XII A. UNDERTAKING UNDERTAKING REGARDING AUTHORIZATION AUTHORIZATION I,……………………………………………...............………………………………….son / daughter  of Thiru……………………………………………..............………….aged…………………............…… years AR number……………...........……..and General Rank…………………..…… in the Merit list for MBBS/ BDS , 2015-2016 session do hereby solemnly affirm and undertake un dertake that the decision of  my authorized representative, Thiru/ Tmt/ Selvi………………………………………………… Son/ daughter / wife of…………………………………….Thiru………………………aged…………. years, regarding selection/ selection/ rejection of seat on the date of counseling(……………..) counseling(……………..) shall be binding binding on me and I shall not have any claim whatsoever, other than the decision taken by my authorized representati representative ve on my behalf on…………………………………….. Signature of the Candidate

Name………………………………….

AR No……………………….

 Address………  Addre ss…………………… ………………………. …………... ..

Gener General al Rank………… Rank………………… ………

B. AUTHORISATION LETTER I,……………………………………………………………………….son I,……………………………………………… ……………………….son /

daughter

of 

Thiru………………………………………………………………………...bearing AR number  ………………………….. and General Rank ……………….. in the Merit list for MBBS / BDS 20152016 session do hereby authorize, Thiru/ Tmt/ Selvi…………………… Selvi……………………………. ………. ……….Son/ Daughter  of……………………………………Thiru …………………………...............................……to represent me on……………………………………..before the Selection Committee, Directorate of Medical Education, Chennai for allotment of a seat in MBBS/ BDS courses , 2015-2016 session. The signature and the photograph of the above named Thiru/Tmt / Selvi …………………………………………………. …………………………………………………. ......................................... are attested below.

Photograph of Candidate

Name :

attested by a Gazetted Officer

Application Number : General Rank in the Merit List :

Signature of the Candidate :

Photograph of authorized Representative attested by the candidate

Signature of authorized Representative duly attested by the candidate

NB: Signature and seal of the attesting authority should cross over the photographs.

42

 

ANNEXURE XIII (a) INSTRUCTIONS FOR NATIVITY CERTIFICATE : 1.

Thi This s Cer Certi tifi fica cate te shou should ld be iss issue ued d by an off offic icer er of of the the Rev Reven enue ue   Department not below rank of Tahsildar Tahsildar in the Taluk Taluk concerned.

the

2.

This C Cert ertifi ificat cate e should should not be be issued issued by the the Spec Special ial Tahsild ahsildars, ars, Deput Deputy y Tahs Tahsild ildars ars such such as Loans, Land Acquisition, Election, Excise and HQs, Deputy Tahsildars, Special Deputy Collectors, Assistant Commissioner of Agricultural Income, Excise, Elections etc.

3.

The Cert Certifi ificat cate e shoul should d bear bear the stamp stamp of the offi office ce of of the Office Officerr si signi gning ng the the Certi Certific ficate ate..

4.

Any ffore oreign ign n nati ationa onall irresp irrespect ective ive of of the p peri eriod od of stud study y in the the Stat State e will will not beco become me eligi eligible ble to to apply for this course. No certificate of Nativity in the State State of Tamil Tamil Nadu, should therefore be issued to Nationals of other countries for this purpose.

5.

The certi certifyi fying ng offic officers ers shoul should d insist insist upon upon clear clear proof proof of the the Nativ Nativity ity of of the Parent Parent or Guardian Guardian of  the candidate and satisfy themselves on the genuineness of the residential qualification. They should be particularly careful in the case of candidates whose mother tongue is not Tamil Tamil and whose place of birth is other than Tamil Nadu and who have studied VIII to XII standards outside Tamil Nadu.

6.

Residence Certificate will not be considered as Nativity Certificate.

7.

The guidel guidelines ines prescr prescribe ibed d fo forr the the issue issue of Nati Nativit vity y Ce Certi rtific ficate ate and they are as fol follow lows s as per  Letter No.RA.V(B)16932/2000, No.RA.V(B)16932/ 2000, dated 3-4-2000 of the Special Commissioner and Commissioner  of Revenue Administration, Administration, Chepauk, Chennai-5. (i (i))

The pare parents nts/gu /guard ardian ians s of th the e applic applicant ants/s s/stud tudent ents s or the the applic applicant ants s themse themselve lves s should should have permanently resided continuously for a period of five years in Tamil Nadu.(ii) Permanently residing for a period of five years should be supported by documentary evidence.

(ii (iii) i)

The famil family y ration ration card, Electoral Electoral Roll, Census List if taken recently recently,, documents documents like sale deed, tax receipt etc. relating to the property owned by either of the t he parents or by the applicant may be verified.

(i (iv) v)

The Transf Transfer er Certifi Certificate cate issued issued by the the School School author authorities ities where the applica applicant nt had studied studied last may be verified to know whether he/ she was in the State for five years.

(v)

Enquir Enquiry y in the the villag village e / place place of resid residenc ence e of the n neig eighbou hbourr / Villa Village ge Admini Administr strati ative ve Officers regarding continuous residing.

(vi) (vi)

To ensure ensure that that wrong wrong or incorr incorrect ect addres address s had not not been been furnishe furnished d to obtai obtain n the certif certificat icate. e.

(vii (vii))

The birth birth plac place e of the parent, parent, place of residence residence of of the parent parent / father, father, permanent permanent assets, assets, mother tongue, place of education, place of marriage of the applicant / parents, the period of stay in and outside Tamil Tamil Nadu can also be considered before befo re issuing certificat certificate. e. ANNEXURE XIII (b) CERTIFICATE CERTI FICATE OF NATIVITY IN TAMIL TAMIL NADU

Name …………………………................… Application No:………………….. Certified that …………………..............….S/D/W …………………...... ........….S/D/W of ……………………........................... ……………………......................................…………..re ...........…………..residing siding at ………………………….......……………an applicant seeking admission to MBBS/BDS course in Government/Self Financing Colleges in Tamil Nadu is a Native Native of Tamil Nadu. Signature of Village Administrative Officer

Signature

:

Of ……………………..

Name & Designation

:

in the ……………. Taluk

Station

:

Of ……………… District

Office Seal

:

Date

:

Note: This Certificate should be issued by an officer of the Revenue Department not below the rank of Tahsildar in the Taluk Taluk concerned

43

 

ANNEXURE XIV ( a ) First Graduate Tution fee Concession (G.O.(Ms).No: (G.O.(Ms).No: 85, Higher Education (J2) Department, dated: 16.04.2010) CERTIFICATE It is certified that there is no Graduate in the family of Selvan / Selvi …………………………………………….S/O / D/ O Thiru…………………………………………… Presently residing at……………………………………………………………………………………….. at……………………………………………………………………………………….. …………………………………………………………… …………………………… ………………………………………………………………… ………………………………………………........... ……………...........  And who has appl applied ied for Professi Professional onal courses courses during during the year 2013, 2013, is eli eligibl gible e for Tuition Tuition Fee exempti exemption on as per the G.O.(Ms).No: 85, Higher Education (J2) Department,dated: 16.04.2010. Sl.No

Name

Relationship Father/ Mother/Brother/ Sister/ Grandfather / Grandmother 

Ag e

Educational Qualification

Whether Degree Holder  

1

2

3

4

5

6

Station :

Headquarters Deputy Tahsildar  

Date

Taluk :

:

District :

ANNEXURE –XIV (b) FIRST GRADUATE CONCESSION – JOINT DECLARATION FORM (G.O.(Ms).No: (G.O.(Ms).No: 85, Higher Education (J2) Department, dated: 16.04.2010) I hereby declare the details of my family fa mily members and their education qualifications to avail the tuition fee Waiver for my studies in professional courses under the scheme of waiver of tuition fees to the students from a family in which there are no gradutes. g radutes. Sl.No

Name

Relationship Father/ Mother/Brother/ Sister/ Grandfather / Grandmother 

Ag e

Educational Qualification

Whether Degree Holder  

1

2

3

4

5

6

I hereby solemnly and sincerely affirm that I am the first and only person from person from my family to claim the waiver of Tuition Fee for the entire en tire Professional Course of stu study dy and there is no graduate in my family so far. far. The particulars furnished above are true. Should it, however, be found that any information furnished therein is false in material particulars on verification at a later stage, I am liable for criminal prosecution and I also agree to return the amount equal to three times the tuition fee waiver availed by me. Date :

SIGNATURE OF CANDIDATE

Place: I solemnly and sincerely affirm that I am fully aware of the above declaration and the particulars furnished in the declaration are correct. I am liable for the criminal action/recovery of amount equal to three times of the fees waived, for incorrect particulars furnished. Date : Place:

SIGNATURE SIGNA TURE OF THE PARENT/GUARDIAN PARENT/GUARDIAN

44

 

ANNEXURE – XV LIST OF DISTRICTS IN TAMIL NADU Name of the District

Code No.

Name of the District

Code No.

 Ariyalur  Ariyal ur

01

Pudukkottai

17

Chennai

02

Ramanathapuram

18

Coimbatore Cuddalore

03 04

Salem Sivagangai

19 20

Dharmapuri

05

Thanjavur

21

Dindigul

06

Thiruvallur

22

Erode

07

Thiruchirapalli

23

Kancheepuram

08

Thiruvannamalai

24

Kanyakumari

09

Thoothukudi

25

Karur

10

Theni

26

Krishnagiri

11

Tirunelveli

27

Madurai

12

Tiruvarur

28

Nagapattinam

13

Tiruppur

29

Namakkal

14

Vellore

30

Nilgiris

15

Villupuram

31

Perambalur

16

Virudhunagar

32

Districts in Other States  K ERALA  KE

33

KARNATAKA

34

 ANDH  AN DHRA RA

35

OTHERS

36

45

 

ANNEXURE XVI INCOME CERTIFICATE CERTIFICATE ( This Certificate should be issued by issued by an Officer of Revenue Department not below the rank of  Tahsildar ahsilda r in the Taluk Taluk concerned.) concer ned.)

Name of the Applicant : ................................ Application No. ..................................... This is to certify that Annual income of Thiru/Thirumathi ...................................................... (Parent Name) Parent/Guardian* Thiru/Selvi/Thirumathi ....................... ........... ....................... ...................... .................an ......an applicant for  (Applicant Name) admission to MBBS/BDS course in Government/Self Government/Sel f financing Colleges in T Tamil amil Nadu residing at ................................................................................................................................... ................ is

....................... ................................ ......... (Rupees .......................... .................................................... .................................................... ..........................

................................ only)

Signature

:

Name Na me an and d Design Designat ation ion : Station

:

Office Seal : Date

Note: *Applicable only when both parents are deceased 1.

This Certificate should not be issued  issued  by Special Tahsildars, Deputy Tahsildars such as Loans, Land acquistion, Election, excise and HQs, Deputy T Tahsildars, ahsildars, Special Deputy Collectors,  Asst. Commissioner of Agricultural Income, Excise, Elections etc.,

2.

Can Candid didates ates of SC/SCA SC/SCA/ST /ST /whose /whose parents parents’’ annual annual income income is less less than than 2.50 lakhs lakhs and Candidates of Scheduled Caste converted Christianity whose parent’s annual income is less than 2.00 lakhs, claiming the fee concession for admission to Government Quota in Self  Financing Medical/Dental Colleges alone should should produce the above Income Certificate (As per G.O.(Ms) No.6, AD and TW T W Department, dated 9.1.2012 and G.o.Ms.No.92 AD and TW Department. Dated 11.9.2012).

46

 

ANNEXURE XVII MEDICAL COUNCIL OF INDIA NOTIFICATION New Delhi, the 3rd August, 2009 No. MCI-34(1)/2009-Med./25453 MCI-34(1)/2009-Med./25453 Implementation of the Regulations framed by the Medical Council of India to curb the menace of ragging in medical colleges. The operative part of the regulation is reproduced as under with regard to curb the menace of  ragging in medical colleges:“5. “5.

Meas Measur ures es for for p pro rohi hibi biti tion on of ra ragg ggin ing: g:--

5.1 The Medical College/Institution / University shall strictly observe the p provisions rovisions of the Act of the Central Government and the State Governments, if any, or if enacted and / or for the time being in force, considering ragging as a cognizable offence under the law at par with rape and other  atrocities against women and ill-treatment of persons belonging to the SC/ST and prohibiting ragging in all its forms in all institutions. 5.2 5.2

Raggin Ragging g in all its its for forms ms shall shall b be e tota totally lly banned banned in the entire Medical Medical College/I College/Institut nstitution ion / University including its departments, constituent units, all its premises (academic, residential, sports, canteen, etc) whether located within the campus or outside and in all means of  transportation of students whether public or private.

