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Page 1 of 6 MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7 th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai-600 006. Website www.mrb.tn.gov.in E.mail: [email protected] twitter.com/mrb_tn Phone No.: 044 -24355757 Notification No.12/MRB/2016 Dated: 02.06.2017 Temporary post of Assistant Surgeon (General) You are hereby informed to appear for verification of your certificates/ documents as claimed by you in your on-line application. The list of documents to be produced by you (in original along with one set of self- attested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue. Date 06.06.2017 FN Time 10.00 AM to 01:00 PM Venue TNHSP Auditorium (Ground Floor), [Opposite to DMS Office], DMS campus, 359, Anna salai, Chennai – 6 Note: a. If the candidate fails to appear for verification of certificates / documents on the specified date / time, it will be presumed that the candidate is no longer interested for the post and his / her candidature is liable for rejection, without any further notice. b. Mere calling for verification of certificates / documents does not confer any right over selection / appointment. c. The candidates are called for verification of certificates / documents based on the particulars furnished in their on-line applications such as age, educational qualification, community, etc. The provisional selection of candidates will be made only after verification/ acceptance of certain documents, educational qualification possessed by him/her, clarification regarding community status and its acceptance, marks / rank list of the candidate etc. as the case may be. If any of their claims are found to be false or incorrect, their candidature is liable for rejection at any point of time. d. Candidate summoned for certificates verification is hereby advised to appear with all the relevant documents in original without fail. Failure to produce even any one of the essential documents will result in rejection of his / her candidature. MEMBER SECRETARY

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Page 1: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 1 of 6

MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai-600 006.

Website www.mrb.tn.gov.in E.mail: [email protected] twitter.com/mrb_tn Phone No.: 044 -24355757

Notification No.12/MRB/2016 Dated: 02.06.2017

Temporary post of Assistant Surgeon (General)

You are hereby informed to appear for verification of your certificates/ documents as claimed by you in your on-line application.

The list of documents to be produced by you (in original along with one set of self-

attested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue.

Date 06.06.2017 FN

Time 10.00 AM to 01:00 PM

Venue TNHSP Auditorium (Ground Floor), [Opposite to DMS Office], DMS campus, 359, Anna salai, Chennai – 6

Note:

a. If the candidate fails to appear for verification of certificates / documents on the specified date / time, it will be presumed that the candidate is no longer interested for the post and his / her candidature is liable for rejection, without any further notice.

b. Mere calling for verification of certificates / documents does not confer any right over selection / appointment.

c. The candidates are called for verification of certificates / documents based on the particulars furnished in their on-line applications such as age, educational qualification, community, etc. The provisional selection of candidates will be made only after verification/ acceptance of certain documents, educational qualification possessed by him/her, clarification regarding community status and its acceptance, marks / rank list of the candidate etc. as the case may be. If any of their claims are found to be false or incorrect, their candidature is liable for rejection at any point of time.

d. Candidate summoned for certificates verification is hereby advised to appear with all the relevant documents in original without fail. Failure to produce even any one of the essential documents will result in rejection of his / her candidature.

MEMBER SECRETARY

Page 2: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 2 of 6

MEDICAL SERVICES RECRUITMENT BOARD

Documents for verification for the Temporary posts of Assistant Surgeon (General)

The following documents (original along with one set of self attested photocopies) are to be produced at the time of certificate verification. [Please arrange and bring the certificates in the same order for easy and quick verification]

1 Evidence of Date of Birth (Birth Certificate; SSLC; HSC) as per Annexure 3 of the detailed notification

2 Evidence of Educational qualification (SSLC; HSC; MBBS; CRRI Completion Certificate; PG Diploma; PG Degree; DNB; Super Speciality; Ph.D Degree or Provisional certificate along with mark sheets etc.) as per Annexure 3 of the detailed notification

3 Medical Council Permanent Registration Certificate as per Annexure 3 of the detailed notification

4a Certificate of character and conduct issued by Group A or Group B Officer on or after issue of the current notification (10.11.2016) as per Annexure 3 of the detailed notification

4b Certificate of character and conduct issued by the Head of the Institution in which he /she last studied as per Annexure 3 of the detailed notification

5 Evidence of Tamil qualification (viz., SSLC / HSC / Certificate for having passed the second class Language Test (Full Test) in Tamil conducted by the Tamil Nadu Public Service Commission) as per Annexure 3 of the detailed notification (if applicable)

6 Community certificate from the competent authority (Permanent Community Certificate) as per Annexure 3 of the detailed notification

7 No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable)

8 a&b

The candidate shall submit an undertaking and a declaration (as in para 11 of the notification) at the time of certificate verification (Formats will be provided at the venue)

