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GOVERNMENT OF TAMILNADU

PROSPECTUS FOR ADMISSION TO MBBS / BDS DEGREE COURSES UNDER MANAGEMENT QUOTA IN SELF FINANCING MEDICAL / DENTAL COLLEGES IN TAMIL NADU

2018-2019 Session

(As per G.O.(Ms) No.212, Health and Family Welfare (MCA-1) Department, Dated 04.06.2018 and as amended from time to time).

Last date for submission of application form 19.06.2018 upto 5:00 P.M .

SELECTION COMMITTEE

SELECTION COMMITTEE DIRECTORATE OF MEDICAL EDUCATION 162, PERIYAR E.V.R HIGH ROAD, KILPAUK, CHENNAI – 600 010.

Phone No : 044-2836 1674

Website: www.tnhealth.org www.tnmedicalselection.org

Cost 1000/- IMPORTANT DATES

1 Date of Notification 10.06.2018 Commencement for sale 11.06.2018 2 of application 3 Last date for issue of application 18.06.2018 5.00 P.M.

4 Last date for receipt of filled in 19.06.2018 5.00 P.M. application THE SECRETARY, Address to which the filled in SELECTION COMMITTEE, 5 application along with enclosures No. 162, PERIYAR E.V.R. HIGH are to be sent ROAD, KILPAUK, CHENNAI – 600 010. Expected date for declaration of 28.06.2018 6 Rank List 7 Tentative Dates of counselling *

1st Phase 07.07.2018 to 10.07.2018

2nd Phase 22.07.2018 to 24.07.2018 Schedule will be hosted on the website after the completion of II round of All India counselling. 8 Commencement of courses 01.08.2018 9 Closure of admission 18.08.2018

Counselling dates are subject to change depending on the All India Counselling.

For latest updates, candidates must remain in touch with the official websites till the completion of the final round of counselling.

Kindly update yourself through our Official websites only: www.tnhealth.org www.tnmedicalselection.org

IMPORTANT INFORMATION:

Application for admission to MBBS/BDS Degree Courses 2018-2019 session under Management Quota of Self-Financing Medical/Dental Colleges will be available in all Government Medical Colleges and Tamil Nadu Government Dental College.

In compliance to the amendment to Section 10(D) of the Medical Council of India, 1956 and Section 10(D) of Dentist Act , 1948 and Hon’ble Supreme Court of India orders, the eligibility for admission to MBBS and BDS Degree Courses within the respective categories shall be based solely on marks obtained in the National Eligibility-Cum-Entrance Test (NEET UG – 2018).

As per Clause 1(c) of the NEET Information Bulletin issued by the CBSE, the reservation of the seats in Medical and Dental Colleges for respective categories shall be as per applicable laws prevailing in States/Union Territories. All admissions to MBBS and BDS Degree Courses within the respective categories shall be based solely on marks obtained in the NEET UG-2018.

Application can also be downloaded from the official websites only.

Any change or modification and relevant information pertaining to this admission process will be made available immediately on the websites www.tnhealth.org www.tnmedicalselection.org

For latest updates, the candidates are instructed to remain in touch with the official websites frequently from the date of application till the end of admission process. Selection Committee shall not be responsible for the consequences resulting due to non-diligent follow-up of notices, notifications and publications appearing on the websites regarding admission to MBBS/ BDS Degree Courses 2018-2019 session.

Rank List will be available only on the official websites. Results will not be communicated individually.

Candidates are advised to read the prospectus carefully before filling the application and ensure that no mandatory column is left blank. In the event of rejection of the application form, no correspondence/request for re-consideration will be entertained.

Mobile Phones are strictly prohibited in the terminal of the counselling hall. 3

CONTENT

Sl. CLAUSE No. PARTICULARS No.

1 GENERAL INSTRUCTIONS 1

2 AGE LIMIT 2

3 GENERAL ELIGIBILITY CRITERIA 3-5

4 PROCEDURE FOR FILLING THE APPLICATION 6-14

5 PROCEDURE FOR SUBMISSION OF APPLICATION 15-16

6 RANK LIST 17-18

7 COUNSELLING PROCEDURE 19-31

8 METHOD OF SELECTION & ADMISSION 32-34

9 TUITION FEE 36

10 COMMUNICATION 42

11 HEPATITIS –B-VACCINATION 43

12 RAGGING 44

GENERAL INSTRUCTION:

1 .(a) Candidates seeking admission to MBBS / BDS Degree Courses 2018-2019 session under Management Quota and NRI category of Self Financing Medical / Dental Colleges in Tamil Nadu should submit the application form along with necessary enclosures and a Demand Draft for Rs.1000/- (Non refundable) drawn in favour of “The Secretary, Selection Committee,Kilpauk,Chennai-10” payable at Chennai towards the cost of application should reach the following address on or before 19.06.2018 5.00 P.M. THE SECRETARY, SELECTION COMMITTEE, 162, PERIYAR E.V.R. HIGH ROAD, KILPAUK, CHENNAI – 600 010.

(b) The candidates should ensure that the filled-in application form with the relevant enclosures should reach the Selection Committee within the date and time specified. Applications received by Speed Post/Courier or any other means, after the last date and time will be summarily rejected irrespective of the date of booking.

(c) The Selection Committee will not be in any way responsible for the delay in receipt or loss in transit of application form despatched by the candidate.

(d) Request for extension of time for the submission of documents called for will not be entertained after the specified date and time.

(e) All the Demand Drafts should be drawn in favour of “The SECRETARY, SELECTION COMMITTEE" KILPAUK CHENNAI-10 payable at Chennai.

(f) Photocopy/ Fax copy of the filled–in application form will not be accepted. 5

2. Age Limit : - The candidate should have completed Seventeen years of age on or before 31 st December 2018.

GENERAL ELIGIBILITY CRITERIA:

3. (a) Candidates should be a Citizen of India.

(b) Overseas Citizens of India, who are registered under Section 7A of the Citizenship Act, 1955 (Central Act 57 of 1955) are eligible to apply for MBBS/BDS Degree Courses subject to the production of proof of such registration.

4. The Central Board of Secondary Education will prepare an All India Merit List of successful candidates of NEET (UG) – 2018 on the basis of the eligibility criteria provided by the Medical Council of India and Dental Council of India as given in Graduate Medical Education Regulations – 1997 issued under Indian Medical Council Act – 1956 and BDS Course Regulations, 2007 issued under the Dentists Act, 1948. The eligibility criteria are as follows:

(i) Admission to MBBS/BDS Degree Courses shall be based solely on marks obtained in the National Eligibility-Cum-Entrance Test (NEET-UG-2018).

(ii) (a) In order to be eligible for admission to MBBS/BDS Degree Courses for a particular academic year, it shall be necessary for a candidate to obtain minimum of marks at 50 th percentile in National Eligibility-Cum-Entrance Test to MBBS/BDS Courses held for the said academic year. However, in respect of candidates belonging to Scheduled Castes, Scheduled Caste Arunthathiyar, Scheduled Tribes, Other Backward Classes, the minimum marks shall be at 40 th percentile. The percentile shall be determined on the basis of highest marks secured in the All India 6

common merit list in the National Eligibility-Cum-Entrance Test for admission to MBBS/BDS Degree Courses.

(b) To be eligible for admission to MBBS/BDS Degree Courses, a candidate must have passed in the subjects of Physics, Chemistry, Biology/Biotechnology and English individually and must have obtained a minimum of 50% marks taken together in Physics, Chemistry and Biology/Bio-technology at the qualifying Examination. In respect of candidates belonging to Scheduled Castes, ScheduledCaste Arunthathiyar,Scheduled Tribes, Backward Classes, Backward Classes (Muslim) and Most Backward Class/Denotified Community, the minimum marks obtained in Physics, Chemistry and Biology/Bio-technology taken together in qualifying examination shall be 40% instead of 50%.

(c) Provided when sufficient number of candidates in the respective categories fail to secure minimum marks as prescribed in National Eligibility-Cum-Entrance Test held for any academic year for admission to MBBS/BDS Degree Courses, the Central Government in consultation with Medical Council of India and Dental Council of India may at its discretion lower the minimum marks required for admission to MBBS/BDS Degree Courses for candidates belonging to respective categories and marks so lowered by the Central Government shall be applicable for the said academic year only.

