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Page 1 of 7 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: 02.03.2017 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 13.03.2017 FN Time 10.00 AM to 01:00 PM Venue Medical Services Recruitment Board 7 th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006 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) · Medical Services Recruitment Board Venue 7th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006 Note: a. If the candidate

Page 1 of 7

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: 02.03.2017

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 13.03.2017 FN

Time 10.00 AM to 01:00 PM

Venue Medical Services Recruitment Board 7th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006

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) · Medical Services Recruitment Board Venue 7th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006 Note: a. If the candidate

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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)

Page 3: MEDICAL SERVICES RECRUITMENT BOARD (MRB) · Medical Services Recruitment Board Venue 7th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006 Note: a. If the candidate

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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

Page 4: MEDICAL SERVICES RECRUITMENT BOARD (MRB) · Medical Services Recruitment Board Venue 7th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006 Note: a. If the candidate

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CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL)

DATE :13.03.2017 SESSION : FORENOON

S.NO.

NAME APPLN NO. EXAM NO.

1346 GOWTHAM A R 306964 15672

1347 HEMACHITHRA D 300386 14211

1348 THOUSEEF BM 304353 15235

1349 ANJITHA S 302201 15758

1350 PORKODI A K 303708 11632

1351 PRETI G 305307 13002

1352 VIDHYA KOLAMUTHU 303817 10962

1353 ASMITHA J 301478 16757

1354 THULASIRAM SUNDAR M 307308 13781

1355 ELANGOVAN S 304963 14934

1356 SABARINATHAN N 305003 10633

1357 JANARTHANAN R 302512 10836

1358 PUNITHA A 303389 15441

1359 THEEPTHA J 306468 10895

1360 JAYAVEL OK 300303 14427

1361 RAGHU P 305764 16433

1362 SHASTIKAA N 305004 12849

1363 VENKATESAN R 303035 11522

1364 ARAVINTH V K 305829 16396

Page 5: MEDICAL SERVICES RECRUITMENT BOARD (MRB) · Medical Services Recruitment Board Venue 7th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006 Note: a. If the candidate

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S.NO.

NAME APPLN NO. EXAM NO.

1365 GOWTHAM KISHORE A 305147 15646

1366 SASIKUMAR R 304440 12672

1367 STEPHANIE J 303048 15477

1368 PRIYADHARSHINI B 304867 14391

1369 METHUN SENTHUR G 301595 15838

1370 ANITHA A 302312 10030

1371 SUGANYA C 302877 16317

1372 SHIVA N K 300682 13941

1373 JAGDISH BABU KRISHNAPRASAD 304420 16352

1374 PAVITHRA A 300890 14421

1375 SANDHYA PRIYA DHARSHINI V N 301575 11157

1376 NISAR AHAMED S 300766 12553

1377 VIJITHRA THANGAMANI 305475 14233

1378 ROY CHRISTO A 306286 13073

1379 LIBERTHI R 303176 10544

1380 RATHIPRIYADHARSHINI RAJENDRAN 301909 15434

1381 VENKATESWARAN K 305963 12422

1382 MADHAVA SUNDARI S 301426 12925

1383 JANANI S P 305973 10597

1384 SUGANYA V 301607 13849

1385 REX MERIL GABRIEL 302659 16739

1386 HARI HARAN GNANESWARAN 307561 14578

1387 KARTHIKA G 303523 13764

Page 6: MEDICAL SERVICES RECRUITMENT BOARD (MRB) · Medical Services Recruitment Board Venue 7th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006 Note: a. If the candidate

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S.NO.

NAME APPLN NO. EXAM NO.

1388 MEERA R 306396 14814

1389 GOMATHI P 302744 14344

1390 BAVISHNA S 306143 10276

1391 KARTHICK R 300236 10330

1392 MADHUBALA K 303724 15905

1393 SETHU RAMAN P A 307709 11398

1394 RAMYA M 305233 16638

1395 PRIYANKA ANAND 306678 10123

1396 SANTHINI JAYAPAL 303748 10852

1397 GOKUL G 306361 13391

1398 RAJASEKAR RAJENDRAN 301044 15388

1399 PAVITHRA K 306024 13358

1400 AIESWARYA SANKAR 302382 14001

1401 DEEPAK EMMANUEL RAJKUMAR 302153 12076

1402 MOHAMMED AAKILA IQSANA M 301849 13791

1403 SURUTHI N 301299 12228

1404 SATHIYAMURTHY M M 303599 10924

1405 JOSPHIN LISHA A 303303 15237

1406 GOVARDHANAN R 308043 14002

1407 REVATHI KANDASAMY 306662 11673

1408 SUGAN RAGAVENDRA S 300413 10911

1409 KARTHIKEYAN A 300340 16340

1410 JOTHI PRIYA A 304811 15034

Page 7: MEDICAL SERVICES RECRUITMENT BOARD (MRB) · Medical Services Recruitment Board Venue 7th Floor, DMS Building, 359, Anna Salai, Teynampet, Chennai-600 006 Note: a. If the candidate

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S.NO.

NAME APPLN NO. EXAM NO.

1411 MATHANKUMAR E 300219 10308

1412 SHAN MATHURI G 302069 13934

1413 PRIYA R 301198 16245

1414 SRINATH D 303887 10414

1415 VIVEK C 302000 11291

1416 RAJESH K 303576 16531

1417 KAPILAMUNISVARAN D 305429 11139

1418 MALLIKA S 304956 14899

1419 MANIKANDAN K 306704 15248

1420 HEPZIBHA TEPHILA J 303432 10152

1421 NIVETHA K 303169 10613

1422 ARUN RAJA S 304275 15179

1423 KARTHIGA N 304410 14876

1424 GAUTHAM N 301320 11543

1425 KIRANKUMAR C 305781 12662

MEMBER SECRETARY