9 Differently abled certificate issued by the competent authority as per G.O.(Ms).No.13, Welfare of Differently Abled Persons (DAP.3.2) Department, dated 02.03.2016. (if applicable)

10 Two (2) Passport size colour photographs (with name and Application number written on the backside)

10a Any one of Photo ID Card issued by Government Authority (other than PAN card) - showing the Residential address for communication / permanent address as furnished in the On-line application

11

Challan copy (or) proof of Payment of fee already paid (either through on-line or off-line - Indian Bank Branch) On-line (Credit / Debit card / Net banking payment details)

If credit card – copy of credit card statement showing the transaction of payment. If debit card – copy of pass book entry for the transaction account details. Net Banking – copy of account summary for the payment

12 The candidate will also be asked to sign on the printed copy of on-line application (printed copy will be provided to the candidate at the venue)

12a Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable)

Page 3: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 3 of 6

ANNEXURE – 9

Specimen Copy of conduct and Character Certificate (to be issued by a

Group A or Group B Officer)

Name of the Certificate issuing officer: Date : Designation :

Address of Institution :

Phone No.:

E-mail :

CERTIFICATE OF CHARACTER AND CONDUCT

This is to certify that ……………………………………………..…. Son / Daughter of

Thiru………………………………………….………………………………………… who is

residing at (Full address to be furnished here) …………………………………………

………........................................………………………………………………………........ ….

… ……is known to me for the past ……………. years. His/ Her character and conduct

are ……...…………… The individual is not related to me.

Signature : Full Name: Designation:

(To be attested by the Certificate issuing officer)

Photograph of the candidate

Specimen Signature

Page 4: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 4 of 6

CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL)

DATE : 06.06.2017 SESSION : FORENOON

S.NO.

NAME APPLN NO. EXAM NO.

1827 AKILA P 303272 13506

1828 MOSUS AROCKYA RAJ K 302907 11226

1829 EBERLEIN G 306054 10608

1830 MONISHA K 302599 11136

1831 JASMINE PRISCILLA D 304994 15546

1832 KUMAR V 300899 14425

1833 RADHAKRISHNAN M 300586 11731

1834 SAI NAREN V S 306689 16790

1835 ANUSUYA DEVI CHINNUSAMY 301491 12851

1836 PRAVEEN SUNDER S 303903 12834

1837 VIGNESH A 300636 14312

1838 SARAVANA KUMARAN G 307065 16534

1839 BINIA SHERIN N 304464 11072

1840 GOPINATHAN E 304457 12548

1841 HONEY PRIYA A 304441 13359

1842 ANBUCHELVI D 301007 10486

1843 BALAMURUGAN P 305267 12483

1844 KIRUTHEGA M 300569 13173

1845 PRIYA C A 302305 13542

1846 ELANGO N 303730 14950

1847 SABHANA FIRTHOUS DAWOOD BASHA 302464 11720

1848 PURUSHOTHAMAN S 307006 12497

1849 NITHYA D 306074 14807

1850 ASHWATHI J 300042 12748

Page 5: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 5 of 6

S.NO.

NAME APPLN NO. EXAM NO.

1851 DOSS PRASANNA 301695 16012

1852 JEYA KARTHIK R 305818 13021

1853 VIGNESWARI VENKATNARAYANAN 306428 12237

1854 NISHANI S 304537 15514

1855 MAHAADEVI MAYALAGU 304601 11586

1856 NANDHAKUMAR B 300244 13674

1857 ANITHA RAJENDRAN 307067 16199

1858 SUYAMBURAJA M 303930 12273

1859 MOHAN P 307079 15260

1860 VINAYAGA PRABHU A 305515 15190

1861 OXY TS DHARSINI 300607 14813

1862 KRISHNAVENI K 302128 11809

1863 THENDRALAN V 301248 11228

1864 MONICA P 303186 15912

1865 GOWTHAM PANDIARAJ K 305186 12071

1866 MEENALOCHINI I 306878 10101

1867 VENKATESH PERUMAL PICHIAH GOMATHINAYAGAM 300221 11508

1868 ZAKEENA S 300910 14123

1869 RAMKUMAR S 302511 10847

1870 YASOTHAI P K 300546 10005

1871 SARANYA R 305200 13196

1872 GOKUL M 302801 16189

1873 MINNAL K 300757 11055

1874 ARUN SAN PRABHU S 306862 10685

1875 BRINDHA K 303196 13881

1876 ALFIE LENORD JOSEPH S 302829 13153

1877 NANDHINI A 305350 12471

1878 JEEVITHA S M 301236 15424

1879 VEENA S R 300032 15073

Page 6: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 6 of 6

S.NO.