5. ELIGIBILITY CRITERIA FOR NRI:

The following guidelines shall be followed for admission to MBBS/BDS Degree Courses 2018-2019 session for NRI category under Management quota in Self- Financing Medical/Dental Colleges in Tamil Nadu.

a) “Candidates should be Indian Origin settled in foreign countries. OR Candidates who were born in foreign countries and whose parents are of Indian Origin. OR Children of Indian citizen stay abroad for employment, business. OR Children of Indian citizens deputed abroad by Public Sector Undertaking. OR Children of the Official of the Central/State Government on deputation to abroad. b) The candidates seeking admission to NRI Quota should hold an Indian passport. c) The candidate should have completed 17 years on or before 31 st December 2018. d) Candidates seeking admission to MBBS/BDS Course under NRI Quota should have passed H.S.C Examination (10+2 pattern / equivalent). e) The candidates should have obtained the minimum of 50% marks in Biology or Botony and Zoology taken together and the minimum of 50% marks each in Physics and Chemistry. f) The medium of Instruction should be English. g) In cases where two or more candidates obtained equal marks, rank of such candidate may be determined on the basis of the seniority in age.

h) Admission under Non Resident of India scheme may be made on the basis of the marks obtained in the Qualifying Examination as prescribed .

i) The seats under NRI quota should be utilized by the bonafide NRI’s only and for their children or wards. Therefore, the NRI financially supporting the candidates should either be the parent (Father or Mother) of the candidate or legally declared as guardian of the candidate by the Court as per provisions in “The Guardians and Wards Act 1890”.

j) Candidates admitted under “NRI” quota should submit the following documents.

i) NRI status of the financial supporter issued by the Indian Embassy of the respective country under their seal. ii) Certificate of Relationship between the NRI financial supporter and the candidate issued by the competent authority, valid Indian Passport of the NRI financial supporter. iii) NRE (Non Resident External) Bank Account Pass Book of the financial supporter. iv) Evidence for payment of Development charges US $ 1000/- to the college by the NRI financial supporter (One time payment at the time of admission only). k) The candidate should furnish equivalent marks for the grades awarded at the qualifying examination. If not, the minimum marks will be taken into consideration. l) NRI sponsored candidates are not allowed under NRI scheme.

6. PROCEDURE FOR FILLING THE APPLICATION:

(a) Before filling up the application form and OMR sheet, read all the instructions carefully.

(b) Procedure for filling the application is given in detail in Page No.48 to 52.

(c) Each application form bears a unique number in the Application form and OMR. Candidates are requested to check the number and ensure that the same number is filled on the Application form, OMR, Outer & Inner covers. For downloaded application form, AR Number will be allotted by the Secretary, Selection Committee.

7. (a) Candidates should use only one application form for both MBBS and BDS Degree Courses prescribed for the academic year 2018-2019.

(b) If a candidate applies for MBBS/BDS Degree Courses in forms other than the One prescribed by the Selection Committee, then that application will be summarily rejected.

8. Use blue ball point pen to fill up the application form and OMR sheet legibly, neatly and correctly. Application form with fabricated data will be rejected.

9. Do not fold the OMR sheet under any circumstance. Making a hole, using a pin or a stapler on the OMR sheet should be avoided. Cutting, overwriting and erasing in the Application form and in the OMR sheet should be strictly avoided.

10. Application with incomplete or insufficient particulars or without enclosures or those received after the last date mentioned will be summarily rejected without intimation to the candidate. 10

11 . Filled up application without the signature of the candidate will be rejected.

12. Candidates should affix recent passport size photographs taken with their name and date (as shown in the Instructions - Annexure XI) in places provided in the application form and the OMR.

13. All the entries in the application form should be written legibly by the candidate in his / her own handwriting. The candidate should ensure that all information including the marks in the qualifying examination furnished by him/her in the application and the enclosures are correct. The candidate is informed that if after proper scrutiny of his/her application, the marks furnished by him/her in the application are not correct or any other information is found to be incorrect, then;

(a) He/she will forfeit the admission no matter at what stage of the course, he/she will be at that time;

(b) He/ She will be debarred from pursuing any other course for a period of three years;

(c) Criminal action will be instituted against him/her for furnishing false Mark Sheet/ false Community Certificate / false Nativity Certificate.

14. If any original documents are enclosed along with the application, it will not be returned, and that the Selection Committee is in no way responsible for those documents. Candidates are required to enclose only photocopies of the following certificates along with the original application.

(a) NEET- UG 2018 Hall ticket and Score card.

(b) Class X Mark Sheet (both sides of Mark Sheet should be photocopied).

(c) H.S.C. Mark sheet (both sides of mark sheet should be photocopied) or any other equivalent examination of the first appearance.

(d) Transfer certificate obtained after the completion of H.S.C. or equivalent courses.

(e) Nativity certificate (if applicable)

(f) Permanent Community Certificate Card.

15. PROCEDURE FOR SUBMISSION OF APPLICATION:

(a) Candidates seeking admission to MBBS/BDS Degree Courses 2018-2019 session under Management Quota or NRI Quota of Self Financing Medical / Dental Colleges in Tamil Nadu should submit the filled in application form with necessary enclosures should reach on or before 19.06.2018 5.00 P.M. to the following address:

THE SECRETARY, SELECTION COMMITTEE, 162, PERIYAR E.V.R. HIGH ROAD, KILPAUK, CHENNAI – 600 010.

(b) The candidate should fill the downloaded application form available in the official websites only. www.tnhealth.org www.tnmedicalselection.org 12

(c) Filled in downloaded application along with necessary enclosures should be send in an envelope measuring 24x12cm superscribed as “APPLICATION FOR MBBS/BDS DEGREE COURSES 2018-2019 SESSION” to “The Secretary, Selection Committee, Kilpauk, Chennai-10” before the last date along with a Demand Draft for 1000 [non refundable] towards the cost of application form drawn in favour of “The Secretary, Selection Committee, Kilpauk” and payable at Chennai. The name of the candidate, Contact Number and the name of Course (MBBS/BDS) should be written on the reverse of the Demand Draft. The template with requisite details available for download should be printed and pasted on the cover. There will be no application number for downloaded applications. AR Number will be assigned by the Selection Committee. The candidates are requested to check their AR Number for further correspondence.

(d) Application form with incomplete or insufficient particulars or without enclosures or without a Demand Draft for Rs.1000/- (Non refundable) or those applications received after the last date mentioned will be summarily rejected (without any intimation to the candidates).

(e) Candidates should send the application form with all enclosures in an A4 size cloth lined cover. The template with requisite details available for download should be printed and pasted on the cover.

16. The Government Orders issued and to be issued from time to time pertaining to any of the matters contained in this prospectus should be read as part and parcel of this prospectus and such terms and conditions in the Government Order are deemed to have been incorporated in this prospectus.

17. RANK LIST:

The Rank list will be drawn based on marks obtained in NEET UG 2018 conducted by National Board of Examination. Candidates shall be admitted to MBBS/BDS Course from the said rank list only.

18. The Secretary, Selection Committee will publish the Rank List on the websites www.tnhealth.org www.tnmedicalselection.org

19. COUNSELLING PROCEDURE:

Counselling Schedule will be available only on the official websites. Candidates should attend the counselling session as per the schedule and as per their Rank with call letter downloaded from the Official websites only. www.tnhealth.org www.tnmedicalselection.org

20. (a) Candidates will be called for counselling according to their rank.

(b) Rules as applicable for the Management quota seats as per the prevalent MCI Rules and Regulations, State Policy and the applicable court orders and the relevant rules of institutions applicable to the Self Financing Management quota will apply.

(d) Option once given during the counselling cannot be changed during the same phase of counselling. 14

(e) Re-allotment is permitted during subsequent phases of counselling only, based on rank.

(f) Mutual transfer will not be permitted under any circumstances. Individual request for transfer to a college of the candidates choice will not be entertained.

(g) Candidates selected for admission should give a declaration in the form given at the time of counselling that he / she is liable for forfeiture of selection / admission if suppression of facts is found at any time during or after the admission to the course.

(h) Option once exercised during counselling will be final and cannot be changed.

(i) A Candidate who is absent during the 1 st phase of counselling will not be permitted to attend the subsequent phase of Counselling. The candidate will forfeit his/her right to admission and their name will not be considered. However, he/she can authorize his / her parent on his / her behalf and the parent’s decision will be binding on the candidate. An authorization letter (prescribed as in Annexure) given by the candidate should be submitted by the parents. Parents shall produce a photo identity of any one: Voter ID, Driving License, PAN Card / Passport.

(j) Due to unforeseen and unavoidable circumstances, if a candidate/his/her parent could not attend the Counselling on the specified date and time, the candidate can be permitted to attend the counsellling on the subsequent date and he/she can only opt for the seats available at the time of counselling and cannot claim seat as per his /her rank.

21. Strict discipline should be maintained by the candidates for smooth conduct of counselling. If the candidates are found to indulge in any untoward activities, they will be debarred from the counselling and selection.

22. The candidates appearing for allotment by personal appearance should bring the original certificates /documents which are enclosed along with the application. In any case, if the candidates attend the counselling without the original certificates/documents, he / she will not be allowed to participatein the counselling as well as in the subsequent phases of counselling.