5.3 5.3

The Me Medical dical College/Inst College/Institutio itution n / University University shall take strict action against against those those found found guilty guilty of ragging and/or of abetting ragging.

6.

Mea Measur sures es for preven preventio tion no off rragg agging ing at the ins instit tituti ution on level: level:--

6.1

Befor efore e admi admis ssion sions s:-

6.1.1 The advertisement advertisement for admissions admissions shall clearly clearly mention that that ragging is totally banned banned / prohibited in the Medical College/Institution and anyone found fou nd guilty of ragging and/or abetting ragging is liable to be punished appropriately. appropriately. 6.1.2 The brochure of admission/instruction admission/instruction booklet for candidates shall print in block letters these Regulations in full (including Annexures). 6.1.3 The “Prospectus “Prospectus and other admission admission related documents documents shall shall incorporate incorporate all directions directions of the Hon’ble Supreme Court and /or the Central Centr al or State Governments as applicable, so that the candidates and their parents/ guardians are sensitized in respect of the prohibition and consequences of ragging. 6.1.4 6.1 .4 A Brochure Brochure or booklet/leaflet booklet/leaflet shall shall be distributed distributed to each student student at the beginning beginning of each academic session for obtaining undertaking not to indulge or abet ragging and shall contain the blueprint of prevention and methods of redress. The application form for admission/ enrolment shall have a printed undertaking, preferably both in English/Hindi and in one of the regional languages known to the institution institut ion and the applicant (English version given in Annexure I, Part I), to be filled up and signed by the candidate to the effect that he/she is aware of the law regarding prohibition prohibitio n of ragging as well as the punishments, and to the effect that he/she has not been expelled and/or debarred from admission by any

47

 

institution and that he/she, if found guilty of the offence of ragging and/or abetting ragging, is liable to be punished appropriately. appropriately. 6.1.5 The application application form shall also contain a printed undertaking, undertaking, preferably preferably both in English/Hindi English/Hindi and in one of the regional languages known to the institution and the parent/ par ent/ guardian (English version given in Annexure I, Part II), to be signed by the parent/ guardian of the applicant to the effect that he/ she is also aware of the law in this regard and agrees to abide by the punishment meted out to his/ her ward in case the latter is found guilty of ragging and/or abetting ragging.  A database shall be created out of affidavits affirmed by each student and his/her parents/ guardians stored electronically, and shall contain the details of each student. The database shall also function as a record of ragging complaints received. 6.1.6 6.1 .6 The application application for for admission admission shall be accompani accompanied ed by a document in the form form of the School Leaving Certificate/transfer certificate/migration certificate/ Character Certificate which shall include a report on the behavioral pattern of the applicant, so that the institution institution can thereafter  keep intense watch upon a student who has a negative entry in this regard. 6.1.7 6.1 .7 A student seeking seeking admission admission to the hostel hostel shall have to submit submit additional additional undertaking undertaking in the form of Annexure I (both Parts) along with his/ her application for hostel accommodation. 6.1.8 At the commencement commencement of the the academic s session ession the Head Head of the Institution shall shall convene and address a meeting of various functionaries/agencies, like Wardens, representatives of students, parents/ guardians, faculty, district administration including police, to discuss the measures to be taken to prevent ragging in the Institution and steps to be taken to identify the offenders and punish them suitably. 6.1.9 6.1 .9 To make the community community at large and the students students in particular particular aware of the dehumanizing dehumanizing effect of ragging, and the approach of the institution towards those indulging in ragging, big posters (preferably (preferab ly multicoloured with different colours for the provisions of law, law, punishments, etc.) shall be prominently displayed on all Notice Boards of all departments, hostels 4 and other buildings as well as at vulnerable places. Some of such posters shall be of permanent perm anent nature in certain vulnerable places. 6.1.10 Apart from placing posters mentioned in sub-clause 6.1.9 above at strategic places, places, the Medical College/Institution College/Institutio n shall undertake measures for extensive publicity against ragging by means of audio-visual aids, by holding counseling sessions, workshops, painting and design competitions among students and other methods as it deems fit. 6.1.11 6.1.1 1 The Medical College/Institution/University shall request the media to give adequate publicity to the law prohibiting ragging and the negative aspects of ragging and the institutions resolve to ban ragging and punish those found guilty without fear or favour. favour. 6.1.12 The Medical College/Institution/University shall identify identify,, properly illuminate and man all vulnerable locations. 6.1.13 6.1.1 3 The Medical College/Institution/University shall tighten security in its premises, especially at the vulnerable places. If necessary, intense policing policing shall be resorted to at such points at odd hours during the early months of the academic session. 6.1.14 6.1.1 4 The Medical College/Institution/University shall utilize the vacation period before the start of  the new academic year to launch wide publicity campaign against ragging through posters, leaflets. seminars, street plays, etc.

48

 

6.1.15 The faculties/ departments/ units of the Medical College/Institution /Uni /University versity shall have induction arrangements (including those which anticipate, identify and plan to meet any special needs of any specific section of students) in place well in advance of the beginning of the academic year with a clear sense of the main aims and an d objectives of the induction process. The Principal or Head of the Institution/Department shall obtain an undertaking from every employee of the institution including teaching and non-teaching members of staff, contract labour employed in the premises either for running canteen or as watch and ward staff or ffor  or  cleaning or maintenance of the buildings/lawns etc. that he/she would report promptly any case of ragging which comes to his/her notice. A provision shall be made in the service rules for issuing certificates of appreciation to such members of the staff who report rep ort ragging which will form port of their service record. 6.2. .2.

On admi admis ssion sion::-

6.2.1 6.2 .1 Every fresher fresher admitted to the Medical College/Ins College/Instituti titution/Uni on/Universit versity y shall be given a printed leaflet detailing when and to whom he/she has to turn to for help and guidance for various purposes (including Wardens, Head of the institution, members of the anti-ragging committees, relevant district and police authorities), addresses and telephone numbers of such persons/ authorities, etc., so that the fresher fre sher need not look up to the seniors for help in such matters and get indebted to them and start doing things, right or wrong, at their behest. Such a step will reduce the freshers dependence on their seniors. Every institution should engage or seek the assistance of professional counselors at the time of admissions to counsel ‘freshers’ in order to prepare them for the life ahead, particularly for  adjusting to the life in hostels. 6.2.2 The Medical College/Inst College/Institution itution/Univer /University sity through the leaflet leaflet mentioned mentioned above shall explain explain to the new entrants the arrangements for their induction and orientation which promote efficient and effective means of integrating them fully as students. 6.2.3 The leaflet mentioned mentioned above above shall also inform inform the freshers freshers about their their rights as bonafide bonafide students students of the institution and clearly instructing them that they should desist from doing anything against their will even if ordered by the seniors, and that they have nothing to fear as the institution cares for them and shall not tolerate any atrocities against them. them . 6.2.4 The leaflet mentioned above shall contain contain a calendar of events and activities laid down by the institution to facilitate and complement familiarization of freshers with the academic environment of the institution. 6.2.5 The Medical College/Institution/University College/Institution/University shall also organize joint sensitization programmes of ‘freshers’ and seniors. On the arrival of senior students after the first week or after the second week as the case may be, further orientation programmes must be scheduled as follows (i) joint sensitization programme and counseling of both ‘freshers’ and senior by a Professional counselor; (ii) joint orientation programme of ‘freshers’ and seniors to be addressed by the principal/Head of the institution, and the anti -ragging committee ; (iii) organization on a large scale of cultural, sports and other activities to provide a platform for the ‘freshers’ and seniors to interact in the presence of faculty members ; (iv) in the hostel, the warden should address all students; may request two junior colleagues from the college faculty to assist the warden by becoming resident tutors for a temporary duration.

49

 

6.2.6 6.2 .6 Freshers Freshers shall be encouraged encouraged to report report incidents incidents of ragging, ragging, either as victims, victims, or even as witnesses. 6.3. 6.3.

At the the end end of th the e aca academ demic ic year: year:--

6.3.1 At the end of every academic academic year the Dean/Princip Dean/Principal/Di al/Director rector shall shall send a letter to the parents/ guardians of the students who are completing the first year informing them about the law regarding ragging and the punishments, and appealing to them to impress upon their wards to desist from indulging in ragging when they come back at the beginning of the next academic session. 6.3.2 6.3 .2 At the end of every academic year year the Medical Coll College/Ins ege/Instituti titution on /University /University shall form a “Mentoring Cell” consisting of Mentors Me ntors for the succeeding acade academic mic year. There shall be as many levels or tiers of Mentors as the number of batches in the institution, at the rate of 1 Mentor for 6 freshers and 1 Mentor of a higher level for 6 Mentors of the lower level. Each batch of freshers should be divided into small groups and each such group shall be assigned to a member of the staff. Such staff member should interact individually with, each member of the group on a daily 6 basis for ascertaining the problems/difficulties if any faced by the fresher in the institution and extending necessary help. In the case of freshers admitted to a hostel it shall be the responsibility of the teacher in charge of the group to coordinate with the warden of the hostel and to make surprise visits to the rooms in the hostel where the members of the group are lodged. lodg ed.

50

 

INSTRUCTIONS FOR FILLING UP THE APPLICATION FOR MBBS AND BDS COURSES ADMISSION ADMISSI ON 2015– 2016 1.

AP APPL PLIC ICA ATI TION ON CONS CONSIS IST T OF OF T TWO WO PARTS ARTS:: Part 1 : Application Form Part 2 : OMR Sheet

The Application Application Form contains 25 items. Sub group of the items of the application is reproduced in the OMR Sheet. 2.

ME METH THOD ODS S OF ENTE ENTERI RING NG PAR PARTI TICU CULA LARS RS IIN N THE THE APP APPLI LICA CATI TION ON:: -

Particulars required by an item are to be entered in the Application in long hand or in coded form depending on the item. item. “Address for Communication Communication “ for example, iis s written in long hand. hand. For  certain items, like “ Medium of Instruction “, several alternative responses are listed in tabular form. Each alternative is assigned a code. You must encircle the code which will signify your response to that item. In the case of certain items, like Native District, you respond by writing a code in the box or boxes provided. 3.

SUPPORTIVE DOCUMENTS: -

Documents / Certificates are required in support of the data furnished by the candidate for the following :- Date of Birth, Community Certificate, if applicable, Marks in qualifying examination, Nativity Certificate, if applicable and claim for Special Category seats, if applicable, first Graduate if  applicable. Only Photocopies should be submitted along with the application The originals should be produced at the time of counselling and admission.  An attested passport passport size size photograph should be affixed affixed to to the application form as instructed.  Attested passport passport size photograph should be af affixed fixed to the application form as instructed. Attestion should be done by Grade A or Grade B Officers of the Central / State State Government or by the Head of  the Institution wherein the candidate studied last. 4.

APPLICATION FORM: GENERAL POINTS

  Instructions for filling up the Application form are given, item-wise. you must adhere strictly to these instructions. Two factors may be taken notice of (1) The format in which you furnish your data is of decisive importance (2) The item-descriptions and column-headings in an item might use abbreviated words and / or shortended form of sentences. sentences. Explanation / elucidation elucidation would be given in the instructions. In view of the foregoing, it is essential that you read the instructions for an item, and then fill up the particulars in the application.

