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 06.03.2017 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 :06.03.2017 SESSION : AFTERNOON SL.NO NAME APPLN NO. EXAM NO. 655 GAUTHAM B 300469 13890 656 ASHWINI P 304935 11696 657 AARATHI SATTAKUMARI T 304073 13443 658 SRINIVAASAN M 304793 11791 659 SELVAM M 303089 13301 660 VENKATESH MC 305936 11684 661 SHEENA M B 304509 10854 662 HARIHARAN R 300094 11711 663 ANBUSELVAN RAVICHANDIRAN 301413 10762 664 AMRISH SUKUMARAN 306550 10354 665 MANOCHITRA R 300639 11046 666 ABIRAMI M 303749 14844 667 ANUPRIYA M B 300563 16786 668 JOBIN S P 307982 11932 669 BALAPRASANTH JAYAMURTHY 304974 10756 670 AISHWARYA P 300297 11807 671 GOWTHAM G 302020 15311 672 SINDHU A 303240 14218 673 SRIVALLI KANNAN 304442 14941 Page 4 of 7
SL.NO NAME APPLN NO. EXAM NO. 674 JAYAMEENA J 306187 14851 675 ALAGARSAMY R 307390 12278 676 PRADEESH A 301019 10530 677 IMAYAVARAMBAN N 302283 11829 678 RAGUL V C 300942 15979 679 RAMACHANDRAN A 306879 11456 680 SHIVADHARSHINII K 305635 11814 681 GAYATHRI V 302372 14556 682 ASHOKRAJ S 303789 14746 683 SUGUNA SHANMUGAM 305109 11612 684 RAJARAAJAN K 302865 14870 685 LOGARANI G 305059 13635 686 SATHYA G 300451 10481 687 SHIVAPRASAANTH M 301525 10712 688 KEERTHANA K 301075 11076 689 UDAYARAJ U 302550 13661 690 SHEEBA R 302472 13824 691 SANDHIYA G 306197 12775 692 SAHITYA P 305985 14160 693 MARY ANGELIN V 302776 14616 694 VASANTH R 300112 12999 695 POONGODI R 304901 11948 696 NATHIYA K 306494 14832 Page 5 of 7
SL.NO NAME APPLN NO. EXAM NO. 697 ELANTHENDRAL R 303883 10947 698 ARUN KUMAR SELVA K 306527 10556 699 THANAARASI A 302080 16541 700 ARIBALAJI V 307256 11638 701 LAKSHMI PRIYA T 306090 13300 702 DHARMA SARANYA GURUSAMY 303600 16599 703 ANITHA RAJ M 305908 16194 704 ANITHADEVI D 302774 11602 705 PREETHI V 300825 15459 706 SATHIYALAKSHMI N 302910 14624 707 MUTHUMARI K 303064 12681 708 SELVAKUMAR A 302110 13066 709 RAHINI S 306231 15485 710 KARTHIK ANNADURAI 302021 13574 711 FEROZ KHAN H 307182 11021 712 PREMKUMAR M 300182 10711 713 RAMYADEVI K 304687 14398 714 SANJAY KUMAR SUGUMARAN 300856 12363 715 BOOMIKA G 306307 16253 716 SABARIMANIKANDAPRABHU G 302723 12043 717 VISHAL M 307068 10385 718 MADHURA P 304167 11049 719 VIDHYA M R 301987 15748 Page 6 of 7
SL.NO NAME APPLN NO. EXAM NO. 720 KAVI PREETHA K 302594 11963 721 ANU NANDITA MATHUSOOTHANAN 304642 11356 722 SWATHI K J 303878 14919 723 GOKULAN E 306429 10515 724 VINOTHINI D 303097 13406 725 SHENBAGARAJ S 300170 10331 726 DIVYADURGA S 304045 16191 727 BRUNDHA M 303645 15998 728 VIJAYALAKSHMI M 305805 12384 729 ROHINI B 305982 12250 MEMBER SECRETARY Page 7 of 7