23. One of the Parent/Guardian will be allowed to attend the Counselling along with the candidate. They should make their own arrangements for attending the counselling session. No communication will be sent individually to the candidates. Candidates can download their Call letter from the official websites according to their rank and attend the counselling. The candidates are advised to check the official websites for updates frequently.

24. The vacancies arising due to not joined seats in State Quota during the first phase of counselling will be filled by re-allotment as per rank. The vacancies arising after re-allotment will be filled up with the remaining candidates from the rank list.

25. Any change or modification and relevant information pertaining to this admission process will be made available only on the website. www.tnhealth.org www.tnmedicalselection.org The candidates are instructed to remain in touch with the websites from the date of application till the end of admission process without fail.

26. All candidates attending the counselling for MBBS / BDS Degree Courses will have to remit a non-refundable amount of Rs.1000/- (Rupees One Thousand only) by means of Demand Draft drawn in favour of The Secretary, Selection Committee, Kilpauk, Chennai-10 as Processing Fee.

27. The candidates who have selected seats at the time of counselling should pay an amount of Rs.1,00,000/-(Rupees One Lakh only) for Management Quota and Rs.5,00,000/-(Rupees Five Lakh only) for NRI category as Registration Fee by means of Demand Draft drawn in favour of “The Secretary, Selection Committee, Kilpauk, Chennai – 10” payable at Chennai at the time of receipt of the allotment order.

28. (a) Re-allotment will be made only for those who have joined the course within the stipulated time.

(b) Re-allotment for the vacancies arising due to not joining of the candidates both under the State Quota / All India Quota in Government Colleges and newly created seats will be done on rank basis subject to the availability of sufficient time before the cut off date prescribed by the Medical Council of India.

(c) The candidates who do not join the College within the stipulated time to which they are allotted will not be eligible for admission for reallotment at any point of time.

29. If the candidate does not join the course after collecting the allotment order in the final phase of counselling, then the registration fee is not refundable.

30. The Candidates who discontinue the course on or after the last date of allotment of seats i.e.19.08.2018 shall pay the Discontinuation Fees to the Deans of the respective Colleges by means of Demand Draft drawn in favour of “The Secretary, Selection Committee, Kilpauk” payable at Chennai.

31. The admission to MBBS/BDS Degree Courses for 2018-2019 will close on the cutoff date of admission (i.e. on 18-08-2018) as per the guidelines issued by the Medical Council of India/Dental Council of India.

32. METHOD OF SELECTION AND ADMISSION:

Candidates are advised to go through the respective college websites and satisfy themselves regarding Medical Council of India approvals, Dental Council of India approvals, Fee Structure, Infrastructure and the applicable rules and regulations for the respective Management quota seats before the date of counselling.

33. (a) Candidates who have opted seats in first phase of counselling and not joined the course are not eligible to attend the subsequent phase of counselling.

(b) During the second phase of counselling, all candidates except those mentioned in clause 33(a) can attend the counselling for the available vacancies.

34. Allotment will be made only for the seats affiliated to the Tamil Nadu Dr. MGR Medical University for the Academic Year 2018-2019 session.

35. DURATION OF THE COURSES : -

M.B.B.S. : 5½ years including one year Compulsory Rotatory Resident Internship.

B.D.S. : 5 years including one year Compulsory Rotatory Resident Internship.

36. TUITION FEE:-

Tuition Fee for Management Quota seats including NRI Quota seats in Self Financing Medical Colleges will be as prescribed by “The Committee on Fixation of Fee in respect of Self Financing Professional Colleges.” The above fee structure is applicable for 2018-2019 session.

(a) The Committee on fixation of fee in respect of Self-Financing Professional Colleges fixed the fee all including Tuition fee, Admission fee, Special fee, Laboratory / Computer/ Internet fee, Library fee, Sport fee, Maintenance and Amenities fee, extracurricular activities fee, and other recurring expenditure.

Fee in for MBBS Course 2018– 2019 (In lakhs) Self Financing Medical College Govt. Quota Mgmt. Quota 1. ESIC Medical College and PGIMSR, K.K.Nagar, Chennai District. 1.00 2. Sri Muthukumaran Medical College Hospital & 3.85 12.50 Research Institute, Chennai District. 3. Tagore Medical College and Hospital, Chennai 3.85 12.50 Distirct. 4. Karpagam Faculty of Medical Sciences & Research, 3.55 12.50 Coimbatore District. 5 PSG Institute of Medical Sciences & Research, 4.00 12.50 Coimbatore District. 6 IRT, Perundurai Medical College, Perundurai, Erode 3.85 3.85 District. 7 Karpaga Vinayaga Medical College, Maduranthagam, 3.85 12.50 Kancheepuram District. 8 Melmaruvathur Adhiparasakthi Institute of Medical 3.60 12.50 Sciences and Research, Kancheepuram District. 9 Sri Mookambikai Institute of Medical Sciences, 3.90 12.50 Kanyakumari District. 10 Velammal Medical College Hospital & Research 3.90 12.50 Institute, Madurai District. 11 Dhanalakshmi Srinivasan Medical College, Perambalur 4.00 12.50 District. 12 Annapoorna Medical College and Hospital, Salem 3.85 12.50 District. 13 Trichy SRM Medical College Hospital & Research 3.95 12.50 Centre, Trichy District. NRI – MBBS 23.50

Fee in for BDS Sl.No 2018– 2019 (In lakhs) Name of the Dental College Govt. Quota Mgnt. Quota 1. Madha Dental College & Hospital, Chennai. 2.50 6.00

2. Ragas Dental College & Hospital, Chennai. 2.50 6.00

3. Sri Venkateswara Dental College & Hospital, Chennai. 2.50 6.00

4. Tagore Dental College & Hospital, Chennai. 2.50 6.00

5. Adhiparasakthi Dental College & Hospital, 2.50 6.00 Kancheepuram. 6. Asan Memorial Dental College & Hospital, 2.50 6.00 Kancheepuram 7. Chettinad Dental College &Research 2.50 6.00 Institute,Kancheepuram. 8. Karpaga Vinayaga Institute of Dental Sciences, 2.50 6.00 Kancheepuram. 9. Sree Mookambika Institute of Dental Sciences, 2.50 6.00 Kanyakumari. 10. Best Dental Science College, Madurai. 2.50 6.00 11. CSI College of Dental Sciences and Research, 2.50 6.00 Madurai. 12. JKK Natarajah Dental College and Hospital, Namakkal. 2.50 6.00 13. Vivekanandha Dental College for Women, Namakkal. 2.50 6.00 14. KSR Institute of Dental Science and Research, 2.50 6.00 Namakkal. 15. Rajas Dental College and Hospital, Tirunelveli. 2.50 6.00 16. Priyadharshini Dental College and Hospital, Tiruvallur. 2.50 6.00 NRI – BDS 9.00

Any existing / new college getting Medical Council of India Recognition will be included at the time of counselling.

Detailed information regarding Scholarship, Fee Concession, Hostel Facilities, Transport, Mess charges etc., can be obtained from the Head of the Institution in which the candidate joins.

In addition to the above fees, the Institution is permitted to collect an amount of Rs.25,000/- per student as development fee.

(b) All the candidates attending MBBS/BDS Degree Courses counselling will have to remit a non-refundable amount of 1000/- by means of Demand Draft drawn in favour of the Secretary, Selection Committee as Processing Fee.

37. The selected candidates should produce all the original documents at the time of admission to the Deans / Principals of Medical/Dental Colleges concerned. Selection will be cancelled if the candidates do not produce the original documents at the time of admission.

38. The candidates selected for admission and his / her parent / guardian will have to sign the discipline declaration form in Annexure III. Failure to sign the declaration will result in the cancellation of selection.

39. After the cut-off date for admission, as per the guidelines issued by the Medical/Dental Council of India/Directorate General of Health Services, Admission / re-allotment / transfer shall not be made.

40. All Selections and admissions for MBBS/BDS Degree Courses are only provisional. The Selection and admission is liable to be cancelled at any time as and when the eligibility conditions are found to be defective or incorrect or there has been suppression or misrepresentation of facts. The Selection Committee reserves the right of allotment of MBBS / BDS seats.

41. COMMUNICATION: All communication will be available through official websites: www.tnhealth.org www.tnmedicalselection.org

42. All notices, notification and publications regarding admission to MBBS/BDS Degree Courses 2018-2019 session will be published on the websites only. www.tnhealth.org www.tnmedicalselection.org.

43. HEPATITIS –B-VACCINATION :-

All Candidates selected for admission to first year M.B.B.S / B.D.S Degree Courses should take the Hepatitis-B-Vaccine before admission and produce a certificate as in Annexure-IV.

44. RAGGING:-

(a) The candidates who join MBBS / BDS Degree Courses should not indulge in any kind of agitation / strike / ragging activity inside / outside the college campus during the course of study. Candidates found to take part in any such activities mentioned above will be expelled from the course/college at any part of the course of study and criminal action will be taken against them. (b) The extract of letter / direction from MCI as per Letter No.MCI-34(1 )2014- Med (Ragg.)/ 130894, dated 11.09.2014 is given in Annexure-VII for information of candidates.

