Notification No.12/MRB/2016 Dated: Temporary post of Assistant Surgeon (General)

Transcription

1 MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7 th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai Website E.mail: mrb.tn@nic.in twitter.com/mrb_tn Phone No.: Notification No.12/MRB/2016 Dated: 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 selfattested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue. Date Time Venue FN AM to 01:00 PM 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. Page 1 of 6 MEMBER SECRETARY

2 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 ( ) as per Annexure 3 of the detailed notification 4b a&b a a 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 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) Community certificate from the competent authority (Permanent Community Certificate) as per Annexure 3 of the detailed notification No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable) 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) 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 (if applicable) Two (2) Passport size colour photographs (with name and Application number written on the backside) 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 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 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) Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable) Page 2 of 6

3 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.: 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. Photograph of the candidate Signature : Full Name: Designation: Specimen Signature (To be attested by the Certificate issuing officer) Page 3 of 6

4 CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL) DATE : SESSION : FORENOON S.NO. NAME APPLN NO. EXAM NO AKILA P MOSUS AROCKYA RAJ K EBERLEIN G MONISHA K JASMINE PRISCILLA D KUMAR V RADHAKRISHNAN M SAI NAREN V S ANUSUYA DEVI CHINNUSAMY PRAVEEN SUNDER S VIGNESH A SARAVANA KUMARAN G BINIA SHERIN N GOPINATHAN E HONEY PRIYA A ANBUCHELVI D BALAMURUGAN P KIRUTHEGA M PRIYA C A ELANGO N SABHANA FIRTHOUS DAWOOD BASHA PURUSHOTHAMAN S NITHYA D ASHWATHI J Page 4 of 6

5 S.NO. NAME APPLN NO. EXAM NO DOSS PRASANNA JEYA KARTHIK R VIGNESWARI VENKATNARAYANAN NISHANI S MAHAADEVI MAYALAGU NANDHAKUMAR B ANITHA RAJENDRAN SUYAMBURAJA M MOHAN P VINAYAGA PRABHU A OXY TS DHARSINI KRISHNAVENI K THENDRALAN V MONICA P GOWTHAM PANDIARAJ K MEENALOCHINI I VENKATESH PERUMAL PICHIAH GOMATHINAYAGAM ZAKEENA S RAMKUMAR S YASOTHAI P K SARANYA R GOKUL M MINNAL K ARUN SAN PRABHU S BRINDHA K ALFIE LENORD JOSEPH S NANDHINI A JEEVITHA S M VEENA S R Page 5 of 6

6 S.NO. NAME APPLN NO. EXAM NO DEEPA CHOKKAN GOVINDARAJAN RAJENDRAN HASTHA S RADHEKA K R KEERTHANA M SARUMATHI D DANIEL ABRAHAM B YUVASRI P M RAM MADHAN A KANIMOZHI S PRATHEEP V SUBHASHINI N SARANYA B SARANYA M LEKSHMI MOHAN SARAVANAN S KAVIYA N KAVITHANJALI S MEHATAJ B JEGADEESH S VIGNESH S AKILA K MEMBER SECRETARY Page 6 of 6

7 MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7 th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai Website E.mail: mrb.tn@nic.in twitter.com/mrb_tn Phone No.: Notification No.12/MRB/2016 Dated: 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 selfattested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue. Date Time Venue AN PM to 05:00 PM 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. Page 1 of 6 MEMBER SECRETARY

8 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 ( ) as per Annexure 3 of the detailed notification 4b a&b a a 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 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) Community certificate from the competent authority (Permanent Community Certificate) as per Annexure 3 of the detailed notification No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable) 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) 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 (if applicable) Two (2) Passport size colour photographs (with name and Application number written on the backside) 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 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 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) Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable) Page 2 of 6

9 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.: 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. Photograph of the candidate Signature : Full Name: Designation: Specimen Signature (To be attested by the Certificate issuing officer) Page 3 of 6