51

 

INSTRUCTIONS : 1

+2Exam xamination tion Reg egiste isterr Number, Month and Year

This number month and year of +2 examination in which the candidate cand idate passedall subjects in singlesit sittiting. ng. It iis sa an n identitifification cation at all stages of admission to Professional Colleges and for future reference. Month of the Exam Examinati ination on to be entered num numerically erically eg., if if the the month of the examinati examination on is March it may be en entered tered as “ 03 “. Enter the Register number in eight digits, month in two digits and yearr in yea in four digits EXAMPLE: If you have passed the examination in March 2015 with Register Number 106920 enter the data as 1 0 6 9 2 0

2 3 4

Name in the the block blocklett letter ers s initials a att the the en end d Address for Communication Name of Pa Parent / guardian

5 6

Sex (Encircle a code) Nati tio onality lity(Encir irc clea code )

7

Nativity

7a

Detail tails s of Educatio tion (Encirc irclea code)

7b

If yo you have complete leted d yo you ur p plu lus s 2/ Equ quiva ivalen lentt sch scho ooling oling in Tamil Nad Nadu u encircle a code

2 0 1 5

Exam xample: KANI.K. (No (Note th the e co com mma af afte terr th the e name) Self – Explanatory Guardian’s Name to be given only when both the parents are not alive. Self – Explanatory Ind Indian ian natio tionals(b (by y bir irth thand / or domic icilile e) shouldencirc ircle“1 “1”, ”, Others Othe rs should encircle ““2”. 2”. Native of Tamil Nadu “should encircle code No.1, others encircle 2.a (1 7 (1)) ((2 2) (Se (Self Explan lanato tory ry)) Note: Candidate falling under category 7 a (2) should produce the nativity nativity certif certificate icate for eligibil eligibility. ity. For e ex xample if y yo ou have complete leted d your p plu lus s 2stu tud dy iin n Gov over ernm nmen entt s sch choo ooll e enc ncircle irclecod code 1 orgove vern rnm ment a aid ided edsch schoo ooll encircle code 2. Likewise encircle appropriate code. Sc h o o l o f s t u d y i n + 2

8

School (s) of Study

9

Date of Birth

0 3

Co d e

Government

1

GovernmentAided

2

Corporation

3

Municipality

4

KVS CBSE

5 6

Private School

7

Others Othe rs ( Specify) Specify)

8

Furnish the particulars regarding your schooling for the VIII, IX, X, XI and XII standards with correct address including pincode and indicate indicate the place ofschooland nameoftthe he State in which tthe he school is situated. In case you have studied in more than one school in any of the standards then, list the particulars, corresponding to the year  when you passed that standard. Day, Month and Year of Birth, as per Christian era, should be entered using a two two digit number for each. Note that the year is to be’ specified below. below. Example: 6th August 1998mustbeentered entered as,

52

0 6 0 8 1 9 9 8

 

10

11

Community unity (Enc ncircle irclea Cod ode e)

Caste Code

Cl as s i f i c at i o n

A b b r ev i at i o n

Co d e

Other Communities ies

OC

1

Backward Class

BC

2

BackwardClassMuslim Muslim

B CM

2A

Most Mo st Backw Backward ardClass

MB C

3

Denotifi tified edCommunit nity y

DC

3

Scheduled Caste

SC

4

SCArunthathiyar  runthathiyar 

SCA

4A

Scheduled Tribe

ST

5

Choose the code appropriate to your caste and encircle. L Liist of   Communities in the prospectus gives the approved list of the various tribes tribes / cas castes tes / communities / classes classes.. Confi Confirm rm that the classificati classif ication on to wh which ich you belong belong isin in accordance accordance witith h these lists. The List List of Communiti munities es specifies a code for each of tthe he tribes tribes / castes / communiti unities es / classes. Ob Obtain tain the the code code appropriat appropriate e to your caste and enter enter it it as a three – digit number. On One e digit per  box. Candidates belonging to Candidates to the O.C. should enter Caste Code as 500. Refer List of Communiti munities. es.

12

Name of the Caste

Enter in long hand, the name of the caste / community / class to which you belong. Note: Item 11 is to be filled up only by candidates whose classifification classi cation iis s 2, 2A, 3, 4, 4A and and 5 OC candidates can skip 11 & 12item items.

13 13..

Qualifyin ifying gExa Examina ination tion

Qu al i f y i n g Ex am i n at i o n

Co d e

( Encircle a Code )

H.S.E. (Higher Secondary Examination of   Tamil Nadu State Board)

1

SSCE/ C CB BSE(Senior Secondary Certificate

2

Examination or Central Board of Secondary Eduction ISCE(Indian School Certificate Examination

3

OTHERS (Any other examination which has been recognised asequivalent to ““1”which recognised 1”which includesother  state board HSC) 13a Partic cu ula lars rsof pa passing ing the the qualify lifying ing examination.

The Registe isterr n nu umber w with ith th the e month and y ye ear y yo ou h ha ave passed the qualifying examination

14

Religion

Religion

4

Code No.

Buddhism

1

Christianity

2

Choose the code numbers

Hinduism Islam

3 4

representing your case and enter in the box

Jainism

5

Sikhism

6

Others

7

53

 

15

Marksobtaine obtained d insele select ct scie science ncesubject in th the e Enter Enter themarksob obtaine tained d intheselect select science sciencesu subjec bjectt qualify qualifying ingexam examinationin thefirstattempt and and ca calculate lculate the perce percenta ntage ge and and weigh weighted ted avera average ge marks as given in the application

15a 15a Marksobtaine obtained d inthefourth fourth op optiona tionall sub subject ject

Enter Enter th the emarks arks o obta btaine ined d inthefou fourth rth option optional sub subject. ject. In resp respec ectt oftthe he candidateswho have taken Botanyand Zoology, Zoology,entertthe he sum of of marksobtained obtained in Botanyand Zoologyand also enter the maximum marksaccordingly.

16

Be Betwe tween enthetime time o off passin passing gy you ourr +2or equ equivale ivalent nt exa exam mina ination tion

If you have havebeen beenor p prese resently ntly a s stud tuden entt of a

professional coll college egein Tamil Naduthen furnish andtill till now now,, did you join andstudy in anyof the Professional particula particulars. rs. If not, not, w write rite a as s NotAp Applica plicable ble Co College lleges s inTamil Nadu Nadu.. if so, furnish furnish theNa Nam me of Course ourse,, (N.A.) year(s) o off study(i.e.) from (Month, Year) to (Month, Year) and name and place of the College. 17

Special ial Ca Cate teg gory (a (a) an and (b (b))

18a Educati tio onal sta statu tus s of the thefam family ily

Self – Expla lan nato torry. Ente terr th the e name of th the e special ial c ca ate teg gory and code number and enter tthe he application application form number number of special category in which they applied for. “F Fa amily“ in inc clud ludes Gra ran ndfa fath the er, G Gra ran ndmoth the er, F Fa ath the er, M Mo oth the er, Brothers and Sist isters. ers. If none none of the memb members ers of your family iis sa Graduate tick Yes if not tick No

18b 18b Ha Has s your your bro brothe ther/ r/ sister availed availedfirst grad gradua uate te fee concession for studying professional courses.

If yo your brother/ sister has availed concession tickYes if not tick No

19

Mediumof Instructions

Encircle the code in which mediumyou have studied.

20

Mother Tongue

Mother Tongue

21 22

Occupati tio on of Paren rent / Guardia rdian n.

Code No.

Hindi

1

Kannada

2

Malayalam

3

Choose the code numbers

Tamil

4

representing your case

Telugu

5

and enter in the box

Urdu

6

Others

7

The Class lassifi ifica catio tion ns are are self ex expla lan nato tory ry.Ca .Candid ida ate tes s sh should

encircle the codes appropriate to them. Average Averagemon onthly thly income of Parent Parent / Guardian. uardian. Details Details rega regarding rding Guardian Guardian should should be given given only when when both both parents paren tsof a cand candidate idate are notalive. alive. Encircl Encircle e a code appropriate appropriate to them them.

23

Civ ivic icstatu tatus s of yo your Nativ tive Plac lace

“ Nativ tive Plac lace” is is defi fin ned hereas th the e villa illage / tto own / c cit ity y you hail from. The classification given in the table are self explanatory. Encircle a code appropriate to them.

24

Civic ivicstatu tatus s of School Plac lace.

“School Plac lace “ isthe the plac lace of th the e School in which ich you comple lete ted d your XII XII st standa andard. rd. The classifi classificati cation on given in the table are are self  explanatory. explana tory. Encircle a code appropriate appropriate to them them.

25

Native District Code

Refer theAnnexure XV of Prospectus, obtain the code for your  native district district and enter enter it it as a two two digit digit number. Use the same annexure XV to fillup District code in which +2 / Equival Equ ivalent ent Studied

54

 

55

 

56

 

57

 

Signature of the Parent / Guardian

58

 

59

 

60

 

1. 2. 3. 4. 5.

1. 2. 3. 4. 5. 6. 7. 8.

 ANNEXURE  ANNEXURE LIST OF COMMUNITIES 2015-16 SESSION LIST OF BA CKWARD CLASSES, MOST MOST BA BACKWARD CKWARD CLASSES, DENOTIFIED COMMUNITIES COMMUNI TIES THROUGHOUT THROUGH OUT THE STATE STATE OF TAMIL NADU UNLESS AND OTHERWISE SPECIFIED BACKWARD CLASSES G.O. .O.Ms. Ms.No No.85 .85 Ba Backw ckwar ard d Classes Classes,, Most Back Backwar ward d Classe Classes s and Minor Minoriti ities es wel welfar fare e Department dated 29.7.2008 G.O.M .O.Ms.N s.No.96 o.96,, Ba Backwa ckward rd Class Classes, es, Most Most Backwa Backward rd Class Classes es and and Mino Minoriti rities es w welfa elfare re Department dated 8.9.2008 G.O. .O.Ms. Ms.No No.97 .97 Ba Backw ckwar ard d Classes Classes,, Most Back Backwar ward d Classe Classes s and Minor Minoriti ities es wel welfar fare e Department dated 11.9.2008 G.O. .O.Ms. Ms.No No.37 .37 Ba Backw ckwar ard d Classes Classes,, Most Back Backwar ward d Classe Classes s and Minor Minoriti ities es wel welfar fare e Department dated 21.5.2009 G.O. .O.Ms. Ms.No No.98 .98 Ba Backw ckwar ard d Classes Classes,, Most Back Backwar ward d Classe Classes s and Minor Minoriti ities es wel welfar fare e Department dated 5.1.2009. Ag Agam amud uday ayar ar iinc nclu ludi ding ng Th Thoz ozhu hu or Th Thul uluv uva a Vel Vella lala la.. Agaram Vellan Chettiar. Alwa Alwar, r, Azhavar Azhavar and and Alavar Alavar (in (in Kanniy Kanniyakum akumari ari D Distric istrictt an and d Shenko Shenkotta ttah h ta taluk luk o off T Tirun irunelve elvelili Di District strict). ). Serva Servaii (excep (exceptt Tiru Tiruchi chirap rapall alli, i, Ka Karur rur,, Perum Perumba balur lur and and Pudu Pudukot kotta taii Dist Distric ricts) ts).. .. Nu Nulay layar ar (in (in Ka Kann nniya iyakum kumari ari Dist Distric rictt and She Shenko nkotta ttah h taluk taluk of Tiru Tirune nelve lvelili Distr District ict). ). Archakarai V Ve ellala. Aryava Aryavathi thi (in Kann Kanniya iyakum kumari ari Dis Distri trict ct and and Shen Shenkot kottah tah tal taluk uk of of Ti Tirun runelv elveli eli Distri District) ct).. Ayira Vaisyar.

9. 10. 11. 12.

