Information Letter
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vfuok;Z nLrkostksa dh lwph mEehn~okjksa dks izf'k{k.k esa izos'k ds le; vkoafVr izksxzke LVMh lsUVj esa fuEu ewy izek.k&i= ,oa Lo;a lR;kfir Nk;kizfr;ka lkFk esa ykuk vfuok;Z gS %& 1- ch-,l-lh- uflZax] iksLV csfld ch-,l-lh-] th-,u-,e- ,oa ch-,-,e-,l- mRrh.kZ vadlwphA 2- 10oha dh mRrh.kZ vadlwphA 3- jftLVªkj ulsZl dkmafly@ e/;izns’k vk;qosZn] ;qukuh fpfdRlk iz.kkyh ,oa izkd`frd fpfdRlk cksMZ dk oS/k iath;u izek.k i=A 4- uohu ikliksVZ lkbZt dk lR;kfir QksVksaA 5- :i;s 500@& ds LVkEi isij ij jkf’k :i;s nks yk[k dk ca/k i= ftlesa izos’k i'pkr 6 ekg dk izf’k{k.k iw.kZ djus ,oa gsYFk ,oa osyusl lsaVj ij inLFkkiuk mijkar fujarj U;wure rhu o"kZ dk;Z laiknu dh lgefr dk mYys[k gksA 6- vuqfoHkkxh; vf/kdkjh ¼jktLo½] e/; izns’k }kjk tkjh tkfr izek.k&i=A 7- ewy fuoklh izek.k&i=A 8- esMhdy fQVusl izek.k i=A U;wure ,e-ch-ch-,l fpfdRld }kjk] izf’k{k.k esa izos’k ls iwoZ 15 fnol ds Hkhrj tkjh fd;k gqvkA 9- lafonk vk/kkj ij dk;Zjr LVkWQ ulZ dh fu;qfDr dk izFke fnukad ,oa ca/k&i= (Bond) uohuhdj.k vkns’kA 10- vuqHko izek.k i=A 11- lfVZfQdsV dkslZ bu dE;wfuVh gsYFk p;u ijh{kk dh vadlwph ,oa izos’k i= ewyr% ,oa lR;kfir Nk;kizfrA fdlh Hkh izek.k i= dh deh gksus dh fLFkfr esa mEehnokj vik= ekus tk;sxk ,oa izos'k ugha fn;k tkosxkA bl laca/k esa dksbZ vH;kosnu ekU; ugha gksxkA 1 NORMALIZATION FORMULA th th Normalization mark of J candidate in the i session M̂ij Here, th th Mij : actual marks secured by the j candidate in the i sessions g M̅ t : average marks of the top 0.1% of the candidates considering all sessions g M q : sum of mean and standard deviation marks of the candidates in the paper considering all sessions th M̅ ti : average marks of the top 0.1% of the candidates in the i sessions th Miq : sum of the mean marks and standard deviation of the i session Once the answers are checked and assessed, the normalized marks of a candidate will be calculated corresponding to the actual marks secured by the candidate in the examination and the Score card will be devised based on the normalized marks. 2 izksxzke LVMh lsUVlZ ,oa bXuq {ks=h; dk;kZy; dk uke Øa- Name of Program Study Centres Name of IGNOU Regional Centre 1 Government Nursing College, Ujjain IGNOU, Bhopal 2 GNMTC, Raisen IGNOU, Bhopal 3 GNMTC, Datia IGNOU, Bhopal 4 GNMTC, Dewas IGNOU, Bhopal 5 GNMTC, Jhabua IGNOU, Bhopal 6 GNMTC, Mandsaur IGNOU, Bhopal 7 GNMTC, Vidisha IGNOU, Bhopal 8 GNMTC, Rajgarh IGNOU, Bhopal 9 District Hospital, Dhar IGNOU, Bhopal 10 District Hospital, Ratlam IGNOU, Bhopal 11 District Hospital, Bhind IGNOU, Bhopal 12 District Hospital, Shivpuri IGNOU, Bhopal 13 District Hospital, Bhopal (J P Hospital) IGNOU, Bhopal 14 RHFWTC, Indore IGNOU, Bhopal 15 RHFWTC, Gwalior IGNOU, Bhopal 16 SIHMC, Gwalior IGNOU, Bhopal 17 College of Nursing, Indore (DME) IGNOU, Bhopal 18 College of Nursing, Bhopal (DME) IGNOU, Bhopal 19 College of Nursing, Gwalior (DME) IGNOU, Bhopal 20 Chirayu College of Nursing, Bhopal IGNOU, Bhopal 21 Kushabhau Thakre College of Nursing, Bhopal IGNOU, Bhopal 22 Peoples' College of Nursing, Bhopal IGNOU, Bhopal 23 LN College of Nursing, Bhopal IGNOU, Bhopal 24 Choithram College of Nursing, Indore IGNOU, Bhopal 25 Pragyan College of Nursing, Bhopal IGNOU, Bhopal 26 Government Rani Durgawati Nursing College, Jabalpur IGNOU, Jabalpur 27 GNMTC, Seoni IGNOU, Jabalpur 28 District Hospital, Sagar IGNOU, Jabalpur 29 District Hospital, Shahdol IGNOU, Jabalpur 30 RHFWTC, Jabalpur IGNOU, Jabalpur 31 College of Nursing, Rewa (DME) IGNOU, Jabalpur 32 College of Nursing, Jabalpur (DME) IGNOU, Jabalpur 33 Jabalpur Institute of Health Science, Jabalpur IGNOU, Jabalpur 3 (On non-Judicial Stamp Paper of Rs. 500/-) National Health Mission SURETY BOND THIS DEED OF BOND IS MADE ON…………….DAY OF………………….2019 KNOW ALL MEN BY THESE PRESENT THAT WE, Mr./Miss………………………………………………… S/D/W/O Mr./Mrs. ________________ Residing at __________ (hereinafter called the “candidate”) and (2) Mr./Mrs./Miss___________ S/D/W/O Mr./Mrs. ___________residing at ___________ (hereinafter called the “surety”) do hereby by bound ourselves and our respective heir’s executors and administrators, to the Mission Director, National Health Mission (hereinafter called the “NHM”) on demand Rs. ________/- in respect of the candidate’s Certificate Course in Community Health (hereinafter called the “Programme”). Signed and delivered this _________________ Day of _______________ Signature___________ Signature ___________ (Candidate) (Surety) WHEREAS on his/her request, the competent Authority at state Health Department/State Health Society has selected the candidate for the programme conducted by the IGNOU commencing from the__________ date of ________ 2019 and offered the candidate with sponsorship for undergoing the same vide letter of offer dated.