45. Candidate applying for admission to MBBS / BDS Degree Courses 2018-2019 session under Management Quota/NRI Category in Self Financing Medical/Dental Colleges are deemed to have read the contents in this Prospectus and agrees with all the conditions and clauses and will not have the right to challenge any of the Regulations.

DIRECTOR OF MEDICAL EDUCATION

23 24

ANNEXURE I

INSTRUCTIONS FOR PHOTOGRAPH

1. Two recent identical passport size photographs with white background are required. 2. Polaroid photographs are NOT acceptable. 3. Photographs must be snapped on or after 1st April 2018. 4. Photographs must be taken with a placard indicating name of candidate ( as in the application) and date of taking photograph.

SHOBHA.M 25 -04 -201 8

5. In case the name and date are written on the photograph after taking it, the application will be rejected. 6. The name and date on the photograph must be clear and legible. 7. Photograph should NOT have cap and goggles. Spectacles are allowed. 8. One photograph each should be pasted ( NOT STAPLED ) on • Application Form • OMR Sheet. 9. Applications not complying with these instructions or with unclear photograph will be rejected. 10. Keep two identical photographs in reserve for use at the time of admission.

Note: If the photograph is not a recent one taken at the time of submitting the application, the application will be summarily rejected.

ANNEXURE – II

LIST OF DISTRICT IN TAMIL NADU

Code Code Name of the District Name of the District No. No. Ariyalur 01 Sivagangai 20 Chennai 02 Thanjavur 21 Coimbatore 03 Thiruvallur 22 Cuddalore 04 Thiruchirapalli 23 Dharmapuri 05 Thiruvannamalai 24 Dindigul 06 Thoothukudi 25 Erode 07 Theni 26 Kancheepuram 08 Tirunelveli 27 Kanyakumari 09 Tiruvarur 28 Karur 10 Tiruppur 29 Krishnagiri 11 Vellore 30 Madurai 12 Villupuram 31 Nagapattinam 13 Virudhunagar 32 Namakkal 14 Nilgiris 15 Perambalur 16 Pudukkottai 17 Ramanathapuram 18 Salem 19

OTHER STATES

Name of the State Code No. KERALA 33 KARNATAKA 34 ANDHRA 35 OTHERS 36

LIST OF RELIGION LIST OF MOTHER TONGUE

RELIGION CODE NO. MOTHER CODE NO. TONGUE BUDDHISM 1 TAMIL 1 CHRISTIANITY 2 TELUGU 2 HINDUISM 3 MALAYALAM 3 ISLAM 4 URDU 4 JAINISM 5 KANNADA 5 SIKHISM 6 HINDI 6 OTHERS 7 OTHERS 7

ANNEXURE III

Joint Declaration by the Candidate and Parent / Guardian (This should not be enclosed with the application but should be submitted only at the time of admission) I /We do hereby Solemnly and sincerely affirm 1. that the statements made and information furnished in the application submitted and also in all the enclosures thereto submitted by him/her are true. Should it however be found that any information furnished therein is untrue in material particulars, I/we realize that he/she is liable for criminal prosecution and forfeiture of his / her seat in the Institution allotted during the counselling.

2. that my son/daughter/ward would conform strictly to all the rules and regulations prescribed by the Tamil Nadu Dr. M.G.R. Medical University, Chennai in force now or which may be introduced in the Institution hereafter and that I/We realize that breach of discipline and rules on my son’s/daughter’s/ward’s part would entail forfeiture of his / her seat in the Institution.

3. that my son/daughter/ward shall not make any claim for admission to a particular college as a matter of right during allotment/ Re-allotment.

4. that my son/daughter/ward agrees to pay any amount that may become due as and when the fee structure is revised as may be decided by Government of Tamil Nadu/ Committee appointed by the Government for the purpose.

5. that my son/daughter/ward do hereby agree to conform to follow the rules and regulations including those relating to the hostel laid down or to be laid down by the Dean of the Institution for due maintenance of discipline at the 28

said College and assure that he/she will not join any agitation /strike of any kind during course of study and further agree to make good when called upon to do so to the Government of Tamil Nadu any damage to furniture, apparatus or other articles which may be caused by any carelessness and negligence wantonly on his/her part.

6. that my son/daughter/ward who is a Native of Tamil Nadu and will not claim dual Nativity in future.

7. that my son/daughter/ward hereby declare that he/she belongs to ------Community (Sub caste ------) and is fully aware that producing a false Community certificate leads to expulsion from any course of study at any time besides initiation of criminal action against him/ her as per law.

8. that we are fully aware, as per the directions of the Hon’ble Supreme Court of India and Tamil Nadu Prohibition of Ragging Act 1997, Ragging is an offence, and is banned in the Institution and anyone indulging in ragging is liable to be punished by expulsion from the Institution and /or rigorous imprisonment up to 3 years, and / or fine up to 25,000/-.

Place : Date : Signature of Candidate Signature of the Parent / Guardian

ANNEXURE IV

MEDICAL CERTIFICATE FOR ADMINISTRATION OF HEPATITIS-B VACCINATION

I, Dr. ______Registration No. ______certify that I have this _____ day of _____ 2018 administered the Hepatitis-B Vaccine to the candidate whose particulars are given below :

1. Name of the Candidate :

2. Father’s Name :

3. Sex :

4. Age :

5. Identification marks :

6. Dose I/II/III :

Signature of the Applicant : Signature of Medical Officer : Name and Designation :

PLACE : Officer Seal : DATE :

ANNEXURE V (a)

A. UNDERTAKING REGARDING AUTHORIZATION

I,…………………………………………………………Son / daughter of

Thiru………………………………………………aged………………………years

AR number…………………………..and General Rank……………………… in the Rank list for MBBS / BDS 2018-2019 session do hereby solemnly affirm and undertake that the decision of my authorized representative, Thiru/ Tmt/

Selvi……………………………………………………………Son / daughter / wife ofThiru/Tmt.…………………………………………………………………………

……….aged……………….. years, regarding selection / rejection of seat on the date of counselling(……………..) shall be binding on me and I shall not have any claim whatsoever, other than the decision taken by my authorized representative on my behalf on……………………………………………

Signature of the Candidate

Name…………………………………. AR No……………………….

Address………………………………... General Rank…………………

AUTHORISATION LETTER. V (b)

I,………………………………………………………………………………...…….……. Son / Daughter of Thiru/Tmt……………………………………………………………..…...... bearing

AR number………………………….. and General Rank ……………….. in the Rank list for

MBBS/BDS 2018-2019 session do hereby authorize, Thiru/Tmt/

Selvi………………………………………..……….. Son/ Daughter of……………………………Thiru

……………………………to represent me on ……………………………………..before the

Selection Committee, Directorate of Medical Education, Chennai for allotment of a seat in MBBS/ BDS Degree Courses 2018-2019 session .

The signature and the photograph of the above named Thiru/Tmt/ Selvi

………………………………………………….are attested below.

Photograph of Candidate Name:

Application Number: Signature of the Candidate: General Rank in the Rank List: .

Photograph of authorized Signature of authorize Representative attested by Representative duly the candidate. attested by the candidate.

ANNEXURE – VI

AGREEMENT BOND FORM FOR CANDIDATES ADMITTED FOR M.B.B.S./B.D.S. COURSE FOR THE ACADEMIC YEAR 2018 – 2019

This agreement made on this ______day of ______2018 between the Governor of Tamil Nadu (hereinafter called the Governor which expression shall, where the context so admits include his successor in Office) of the one part and ………………………………….………………………………Son / Daughter of ______resident of ______in the Taluk of district (hereinafter called the candidate) which expression shall, where the context so admits include his/her heirs, executors, administrators and representatives of the other part.

WHEREAS the candidate has, on his/her application been selected to undergo training for the M.B.B.S/ B.D.S Degree Course in the Self Financing Medical/Dental College (hereinafter referred to as the said College).

AND WHEREAS the candidate has agreed to complete his/her training for the said course, at the said College, subject to the condition hereinafter appearing. Now THEREFORE, this agreement witnesses and it is hereby agreed as follows :

(1) The candidate shall diligently complete his/her training for the said course at the said College, shall abide by the rules of the said College for the time being in force regulating the conduct of students at the said College and shall pass all the examinations prescribed for the said Course by the University or the Medical Institution concerned.

(2) Upon passing the final M.B.B.S./ B.D.S Examination the candidate shall serve as ‘Intern’ for the prescribed period as laid down by the Medical Council Act, 1956 (Central Act 102 of 1956) and Dental Council Act. 33

(3) (i) The candidate shall, on demand made by the Government within two years from the date on which he/she registers himself/herself as a Medical Practitioner, serve for a period of not less than five years and in such rural areas as the Government may by General or Special orders specify.