Badagar. Billava B ondi l . Boyas Boyas (excep (exceptt Tiruchir Tiruchirapp appalli, alli, Karur Karur,, Perambalu Perambalur, r, Puduko Pudukottai ttai,, The Nilgiris Nilgiris,, Salem, Salem, Namakkal Namakkal Krishnagiri and Dharmapuri Districts) and Pedda Boyar (except Tiruchirapalli, Karur, Perambalur  and Pudukottai Districts). Oddars (except Thanjavur, Nagapattinam, Tiruvarur, 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, Sivagangai, Virudhunaga Virudhunagar, r, Ramanathapur Ramanathapuram, am, Thanja Thanjavur, vur, Nagapattinam, Nagapattinam, Tiruvarur, Pudukottai, Tiruchirapalli, Karur, Perambalur, Madurai, Theni, Dindigul and the Nilgiris Districts). 14. Chavalak Chavalakarar arar ((in in Kan Kanniya niyakuma kumari ri Distr District ict and S Shen henkott kottah ah Taluk Taluk o off Ti Tirune runelveli lveli D Distric istrict). t). 15. Chettu Chettu or Chett Chetty y (includ (including ing Kot Kottar tar Che Chetty tty,, Elur Chet Chetty ty,, Pathir Pathira a Chetty, Chetty, V Valay alayalch alchetty etty,, Puduk Pudukada adaii Chetty (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District). 16. Chowdry. 16.A Converts to Christianity from from Sched Scheduled uled Castes Castes irrespective of the generation of conversio conversion n for  the purpose of reservation of seats in Educational Educational Institutions and for seats s eats in Public Services. 16.B C.S.I. formerly S.I.U.C. (in Kanniyakum Kanniyakumari ari District and and Shen Shenkottah kottah Taluk of Tirune Tirunelveli lveli District). 17. Donga Donga Dasar Dasaris is (except Kan Kanchee cheepura puram, m, Tiruval Tiruvallur lur,, Tiruchirap Tiruchirapalli, alli, Karur, Karur, Peramba Perambalur lur,, Pudukottai, Pudukottai, Chennai, Salem and Namakkal Districts.) 18. Devangar, S Se edar. 19. Dombs Dombs (except (except Puduk Pudukotta ottai, i, Tiru Tiruchira chirapalli palli,, Karur Karur and P Peram erambalu balurr Distri Districts). cts). Domm Dommars ars (except (except Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Vellore and Tiruvannamalai Districts). 20. Enadi . 21. Ezhavath Ezhavathy y (in Kanniy Kanniyakum akumari ari Di District strict a and nd Shenko Shenkotta ttah h T Taluk aluk of of Tirun Tirunelve elvelili Dist District). rict). 22. Ezhuthac Ezhuthachar har (in Kanniyaku Kanniyakumari mari D Distric istrictt and Sh Shenko enkottah ttah Taluk o off T Tirun irunelvel elvelii District). District). 23. Ezhuva Ezhuva (in K Kann anniyaku iyakumari mari D District istrict and and Sh Shenko enkotta ttah hT Taluk aluk o off Tirun Tirunelvel elvelii District). District). 24. Gangavar. 25. Gavara, Gavara, Gavarai Gavarai a and nd V Vadu adugar gar (V (Vaduv aduvar) ar) (other (other than than Kamma Kamma,, Kapu, Kapu, Bali Balija ja and Red Reddi). di). 26.

Gounder.

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27. 28. 29. 30. 31. 32. 33. 34 34.. 35 35.. 36. 37. 38.

39 39.. 40. 41. 42. 43 43.. 44 44.. 45. 46. 47 47.. 48. 49 49.. 50. 51. 52.

Gowda Gowda ((inc includ luding ing G Gam amma mala, la, K Kala alalili an and d Anu Anupp ppa a Gou Gound nder) er).. Hegde. Idiga. Ill Illath athu u Pil Pillai laima marr, Ill Illuva uvar, r, Ezhu Ezhuvar var and and Illa Illatha thar. r. Jhetty. Jogis ((except except Kanch Kancheepu eepuram, ram, Tiru Tiruvallur vallur,, Mad Madurai, urai, Theni, Theni, Dind Dindigul, igul, Cuddalore, Cuddalore, V Villupur illupuram, am, Vellore Vellore and Tiruvannamalai Districts). Kabbera. Kaik Kaikol olar ar,, Seng Sengun unth thar ar.. Kala Kaladi di (exce (except pt Siva Sivagang gangai, ai, Virudhu Virudhunaga nagar, r, Raman Ramanatha athapura puram, m, Mad Madurai, urai, Theni, Theni, Dind Dindigul, igul, Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Kalari Kalari Kuru Kurup p inclu including ding K Kalari alari Panic Panicker ker (in K Kann anniyaku iyakumari mari D Distric istrictt and Shenko Shenkottah ttah o off Tirunelvel Tirunelvelii District). Kal i ng i . Kallar. Easanattu Kallar. Gand Ga ndar arva vako kott ttai ai Kall Kallar ars s (except Thanjavur, Thanjavur, Nagapattinam, Nagapattinam, Tiru Tiruvarur varur and Pudukottai Districts). Ko Koot otap appa pall Kalla Kallars rs (e (exc xcep eptt P Pud uduk ukot otta tai, i, Ti Tiru ruch chir irap apal alli li,, Kar Karur ur and and Pera Peramb mbal alur ur Di Dist stri rict cts) s).. Pi Pira ram mala alai Ka Kall llar ars s (e (exc xcep eptt Siv Sivag agan anga gai, i, Vir irud udhu huna naga garr, R Ram aman anat atha hapu pura ram, m, Madu Madura rai, i, Theni, Dindigul, Pudukottai, Thanjavur, Nagapattinam and Tiruvarur  Districts). Periya Periy a Sooriyu Sooriyurr Kallars (except (except T Tiruch iruchirap irapalli, alli, Ka Karur rur,, Perambalu Perambalurr and Pud Pudukot ukottai tai Di District stricts). s). Kall llar ar K Ku ula T Th hondaman. Kalveli Gounder. Kambar. Kammala Kammalarr or Visw Viswakar akarma, ma, Viswak Viswakarma armala la (inc (includin luding g Th Thatta attar, r, Po Porkoll rkollar, ar, Kann Kannar ar,, Karu Karumar mar,, Kollar Kollar,, Thacher, Kal Thacher, Kamsala and Viswabrahmin). Ka Kani ni,, Kani Kanisu su,, Ka Kani niya yarr Pa Pani nicke ckerr. Kan aniy iya ala Vell lla ala larr. Kannada Kannada Sa Sainee ineegar gar,, Kannadiya Kannadiyarr (Throu (Throughou ghoutt the State) State) and and Dasa Dasapal palanji anjika ka (Coimbato (Coimbatore, re, Erode Erode and the Nilgiris Districts). Kannadiya Naidu. Karp rpo oora Chettia ttiarr. Karunee Karuneegar gar (See (Seerr Karuneega Karuneegar, r, Sri Kar Karune uneega egar, r, Sarattu Sarattu Karune Karuneega egar, r, Ka Kaikatt ikattii Karuneega Karuneegar, r, Mathuvazhi Kanakkar, Sozhi Kanakkar and Sunnambu Karuneegar). Ka Kasu sukk kkar ara a Che hett ttia iarr. Ka Kate tesa sarr, Patt Patta amka mkatti. tti. Kavuthiyar. Kerala Mudali.

53. 54. 55. 56.

Kharvi. Khat r i . Kongu V Va aishnava. Kongu Kongu Vel Vellala lalars rs (including (including Vella Vellala la Gounder Gounder,, Nattu Gounder Gounder,, Naramb Narambukka ukkatti tti Goun Gounder der,, Tiru Tirumud mudii Vellalar, Thondu Vellalar, 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. Krishnanv Krishnanvaka aka (in Kanniyaku Kanniyakumari mari D Distric istrictt and Shenko Shenkotta ttah hT Taluk aluk o off Tir Tirune unelveli lveli D Distric istrict). t). 60 60.. Kud udik ika ara Vel ella lala larr. 61. Kudumbi Kudumbi (in (in Ka Kanniy nniyakum akumari ari Di District strict a and nd Sh Shenko enkottah ttah Taluk o off Ti Tirune runelveli lveli D Distric istrict). t). 62. Kuga Ve Vellalar. 63. Kunchidigar.   63 63A. A. Latin Catholics except Latin Catholic Vannar (in Kanniyakumari Kanniyakumari District)   63B. in Shencottah Taluk of Tirunelveli District District.. 6 4. LLatin ambaCatholics di.

62

 

65 65.. 66. 67. 68. 69. 70.

Linga ingaya yatt (J (Ja angama) Mahra Mahratta tta (No (Non-B n-Brah rahmin min)) (inclu (includin ding g Na Namd mdev ev M Mah ahrat ratta) ta) Malayar. M al e. Maniagar   Maravars ( e x c e p t T h a n j a v u r, N a g a p a t t i n a m , T i r u v a r u r, P u d u k o t t a i , Ramanathapuram, Sivagangai, Virudhunagar, Tirunelveli and Thoothukudi Districts). Karumaravars Appanad Kondayam Kottai Maravars ( ex ex c ce e pt pt S iiv va ag g an an ga ga i, i,

Virudhunagar, Ramanathapuram, Madurai, Theni and Dindigul Districts). Semba Sembana nad dM Mara aravar vars s (excep (exceptt Sivaga Sivagang ngai, ai, Vi Virud rudhu huna nagar gar a and nd Ra Rama manat natha hapu puram ram D Distr istrict icts). s). 71. Moond Moondrum ruman anda daii Enbath Enbathuna unalu lu (84) (84) Ur. Ur. Sozh Sozhia ia V Vell ellala alar. r. 72. Mooppan. 73. Muthu Muthuraj raja, a, Muthu Muthurac racha ha,, Muttir Muttiriya iyarr, Mu Mutha tharai raiyar yar.. 74. Nadar Nadar,, Sha Shanar nar and and Graman Gramanii (including (including Christian Christian N Nadar adar,, Christian Christian Shanar Shanar and Christia Christian n Gramani). Gramani). 75. Nagaram. 76. Naikkar Naikkar (in K Kann anniyaku iyakumari mari D Distric istrictt and S Shen henkott kottah ah T Taluk aluk o off T Tirun irunelve elvelili Distr District). ict). 77 77.. Nangud udii Vell llal ala ar. 78. Nanjil Nanjil Mud Mudali ali (in Kann Kanniyaku iyakumari mari D Distric istrictt and Shenko Shenkottah ttah Taluk o off Ti Tirune runelveli lveli D Distric istrict). t). 79. Odar Odar (in Ka Kanniy nniyakum akumari ari Di District strict and S Shen henkott kottah ah Taluk Taluk o off Tirun Tirunelve elvelili Dist District). rict). 80. O di y a . 81 81.. Oott Oottru ruva vala lana natt ttu u Vell Vellal alar ar.. 82. O.P.S .S.. V Ve ella llalar. 83. Ovachar. 84 84.. Paiy Paiyur ur Ko Kott tta a Vel ella lala larr. 85. P am ul u. 86. Panar Panar (excep (exceptt in Kanniyaku Kanniyakumari mari Dis District trict an and d Shenkott Shenkottah ah Taluk Taluk of T Tirune irunelveli lveli District District where where the community is a Scheduled caste). 86A.. Pa 86A Pand ndiy iya a V Vel ella lala lar  r  88 88.. Ka Kath thika ikara rarr in in K Kan anni niya yaku kuma mari ri Distr District ict.. 89. Panni Panniran randa dam m Ch Chett ettiar iar or Utham Uthama a Chett Chettiar iar.. 90. Parkavaku Parkavakulam lam (includi (including ng Surithi Surithimar mar,, Nath Nathamar amar,, Malayama Malayamar, r, Moop Moopana anarr and Na Nainar) inar).. 91 91.. Pe Perik rike e (inc (inclu ludi ding ng Peri Perike ke Bali Balija ja). ). 92. Perumkol Perumkollar lar (in K Kann anniyaku iyakumari mari D Distric istrictt and Shenko Shenkottah ttah Taluk o off Tirun Tirunelve elvelili Distr District). ict). 93 93.. Pod odik ika ara Vel ella lala larr. 94. Pooluva G Go ounder.   95. Poraya. 96. Pulav Pulavar ar (in Co Coimb imbato atore re and and Erod Erode e Dist Distric ricts) ts).. 97 97.. Pull lluv uva ar o orr P Po oolu luva varr. 98. 99. 100. 101. 102 02.. 103. 10 104. 4. 105. 10 105A 5A 106. 106. 107. 108. 10 109. 9. 110. 111.

P u s a l a. Reddy (Ganjam) Sadhu Chetty Chetty (including Telugu Che Chetty, tty, Tw Twenty enty four Manai Manai T Telugu elugu Chetty). Chetty). Sakkaravar o orr Kavathi ( in Kanniyakumari Kanniyakumari District and Shenkott Shenkottah ah T Taluk aluk of Tirun Tirunelveli elveli District). Sali liva vag gana. Saliyar Saliyar,, Padmasaliya Padmasaliyar, r, Pattusali Pattusaliyar yar,, Pattariyar Pattariyar and Adhaviya Adhaviyar. r. Sava Savala lakk kkar arar ar.. Senaitha Senaithalaiva laivar, r, Sena Senaikud ikudiyar iyar a and nd Il Illaiva laivaniar niar.. Sera Serakula kula Vellalar ellalar.. Souras Sourashtr htra a (Pa (Patnu tnulka lkarar rar). ). Sozhiavellala Sozhiavellalarr (includin (including g Sozha Sozha V Vellalar ellalar,, Vetrilaikarar Vetrilaikarar,, Kodikalkarar Kodikalkarar a and nd Ke Keeraikarar). eraikarar). Sr Sris isay aya ar. Su Sund ndar aram am Ch Chet etty ty.. Tho Thogat gatta ta Veeraks eerakshat hatriya riya.. Tholkollar (in Kanniyakumari Kanniyakumari District and Shenkott Shenkottah ah Taluk of Tirunelveli Tirunelveli District).