NAME APPLN NO. EXAM NO.

1880 DEEPA CHOKKAN 307384 10140

1881 GOVINDARAJAN RAJENDRAN 306670 16730

1882 HASTHA S 307795 11940

1883 RADHEKA K R 300060 13036

1884 KEERTHANA M 302413 11918

1885 SARUMATHI D 304525 11966

1886 DANIEL ABRAHAM B 305356 12695

1887 YUVASRI P M 305270 11622

1888 RAM MADHAN A 300634 14020

1889 KANIMOZHI S 305277 13085

1890 PRATHEEP V 300865 11605

1891 SUBHASHINI N 307099 13337

1892 SARANYA B 301152 16421

1893 SARANYA M 305242 10198

1894 LEKSHMI MOHAN 302265 15471

1895 SARAVANAN S 301897 16789

1896 KAVIYA N 304602 11983

1897 KAVITHANJALI S 304117 16090

1898 MEHATAJ B 303165 15257

1899 JEGADEESH S 304767 12538

1900 VIGNESH S 306225 12899

1901 AKILA K 300935 12853

MEMBER SECRETARY

Page 7: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 1 of 6

MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai-600 006.

Website www.mrb.tn.gov.in E.mail: [email protected] twitter.com/mrb_tn Phone No.: 044 -24355757

Notification No.12/MRB/2016 Dated: 02.06.2017

Temporary post of Assistant Surgeon (General)

You are hereby informed to appear for verification of your certificates/ documents as claimed by you in your on-line application.

The list of documents to be produced by you (in original along with one set of self-

attested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue.

Date 06.06.2017 AN

Time 02.00 PM to 05:00 PM

Venue TNHSP Auditorium (Ground Floor), [Opposite to DMS Office], DMS campus, 359, Anna salai, Chennai – 6

Note:

a. If the candidate fails to appear for verification of certificates / documents on the specified date / time, it will be presumed that the candidate is no longer interested for the post and his / her candidature is liable for rejection, without any further notice.

b. Mere calling for verification of certificates / documents does not confer any right over selection / appointment.

c. The candidates are called for verification of certificates / documents based on the particulars furnished in their on-line applications such as age, educational qualification, community, etc. The provisional selection of candidates will be made only after verification/ acceptance of certain documents, educational qualification possessed by him/her, clarification regarding community status and its acceptance, marks / rank list of the candidate etc. as the case may be. If any of their claims are found to be false or incorrect, their candidature is liable for rejection at any point of time.

d. Candidate summoned for certificates verification is hereby advised to appear with all the relevant documents in original without fail. Failure to produce even any one of the essential documents will result in rejection of his / her candidature.

MEMBER SECRETARY

Page 8: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 2 of 6

MEDICAL SERVICES RECRUITMENT BOARD

Documents for verification for the Temporary posts of Assistant Surgeon (General)

The following documents (original along with one set of self attested photocopies) are to be produced at the time of certificate verification. [Please arrange and bring the certificates in the same order for easy and quick verification]

1 Evidence of Date of Birth (Birth Certificate; SSLC; HSC) as per Annexure 3 of the detailed notification

2 Evidence of Educational qualification (SSLC; HSC; MBBS; CRRI Completion Certificate; PG Diploma; PG Degree; DNB; Super Speciality; Ph.D Degree or Provisional certificate along with mark sheets etc.) as per Annexure 3 of the detailed notification

3 Medical Council Permanent Registration Certificate as per Annexure 3 of the detailed notification

4a Certificate of character and conduct issued by Group A or Group B Officer on or after issue of the current notification (10.11.2016) as per Annexure 3 of the detailed notification

4b Certificate of character and conduct issued by the Head of the Institution in which he /she last studied as per Annexure 3 of the detailed notification

5 Evidence of Tamil qualification (viz., SSLC / HSC / Certificate for having passed the second class Language Test (Full Test) in Tamil conducted by the Tamil Nadu Public Service Commission) as per Annexure 3 of the detailed notification (if applicable)

6 Community certificate from the competent authority (Permanent Community Certificate) as per Annexure 3 of the detailed notification

7 No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable)

8 a&b

The candidate shall submit an undertaking and a declaration (as in para 11 of the notification) at the time of certificate verification (Formats will be provided at the venue)

9 Differently abled certificate issued by the competent authority as per G.O.(Ms).No.13, Welfare of Differently Abled Persons (DAP.3.2) Department, dated 02.03.2016. (if applicable)

10 Two (2) Passport size colour photographs (with name and Application number written on the backside)

10a Any one of Photo ID Card issued by Government Authority (other than PAN card) - showing the Residential address for communication / permanent address as furnished in the On-line application