(ii) Those candidates who fail to comply with clause 3 (i) shall have to pay a sum of 5,00,000/- (Rupees Five Lakhs only) or as the Government may direct as penalty for having breached the contract in the bond.

(4) During the period of Internship under clause (2) and while in service under clause (3) the candidate shall faithfully, diligently and with skill and ability perform his/her duties and observe the rules for the time being in force made by the Governor or the President as the case may be for regulating the conduct of Government Servants.

(5) While in service under clause (3) the pay and allowances and other conditions of service of the candidate shall be regulated by the rules and orders of the Government for the time being in force, for the post to which he/she is appointed.

(6) Candidates who discontinue the course between August 2018 and August 2018 are bound by the bond and thereby they shall have to pay a sum of 1,00,000/- (Rupees One Lakh only ) as penalty for having breached the contract in the bond and the candidates who discontinue the course on or after .06.2018 and in any date of the subsequent years shall have to pay a sum of 10,00,000/-( Rupees Ten Lakhs only) as penalty. 34

(7) Any sum falling due from the candidate under this agreement shall be recovered from him/her as an arrear of land revenue .

(8) If any dispute shall arise between the parties hereto in respect of this agreement or any of the provisions herein contained or anything arising hereunto except in respect of matters on which decision of the Government under clause (6) is declared to be final and binding, the same shall be referred to the arbitration of Director of Medical Education whose decision thereon shall be final and binding on the parties.

(9) The witness shall bear the stamp duty payable in respect of this agreement if required. In witness whereof the parties hereto have appended their signature hereunto on the dates respectively mentioned against the signature.

WITNESS :

1. Signature of the Candidate with date

2. Signature of the Parent / Guardian with date (If the Candidate is minor) and full address

Signature of the Head of the Institution with date for and on behalf of the Governor.

The Governor of Tamil Nadu

WHEREAS, the Governor has, in order to secure due performance of the

above agreement, demanded security from the candidate.

Now, THEREFORE, in consideration of the admission of the candidate to

the said college and his/her continuance there, for training as aforesaid

and at the request of the candidate.

(i) ______S/o D/o ______Resident of ______in the Taluk

of ______District of ______( Parent/Guardian of the candidate).

(ii) ______S/o D/o ______Resident of ______in the Taluk of

______District of ______

(iii) ______S/o D/o ______Resident of ______in the Taluk of

______District of ______

hereinafter called “the sureties” on behalf of the candidate do hereby jointly and severally agree that in the event of the candidate committing any breach of any term of the above agreement to which breach the decision of the

Government shall be final and binding on the sureties, we shall pay the

Government on demand and without demur the sum of 5,00,000/- (Rupees

Five lakhs only) / 10,00,000/- (Rupees Ten lakhs only) as the case may be; or as the Government may direct and we hereby bind ourselves and representatives for such payment. We further agree that any sum due hereunder shall be recovered as an arrear of land revenue.

We also agree that notwithstanding the provision of Section 133 and 135 of the India Contract Act, 1872 (Central Act IX of 1872) or any other rule of law or equity in that behalf, any indulgence of forbearance shown by the

Government to the candidates or any variance in the terms of the contract with the candidate whether with or without the consent of the sureties or either of this shall not operate as a discharge of the sureties obligations under this bond.

Signed by us this ______day of ______20___

WITNESS :

1. 1. Signature of First Surety Parent / Guardian of Candidate Full Address :

2. 2. Signature of Second Surety Full Address :

3. Signature of Third Surety Full Address :

ANNEXURE VII

MEDICAL COUNCIL OF INDIA NOTIFICATION New Delhi, the 3rd August, 2009 No. MCI-34(1)/2009-Med./25453

Implementation of the Regulations framed by the Medical Council of India to curb the menace of ragging in medical colleges.

The operative part of the regulation is reproduced as under with regard to curb the menace of ragging in medical colleges:-

“5. Measures for prohibition of ragging:-

5.1 The Medical College/Institution / University shall strictly observe the provisions of the Act of the Central Government and the State Governments, if any, or if enacted and / or for the time being in force, considering ragging as a cognizable offence under the law at par with rape and other atrocities against women and ill-treatment of persons belonging to the SC/ST and prohibiting ragging in all its forms in all institutions.

5.2 Ragging in all its forms shall be totally banned in the entire Medical College/Institution / University including its departments, constituent units, all its premises (academic, residential, sports, canteen, etc) whether located within the campus or outside and in all means of transportation of students whether public or private.

5.3 The Medical College/Institution / University shall take strict action against those found guilty of ragging and/or of abetting ragging.

6. Measures for prevention of ragging at the institution level:-

6.1 Before admissions:-

6.1.1 The advertisement for admissions shall clearly mention that ragging is totally banned / prohibited in the Medical College/Institution and anyone found guilty of ragging and/or abetting ragging is liable to be punished appropriately.

6.1.2 The brochure of admission/instruction booklet for candidates shall print in block letters these Regulations in full (including Annexures).

6.1.3 The “Prospectus‟ and other admission related documents shall incorporate all directions of the Hon’ble Supreme Court and /or the Central or State Governments as applicable, so that the candidates and their parents/ guardians are sensitized in respect of the prohibition and consequences of ragging.

6.1.4 A Brochure or booklet/leaflet shall be distributed to each student at the beginning of each academic session for obtaining undertaking not to indulge or abet ragging and shall contain the blueprint of prevention and methods of redress.

The application form for admission/ enrolment shall have a printed undertaking, preferably both in English/Hindi and in one of the regional languages known to the institution and the applicant (English version given in Annexure I, Part I), to be filled up and signed by the candidate to the effect that he/she is aware of the law regarding prohibition of ragging as well as the punishments, and to the effect that he/she has not been expelled and/or debarred from admission by any institution and that he/she, if found guilty of

39 the offence of ragging and/or abetting ragging, is liable to be punished appropriately.

6.1.5 The application form shall also contain a printed undertaking, preferably both in English/Hindi and in one of the regional languages known to the institution and the parent/ guardian (English version given in Annexure I, Part II), to be signed by the parent/ guardian of the applicant to the effect that he/ she is also aware of the law in this regard and agrees to abide by the punishment meted out to his/ her ward in case the latter is found guilty of ragging and/or abetting ragging.

A database shall be created out of affidavits affirmed by each student and his/her parents/guardians stored electronically, and shall contain the details of each student. The database shall also function as a record of ragging complaints received.

6.1.6 The application for admission shall be accompanied by a document in the form of the School Leaving Certificate/transfer certificate/migration certificate/ Character Certificate which shall include a report on the behavioral pattern of the applicant, so that the institution can thereafter keep intense watch upon a student who has a negative entry in this regard.

6.1.7 A student seeking admission to the hostel shall have to submit additional undertaking in the form of Annexure I (both Parts) along with his/ her application for hostel accommodation.

6.1.8 At the commencement of the academic session the Head of the Institution shall convene and address a meeting of various functionaries/agencies, like Wardens, representatives of students, parents/ guardians, faculty, district administration including police, to discuss the

40 measures to be taken to prevent ragging in the Institution and steps to be taken to identify the offenders and punish them suitably.

6.1.9 To make the community at large and the students in particular aware of the dehumanizing effect of ragging, and the approach of the institution towards those indulging in ragging, big posters (preferably multicoloured with different colours for the provisions of law, punishments, etc.) shall be prominently displayed on all Notice Boards of all departments, hostels 4 and other buildings as well as at vulnerable places. Some of such posters shall be of permanent nature in certain vulnerable places.

6.1.10 Apart from placing posters mentioned in sub-clause 6.1.9 above at strategic places, the Medical College/Institution shall undertake measures for extensive publicity against ragging by means of audio-visual aids, by holding counseling sessions, workshops, painting and design competitions among students and other methods as it deems fit.

6.1.11 The Medical College/Institution/University shall request the media to give adequate publicity to the law prohibiting ragging and the negative aspects of ragging and the institution‟s resolve to ban ragging and punish those found guilty without fear or favour.

6.1.12 The Medical College/Institution/University shall identify, properly illuminate and man all vulnerable locations.

6.1.13 The Medical College/Institution/University shall tighten security in its premises, especially at the vulnerable places. If necessary, intense policing shall be resorted to at such points at odd hours during the early months of the academic session.

6.1.14 The Medical College/Institution/University shall utilize the vacation period before the start of the new academic year to launch wide publicity campaign against ragging through posters, leaflets. seminars, street plays, etc.

6.1.15 The faculties/ departments/ units of the Medical College/Institution /University shall have induction arrangements (including those which anticipate, identify and plan to meet any special needs of any specific section of students) in place well in advance of the beginning of the academic year with a clear sense of the main aims and objectives of the induction process.