112.

Tholuva Tholuva Naic Naicker ker a and nd Vetala Vetalakara kara Naicker Naicker..

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114. 115. 116. 117.

Thoriyar  Ukki Ukkirak rakula ula Kshatri Kshatriya ya Nai Naicke cker. r. Up Uppar para, a, Upp Uppill illia ia and and Sagara Sagara.. Urali Gounder Gounder (excep (exceptt Tiruchirap Tiruchirapalli, alli, Karur, Karur, Perambalur Perambalur and Pudukottai Pudukottai Districts) a and nd Orudaya Orudaya Gounder or Oorudaya Gounder (in Madurai, Theni, Dindigul, Coimbatore, Erode, Tiruchirapalli, Tiruchira palli, Karur, Perambalur, Pudukottai, Salem and Namakkal Districts). 118. 18. Urikk Urikkar ara a Na Naya yakk kkar ar.. 118A 18A Virako Virakodi di Vell Vellala ala.. 119 19.. Valla allamb mbar ar.. 119A 120. 121. 122. 123. 124. 12 125. 5. 126. 127. 128. 128. 129. 130.

Vallan allanattu attu Chett Chettiar iar.. Valmik lmiki. i. Vaniyar aniyar,, Vania Vania Chettiar Chettiar (including (including Gandla, Gandla, Ganika, Ganika, Telikula Telikula and and Chekka Chekkalar). lar). Ve Veduvar duvar and vedar (except in Kanniyakumari Kanniyakumari District an and d Shenko Shenkottah ttah T Taluk aluk of Tirunelveli Tirunelveli District where the Community is a Scheduled Caste). Veerasaiva Veerasaiva (in Kann Kanniyakumari iyakumari District and Shenkott Shenkottah ah Taluk Taluk of Tirune Tirunelveli lveli District). Velar. Vella ellan n Chet Chetti tiar ar.. Veluthodathu Veluthodathu Nair (in Kanniyakum Kanniyakumari ari District and and She Shenkottah nkottah Taluk of Tirunelveli Tirunelveli District). Vokkaligar Vokkaligar (inclu (including ding Vakkaligar Vakkaligar,, Okkaligar, Okkaligar, Kappiliya Kappiliyar, r, Kappiliya, Kappiliya, Okkaliga Okkaliga Gowda, Gowda, Okka Okkaliya, liya, Gowda, Okkaliya Gowder, Okkaliya Gowda). Wynad Wynad Ch Chett etty y (Th (The e Nil Nilgir giris is Di Distri strict) ct).. Yadhava (including (including Idaiyar, Telugu Speaking Speaking Idaiyar kno known wn as Vaduga Vaduga Ayar or V Vaduga aduga Idaiyar  Idaiyar  or Golla and Asthanthra Golla). Yavana

131. Yeru ruku kula la 131A Conver Converts ts to Christianity from an any y Hindu Backwa Backward rd Classes Comm Community unity or Most Backwa Backward rd Classes Community or Denotified Communities except the Converts to Christianity from Meenavar, Parvatharajakulam, Pattanavar, Sembadavar, Mukkuvar or Mukayar and Paravar. 132. Orphans and and destitute Children who ha have ve lost th their eir paren parents ts 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. LIST OF BACKWARD CLASS MUSLIMS 133. Ans ar   13 134. 4. Dekk Dekkan anii Musl Muslim ims s 135 Dudekula 136. Labbais including Rowthar and Marakayar ( whether their spoken language is Tamil or Urdu) 137. Mapilla 138. Sheik 139. Syed MOST BACKWARD CLASSES

14 140. 0. 14 141. 1. 141A. 14 142. 2. 143.. 143 14 144. 4. 145. 146. 147.

Amba Ambala laka kara rarr. Andi Andipa pand ndar aram am.. Arayar (in K Kanniyakumari anniyakumari District) Best Bestha ha,, Sivi Siviar ar.. Bhatr Bhatraju aju (Oth (Other er than than Ksha Kshatri triya ya Raju) Raju) Boya Boyarr, Odd Oddar ar.. Dasari. Dommara ra.. Eravallar (except in Kanniyakum Kanniyakumari ari District and Shenkott Shenkottah ah Taluk of Tirune Tirunelveli lveli District where the community is a Scheduled Scheduled Tribe). 14 148. 8. Is Isa aiv ive ell lla ala larr. 14 149. 9. Jamb Jambu uvano vanoda dai. i. 150. Jangam. 151. Jogi. 152

Kongu Kongu Chettiar Chettiar (in Coimbato Coimbatore re and Erode Erode Districts Districts only)

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153. 154.. 15 155. 5. 15 156. 6. 15 157. 7. 157A 158. 159. 16 160. 0. 16 161. 1. 162 62.. 163.. 163 164. 164A 164 A 165.

Kor ac ha. Kulala Kulala (inc (includin luding g Kuya Kuyavar var and Kumb Kumbarar) arar).. Ku Kunn nnuv uvar ar Ma Mann nnad adi. i. Kuru Kurumb mba a Go Goun unde der  r  Kuru Kuruhi hini ni Ch Chet etty ty.. Latin catholics christian vannar (in Kanniyaku Kanniyakumari mari District) Maruthuvar, Maruthuvar, Navithar Navithar,, Mangala, Mangala, Velakattalavar Velakattalavar,, Velakatalana Velakatalanair ir and Pronop Pronopakari. akari. Mo Mon nd Goll lla a. Mo Moun unda dada dan n Che Chetty tty.. Ma Mahe hend ndra ra,, Me Meda dara ra.. Mutl Mutlak akam ampa patt tti. i. Na Narik rikor orava avar(K r(Kuru uruvik vikar ars). s). Nokkar   Panis Panisaiv aivan an,, Panis Panisiva ivan n Vanniyaku anniyakula la Kshatriya (including (including Van Vanniyar niyar,, Vann Vanniya, iya, Vannia Vannia Gounder Gounder,, Gounder or Kander Kander,, Padayachi, Palli and Agnikula Kshatriya). 166. Paravar (except (except in Kanniyakumari Kanniyakumari District and Shenkottah Shenkottah T Taluk aluk of Tirunelveli Tirunelveli District wh where ere the community is a Scheduled Caste) 166A Paravar con converts verts to Christian Christianity ity including th the e Paravar converts converts to Christia Christianity nity of Kanyakumari Kanyakumari District and Shenkottai Taluk in Tirunelveli District. 167. Meenavar (Parvatharaja (Parvatharajakulam, kulam, Pattan Pattanavar, avar, Sembadavar) Sembadavar) (in (including cluding converts to C Christianity). hristianity). 168. Mukkuvar Mukkuvar or or Mukayar Mukayar (includ (including ing c conve onverts rts to Christ Christiani ianity). ty). 169. 169. Punna Punnan nV Vett ettuva uva Gound Gounder er.. 170. Pannaya Pannayarr (othe (otherr than Kathika Kathikarar rar in Ka Kanniy nniyakum akumari ari Dis District) trict).. 171. Sathatha Sathatha Srivaishn Srivaishnava ava (Including (Including Sathani, Sathani, Chattadi Chattadi and Chattada Chattada Srivaishn Srivaishnava) ava).. 17 172. 2. Sozh Sozhia ia Ch Chet etty ty.. 17 173. 3. Telug elugup upatt atty y Che Chetty tty.. 174. Thottia Naicker Naicker (inclu (including ding R Rajakambala ajakambalam, m, Gollavar Gollavar,, Sillavar, Sillavar, Thockalavar Thockalavar Thozhuva Naicker, and Erragalor) 175 75.. Thondaman. 175A. Thoraiyar (The Nilgiris) 175B. Tho Thoraiya raiyarr (Plains) 176. Valaiya alaiyarr (in (includ cluding ing Chettina Chettinad d Valay Valayars). ars). 177. Vannar (Sa (Salavai lavai Thozhilalar) Thozhilalar) (including (including Agasa, Madivala, Madivala, Eka Ekali, li, Rajakula, Rajakula, Veluthada Veluthadarr and Rajak Rajaka) a) (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community is a Scheduled Caste). 17 178. 8. Vett ttai aika kara rarr. 17 179. 9. Vettu ettuva va Goun Gounde derr. 18 180. 0. Yogee ogeesw swar arar ar..

190.

DENOTIFIED COMMUNITIES Attur Kiln Kilnad ad Koravars Koravars (Salem, (SLIST alem,OF Namakkal, Namakkal, Cuddalo Cuddalore, re, Villupuram, Villupuram, Ramanathapura Ramanathapuram, m, Sivag Sivagangai angai and Virudhunagar Districts). Attur M Melna elnad d Koravar Koravars s (Salem (Salem and and Nam Namakka akkall Distr Districts). icts). Appanad Kondayam Kottai Maravar (Sivagangai, (Sivagangai, Virudhunag Virudhunagar, ar, Ramanathapuram, Ramanathapuram, Madurai, Theni and Dindigul Districts). Ambalakarar Ambalakarar (Thanja (Thanjavur vur,, Nagapattinam, Nagapattinam, Tiruvarur Tiruvarur,, Tiruch Tiruchirapalli, irapalli, Karur, Karur, Perambalur Perambalur and Pudukottai Districts). Amba Ambalakar lakarar ar (S (Suriya uriyanur nur,, Tiruch Tiruchirapa irapalli lli District) District).. Boyas (T (Tiruchirap iruchirapalli, alli, Karur, Karur, Perambalur Perambalur,, Pudukottai, Pudukottai, The Nilgiris, Nilgiris, Salem Salem,, Namakkal, Dharmap Dharmapuri uri and Krishnagiri Districts). Bat attu tu T Tur urka kas. s. C.K. K Korav oravars ars (Cudda (Cuddalore lore and Villup Villupuram uram Districts). Districts). Chakkala (Sivagangai, (Sivagangai, Virudhunag Virudhunagar, ar, Ramanath Ramanathapuram, apuram, Thanjavur Thanjavur,, Nagap Nagapattinam, attinam, T Tiruvarur, iruvarur, Pudukottai, Tiruchirapalli, Karur, Perambalur, Madurai, Theni, Dindigul and the Nilgiris Districts). Changay Changayamp ampudi udi Kora Koravars vars (Vello (Vellore re and Tiruvan Tiruvannam namalai alai Districts) Districts)..

191.

Chettinad Valayars (Sivagangai, (Sivagangai, Virudhuna Virudhunagar gar and and Ramana Ramanathapuram thapuram Districts).

181. 182. 183. 184.. 184 185. 186. 187 87.. 188. 189.

65

 

192. 193. 194. 195. 19 196. 6. 19 197. 7. 198. 199. 200. 20 201. 1. 20 202. 2. 203. 204 205. 206 207 207 . 208. 209.

210.

211. 211. 212. 213. 21 214. 4. 215. 216. 21 217. 7. 218. 219.