10 CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL) DATE : SESSION : AFTERNOON S.NO. NAME APPLN NO. EXAM NO RANJAN KUMAR A G SUGANYA T SENTHAMIZHSELVAN S LAVANYA K INDIRAGANDHI J ABILASH B S ESSAKIRAJA K VISHNUPRIYA S KALAIYARASI S KANIMOZHI S RITIKA SWAMINATHAN PRADEEP CHINNUSAMI SRIDEVI SUNDAR DEEPTHI LEELIA BETZY R UDHAYAPARIVALLAL PARIVALLAL VISWANATHAN M PRABHA BASKARAN VAISHNAVI R SUBASH G SURYAKUMAR M NITHYA PRIYANKA VASUDEVAN SOLAIAMMAL S RAYESA AUTHIFA M KAVINILAVU P Page 4 of 6

11 S.NO. NAME APPLN NO. EXAM NO NAVANEETHAKRISHNAN J HIRANMAYEE M R MALA M KODISWARI P NIVEDHAN R ELAKKIYA S SENTHIL KUMAR T SIVA SHANKAR N LAKSHMY MOHAN K SABARINATH M ANU ASHEETHA R GAYATHIRI M DHIVYA V LAVANYA DAMODADARAN GOLDWIN H SHOBINI S SARASWATHI SITHAN YAZHINI GUNASEKARAN DEVAN RAMANAN MUTHUSIVAGAMI T NANDHINI M SOWMIYA R RADHAKRISHNAN R DHEEPA LAKSHMI M BALAN GNANASAMBANDAM VIVIN PRASADH V C VETRIVEL M SAHUL HAMEED NATCHIAL SAHABUDEEN DEIVANAYAGAM S SATHISH A Page 5 of 6

12 S.NO. NAME APPLN NO. EXAM NO PRIYANKA M NARAYANAN P SHANMUGA PRIYA M SHIV RANJIT P D ARUNCHANDAR R KUMARAN G VISITHRA A AKSHAYA MOORTHY SHARMILA A C ISWARYADEVI M CHANDRAMOULI N SANTHOSH RAMANAN A SARANYA R YAESHWANTH JAIN THANAKEERTHI SHOBHA RANI PALANIVEL SIVARANJANI GNANASEKERAN JOHN VERGILIN J MANUJKUMAR G KAVIYA S PRIYA S RAMYAA SATHYAM BABU MEMBER SECRETARY Page 6 of 6

13 MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7 th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai Website E.mail: mrb.tn@nic.in twitter.com/mrb_tn Phone No.: Notification No.12/MRB/2016 Dated: 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 selfattested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue. Date Time Venue FN AM to 01:00 PM 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. Page 1 of 6 MEMBER SECRETARY

14 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 ( ) as per Annexure 3 of the detailed notification 4b a&b a a 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 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) Community certificate from the competent authority (Permanent Community Certificate) as per Annexure 3 of the detailed notification No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable) 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) 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 (if applicable) Two (2) Passport size colour photographs (with name and Application number written on the backside) 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 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 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) Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable) Page 2 of 6

15 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.: 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. Photograph of the candidate Signature : Full Name: Designation: Specimen Signature (To be attested by the Certificate issuing officer) Page 3 of 6

16 CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL) DATE : SESSION : FORENOON S.NO. NAME APPLN NO. EXAM NO GOKUL RAJ A DURAIRAJAN V SHAMEEN RAJA A SURESH G AKILA R THIRUKARTHICK V ANANYA J MEENAKSHI A NANDHINI A M UMA A ESWARI N ASHWIN KUMAR A MERCY J A BRINDHA P KANNAN G SADHANA R SRUTHI D VIDHYA D KALAIARASI R GENGADEVI P SUBHASREE N SUVATHIPRIYA M KRISHNAKUMAR K SATHYA CHINNAKANNU Page 4 of 6

17 S.NO. NAME APPLN NO. EXAM NO DAYANA LAKSHMI R DEVASENAN P HASEENA BEGAM MOHAMED SATHIQUL AMEEN GNANASEKARAN R SRIRAM M THESHYA M SANKARA SUBBU S SUBHANGINI RAVIKUMAUR VISHWANTH PARTHASARATHY KULASEKAR CHANDRAN JEEVA JAGANATHAN JANANI G SHAMINI A K GAYATHRI P MOHANA PRIYA PACKIRISAMY PUGAZHENDHI S SALU M NITHYANANDHAM P PRIYANKA K LIVINSON L AMAR THUMMA GEETHA PRIYA GOVINDARAJAN VIGNESH CHANDRAN J PAVITHRA C GAYATRI DEVI S VIGNESH N KARTHIKA URKAVALAN SASIKALA VEDAMUTHU VIJAYAKUMAR D Page 5 of 6