The Principal or Head of the Institution/Department shall obtain an undertaking from every employee of the institution including teaching and non-teaching members of staff, contract labour employed in the premises either for running canteen or as watch and ward staff or for cleaning or maintenance of the buildings/lawns etc. that he/she would report promptly any case of ragging which comes to his/her notice. A provision shall be made in the service rules for issuing certificates of appreciation to such members of the staff who report ragging which will form port of their service record.

6.2. On admission:-

6.2.1 Every fresher admitted to the Medical College/Institution/University shall be given a printed leaflet detailing when and to whom he/she has to turn to for help and guidance for various purposes (including Wardens, Head of the institution, members of the anti-ragging committees, relevant district and police authorities), addresses and telephone numbers of such persons/authorities, etc., so that the fresher need not look up to the seniors for help in such matters and get indebted to them and start doing things, right or wrong, at their behest. Such a step will reduce the freshers‟ dependence on their seniors.

Every institution should engage or seek the assistance of professional counselors at the time of admissions to counsel `freshers' in order to prepare them for the life ahead, particularly for adjusting to the life in hostels.

6.2.2 The Medical College/Institution/University through the leaflet mentioned above shall explain to the new entrants the arrangements for their induction and orientation which promote efficient and effective means of integrating them fully as students.

6.2.3 The leaflet mentioned above shall also inform the freshers about their rights as bonafide students of the institution and clearly instructing them that they should desist from doing anything against their will even if ordered by the seniors, and that they have nothing to fear as the institution cares for them and shall not tolerate any atrocities against them.

6.2.4 The leaflet mentioned above shall contain a calendar of events and activities laid down by the institution to facilitate and complement familiarization of freshers with the academic environment of the institution.

6.2.5 The Medical College/Institution/University shall also organize joint sensitization programmes of ‘freshers’ and seniors.

On the arrival of senior students after the first week or after the second week as the case may be, further orientation programmes must be scheduled as follows (i) joint sensitization programme and counseling of both 'freshers' and senior by a Professional counselor; (ii) joint orientation programme of 'freshers' and seniors to be addressed by the principal/Head of the institution, and the anti -ragging committee ; (iii) organization on a large scale of cultural, sports and other activities to provide a platform for the 'freshers' and seniors to interact in the presence of faculty members ; (iv) in the hostel, the warden should address all students; may request two junior colleagues from the

43 college faculty to assist the warden by becoming resident tutors for a temporary duration.

6.2.6 Freshers shall be encouraged to report incidents of ragging, either as victims, or even as witnesses.

6.3. At the end of the academic year:-

6.3.1 At the end of every academic year the Dean/Principal/Director shall send a letter to the parents/guardians of the students who are completing the first year informing them about the law regarding ragging and the punishments, and appealing to them to impress upon their wards to desist from indulging in ragging when they come back at the beginning of the next academic session.

6.3.2 At the end of every academic year the Medical College/Institution /University shall form a “Mentoring Cell” consisting of Mentors for the succeeding academic year. There shall be as many levels or tiers of Mentors as the number of batches in the institution, at the rate of 1 Mentor for 6 freshers and 1 Mentor of a higher level for 6 Mentors of the lower level.

Each batch of freshers should be divided into small groups and each such group shall be assigned to a member of the staff. Such staff member should interact individually with, each member of the group on a daily 6 basis for ascertaining the problems/difficulties if any faced by the fresher in the institution and extending necessary help.

In the case of freshers admitted to a hostel it shall be the responsibility of the teacher in charge of the group to coordinate with the warden of the hostel and to make surprise visits to the rooms in the hostel where the members of the group are lodged.

ANNEXURE VIII

RELIGIOUS & LINGUISTIC MINORITY CERTIFICATE (To be issued by the concerned Tahsildar of Religious & Linguistic minority)

(Candidates who claim seats in Colleges of religious & Linguistic Minority Status)

This is to certify that Thiru/Tmt. ………………………………………………..

S/o / D/o ………………………………………………………………………… has studied from Standard ………………… to Standard ………………… in our

Institution during …………………………… to …………………………………

Academic years. He/she belong to …………………………………………. Religion and the mother tongue of the above student is ……………………………… as per the

Admission Register maintained in the Institution. The above details are true and correct to the best of my knowledge.

Seal and Signature of the Principal of the school where the candidate has last attended.

Name of the Principal. ………………………………….

Name, full postal address and telephone number of the Institution from where the candidate has passed SSLC /10 TH Standard examination Institution last studied:

Date:……………………………………………

ANNEXURE IX Ward Certificate (Children of Non-resident Indian or their wards) (For admission under NRI Quota seats).

I ………………..………. Son of Thiru/Tmt………………….………….. (name of Guardian) aged ……………………….. years …………….. holding an ………... ……… Passport (Date of Birth) and residing at……………………………………………………..……………………. …………………………………………………………………………………………… ………………………………..… Telephone No. ………………………….…… Mobile No. ………………….…….….. e-mail ID:…………………………………….. do hereby solemnly affirm and state that, Thiru/Tmt. …….…………………………… S/o/D/o of …………………………………………………………………………….. who is seeking admission to Under Graduate Medical / Dental Courses through Tamil Nadu for the year 2018-2019 is my “ward”.

I would wish to state that I am the guardian of the said candidate for the entire course of study and will be legally responsible for his/her Under Graduate Study.

Passport Details: Passport No. ………………………. Place of issue ……………………………. Date of Issue. ………………….. Date of Validity of Passport ……………………

Bank Account Details: Nature of Account …………………………… Name of the Bank and Address ……………………………………. Relationship with the student ……………………………….

(Signature of the Guardian) Date : …………………….. Place.

ANNEXURE X Affidavit (to be submitted by Minority Religious and Linguistic candidates) (To be submitted in a 20/- Bond paper at the time of verification)

I, ……………………………………………………………………… son / daughter of

……………………………………………………………………………...... residing at

…………………………………………………………………have appeared for NEET

UG -2018 conducted by CBSE, New Delhi with Roll Number ………………………… and Register Number ……………… and have secured …………….. score in the said test.

I hereby solemnly declare that I belong to ………………………………………. religion and my mother tongue is ……………………………… . I have studied from 8 th Standard to 12 th Standard in Tamil Nadu during ……………………. to ……………………… .

I have sworn to this affidavit and submitted to the Tamil Nadu for Selection of seat under the ……………………….. category. I declare that the above information is correct to the best of my knowledge and belief. In case any of the above information is found to be false or incorrect, I shall forfeit the seat allotted by the Tamil Nadu. I hold myself also, liable for civil or criminal action and the Government of Tamil Nadu may take appropriate action against me in this behalf. I shall produce all required original documents for verification and submit the same after allotment of seat to concerned college.

I shall not produce/submit fake/concocted documents for verification or admission.

Date:

Place: Deponent

Signature of the Candidate Sworn Before Me .

INSTRUCTIONS FOR FILLING UP THEAPPLICATION FOR MBBS / BDS COURSES ADMISSION 2018– 2019 1. APPLICATION CONSIST OF TWO PARTS: - Part 1 : Application Form. Part 2 : OMR Sheet

The Application Form contains ……… items. Sub group of the items of the application is reproduced in the OMR Sheet.

2. METHODS OF ENTERING PARTICULARS IN THE APPLICATION: - Particulars required by an item are to be entered in the Application in long hand or in coded form depending on the item. “Address for Communication “ for example, is written in long hand. For certain items, like “ Medium of Instruction “, several alternative responses are listed in tabular form. Each alternative is assigned a code. You must encircle the code which will signify your response to that item. In the case of certain items, like Native District, you respond by writing a code in the box or boxes provided.

3. SUPPORTIVE DOCUMENTS: - Documents / Certificates are required in support of the data furnished by the candidate for the following :- 1. Date of Birth 2. Community Certificate, if applicable 3. Marks in qualifying examination 4. Nativity Certificate, if applicable and 5. Claim for Special Category seats, if applicable 6. First Graduate if applicable. Only Photocopies of the certificates should be submitted along with the application.

The originals should be produced at the time of counselling and admission. A passport size photograph should be affixed to the application form as instructed. 4. APPLICATION FORM: - GENERAL POINTS Instructions for filling up the Application form are given, item-wise. You must adhere strictly to these instructions. Two factors may be taken notice of : (1) The format in which you furnish your data is of decisive importance (2) The item-descriptions and column-headings in an item might use abbreviated words and / or shortened form of sentences. Explanation / elucidation would be given in the instructions. In view of the foregoing, it is essential that you read the instructions for an item, and then fill up the particulars in the application.