Domb Dombs s (Pudukotta (Pudukottai, i, Tiruch Tiruchirap irapalli, alli, Ka Karur rur and Pe Peramb rambalur alur Di Districts stricts). ). Dobb Dobba a Korava Koravars rs (Salem (Salem and Namakka Namakkall Districts Districts). ). Domma Dommars rs (Thanjavur, (Thanjavur, Nagapattin Nagapattinam, am, Tiruvarur Tiruvarur,, Pudukottai, Pudukottai, Vellore and T Tiruvann iruvannamala amalaii Districts). Do Don nga Bo Boya ya.. Do Dong nga a Ur Ur.K .Kor orac acha has. s. De Deva vagu gudi di Tal Talay ayar aris is.. Dobbai Korachas (Tiruchira (Tiruchirapalli, palli, Karur Karur,, Perambalur Perambalur and Pudukottai Pudukottai District Districts). s). Dabi Korava Koravars rs (Thanjavur, (Thanjavur, Nagapattinam, Nagapattinam, T Tiruvarur iruvarur,, Tiruchirapalli Tiruchirapalli,, Karur, Perambalur Perambalur,, Pudukotta Pudukottai, i, Vellore and Tiruvannamalai Districts). Donga Dasaris (K (Kancheepuram, ancheepuram, Tiruvallur, Tiruvallur, T Tiruchirapalli, iruchirapalli, Karur, Perambalur, Perambalur, Pud Pudukottai, ukottai, Chennai, Salem and Namakkal Districts). Go Gorr rrel ela a D Dod odda da Bo Boya ya.. Gudu Gudu Dasa Dasari ris. s. Gandarva Gandarvakottai kottai Korava Koravars rs (Thanjavur (Thanjavur,, Nagapattinam, Nagapattinam, T Tiruvarur iruvarur,, Tiruchirapalli, Tiruchirapalli, K Karur, arur, Perambalu Perambalur, r, Pudukottai, Cuddalore and Villupuram Districts). Gandarva Gandarvakott kottai ai Kallars Kallars (Thanj (Thanjavur avur,, Nagapattin Nagapattinam, am, Tiruva Tiruvarur rur and Pud Pudukott ukottai ai Distric Districts). ts). Inji Koravars (Thanjavur, (Thanjavur, Nagapattinam, Nagapattinam, Tiruvarur, Tiruvarur, Tiruchirapalli, Tiruchirapalli, K Karur arur,, Peramba Perambalur lur and Pudukottai Districts). Jogis (Ka (Kancheepu ncheepuram, ram, Tiruvallur, Tiruvallur, Chennai, Chennai, Cuddalore Cuddalore,, V Villupuram, illupuram, Vellore Vellore and and T Tiruvannama iruvannamalai lai Dist). Jamb Jambav avan anod odai ai.. Kaladis (Sivagangai, (Sivagangai, Virudhunagar, Virudhunagar, Ramanathapuram, Ramanathapuram, Madurai, Madurai, Theni, Dindigul, Thanjavur, Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Kal Oddars Oddars (Kanche (Kancheepuram, epuram, Tiruvallur, Tiruvallur, Ramanath Ramanathapuram, apuram, Sivaganga Sivagangai, i, Virudh Virudhunagar unagar,, Madura Madurai, i, Theni, Dindigul, Pudukottai,Thanjavur, Nagapatinam, TiruvarurTiruchirapalli, Karur, Perambalur, Tirunelveli, Thoothukudi, Salem and Namakkal Districts). Koravars (K (Kancheep ancheepuram, uram, Tiruvallur Tiruvallur,, Ramanathapura Ramanathapuram, m, Sivag Sivagangai, angai, Virudhuna Virudhunagar, gar, Pudukottai, Pudukottai, Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Tirunelveli, Thoothukudi, Chennai, Madurai, Theni, Dindigul, and The Nilgiris Districts). Kalinji Dabikoravars (Thanjavu (Thanjavur, r, Nagapattinam, Nagapattinam, Tiruvaru Tiruvarurr and and Pudukottai Pudukottai Districts). Kootappal Kootappal Ka Kallars llars (Tiruchirapalli, (Tiruchirapalli, Karur, Karur, Perambalur Perambalur and Pudukottai Pudukottai District). Kala K Koravars oravars (Thanjavur (Thanjavur,, Nagap Nagapattinam, attinam, Tiruvarur, Tiruvarur, T Tiruchirapalli, iruchirapalli, Karur, Karur, Peramba Perambalur lur and Pudukottai District). Ka Kala lava vath thila ila Bo Boya yas. s. Kepmaris (K (Kancheep ancheepuram, uram, Tiruvallur Tiruvallur,, Pudukottai, Pudukottai, Tiruchirapa Tiruchirapalli, lli, Karur an and d Perambalur Perambalur Districts). Districts). Maravars (Th (Thanjavur anjavur,, Nagapattinam, Nagapattinam, Tiruvarur Tiruvarur,, Pudukottai, Pudukottai, Raman Ramanathapu athapuram, ram, Sivaga Sivagangai, ngai, Virudhunagar, Tirunelveli and Thoothukudi Districts). Mond Monda a Kora Korava vars rs.. Mond Monda a Golla Golla (Sal (Salem em and Namakka Namakkall Di District stricts). s). Mutla Mutlakamp kampatti atti (Tiru (Tiruchira chirapalli palli,, Karur Karur,, Peramba Perambalur lur and Puduk Pudukottai ottai Distri Districts). cts).

220. Nokka Nokkars rs (Tiruchira (Tiruchirapal palli, li, Karur, Karur, Peramb Perambalur alur and Pudukot Pudukottai tai Distric Districts). ts). 221. Nellorep Nellorepet et Odda Oddars rs (Vellore (Vellore and and Tir Tiruvan uvannam namalai alai District Districts). s). 222. Oddars (Tha (Thanjavur njavur,, Nagapattinam, Nagapattinam, Tiruvarur Tiruvarur,, Tiruchirapalli, Tiruchirapalli, Karu Karur, r, Perambalur Perambalur,, Pudukotta Pudukottai, i, Madurai, Theni and Dindigul Districts). 223. Pedda Boyas (Tiruchirapalli, (Tiruchirapalli, Karur Karur,, Perambalur Perambalur and Pudukott Pudukottai ai District Districts). s). 224. Ponn Ponnai ai Kora Koravars vars (V (Vello ellore re and Tiruva Tiruvanna nnamala malaii Districts). Districts). 225. Piramala Piramalaii Kallars (S (Sivagang ivagangai, ai, Virudhunaga Virudhunagar, r, Ramanath Ramanathapuram, apuram, Madurai Madurai,, Then Theni, i, Dindigu Dindigul, l, Pudukottai, Thanjavur, Nagapattinam and Tiruvarur Districts). 226. Peria Suriyur Suriyur K Kallars allars (Tiruchirapa (Tiruchirapalli, lli, Karur, Karur, Perambalur Perambalur an and d Pu Pudukottai dukottai Districts). 227. Padayachi (Vellayan (Vellayan Kuppam Kuppam in Cudd Cuddalore alore District, Tennore in T Tiruchirapa iruchirapalli lli District). 228. Punnan Vettuva G Gounder ounder (Tiruchirapalli, (Tiruchirapalli, Karur, Karur, Perambalur Perambalur and P Pudukottai udukottai Districts). 229. Serva Servaii (Tiruc (Tiruchira hirapa palli, lli, Karur Karur,, Perambalur Perambalur and Pud Pudukot ukottai tai Distr Districts) icts).. 230. Salem M Melnad elnad K Koravars oravars (Madurai (Madurai,, Theni, D Dindigu indigul, l, Coimbatore, Coimbatore, Er Erode, ode, Pudukotta Pudukottai, i, Tiruchi Tiruchirapalli, rapalli, Karur, Perambalur, Salem, Namakkal, Vellore and Tiruvannamalai Districts). 231. Sale Salem m Upp Uppu u Ko Korava ravars rs (Salem (Salem a and nd Namakk Namakkal al District Districts). s). 232. Sakkaraith Sakkaraithama amadai dai Koravars Koravars (Ve (Vellore llore and Tiruva Tiruvanna nnamala malaii Districts Districts). ). 233 Sara Sarang nga a Pa Pall llii Kora Korava vars rs..

66

 

234. 235. 236. 237. 238.

Soorama Sooramari ri Od Oddars dars (Salem (Salem and and Nama Namakkal kkal Distr Districts). icts). Sembana Sembanad d Maravars (Sivagangai, (Sivagangai, Virudhunag Virudhunagar ar and Ramana Ramanathapuram thapuram Districts). Thal Thallili Ko Korava ravars rs (S (Salem alem and Namakka Namakkall Districts Districts). ). Thelungapatti Thelungapatti Chettis Chettis (Tiruchirap (Tiruchirapalli, alli, Karur, Karur, Peramba Perambalur lur a and nd Pudukott Pudukottai ai D Districts). istricts). Thottia N Naickers aickers (Sivagangai, (Sivagangai, Virudhu Virudhunagar nagar,, Ramanathapura Ramanathapuram, m, Kan Kancheepuram cheepuram,, Tiruvallur Tiruvallur,, Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Tirunelveli, Thoothukudi, Salem, Namakkal, Vellore, Tiruvannamalai, Coimbatore and Erode Districts). 239. Thogama Thogamalai lai Korava Koravars rs or Ke Kepmaris pmaris (T (Tiruchirapalli, iruchirapalli, Karur, Karur, Perambalur Perambalur and Pudukottai Pudukottai Districts). 240. Uppukorava Uppukoravars rs or Settipalli Settipalli Korava Koravars rs (Thanjavur, (Thanjavur, Nagapa Nagapattinam, ttinam, T Tiruvarur iruvarur,, Pudukottai, Pudukottai, Madurai, Madurai, Theni, Dindigul, Vellore and Tiruvannamalai Districts). 241. Urali Gounders Gounders (Tiru (Tiruchirapalli, chirapalli, Karur, Karur, Perambalur Perambalur and Pudukotta Pudukottaii D Districts). istricts). 242.. Wayal 242 Wayalpa pad d or Na Nawa walpe lpeta ta Ko Korac racha has. s. 243. Vaduvarpatti aduvarpatti Koravars (Madurai, Theni, Dindigal, Ramanathapuram, Ramanathapuram, Sivagang Sivagangai, ai, Viru Virudhunaga dhunagar, r, Tirunelveli, Thoothukudi, Tiruchirapalli, Karur, Perambalur and Pudukottai Districts). 244. Valayars (Mad (Madurai, urai, Th Theni, eni, Dindigul, Dindigul, Tiruchirapalli, Tiruchirapalli, Karur, Karur, Perambalur Perambalur,, Pudukottai, Pudukottai, Erode and Coimbatore Districts). 245. Vettaikarar (Thanjavur (Thanjavur,, Nagapattin Nagapattinam, am, Tiruvaru Tiruvarurr and and P Pudukotta udukottaii D Districts). istricts). 246. Vetta Koravars Koravars (Sale (Salem m an and d Namakk Namakkal al District Districts). s). 247. Varagane araganeri ri Koravars Koravars (Tiruchirap (Tiruchirapalli, alli, Karur, Karur, Peramba Perambalur lur an and d Pud Pudukottai ukottai Districts). 248. Ve Vettuva ttuva Gounder Gounder (Tiruchirapalli, (Tiruchirapalli, Karur Karur,, Perambalur Perambalur and Pudukott Pudukottai ai Districts).

401. 402. 403. 404.

Adi-Dravida

THE SCHEDULE (SCHEDULED CASTES)T CASTES)TAMILNADU AMILNADU 436. Mannan (in Kanyakumari District and Shenkottah taluk of Tirunelveli District).

410. 411. 412. 413.

Adi-Karnataka 437. A Ajjila 438. Ayyanavar (in Kanyakumari District 439. Kanyakumari District and 440. and She Shenkott nkottah ah ttaluk aluk of Ti Tirune runelveli lveli District) District) 441. Baira 442 Bakuda Bandi 443. Bellara 444. Bharatar (in Kanyakumari District and 445. Sh Shen enko kott ttah ah tal taluk uk of of Ti Tiru rune nelv lvel elii Dist Distri rict ct)) 44 446. 6. Chalavadi Chamar, Muchi 447. Chandala 448. Cheruman 449.

414. 415. 416.

450. 451. 452.

405. 406. 407. 408. 409.

Devendrakulathan Dom, Dombara, Paidi, Pano Domban. Shen Shenko kott ttah ah ta talu luk k of Ti Tiru rune nelv lvel elii Di Dist stri rict ct). ). 417. Godagali 418. Godda 419. Gosangi 420. Holeya 421. Jaggali 422. Jambuvulu 423. Kadaiyan 42 424. 4. Kakk Kakkal alan an (in (in K Kan anya yaku kuma mari ri Dis Distr tric ictt an and d Shen Shenko kott ttah ah ta talu luk k of Ti Tiru rune nelv lvel elii Di Dist stri rict ct). ). 425. Kalladi 426. Kanakkan, Padanna (in the Nilgiris District)

Mavilan. Moger. Mundala. Nalakeyava. Nayadi Nayadi Padannan (in Shenkottah taluk of Tirunelveli District) Pal l an Palluvan Pambada ada. Pa Pana nan n (in Kan Kanya yaku kuma mari ri Di Dist stri rict ct and and Shenkottah taluk of Tirunelveli District). P anc ham a. P Pa annadi. Panniandi.

