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: mrb.tn@nic.in twitter.com/mrb_tn Phone No.: 044-24355757 Notification No.12 /MRB/2016 Dated: 21.02.2017 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 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 09.03.2017 AN 02.00 PM to 05:00 PM 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 Page 1 of 7
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; 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 4b 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 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 8 a&b 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) 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 2 of 7
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. Photograph of the candidate Signature : Full Name: Designation: Specimen Signature (To be attested by the Certificate issuing officer) Page 3 of 7
CERTIFICATE VERIFICATION SCHEDULE ASSISTANT SURGEON (GENERAL) DATE :09.03.2017 SESSION : AFTERNOON SL.NO NAME APPLN NO. EXAM NO. 1105 ASWINI RV 306217 16616 1106 SHAMILI DEVI G 305085 14741 1107 BHARATHI VISWANATHAN 303808 15199 1108 JENIFER SUNDARARAJ 306643 13533 1109 SRUTHI M 303012 10495 1110 SUSITHIRA ALIAS AARTHY S S 305310 14451 1111 ASWITHA R 303962 16728 1112 LOGESHWARI VIJAYAGOPAL 306331 11149 1113 NISHANTHI M 306043 15965 1114 JOEL A 305456 10054 1115 KARTHIKA A 302715 15873 1116 VETRIVENDHAN K 304433 14529 1117 BHUVANANDHINI K 300679 16198 1118 DOROTHY HETZIAL S 303170 12977 1119 HEMA ILAVARASI K M 306793 15186 1120 SHANTHANAM S 307131 11868 1121 ATUL VIGNESHWAR R 300165 14475 1122 JEEVA A 304623 12968 1123 ARUN A 301234 15657 Page 4 of 7
SL.NO NAME APPLN NO. EXAM NO. 1124 AMALA B 307706 13310 1125 BALAMURALI MUTHU 304517 16792 1126 DEEPAK SRINIVAS RATAKONDA 306803 14134 1127 SANGEETHA THERESE S 301721 13687 1128 WAJEEHA R 305214 10184 1129 UTHRAA P 307605 13463 1130 SUDARSANAM J 300220 11141 1131 PRASANTH P 301903 10134 1132 PRIYADHARSHINI B 300635 13777 1133 PRABHU M 307138 14617 1134 SUSIN M 301843 13298 1135 ARAVIND R 305290 14879 1136 PRADEEPRAJ R 300862 15125 1137 SARANRAJ M 300017 11628 1138 NIRESHKUMAR VD 306541 10238 1139 MIRUTHULA M 300077 16297 1140 AARTHI R 305282 10606 1141 RAJESHWARI N 301046 12061 1142 SWETHA MOHAN 301126 10102 1143 KARUKKUVEL VIGNESH SAKKARAIAPPAN 300098 12537 1144 DEVANANDHAN R V 303182 10869 1145 ANUPRIYA C 304747 13485 1146 SHARMILA G 302522 11122 Page 5 of 7
SL.NO NAME APPLN NO. EXAM NO. 1147 AATHIRAI M 304890 12370 1148 VIVEK BALAMITHRAN M 305724 15757 1149 GUNASUNDARI P 302438 13845 1150 KRISHNAMOORTHY D 303823 16404 1151 PREETHY R 301442 16698 1152 JENIFER D 300107 11304 1153 BALAJI M 303510 11627 1154 PONMUDI C 303221 15868 1155 BHARATHI A 304161 15004 1156 MOHAMED RAMEEZ S 307114 15615 1157 SHREEDHAR M 302351 14891 1158 SHIVASANGARI B 305588 12891 1159 NIVETHA A 300528 14004 1160 MONIKA K 306985 12793 1161 RAJKUMAR M 304007 16813 1162 SINDHU A L 300927 16127 1163 VIGNESH R 300057 13296 1164 MANIKANDAN E 302840 14903 1165 IRUDAYA MERLIN Y 304880 10750 1166 MANIKANDAN R 302199 16243 1167 ROSHINI V 301239 15900 1168 SHARANYA SHRE E S 307843 12928 1169 PARTHIBAN S 302586 10510 Page 6 of 7
SL.NO NAME APPLN NO. EXAM NO. 1170 KEERTHIKA J 302535 10953 1171 SIVARANJANI T 306325 12581 1172 SUBHASHINI R 304118 10725 1173 PRAVEEN KUMAR P 305773 16477 1174 AARTHI S 303685 10884 1175 RISHI KUMAR S 304388 14648 1176 SAMBAVI LAKSHMI R 302138 16201 1177 SHERLY JOHN J S 302415 15230 1178 THAMIZHINIAN K 307064 10535 1179 PRASHEEDHA E 303339 15337 MEMBER SECRETARY Page 7 of 7