INSTRUCTIONS : -

1 +2 Examination Register This number, month and year of +2 examination in Number, Month and Year which the candidate passed all subjects in single sitting. It is an identification at all stages of admission to Professional Colleges and for future reference. Month of the Examination to be entered numerically e.g., if the month of the examination is March it may be entered as “ 03 “. Enter the Register in eight digits, month in two digits and year in four digits EXAMPLE: If yor have passed the examination in March 2018 with Register 0 0 6 1 0 0 2 1 Number enter the data as 2 Name in the block letters initials Example: SHOBHA. M, (Note the comma after the at the end name) 3 Address for Communication Self – Explanatory 4 Name of Parent / guardian Guardian’s Name to be given only when both the parents are not alive. 5 Sex (Encircle a code) Self – Explanatory 6 Nationality (Encircle a code ) Indian nationals (by birth and / or domicile) should encircle “1”, Others should encircle “2”. 7 Nativity Native of Tamil Nadu “should encircle code No.1, others encircle 2. 49

7 a Details of Education 7 a (1) (2) (Self Explanatory) (Encircle a code) Note: Candidate falling under category 7 a (2) should produce the nativity certificate for eligibility. 7 b If you have completed your plus 2 For example if you have completed your plus 2 study / Equivalent schooling in Tamil in Government school encircle code 1 orgovernment Nadu encircle a code aided school encircle code 2. Likewise encircle appropriate code. School of study in+ 2 Code Government 1 Government Aided 2 Corporation 3 Municipality 4 KVS 5 CBSE 6 Private School 7 Others ( Specify) 8

8 School (s) of Study Furnish the particulars regarding your schooling for the VIII, IX, X, XI and XII standards with correct address including pincode and indicate the place of school and name of the State in which the school is situated. In case you have studied in more than one school in any of the standards then, list the particulars, corresponding to the year when you passed that standard. 9 Date of Birth Day, Month and Year of Birth, as per Christian era, should be entered using a two digit number for each. Note that the year 02 10 2001 is to be’ specified below. Example: 2nd October 2001 must be entered as, 10 Community (Encircle a Code ) Classification Abbreviation Code

Other Communities OC 1 Backward Class BC 2 Backward Class Muslim BCM 2A Most Backward Class MBC 3 Denotified Community DC 3 Scheduled Caste SC 4 SC Arunthathiyar SCA 4A Scheduled Tribe ST 5

11 Caste Code Choose the code appropriate to your caste and encircle. List of Communities in the prospectus gives the approved list of the various tribes / castes / communities / classes. Confirm that the classification to which you belong is in accordance with these lists. The List of Communities specifies a code for each of the tribes / castes / communities / classes. Obtain the code appropriate to your caste and enter it as a three – digit number. One digit per box. Candidates belonging to the O.C. should enter Caste Code as 500. Refer List of Communities. 12 Name of the Caste Enter in long hand, the name of the caste / community / class to which you belong. Note: Item 11 is to be filled up only by candidates whose classification is 2, 2A, 3, 4, 4A and 5 OC candidates can skip 11 & 12 items.

13 Qualifying Examination ( Encircle a Code ) Qualifying Examination Code

H.S.E. (Higher Secondary Examination of 1

Tamil Nadu State Board)

SSCE / CBSE (Senior Secondary Certificate 2

Examination or Central Board of Secondary

Eduction

ISCE (IndianSchool Certificate Examination 3

OTHERS (Any other examination which has 4

been recognised as equivalent to “1”which

includes other state board HSC)

13 a Particulars of passing the The Register number with the month and year you qualifying examination. have passed the qualifying examination 14 Religion Religion Code No. Buddhism 1 Choose the code Christianity 2 numbers representing Hinduism 3 your case and enter in Islam 4 the box Jainism 5 Sikhism 6 Others 7 15 Marks obtained in select science Enter the marks obtained in the select science subject subject in the qualifying and calculate the percentage and weighted average examination. marks as given in the application 15 a Marks obtained in the fourth Enter the marks obtained in the fourth optional optional subject subject. In respect of the candidates who have taken Botany and Zoology, enter the sum of marks obtained in Botany and Zoology and also enter the maximum marks accordingly. 51

16 If you have been or presently a Between the time of passing your +2 or equivalent student of a professional college examination and till now, did you join and study in any in Tamil Nadu then furnish of the Professional Colleges in Tamil Nadu. if so, particulars. If not, write as Not furnish the Name of Course, year(s) of study(i.e.) Applicable (N.A.) from (Month, Year) to (Month, Year) and name and place of the College. 17 Special Category (a) and (b) Self – Explanatory. Enter the name of the special category and code number and enter the application form number of special category in which they applied for. 18 a Educational status of the family “ Family ” includes Grandfather, Grandmother, Father, Mother, Brothers and Sisters. If none of the members of your family is a Graduate tick Yes if not tick No 18 b Has your brother/ sister availed If your brother/ sister has availed concession tick first graduate fee concession for Yes if not tick No studying professional courses. 19 Medium of Instruction Encircle the code in which medium you have studied. 20 Mother Tongue Mother Code Choose the code numbers Tongue No. representing your case Tamil 1 and enter in the box Telugu 2 Malayalam 3 Urdu 4 Kannada 5 Hindi 6 Others 7 21 Occupation of Parent / Guardian. The Classifications are self explanatory.Candidates should encircle the codes appropriate to them. 22 Average monthly income of Details regarding Guardian should be given only Parent / Guardian. when both parents of a candidate are not alive. Encircle a code appropriate to them. 23 Civic status of your Native Place “ Native Place” is defined here as the village / town / city you hail from. The classification given in the table are self explanatory. Encircle a code appropriate to them. 24 Civic status of School Place. “School Place “ is the place of the School in which you completed your XII standard. The classification given in the table are self explanatory. Encircle a code appropriate to them. 25 Native District Code Refer the Annexure XV of Prospectus, obtain the code for your native district and enter it as a two digit number.

Application No. MQ / NRI

53 54 55 Station :

Date :

56 INFORMATION OF SELF FINANCING MEDICAL/ COLLEGES FOR 2018-2019 SESSION

MBBS COURSE

Hostel Nearest Railway Phone & Available No. College Address Station / (R.S) Fax No. for Bus Stop (B.S) Boys Girls CHENNAI DISTRICT 1. The Dean, Ph:044 24742825, Mambalam 4.5 km. Yes Yes ESIC Medical College and PGIMSR, 24748959 Bus stop ESIC Hospital Ashok Pillar Road, FAX: 24742825 K.K. Nagar (at the entrance) K. K. Nagar, Chennai -600 078. deanesipgimsr @gmail.com 2. The Dean, Ph: 81480 77777/ Pallavaram R.S – 10 kms. Yes Yes Madha Medical College & Research 81480 66666 Madha Dental College Bus Institute,Kundrathur Main Road, FAX: 044 24780055 Stop Kovur (Near Porur),Chennai – 600 122. 3. The Dean, Ph: 044 66344000 Pallavaram R.S – 6 kms. Yes Yes Sri Muthukumaran Medical College 044 6344060 Chikkarayapuram 0.5 km. Hospital & Research Institute, FAX: 04424781115 Chikkarayapuram, Near Mangadu, smmchri@yahoo. Chennai- 600 069. com 4. The Dean, Ph :044 3010 1111 Vandalur R.S 7 km. Yes Yes Tagore Medical College & FAX:044 30101100 Tagore Engineering College Hospital,Rathinamangalam, 0.50 km. Vandalur Post , Chennai – 600 127. COIMBATORE DISTRICT 5. The Dean, Ph: 04226452888, Coimbatore Junction Yes Yes Karpagam Faculty of Medical 6464433, R.S 20 kms. Sciences & Research, 2904453 Othakkalmandapam Pollachi Main Road, FAX: 04222611145 Othakkalmandapam, Karpagammedical Coimbatore- 641 032. [email protected]

57 6. Principal Ph.0422 2570170 C o i m b a t o re Central R.S – Yes Yes P.S.G.Institute of Medical Sciences 7 lines 7 km. & Research, P.B.No.1674,Avanashi 2598822 –16 lines Peelamedu Bus stop 100 Road, Peelamedu, FAX:2594400 km. Coimbatore- 641 004. psgmedschool@ gmail.com ERODE DISTRICT 7. Dean, Ph:04294 220910– E r o de R.S.Junction21km. Yes Yes IRT Perundurai Medical 220912 B.S Perundurai 2 km. College,Perundurai, FAX: 220226 Sanatorium-638 053. Email : irtpmc@ Erode District. yahoo.com KANCHEEPURAM DISTIRCT 8. The Dean, Ph:044 27565195, Chengalpattu Junction Yes Yes Karpaga Vinayaga Institute of 27598232 R.S 14 km. Medical Science & GST Road, FAX:27565487 Padalam B.S – 2 km. Madhuranthagam TK, Kanchipuram - 603 308. 9. The Dean, Ph:04427528302, Melmaruvarthur R.S–2 km. Yes Yes Melmaruvathur Adhiparasakthi 03,04 Melmaruvarthur B.S – 2 km. Institute of Medical Sciences & FAX:04427528305 Research, Melmaruvathur, Cheyyur Taluk, Kancheepuram District – 603 319. KANYAKUMARI DISTRICT 10. The Director Ph:0465 280866, Kuzhithurai R.S 12 km. Yes Yes Sree Mookambika Institute 278551 Kulasekharam B.S–100 m. Of Medical Sciences, FAX:280740, Velayuthan Pillai Memorial 280742 Hospital Complex, Padanilam Kulasekharam-29161,K.K.Dist MADURAI DISTRICT 11. The Dean, Ph: 0452 7114100 Madurai R.S 10 km. Yes Yes Velammal Medical College Hospital 7113395 Chindamani B.S 500 m. & Research Institute FAX: 2510010 Velammal Village, Madurai- info@velammalmedial Tuticorin Ring Road, [email protected] Anuppanadi, Madurai- 625 009.