11

Challan copy (or) proof of Payment of fee already paid (either through on-line or off-line - Indian Bank Branch) On-line (Credit / Debit card / Net banking payment details)

If credit card – copy of credit card statement showing the transaction of payment. If debit card – copy of pass book entry for the transaction account details. Net Banking – copy of account summary for the payment

12 The candidate will also be asked to sign on the printed copy of on-line application (printed copy will be provided to the candidate at the venue)

12a Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable)

Page 9: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 3 of 6

ANNEXURE – 9

Specimen Copy of conduct and Character Certificate (to be issued by a

Group A or Group B Officer)

Name of the Certificate issuing officer: Date : Designation :

Address of Institution :

Phone No.:

E-mail :

CERTIFICATE OF CHARACTER AND CONDUCT

This is to certify that ……………………………………………..…. Son / Daughter of

Thiru………………………………………….………………………………………… who is

residing at (Full address to be furnished here) …………………………………………

………........................................………………………………………………………........ ….

… ……is known to me for the past ……………. years. His/ Her character and conduct

are ……...…………… The individual is not related to me.

Signature : Full Name: Designation:

(To be attested by the Certificate issuing officer)

Photograph of the candidate

Specimen Signature

Page 10: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 4 of 6

CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL)

DATE : 06.06.2017 SESSION : AFTERNOON

S.NO.

NAME APPLN NO. EXAM NO.

1902 RANJAN KUMAR A G 303408 10478

1903 SUGANYA T 301490 16713

1904 SENTHAMIZHSELVAN S 301480 13234

1905 LAVANYA K 301282 12843

1906 INDIRAGANDHI J 304384 12923

1907 ABILASH B S 304920 14347

1908 ESSAKIRAJA K 303904 16392

1909 VISHNUPRIYA S 306658 15268

1910 KALAIYARASI S 302225 15482

1911 KANIMOZHI S 301223 16169

1912 RITIKA SWAMINATHAN 305268 16804

1913 PRADEEP CHINNUSAMI 301754 10055

1914 SRIDEVI SUNDAR 303321 13827

1915 DEEPTHI LEELIA BETZY R 305643 10048

1916 UDHAYAPARIVALLAL PARIVALLAL 301018 16869

1917 VISWANATHAN M 300076 15635

1918 PRABHA BASKARAN 304719 14071

1919 VAISHNAVI R 302235 11629

1920 SUBASH G 307465 15850

1921 SURYAKUMAR M 304279 13571

1922 NITHYA PRIYANKA VASUDEVAN 300909 16408

1923 SOLAIAMMAL S 303635 12022

1924 RAYESA AUTHIFA M 302046 14780

1925 KAVINILAVU P 306347 15601

Page 11: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 5 of 6

S.NO.

NAME APPLN NO. EXAM NO.

1926 NAVANEETHAKRISHNAN J 305510 14552

1927 HIRANMAYEE M R 300654 11927

1928 MALA M 301263 10477

1929 KODISWARI P 306160 12912

1930 NIVEDHAN R 307627 15217

1931 ELAKKIYA S 301954 14667

1932 SENTHIL KUMAR T 300998 13405

1933 SIVA SHANKAR N 304512 14707

1934 LAKSHMY MOHAN K 301016 14179

1935 SABARINATH M 303491 10452

1936 ANU ASHEETHA R 305202 12066

1937 GAYATHIRI M 302468 13434

1938 DHIVYA V 303306 14561

1939 LAVANYA DAMODADARAN 304115 14997

1940 GOLDWIN H 304401 10798

1941 SHOBINI S 301313 15839

1942 SARASWATHI SITHAN 301771 14805

1943 YAZHINI GUNASEKARAN 303979 16694

1944 DEVAN RAMANAN 304717 16819

1945 MUTHUSIVAGAMI T 305065 14742

1946 NANDHINI M 302329 14031

1947 SOWMIYA R 300282 12427

1948 RADHAKRISHNAN R 302859 14796

1949 DHEEPA LAKSHMI M 300317 12507

1950 BALAN GNANASAMBANDAM 303063 15433

1951 VIVIN PRASADH V C 302232 12619

1952 VETRIVEL M 302256 13694

1953 SAHUL HAMEED NATCHIAL SAHABUDEEN 305797 14166

1954 DEIVANAYAGAM S 300512 16762

1955 SATHISH A 304917 12823

Page 12: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 6 of 6

S.NO.

NAME APPLN NO. EXAM NO.