18 S.NO. NAME APPLN NO. EXAM NO ABINAYA R SINDUJA S SHARMILA K M LAAVANYA S RAJITHA G NANDHINI S THIYAGU K SANDHYA K SRIMATHI MM HAMEED S VIGNESWARI M SHANMUGAM R DURGA A VADIVEL S ARUN MOZHI THEVAN P M RAGHUPATHI R VISHALI S NARMADA R PRAVEEN KUMAR R ANGELIN JENCY J HARRITHAA B JAYAPRADHA J MEMBER SECRETARY Page 6 of 6

19 MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7 th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai Website E.mail: mrb.tn@nic.in twitter.com/mrb_tn Phone No.: Notification No.12/MRB/2016 Dated: 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 selfattested photocopies) is attached herewith. You are required to appear for the verification of certificates as per the following date/time/venue. Date Time Venue AN PM to 05:00 PM 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. Page 1 of 6 MEMBER SECRETARY

20 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 ( ) as per Annexure 3 of the detailed notification 4b a&b a a 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 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) Community certificate from the competent authority (Permanent Community Certificate) as per Annexure 3 of the detailed notification No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable) 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) 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 (if applicable) Two (2) Passport size colour photographs (with name and Application number written on the backside) 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 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 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) Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable) Page 2 of 6

21 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.: 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. Photograph of the candidate Signature : Full Name: Designation: Specimen Signature (To be attested by the Certificate issuing officer) Page 3 of 6

22 CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL) DATE : SESSION : AFTERNOON S.NO. NAME APPLN NO. EXAM NO SIDDHARTHAN S SUJITHA U NITHYA S SANTHALAKSHMI S NANDITHA HARIHARAN MAHIL SOLOMON DHANAPRABHAKAR P NISHAD AMRIN H PRIYANKA A VISHNU CHANDRU S SARMILA S KAPIL Y S R VIJAY PANDIAN M SAMUEL SANTHOSH A ANBU CHELVI A SARANYADEVI G KEERTHI K PRAVEENA H R VIJHAY ANANDH N A SWATHIKA A KARTHIK M R RAJESH KUMAR C NIRAIMATHI M VISHNU CHANDRAN Page 4 of 6

23 S.NO. NAME APPLN NO. EXAM NO PRITHIVI M SUDARMATHI P MOHAN RAAJ P K UMA GIRISHA LEKKALA SIDDHARTH P GIRIJA RANGANATHAN KANAGABALA B JAGADESWARI M UMA P K VIJISHA V SATHIYAMOORTHY M RAJI L DINAH DAPHNE CARBIN JOSEPH MOHAMED JASIR M TAMILARASI P INDHUMATHI S DIWAHAR ANGURAJ J MOHANA SUGANYA M SHANMUGA PRIYA CHANDRAN ANITHA RAJ S TAMILMANI C SHANTHINI GILDA V KAAVYA S HEMASUPRAJA S SANTHIYA DEVI M DHIVYA R KANIMOZHI M RAJASEKAR L PALANI ANAND BABU J SATHESH P Page 5 of 6

24 S.NO. NAME APPLN NO. EXAM NO ARVIND M PREETHI P JAYABHARATHI P NANDHINI P NIRMAL KUMAR E S PURUSHOTHAMAN S VIGNESH M SHANKAMESWARAN B KISHORE GOWTHAM RAJ D JANANI S MYDEEN BEEVI P SURYA G GIGI R JAISHREE T SRI ADHITHYA P L ELAVARASAN RAJENDIRAN AARTHI D S LOGANAYAKI SULLIPALAYAM RANGARAJAN VINOTH KUMAR R DEEPAK SANKAR R AISHWARYA MEENALOSHINI R MEMBER SECRETARY Page 6 of 6