58 PERAMBALUR DISTRICT 12. The Dean, Ph: 04328 254500, Ariyalur R.S – 30 km. Yes Yes Dhanalaxmi Srinivasan Medical 254600 Perambalur B.S – 3 km. College & Hospital, FAX:04328254505, Siruvachur, 2546054 Perambalur- 621 212. SALEM DISTRICT 13. The Dean, Ph:0427 3983000, Salem Junction Yes Yes Annapoorna Medical College & FAX:04273983030 R.S 12 km. Hospital, NH – 47, Veerapandi E.mail: info@ Kombadupatti B.S 100 m. union, Sankari Main Road, amch.in Salem - 636 308.

TRICHY DISTRICT 14. The Dean, Ph: 0431 3058956, Srirangam R.S – 13 km. Yes Yes Trichy SRM Medical College 3058813, 3058687 Opp. to College Bus Stop Hospital & Research Center, FAX: 0431 Irugalur, Trichy – 621 105. 3058877 3058922

BDS COURSE

Sl. College Address Phone & Nearest Railway Station / Hostel No. Fax No. (R.S.) Available for BusStop (B.S) Boys Girls CHENNAI DISTIRCT 1. The Principal, Ph:044 24780736 Pallavaram R.S – 8 kms. Yes Yes Madha Dental College & FAX:044 24780798 B.S –Madha Engineering Hospital, Madha Nagar, madhadentalcollege@ College – 0.25 km. Somangalam Road, gmail.com Chennai – 600 069. 2. The Principal, Ph: 044 24530001 Thiruvanmiyur R.S Yes Yes Ragas Dental College & to 24530006 Uthandi Bus Stop Hospital, FAX: 24530009 2/102, East Coast Road, [email protected] Uthandi, Chennai- 600 119.

59 3. The Principal, Ph: 7449000052, Velachery R.S 9 km. Yes Yes Sri Venkateswara Dental 7449000053 Thalambur B.S 100 mts. College and Hospital, FAX:24315541/42 Off. Old Mahabalipuram Road, Email:info@svdental Near Navalur, college.com Chennai- 600 130. 4. The Principal, Ph:044 30102222 Vandalur R.S 7 km. Yes Yes Tagore Dental College & FAX: 30102299 Rathinamangalam Hospital,Rathinamangalam, tagoredch@gmail. B.S 0.5 km. Melakottiyur,Chennai – com 600 127. KANCHEEPURAM DISTRICT 5. The Principal, Ph:044 27529628, Melmaruvathur R.S 1/2 km. Yes Yes Adhiparasakthi Dental College 27528082, Melmaruvathur & Hospital, Melmaruvathur, 27528083 B.S 1/2 km. Kancheeepuram FAX: 27528081 District – 603 319. 6. The Principal, Ph: 6380154709 Chengalpattu R.S – 9 km Asan Memorial Dental College FAX: 04428272958 Keerapakkam B.S – 1 km. & Hospital, Keerapakkam, principal@amdch. (Chengalpattu Asan Nagar, Oragadam com Thirukalukundram Road, Road) Chengalpattu, Kancheepuram District – 603 105. 7. The Principal, Ph:044 47413350, Vandalur R.S 20 km. Yes Yes Chettinad Dental College & 51&52 B.S Kelambakkam Research Institute, FAX:044 7413343 (Approx.) 1 km. IT Highway, Kelambakkam, Kancheepuram District – 603 103 8. The Principal, Ph :044 27565195 Chengalpattu R.S 14 km. Yes Yes Karpaga Vinayaga Institute of 27598232 Padalam B.S 2 km. Dental Sciences, FAX:27565487 GST Road, Palayanoor Post, Kidsindia07@ Chinnakolambakkam, gmail.com Madhuranthagam Tk Kancheepuram District – 603 308.

60 KANYAKUMARI DISTRICT 9. The Director Ph:04651 280745/ Kzhithurai R.S 12 km. Yes Yes Sree Mookambika Institute of 280742/280746 Kulasekharam Dental Sciences, FAX: 280740 Market100 feet. Velayuthan Pillai Memorial Hospital Complex, Padanilam, Kulasekharam, K.K.District – 629161. MADURAI DISTRICT 10. The Principal, Ph:0452 2423291 Madurai R.S Junction 12 Yes Yes Best Dental Science FAX:2423290, km. College,Ultra Trust, Mattuthavani B.S 4 km. No: 69/1 – A, Madurai – Chennai Highways, Madurai – 625 104. 11. The Principal, Ph:0452 2321708 Madurai R.S Junction 2 Yes Yes CSI College of Dental FAX:04522336605 km. Sciences and Research, csidental@gmail. Front of College Christian 129, East Veli Street, com Mission Hospital. Madurai – 625 001. NAMAKKAL DISTRICT 12. The Principal, Mobile:9345855001 Erode R.S. Junction 16 Yes Yes J.K.K. Nattraja Dental College FAX:04288 – 265793 km. and Hospital, Kumarapalayam, [email protected] Bus stop – Namakkal District – 638 183. Kumarapalayam 13. The Principal, Ph:04288 234670 Erode R.S 30 Kms. Girls only Vivekananda Dental College for 9443316515 Elayampalayam B.S Women, Elayampalayam, FAX:04288234891 500 m Tiruchengode (TK), Nammakkal Dist – 637 205. 14. The Principal, Ph:04288 274741 Erode R.S 12 kms Yes Yes K.S.R. Institute of Dental 44, 274981 Opp College KSR Kalvi Science & Research, FAX: 274761,274745 Nagar. KSR Kalvi Nagar, Thokkavadi (P.O.), Nammakal Dist, Tiruchengode – 637 215.

61 THIRUNELVELI DISTRICT 15. The Principal, Ph:04637 231905 Valliyoor R.S 7 km. Yes Yes Rajas Dental College& FAX:231905 Nagercoil – 18 kms Hospital,Thirurajapuram, rajasdentaloffice@ (Kavalkinaru Junction Kavalkinaru Junction, gmail.com (walkable distance) Tirunelveli Dist - 627 105. THIRUVALLUR DISTRICT 16. The Principal, Ph:04427650160, Thiruvallur R.S – 6 km. Yes Yes Priyadarshini Dental College & 161,450 Bus StopOpposite to Hospital, 1, VGR Gardens, FAX:27650377 College VGR Nagar, Pandur– Pdch.office@indiraed 631 203,Tiruvallur Taluk & ucational.org District

62 PRE - DESPATCH CHECK LIST FOR THE USE OF THE APPLICANT

It is the candidate's own responsibility to exercise suitable checks and ensure that his / her application is correct and complete in all respects. As a facility for a further check, a list of tasks are given below. Against each taskdescription, the candidate should put a tick mark (√) or write "N.A." to indicate that the task has been done or is Not Applicable to him / her.

S.No. DATA (√)/ "N.A." 1 +2 Registration number, year and month entered in the Application, OMR Sheet and cover for return of documents 2 Application and OMR Sheet filled up 3 Checked and confirmed that corresponding entries in Application Form and OMR Sheet tally and that there is no discrepancy. SUPPORTIVE DOCUMENTS 4 Mark sheet of H.S.C. (Academic) examination (both sides of mark sheet should be photocopied) or any other equivalent examination of the first appearance. 5 Transfer certificate obtained after the completion of H.S.C. (Academic) or equivalent courses 6 Nativity certificate with supporting documents (if applicable) 7 Permanent Community Certificate Card. 8 X Standard Mark Sheet . 9 Certificate for proof of study from VIII standard to XII standard. 10 H.S.C Hall Ticket 11 Religious & Linguistic Minority Certificate (only if applicable) 12 Ward certificate – for NRI (only if applicable ). 13 Income Certificate (only if applicable) MISCELLANEOUS 14 Passport size photograph affixed in the Application

Date: Signature of the Applicant

Note: This form should be detached and submitted along with the filled in application .