1956 PRIYANKA M 307353 12986

1957 NARAYANAN P 307580 15097

1958 SHANMUGA PRIYA M 300664 15422

1959 SHIV RANJIT P D 305619 15418

1960 ARUNCHANDAR R 301854 11121

1961 KUMARAN G 305299 11520

1962 VISITHRA A 300999 10850

1963 AKSHAYA MOORTHY 305580 12820

1964 SHARMILA A C 301651 16685

1965 ISWARYADEVI M 304516 10149

1966 CHANDRAMOULI N 305958 15312

1967 SANTHOSH RAMANAN A 303560 13366

1968 SARANYA R 303072 11034

1969 YAESHWANTH JAIN THANAKEERTHI 300751 11725

1970 SHOBHA RANI PALANIVEL 307196 12624

1971 SIVARANJANI GNANASEKERAN 304402 12455

1972 JOHN VERGILIN J 303807 13664

1973 MANUJKUMAR G 303925 14825

1974 KAVIYA S 300352 12842

1975 PRIYA S 302959 13523

1976 RAMYAA SATHYAM BABU 300024 12563

MEMBER SECRETARY

Page 13: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 1 of 6

MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai-600 006.

Website www.mrb.tn.gov.in E.mail: [email protected] twitter.com/mrb_tn Phone No.: 044 -24355757

Notification No.12/MRB/2016 Dated: 02.06.2017

Temporary post of Assistant Surgeon (General)

You are hereby informed to appear for verification of your certificates/ documents as claimed by you in your on-line application.

The list of documents to be produced by you (in original along with one set of self-

attested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue.

Date 07.06.2017 FN

Time 10.00 AM to 01:00 PM

Venue TNHSP Auditorium (Ground Floor), [Opposite to DMS Office], DMS campus, 359, Anna salai, Chennai – 6

Note:

a. If the candidate fails to appear for verification of certificates / documents on the specified date / time, it will be presumed that the candidate is no longer interested for the post and his / her candidature is liable for rejection, without any further notice.

b. Mere calling for verification of certificates / documents does not confer any right over selection / appointment.

c. The candidates are called for verification of certificates / documents based on the particulars furnished in their on-line applications such as age, educational qualification, community, etc. The provisional selection of candidates will be made only after verification/ acceptance of certain documents, educational qualification possessed by him/her, clarification regarding community status and its acceptance, marks / rank list of the candidate etc. as the case may be. If any of their claims are found to be false or incorrect, their candidature is liable for rejection at any point of time.

d. Candidate summoned for certificates verification is hereby advised to appear with all the relevant documents in original without fail. Failure to produce even any one of the essential documents will result in rejection of his / her candidature.

MEMBER SECRETARY

Page 14: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 2 of 6

MEDICAL SERVICES RECRUITMENT BOARD

Documents for verification for the Temporary posts of Assistant Surgeon (General)

The following documents (original along with one set of self attested photocopies) are to be produced at the time of certificate verification. [Please arrange and bring the certificates in the same order for easy and quick verification]

1 Evidence of Date of Birth (Birth Certificate; SSLC; HSC) as per Annexure 3 of the detailed notification

2 Evidence of Educational qualification (SSLC; HSC; MBBS; CRRI Completion Certificate; PG Diploma; PG Degree; DNB; Super Speciality; Ph.D Degree or Provisional certificate along with mark sheets etc.) as per Annexure 3 of the detailed notification

3 Medical Council Permanent Registration Certificate as per Annexure 3 of the detailed notification

4a Certificate of character and conduct issued by Group A or Group B Officer on or after issue of the current notification (10.11.2016) as per Annexure 3 of the detailed notification

4b Certificate of character and conduct issued by the Head of the Institution in which he /she last studied as per Annexure 3 of the detailed notification

5 Evidence of Tamil qualification (viz., SSLC / HSC / Certificate for having passed the second class Language Test (Full Test) in Tamil conducted by the Tamil Nadu Public Service Commission) as per Annexure 3 of the detailed notification (if applicable)

6 Community certificate from the competent authority (Permanent Community Certificate) as per Annexure 3 of the detailed notification

7 No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable)

8 a&b

The candidate shall submit an undertaking and a declaration (as in para 11 of the notification) at the time of certificate verification (Formats will be provided at the venue)

9 Differently abled certificate issued by the competent authority as per G.O.(Ms).No.13, Welfare of Differently Abled Persons (DAP.3.2) Department, dated 02.03.2016. (if applicable)

10 Two (2) Passport size colour photographs (with name and Application number written on the backside)

10a Any one of Photo ID Card issued by Government Authority (other than PAN card) - showing the Residential address for communication / permanent address as furnished in the On-line application

11

Challan copy (or) proof of Payment of fee already paid (either through on-line or off-line - Indian Bank Branch) On-line (Credit / Debit card / Net banking payment details)