Paraiyan, Parayan, Sambavar. Paravan (in Kanyakumari District and Pathiyan (in Kanyakumari District and Sh Shen enko kott ttah ah ta talu luk k of Ti Tiru rune nelv lvel elii Di Dist stri rict ct). ). 453. Pulayan, Cheramar. 454. Puthirai Vannan. 455. Raneyar. 456. Samagara. 457. Samban. 458. Sapari 459. Semman. 46 460. 0. Than Thanda dan n ((in in Ka Kany nyak akum umar arii D Dis istr tric ictt and and Sh Shen enko kott ttah ah ta talu luk k of Ti Tiru rune nelv lvel elii Di Dist stri rict ct). ). 461 Tiruvalluvar. 462 Vallon 463. Valluvan.

67

 

427. 428.

Vannan (in Kanyakumari District and Shenkottah taluk of T Tiirunelveli District). 465. 465. Vat athi hiriy riyan an.. 429. 466. Velan. 430. 467. Vetan (in Kanyakumari District and 43 431. 1. Sh Shen enko kott ttah ah ta talu luk k of Ti Tiru rune nelv lvel elii Di Dist stri rict ct.. 468. Vettiyan. 469. Vettuvan (Kanyakumari District and 432. Shenkottah taluk of Tirunelveli District). 433. 470. Adi-Andhra 434. 471. Arunthathiyar   435. 472. Chakkiliyan 473. Madari 474. Madiga 475. Pagadai 476 Thoti Note: 16 % of of of seats out of the 18 % quota ea earmarked rmarked to Scheduled Caste shall be allocated allocated to the Arunthathiya Arunthathiyarr Community which is included included in the list of community men mentioned tioned in Sl.No.470 - 476 THE SCHEDULE (SCHEDULED TRIBES)TAMILNADU 501. Adiyan 502. Aranadan 503 03.. Eravallan 504. Irular. 505. 506. 507.

Karimpalan Kavara (in Kanyakumari District and Shen Shenko kott ttah ah ta talu luk k of Ti Tiru rune nelv lvel elii Dis Distr tric ict) t).. K ol i y a n K oo s a Koot Kootan an,, Kood Koodan an (i (in n Ka Kany nyak akum umar arii Di Dist stri rict ct and Shenkottah taluk of Tirunelveli District). Kudumban Kuravan, Sidhanar M ai l a. Mala.

464.

50 508. 8. 509 09.. 510. 51 511. 1. 512 12.. 513. 514. 51 515. 5. 516. 517.. 517 518. 520.

Kadar   Kammara (excluding Kanniyaku Kanniyakumari mari District and and Shenkottah Shenkottah taluk of Tirunelveli Tirunelveli District). Kanikaran, Kanikkar (in Kanniyakumari Kanniyakumari District and Shenkott Shenkottah ah an and d Ambasam Ambasamudram udram taluk o of  f  Tirunelveli District). Kani Kaniya yan, n, Kany Kanyan an.. Ka Katt ttun unay ayak akan an.. Koch chu u Vel Vela an. Ko Kon nda Ka Kap pus us.. Kon ond dare aredd ddis is.. Koraga. Kota (excluding Kanniyakumari Kanniyakumari District and and Shenkottah taluk of Tirunelveli Tirunelveli District). Kudi Kudiya ya,, M Mel elak akud udi. i. Ku Kuri rich chch cha an. Kurum Kurumbas bas ((in in the the Nil Nilgir giris is Di Distr strict ict). ). Kurumans. 519. Maha Malasar. Ma Mala laii Ar Aray aya an.

52 521. 1. 52 522. 2. 52 523. 3. 524. 525.   526 26.. 527. 52 528. 8. 529. 530. 531. 532. 533. 534. 535. 536.

Mala Malaii Pa Pand ndar aram am.. Mala Malaii Vedan edan.. Mala Malakk kkur urav avan an.. Malas lasar. Malayali Malayali (in Dharm Dharmapu apuri, ri, Ve Vellore llore,, Pudukottai Pudukottai,, Salem, Namakkal, Namakkal, Cudd Cuddalor alore, e, Tiruvannamalai, Tiruvannamalai, Villupuram, Villupuram, Tiruchirapalli, Tiruchirapalli, Karur and Peramba Perambalur lur Districts). Mala Malaya yaka kand ndi. i. Mannan. Mu Mudu duga garr, M Mud uduv uvan an.. Muthuvan. Pallay layan. Palliy lliya a n. Palliy lliya ar. P an i y a n. Sholaga. Toda (excluding (excluding Kanniyakum Kanniyakumari ari District and S Shenkottah henkottah taluk of Tirunelveli Tirunelveli District). Uraly.

68

 

INFORMATION OF GOVERNMENT MEDICAL /DENTAL COLLEGES FOR 2015-2016 SESSION MBBS COURSE Sl . No .

Co l l e g e A d d r e s s

Ph o n e & Fax No .

N ea r es t R a i l w ay S t at i o n / B us s to p

Hostel  Av ail abl e fo r  Boys

Gi r l s

1

Dean,Madras Medical Dean,Madras College,Periyar EVR High Road, Park Town, Chennai -3

Ph.044-25305112, 25305301 Fax:044-25363970

Central Rly.Station0.5 Km.Park Central Town Bus st stand and 0.5 Km

YES

YES

2

Dean, Stanley Medical College,M.C.Road, Chennai – 1.

Ph.044-25280900, 25287855, 28287866 Fax 044 25283173

Washermenpet ashermenpet Rly.Stationw Rly.Stationwitithin hin a km, km, BusstopBharathiArtsCollege College for Women walkable.

YES

YES

3

Dean,Madurai Medical Dean,Madurai College,Panagal College,Pana gal Road, Madurai 625 020

(0452) Ph. 2532535 to 42 Fax 2526028

Madurai Rly.Junction - 3 Kms;Anna Busstand stand ½Km.

YES

YES

4

Dean,Thanjavur Medical Dean,Thanjavur College,Thanjavur 613 004 004

(04362) Ph.240022,240493 Fax. 240184

Thanjavur Rly.Stat Rly.Station ion 5 kms , New Bus stand 3 kms , Old bus stand – 5 kms.

YES

YES

5

Dean,Govt. Kilpauk Medical College, Periyar EVR High Road, Kilpauk, Chennai -600 010.

(044) Ph.28364949 26431927 Fax.28364950

KMC Bus stop - walkable distance , Park 3 kms , Central Egmore 3 kms,Chetpet– 1 km.

YES

YES

6

Dean,Chengalpattu Medical College,GST Road, Chengalpattu603 001, 001, Kancheepuram Kanchee puram Dist.

(044)Ph. 27431287 Fax 27431285

Chengalpattu Chengalpatt u Junction Junction – 3 Kms Chengalpatt Cheng alpattu u Bus stop 3 kms.

YES

YES

7

DeanTirunelv eli Medical DeanTirunelv College, Tirunelveli , Pin 627 011 011

(0462) Ph.2572733,34 Fax 2572944

Tirunelveli Rly.stn. - 6 kms kms , Nearest Bus stop, High ground ½ Km, New Bus stand

YES

YES

8

Dean,Coimb Dean,C oimb atore Medical CollegePeelamedu, Coimbato re 641 014 014

(0422) Ph. 2574375 & 2574376 Fax.2574377

Coimbatore Junction Coimbatore Junction10Kms. Nearest Bust Stop Medl.College Bus stop

YES

YES

9

Dean,Government Dea n,Government Mohan Kumaramangalam Medical CollegeSalem , Pin 636 030

(0427) Ph.2383313 Fax.2383193

Salem Junction 7 kms. Nearest Bus YES stop – Medl.College Bus stop

YES

10

Dean,KAP Viswanatham Govt.Medl.College Periyamilaguparai , Tiruch irapalli 620 001 001

0431 Ph. 2401011 Fax.2411012

Trichy Junction Junction 1 Km.Nearest Bus stop Medical Medical College entrance

YES

YES

11

DeanThoothukudi Medical College,3rd  Mile , Kamaraj

0461 Ph. 2392698

ThoothukudiMelurRly.Station Thoothukudi Rly.Station 4 Km.3rd Mile Bus Stop 0.2 km.

YES

YES

Nagar,, Thooth ukud i 628 008 Nagar

Fax. 2310122

69

 

12

Dean,Govt. Kanyakum ari Dean,Govt. Medl.College, Asaripallam – 629 201. 201. K.K. Distric t

04652 Ph:223201,223202 Fax 223201

Nearest Ra Nearest Raililway wayStation Nagercoil 8 kmsNagercoil Bus stand 5 kms.

YES

YES

13

DeanGovt.Vellor DeanGovt.Ve llor e Medical College Adukkamparai, Vellore 632 011

0416 Ph.2260900Fax 2261900

Katpadi Railway Station 20kms.  A  Ad dukkampara raii Bus Sto top p 0.5km..

YES

YES

14

DeanGovt.Theni DeanGovt.Theni College,Theni 625Medical 531. K.Villakku, K.Villa kku, Andi patti TK

04546 Ph.:244502, 244516 Fax:244503

Theni 8 Kms.Medical College Bus stop 0.5 km.

YES

YES

15

Dean,Govt . Dharmapuri Dean,Govt Medical College, Dharmapuri.

04342 Ph. 233033 Fax:233044

Dharmapuri Dharmap uri RailwayStation0.5 Station0.5 kmBus stop 1 km

YES

YES

16

Dean,Govt.Villupuram Medical College, Villupuram.

04146 Ph: 232500 Fax: 232500

Villupuram Railway station 8 kms. BusStop – Mundiyambakkam Mundiyambakkam 0.5 km.

YES

YES

17

Dean,Govt .Tiruvarur Medical Dean,Govt College, Master Plan Complex, Vilamal Village, Tiruvaru r 610 004

04366 Ph: 220040 Fax: 222003

Tiruvarur Railway Station 4 kmCollectorate bus stop 0.5 km

YES

YES

18

Dean,Govt.Sivagangai .Medical College, Melavaniyangudi Sivagangai 630561

04575 Ph: 243781 Fax 243780

Railway Station Railway Station -5 KmB KmBusStand usStand 4KM

YES

YES

19

Dean,Govt . Thiruvannamalai Dean,Govt Medical College, Thiruvannamalai

04175-295040 Ph: 237455 (H) 238455 (H)Deantvmmedical college @gmail.com

Railway Station -5 Km Bus Stand  – 5Km

YES

YES

BDS COURSE

Sl . No . 1

Co l l eg e A d d r es s

Principal,T.N.Govt.Dental College & Hospital, Dr.Muthusamy Road, Chennai Chenn ai – 600 003 .

Ph o n e & Fax No . Ph.044 25340343 25341342,43, 25340441Fax: 25340681

70

Near es t Rai l w ay St at i o n / Bu s st o p

Hostel  Av  Avail ailabl ablee for  B oys

Near Chenna Chennaii Fort Rly.Station Rly.Station YES Dental Hospital Bus stop adjacent to theCollegeentrance entrance

Girls YES

 

INFORMATION OF SELF FINANCING MEDICAL/DENTAL COLLEGES FOR 2015-2016 SESSION MBBS COURSE Sl . No .

Co l l eg e A d d r es s

Ph o n e & Fax No .

Near es t Rai l w ay St at i o n / Bu s st o p

Hostel  Av  Avail ailabl ablee for 

B oys Erode – Rly.Junction 21 Kms.Bus YES Stop Perundurai 2 kms.

Girls YES

YES

1

Dean, IRT Perund Perund urai Medical College, Perundurai Sanitori um 638 053. 053.Erode Erode Dt

04294Ph.220910 – 04294Ph.220910 220912Fax:220226 Email [email protected]

2

Principal, P.S.G.Institute of  Medical Sciences & Research , P. P.B.No.1674, B.No.1674,  Av in inash ashii Ro Road, ad, Peelamed Peel amedu, u, Coimbato re- 641 004 004

0422Ph.2570170– 0422Ph.2570170 7 lines 2598822 – 16 lines Fax:2594400

Coimbatore Central Railway Station YES 7kms.PeelameduBusst stop op1/2km.