…/…./20………. Now the condition of above written bond is that the candidate (1) Shall successfully complete the programme, and (2) shall sever State Health Department/State Health Society, Madhya Pradesh thereafter for a minimum period of three (03) years after successful completion of the programme (hereinafter referred to as the “Bond period”). Whereas for a minimum period of three (03) years, then the above written bond shall lapse otherwise it shall be and remain in full force valid. That further or in the alternative another condition of the above bond is that if the candidate commits any breach of his/her undertakings for whatsoever reasons or in case he/she fails to complete the programme successfully and/or serve the State Health Department/State Health Society, Madhya Pradesh for the stipulated bond period thereafter he/she and his/her surety shall jointly and severally compensate the State Health Department/State Health Society, IGNOU fee (Covers study materials and counseling fee) boarding and lodging transport expenses etc. paid during the programme and this expenses incurred by it on account of and in connection with the programme and this amount will recovered from him/her and /or from his/her surety. However the total amount recoverable under this clause shall not exceed Rs. _________/- (Rupees _________________only). Signed jointly and severally by each of us on this _________day of _______(month), _______(Year) in the presence of the following witnesses: 1. Candidate Signature ___________ Candidate Name ______________ Address _____________________ 2. Signature ____________________ Signature ___________ Name: ______________________ (Surety) Address _____________________ Attested by Notary Public INDIRA GANDHI NATIONAL OPEN UNIVERSITY MAIDAN GARHI, NEW DELHI-110 068 APPLICATION FORM (To be submitted to School of Healh Sciences along with the consolidated details of data of each selected student in Hard and Soft copy by MOHFW) INSTRUCTIONS 1. Please read the instructions before filling up the form (Appendix 26). APPLICATION NO. 2. Please use Black/Blue Ball Point Pen in boxes using English CAPITAL LETTERS or English numerals. 3. Write in CAPITAL LETTERS only within box. Leave blank between words as shown in the example below. 4. Attach relevant certificates with application form. 5. Attach DD in favour of IGNOU payable at Delhi (to be paid by MOHFW). Enrolment No. (For Office Use) ABCDEFG I JK L NOPQRSTUV XYZ 0 123 4 56 78 9 1. Name of the Programme Applied: PHOTOGRAPH 2. Programme Code: A1 English Affix your latest 3. Medium of Study B2 Hindi passport size (Write code in the box) C3 Others photograph (4 cm x 5 cm) 4. Regional Centre Code: duly attested by you 5. Programme Study Centre Code: 6. State Code: 7. a. Are your registered with (Ignou) (Please write relevant If yes, Programme Code: A1 - code in the box) Yes Signature of Applicant B2 - No Enrolment No. : 8. Name of the Candidate: (as in class X/XII mark sheet or equivalent certificiate) 9. Father/Mother/Husband /o Name : (Please write S/o or D/o for Father/Mother’s Name and W/o for Husband’s Name) 10. Address for Correspondence : (Please do not give POST-BOX Number. Use Capital Letters and give space between words) a) House No. : b) Street Name : c) Locality/Mohalla: d) Tehsil/District: e) City : f) Pin Code: g) State: 11. Contact Details: a) Landline No. Fax, if any: STD No. Phone Number FAX Number b) e-mail ID: c) Mobile No.: 12. Date of Birth: Date Month Year 13. Nationality A1 - Indian B2 - Others, pl. specify 14. Gender A1 - Male 15. Category A1 - General 16. Area A1 - Urban (Pls. write relevant B2 - Female (Pls. write relevant B2 - SC (Pls. write relevant B2 - Rural code in the box) C3 - Other code in the box) C3 - ST code in the box) C3 - Tribal D4A - OBC (Creamy) D4B OBC (Non Creamy) 17. Marital Status A1 - Single 18. Religion A1 - Hindu D4 Sikh G7 Parsi 19. Whether Minority E5 Jain (Pls. write relevant B2 - Married (Pls. write relevant B2 - Muslim H8 Jews (Pls. write relevant A1 - Yes F6 Buddhist code in the box) code in the box) C3 Christian I9 Others code in the box) B2 - No 20. Social Status A1 - Ex-Serviceman 21. Whether Kashmiri Migrant 22. Employment Status (Pls. write relevant (Pls. write relevant B2 - War Widows (Pls. write relevant A1 - Yes code in the box) code in the box) C3 - Not Applicable code in the box) B2 - No A1 - Unemployed B2 - IGNOU regular employee C3 - Employed 99 D4 - KVS employee 23. Details of Scholarship being received, if any a) Annual Scholarship Amount b) Deptt.