If credit card – copy of credit card statement showing the transaction of payment. If debit card – copy of pass book entry for the transaction account details. Net Banking – copy of account summary for the payment

12 The candidate will also be asked to sign on the printed copy of on-line application (printed copy will be provided to the candidate at the venue)

12a Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable)

Page 15: MEDICAL SERVICES RECRUITMENT BOARD (MRB) File TN.pdfMEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, ... MEDICAL SERVICES RECRUITMENT BOARD

Page 3 of 6

ANNEXURE – 9

Specimen Copy of conduct and Character Certificate (to be issued by a

Group A or Group B Officer)

Name of the Certificate issuing officer: Date : Designation :

Address of Institution :

Phone No.:

E-mail :

CERTIFICATE OF CHARACTER AND CONDUCT

This is to certify that ……………………………………………..…. Son / Daughter of

Thiru………………………………………….………………………………………… who is

residing at (Full address to be furnished here) …………………………………………

………........................................………………………………………………………........ ….

… ……is known to me for the past ……………. years. His/ Her character and conduct

are ……...…………… The individual is not related to me.

Signature : Full Name: Designation:

(To be attested by the Certificate issuing officer)

Photograph of the candidate

Specimen Signature

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CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL)

DATE : 07.06.2017 SESSION : FORENOON

S.NO.

NAME APPLN NO. EXAM NO.

1977 GOKUL RAJ A 307883 11826

1978 DURAIRAJAN V 303838 13677

1979 SHAMEEN RAJA A 301494 14186

1980 SURESH G 307403 12993

1981 AKILA R 304613 16525

1982 THIRUKARTHICK V 303276 10253

1983 ANANYA J 300381 11770

1984 MEENAKSHI A 300450 12126

1985 NANDHINI A M 300861 13092

1986 UMA A 304428 13283

1987 ESWARI N 301981 16250

1988 ASHWIN KUMAR A 300969 12432

1989 MERCY J A 302648 13527

1990 BRINDHA P 304627 12081

1991 KANNAN G 300268 15274

1992 SADHANA R 305443 13435

1993 SRUTHI D 302505 10680

1994 VIDHYA D 307175 11107

1995 KALAIARASI R 300990 13271

1996 GENGADEVI P 303053 16508

1997 SUBHASREE N 305032 10404

1998 SUVATHIPRIYA M 304491 14863

1999 KRISHNAKUMAR K 308049 10972

2000 SATHYA CHINNAKANNU 301438 12100

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S.NO.

NAME APPLN NO. EXAM NO.

2001 DAYANA LAKSHMI R 306096 16316

2002 DEVASENAN P 300989 14563

2003 HASEENA BEGAM MOHAMED SATHIQUL AMEEN 300832 11490

2004 GNANASEKARAN R 300786 14752

2005 SRIRAM M 303864 10700

2006 THESHYA M 301140 14677

2007 SANKARA SUBBU S 307016 14888

2008 SUBHANGINI RAVIKUMAUR 302466 11604

2009 VISHWANTH PARTHASARATHY 301723 10209

2010 KULASEKAR CHANDRAN 300154 11267

2011 JEEVA JAGANATHAN 307414 15491

2012 JANANI G 306876 11838

2013 SHAMINI A K 302935 15732

2014 GAYATHRI P 300608 15044

2015 MOHANA PRIYA PACKIRISAMY 305794 11951

2016 PUGAZHENDHI S 304742 13089

2017 SALU M 301380 16296

2018 NITHYANANDHAM P 305897 13290

2019 PRIYANKA K 303709 14657

2020 LIVINSON L 300183 16716

2021 AMAR THUMMA 306464 12276

2022 GEETHA PRIYA GOVINDARAJAN 304559 15558

2023 VIGNESH CHANDRAN J 300289 10314

2024 PAVITHRA C 302161 15051

2025 GAYATRI DEVI S 304381 11331

2026 VIGNESH N 301218 13605

2027 KARTHIKA URKAVALAN 304939 12740

2028 SASIKALA VEDAMUTHU 301308 11912

2029 VIJAYAKUMAR D 302664 14914

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S.NO.

NAME APPLN NO. EXAM NO.