3

The Director, Sree Mookambika Institute of  Medical Sciences, Ve Velayuth layuth an Pillai Memorial Hospital Complex, PadanilamKulasekharam629161, K.K.Dist

04651 Ph.280866,278551 Fax: 280740 , 280742

Kuzhithurai Railway Station 12 KmsBus stop Kul Kulasekharam asekharam 100 feet YES

4

The Dean, ESIC Medical College, K. K . Nagar, Chennai -78

044 Mambalam 4.5 KmsBus stop ESIC YES Ph2478959,24748940 HospitalK.K. Nagar (at the entrance) Fax 24742825 Deanesipgimsr  @gmail.com

YES

5

The Dean, Karpagavinayaga Institute of Medical Science & Research Research Centre,GST Centre,GST Road, Madhuranthagam TK, Kanchi puram 603 308

044 Ph:27565195/ 27598484/ 27565486 Fax:27565170

Nearest Chengalpattu Nearest Chengalpattu Junction 14 14 YES kms. Nearest Bus Stop Padalam Bus st stop op 2kms.

YES

6

The Dean,Karpagam Dean,Karpagam Facult y of MedicalSciences & Research,Pollachi Main Road, Othakkalmandapam, Coimbato re641 032 032

0422-6452888, 6464433,2904453 Fax 04222611145

Coimbatore Junction kms.Othakkalmandapam

20 YES

YES

7

The Dean,Sri Muthukumaran Medical College Hospital & Research Rese arch Institute, Chikkarayapuram, Near  Near  Mangadu, Chennai 600 069

Ph: 044 24784000 044 64605905 Fax: 044 24780101

Pallavaram Railway Station – 5 YES kms.Chikkarayapuram – 100 mts.

YES

8

The Dean,Dhanalaxmi Dean,Dhanalaxmi Srinivasan Medical College & Hospital, Siruvachur, Perambalu r 621 212. 212.

Ph: 04328 – 224546/ 327999Fax: 04328  – 224252

 A  Ariya riyalur lur Railw Railway ay Station Station - 30 YES Kms.Perambalur Bus Stop – 3 km.

YES

71

YES

 

9

The Dean,Annapoorna Medical College & Hospital, Sankari Main Road, Salem. 636 308

Ph 04273983000,3987000 Fax 0427 2477903/ 3012066/3983030

Salem Junction 12 Kms.  A  An nnapoora ran na Medica ical Co Colle llege & Hospital Salem Bus stop 15Kms (New Bus stand)

YES

YES

10

The Dean,Madha Medical College & Research Institute, Kundrathur Main

Ph: 81480 77777/ 81480 66666Fax: 044 24780055

Pallavaram Railway Station – 10 kms.Madha Dental College Bus Stop

YES

YES

Road, Kovur Chennai Chenn ai – 600(Near 122. Porur), 11

The Dean,Chennai Dean,Chennai Medical College Hospital and Research Centre, Irungalur, Trich y – 621 105.

Ph: 0431 30586863058813, 3058687 Fax: 0431 3058877

Trichy Railway Junction 20 kmsSamayapuram Bus Stand 5 kmsCentral Bus Stand – 20 kms.

YES

YES

12

The Dean,Tagor Dean,Tagoree Medical College & Hospital, Rathinamangalam, Vandalur  Post , Chennai 600 127.

Ph :044 3010 1111Fax: 044 3010 1100

Vandalur Railway Station 7 km.Tagore Engineering College 0.5 0km.

YES

YES

13

The Dean,Velammal Dean,Velammal Medi cal College Hospital & Research Institute

 0452 Ph: 2698971,2510000

Railway Station Station10KmsChindamani Bus stop 500 M

YES

YES

Ve Velammal lammal Educatio nal Trust Ve Velammal lammal Village, MaduraiTuticorin Ring Road  An  Anup upanad anadi,i, Madurai Madu rai 625 009

Fax; 2510010 info@velamalmedial college @edu.in

BDS COURSE Sl . No . 1

Co l l eg e A d d r es s

The Princip al,Rajas al,Rajas Dental College& Hospital,Thirurajapuram,

Ph o n e & Fax No . 04637Ph.230163, 04637Ph.230163, 231905 Fax:231384,231905

Kavalkinaru Junction, Tirunelv eli Dt.- 627 105 105

Near es t Rai l w ay St at i o n / Bu s st o p Nearest Rly.Station Nearest Rly.Station Valliyoor alliyoor – 15 kms. Nagercoil – 25 kms Kavalki Kava lkinaru naru Junc Junctition on (walkable

Hostel  Av  Avail ailabl ablee for  B oys

Girls

YES

YES

distance)

2

The Director Sree Mookambika Institute of  Dental Science, Velayuthan Pillai Memorial Hospital Complex, Kulasekharam K.K.Distr ict 629161 629161,,

04651280742/ 04651280742/ 280745/ 280746 Fax: 280740

Kuzhithurai Kuzhit hurai Railway Station 12 KmsBus stop Kulasekharam 100 feet

YES

YES

3

The Princip al,Ragas al,Ragas Dental College & Hospital, 2/102 East Coast Road, Uthandi, Chennai Chenn ai 600 119. 119.

04424530002 to 04424530002 24530006Fax: 24530009

Tamba ambaram ram Railway Railway Station Station 15 Kms Km s Coll College ege Bus stop 20 feet

YES

YES

72

 

4

The Principal,  Ad  Adhi hipar parasak asakth th i Dental Dent al College & Hospital, Melmaruvathur,Kanchipuram Distr ict – 603 319. 319.

044 Ph.27529628, 27528082,27528083Fax: 27528081

Melmaruvathur Melmaruva thur Rly Rly.Stati .Station on1/2 Km.Melmaruvathur Bus stop 1/2 km.

YES

YES

5

The Principal,Best Dental Science College,Ultra Trust,

0452 Ph. 2423291Fax:2423290,

Nearest Madurai Rly Junction Nearest Junction 12Kms. Bus stop – Mattuthavani 4

YES

YES

No: 69/1 A Madurai Chennai High way ,Madurai 625 104

044Ph:47413350,51&52 Fax:47413343

Kms.

6

The Principal,Chettinad Dental College & R Research esearch Institute, Rajiv Gandhi Gandhi Salai, Kelambakkam, Kanchipuram Distr ict – 603 103

0452Ph:2321708 0452Ph:2321708 Fax:2336605

Nearest Rly.Station – Vandalur Nearest andalur 20 Kms.Bus stop Kelambakkam (Approx.) 2 kms.

YES

YES

7

The Principal,CSI College of  Dental Science and Research, 129 East Veli Street, Madurai – 625 001.

04288274741-44, 04288274741-44, 274981Fax: 274761,274745

Nearest Rly.Station Madurai Junction 2 kms.Nearest Bus Stop Front of College Chri Christi stian an Missi ission on Hospital

YES

YES

8

The Princi pal,K.S.R. pal,K.S.R. Institute of Dental Science & Research,K.S.R. Kalvi Nagar,Thokkavadi (P.O.), Nammkal Dist, Tiruch engode – 637 215.

044Ph.27592844/ 044Ph.27592844/ 27598484/ 27598232Fax:27565653

Erode Rail Railway waystation station 12 kms. Opp Coll College ege KSRKalvi Nagar Nagar on Erode – Tiruchengo Tiruchengode de

YES

YES

9

The Principal,Karpaga Vinayaga Institute of Dental Sciences, GST Road, Palayanoor Post, Chinnakolambakkam, Madhuranthagam TkKanchipuram Distr ict – 603 308. 308.

04427650160,161, 04427650160,161, 450Fax:27650377

Nearest Rly.stati Rly.station on Chengalpatt Chengalpattu u 14 kms. Nearest Bus Stop Padalam 2 km.

YES

YES

10

The Principal,Priyadharshini Principal,Priyadharshini Dental College & Hospital, 1, VGR Gardens, VGR Nagar, Pandur – 631 203,T 203,Tiruv iruv allur  Taluk & Distri ct

0422Ph:2560381 0422Ph:2560381 Fax: 2564688

Nearest Rly.Station Thiruvallur – 5 kms.Bus Stop Opposite college college

YES

YES

11

The Principal,Sri Ramakrishna Dental College & Hospital, S.N.R. College Road, Coimb atore – 641 006.

044Ph 27435060/ 044Ph 61Fax:27435059 Email: ail: info@svdental college.com

Nearest Rly. Station Nearest Station Coimbatore Coimbatore 6 kms.Nearest Bus Stop Nava India 0.5 0.5 kms.

YES

YES

12

The Principal,Sri Ve Venkateswara nkateswara Dental College and Hospital,Off  Old Mahabalipuram Road,

044Ph:30102222Fax 044Ph:30102222Fax 30102299

Nearest Rly. Station Nearest Station Velachery Velachery 9 kms.Busstop stop Thalambur Thalambur100 mts.

YES

YES

Chennai 603 103.

73

 

13

The Princ ipal,Tagore ipal,Tagore Dental College & Hospital, Rathinamangalam,Vandalore Post, Chennai – 600048

04288Ph.234891, 04288Ph.234891, 9443334670 Fax:234891

Nearest Railway station Vandalur  7 kms.Bus Stop Rathinamangalam ½km.

YES

YES

14

The Principal,Vivekananda Dental College for Women, Elayampalayam,

04222680744 04222680744 Fax 2680745

Nearest Rly.Station Erode 25 Nearest Kms.Nearest Bus stopTiruchingode stopTir uchingode 6 Kms.

NO

Girls Only

NearestRailwa Nearest Railway ystation station Coimbatore Coimb atore Junction – 15km.Bus 15km.Bus stop- Kumaran Kottam Campus – 0.5 km.

YES

YES

Nearest Erode Rail Railway way Juncti Junction on – 20 kms.Bus stop – Komarapalayam

YES

YES

Nearest Railway Nearest Railway Stati Station on – Pallavaram Rail Railway way Stati Station on – 8 kms.Bus Stand – Madha

YES

YES

YES

YES

Tiruch engode (TK) – 637 205 205 15

The Chairman,RVS Dental College & Hospital,Trichy Road, Kannampalayam, Coimbato re -641 402 402

Mobile: 9487833330 9865933332 Fax:04288 265793

16

The Principal,J.K.K. Nattraja Dental College and Hospital, Komarapalayam,Namakkal Distr ict – 638 183. 183.

04424780736Fax:

The Princip al,Madha al,Madha Dental College & Hospital, Madha Nagar,Kundhrathur Main

044 24780798

17

Engineering College – 0.50 km. Chengalpattu Rly. Station – 9 km

Road,Chennai – 600 069.

18

The Princi Princi palAsan Memorial Dental College & Hospital, Keerapakkam( Village ), Chengalpattu Kancheepuram 603105 603105

044 27448132044 27447355 Fax: 044 274470 27447055 55

74

Keerapakkam Bus Stand – 1 km.(Chengalpattu Thirukalukundram Road)

 

PRE - DESPATCH CHECK LIST

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FOR THE USE OF THE APPLICANT

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It is the candidate’s own responsibility to exercise suitable checks and ensure that his / her  application is correct and complete in all respects. As a facility for a further check, a list of tasks are given below. Against each task-description, the candidate should put a tick mark (    ) or write “N.A.” to indicate that the task has been done or is Not Applicable to him / her.

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DATA

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i

+2 Re Regi gist stra rati tion on nu numbe mberr, year year an and d mont month h ent entere ered d in in the the Ap Appl plic icat atio ion, n, OMR Sheet and cover for return of documents

ii

Application an and d OMR Sheet filled up

iii

Checke Chec ked d and and conf confirm irmed ed tha thatt corre corresp spon ondi ding ng entr entrie ies s in Ap Appl plic icat atio ion n Form Form and OMR Sheet tally and that there is no discrepancy

2

SUPPORTIVE DOCUMENTS

i

Mark sheet of H.S.C. (Academic) examination (both sides of mark sheet should be photocopied) or any other equivalent examination of  the first appearance.

ii

Transfer certificate obtained after the completion of H.S.C. (Academic) or equivalent courses

iii

Nativity certificate with with supporting documents (if applicable)

iv

Permanent Community Certificate Card.

v

X standard Mark Sheet .

vi

Certificate for proof of study from VIII standard to XII standard.

vi viii

H.S.C Hall Ticket

viii

First graduate certificate( if applicable ).

ix

Special category form(s) with Demand Drafts and relevant certificates (if applicable)

x

Income Certificate (only if applicable)

3

MISCELLANEOUS

i

Atte At test sted ed Pas Passp spos ostt size size pho photo togr grap aph h affi affixe xed d in th the e App Appli lica cati tion on

ii

Self Se lf ad addr dres esse sed d and and su suff ffic icie ient ntly ly st stam ampe ped d ack ackno nowl wled edge geme ment nt ca card rd..

iiii ii

Two se self ad addressed en envelopes

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( )/ “N.A.”

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