2030 ABINAYA R 303818 13162

2031 SINDUJA S 303155 12646

2032 SHARMILA K M 302501 10746

2033 LAAVANYA S 300344 14627

2034 RAJITHA G 301434 11023

2035 NANDHINI S 302368 12562

2036 THIYAGU K 301632 16756

2037 SANDHYA K 302806 14162

2038 SRIMATHI MM 301852 15722

2039 HAMEED S 305276 10506

2040 VIGNESWARI M 305980 10146

2041 SHANMUGAM R 304023 15242

2042 DURGA A 305219 12528

2043 VADIVEL S 306221 15080

2044 ARUN MOZHI THEVAN P M 305834 10805

2045 RAGHUPATHI R 304804 11421

2046 VISHALI S 304247 14853

2047 NARMADA R 302725 13461

2048 PRAVEEN KUMAR R 300199 10180

2049 ANGELIN JENCY J 301369 13207

2050 HARRITHAA B 305787 14907

2051 JAYAPRADHA J 301073 16186

MEMBER SECRETARY

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MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai-600 006.

Website www.mrb.tn.gov.in E.mail: [email protected] twitter.com/mrb_tn Phone No.: 044 -24355757

Notification No.12/MRB/2016 Dated: 02.06.2017

Temporary post of Assistant Surgeon (General)

You are hereby informed to appear for verification of your certificates/ documents as claimed by you in your on-line application.

The list of documents to be produced by you (in original along with one set of self-

attested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue.

Date 07.06.2017 AN

Time 02.00 PM to 05:00 PM

Venue TNHSP Auditorium (Ground Floor), [Opposite to DMS Office], DMS campus, 359, Anna salai, Chennai – 6

Note:

a. If the candidate fails to appear for verification of certificates / documents on the specified date / time, it will be presumed that the candidate is no longer interested for the post and his / her candidature is liable for rejection, without any further notice.

b. Mere calling for verification of certificates / documents does not confer any right over selection / appointment.

c. The candidates are called for verification of certificates / documents based on the particulars furnished in their on-line applications such as age, educational qualification, community, etc. The provisional selection of candidates will be made only after verification/ acceptance of certain documents, educational qualification possessed by him/her, clarification regarding community status and its acceptance, marks / rank list of the candidate etc. as the case may be. If any of their claims are found to be false or incorrect, their candidature is liable for rejection at any point of time.

d. Candidate summoned for certificates verification is hereby advised to appear with all the relevant documents in original without fail. Failure to produce even any one of the essential documents will result in rejection of his / her candidature.

MEMBER SECRETARY

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MEDICAL SERVICES RECRUITMENT BOARD

Documents for verification for the Temporary posts of Assistant Surgeon (General)

The following documents (original along with one set of self attested photocopies) are to be produced at the time of certificate verification. [Please arrange and bring the certificates in the same order for easy and quick verification]

1 Evidence of Date of Birth (Birth Certificate; SSLC; HSC) as per Annexure 3 of the detailed notification

2 Evidence of Educational qualification (SSLC; HSC; MBBS; CRRI Completion Certificate; PG Diploma; PG Degree; DNB; Super Speciality; Ph.D Degree or Provisional certificate along with mark sheets etc.) as per Annexure 3 of the detailed notification

3 Medical Council Permanent Registration Certificate as per Annexure 3 of the detailed notification

4a Certificate of character and conduct issued by Group A or Group B Officer on or after issue of the current notification (10.11.2016) as per Annexure 3 of the detailed notification

4b Certificate of character and conduct issued by the Head of the Institution in which he /she last studied as per Annexure 3 of the detailed notification

5 Evidence of Tamil qualification (viz., SSLC / HSC / Certificate for having passed the second class Language Test (Full Test) in Tamil conducted by the Tamil Nadu Public Service Commission) as per Annexure 3 of the detailed notification (if applicable)

6 Community certificate from the competent authority (Permanent Community Certificate) as per Annexure 3 of the detailed notification

7 No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable)

8 a&b

The candidate shall submit an undertaking and a declaration (as in para 11 of the notification) at the time of certificate verification (Formats will be provided at the venue)

9 Differently abled certificate issued by the competent authority as per G.O.(Ms).No.13, Welfare of Differently Abled Persons (DAP.3.2) Department, dated 02.03.2016. (if applicable)

10 Two (2) Passport size colour photographs (with name and Application number written on the backside)

10a Any one of Photo ID Card issued by Government Authority (other than PAN card) - showing the Residential address for communication / permanent address as furnished in the On-line application

11

Challan copy (or) proof of Payment of fee already paid (either through on-line or off-line - Indian Bank Branch) On-line (Credit / Debit card / Net banking payment details)

If credit card – copy of credit card statement showing the transaction of payment. If debit card – copy of pass book entry for the transaction account details. Net Banking – copy of account summary for the payment

12 The candidate will also be asked to sign on the printed copy of on-line application (printed copy will be provided to the candidate at the venue)

12a Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable)

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ANNEXURE – 9

Specimen Copy of conduct and Character Certificate (to be issued by a

Group A or Group B Officer)

Name of the Certificate issuing officer: Date : Designation :

Address of Institution :

Phone No.:

E-mail :

CERTIFICATE OF CHARACTER AND CONDUCT

This is to certify that ……………………………………………..…. Son / Daughter of

Thiru………………………………………….………………………………………… who is

residing at (Full address to be furnished here) …………………………………………

………........................................………………………………………………………........ ….

… ……is known to me for the past ……………. years. His/ Her character and conduct

are ……...…………… The individual is not related to me.

Signature : Full Name: Designation:

(To be attested by the Certificate issuing officer)

Photograph of the candidate

Specimen Signature

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CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL)

DATE : 07.06.2017 SESSION : AFTERNOON

S.NO.

NAME APPLN NO. EXAM NO.

2052 SIDDHARTHAN S 302653 15832

2053 SUJITHA U 306317 14204

2054 NITHYA S 300822 11219

2055 SANTHALAKSHMI S 303670 14291

2056 NANDITHA HARIHARAN 300513 12311

2057 MAHIL SOLOMON 307981 14900

2058 DHANAPRABHAKAR P 301402 14026

2059 NISHAD AMRIN H 304596 13910

2060 PRIYANKA A 304407 16052

2061 VISHNU CHANDRU S 303263 13703

2062 SARMILA S 305008 13872

2063 KAPIL Y S R 306568 12277

2064 VIJAY PANDIAN M 308224 14823

2065 SAMUEL SANTHOSH A 301427 13898

2066 ANBU CHELVI A 306327 11250

2067 SARANYADEVI G 307944 14537

2068 KEERTHI K 305969 15878

2069 PRAVEENA H R 305496 10827

2070 VIJHAY ANANDH N A 307570 16187

2071 SWATHIKA A 302975 13923

2072 KARTHIK M R 300707 15984

2073 RAJESH KUMAR C 304511 16802

2074 NIRAIMATHI M 302315 11010

2075 VISHNU CHANDRAN 306161 15725

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S.NO.

NAME APPLN NO. EXAM NO.

2076 PRITHIVI M 302370 14956

2077 SUDARMATHI P 300264 10155

2078 MOHAN RAAJ P K 307263 11758

2079 UMA GIRISHA LEKKALA 306956 14518

2080 SIDDHARTH P 300031 12905

2081 GIRIJA RANGANATHAN 304490 15767

2082 KANAGABALA B 303669 15383

2083 JAGADESWARI M 303650 10095

2084 UMA P K 302921 15171

2085 VIJISHA V 305750 13900

2086 SATHIYAMOORTHY M 304122 14958

2087 RAJI L 301603 12644

2088 DINAH DAPHNE CARBIN JOSEPH 304252 14105

2089 MOHAMED JASIR M 303516 15825

2090 TAMILARASI P 303745 15075

2091 INDHUMATHI S 305953 11900

2092 DIWAHAR ANGURAJ J 302470 16784

2093 MOHANA SUGANYA M 301111 10024

2094 SHANMUGA PRIYA CHANDRAN 306626 12305

2095 ANITHA RAJ S 301325 12630

2096 TAMILMANI C 300613 16649

2097 SHANTHINI GILDA V 303244 11313

2098 KAAVYA S 307231 12279

2099 HEMASUPRAJA S 305523 12804

2100 SANTHIYA DEVI M 306020 16077

2101 DHIVYA R 301531 11073

2102 KANIMOZHI M 301961 11389

2103 RAJASEKAR L 307852 13643

2104 PALANI ANAND BABU J 300571 13609

2105 SATHESH P 303092 15531

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S.NO.

NAME APPLN NO. EXAM NO.

2106 ARVIND M 304729 13037

2107 PREETHI P 300595 16300

2108 JAYABHARATHI P 303144 10571

2109 NANDHINI P 307130 10611

2110 NIRMAL KUMAR E S 303568 11970

2111 PURUSHOTHAMAN S 303134 14993

2112 VIGNESH M 300326 16448

2113 SHANKAMESWARAN B 306393 13964

2114 KISHORE GOWTHAM RAJ D 300293 11237

2115 JANANI S 302126 15040

2116 MYDEEN BEEVI P 306408 12046

2117 SURYA G 304123 11011

2118 GIGI R 304704 10975

2119 JAISHREE T 300687 10488

2120 SRI ADHITHYA P L 301173 12847

2121 ELAVARASAN RAJENDIRAN 306563 12087

2122 AARTHI D S 303238 10344

2123 LOGANAYAKI SULLIPALAYAM RANGARAJAN 301043 10867

2124 VINOTH KUMAR R 304903 13065

2125 DEEPAK SANKAR R 303774 11781

2126 AISHWARYA MEENALOSHINI R 304288 11100

MEMBER SECRETARY