MEDICAL SERVICES RECRUITMENT BOARD (MRB) 7th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai-600 006. Website: www.mrb.tn.gov.in E.mail: [email protected] twitter.com/mrb_tn Phone No.: 044 -24355757 Notification No.07/MRB/2018 Dated: 17.12.2018 Temporary post of Assistant Surgeon (General) You are hereby informed to appear for verification of your certificates to ascertain the eligibility conditions and other qualifications as prescribed for the post of Assistant Surgeon (General) notified vide Notification No.07/MRB/2018 Dated: 25.09.2018. The list of documents to be produced by you (in original along with one set of self-attested photocopies) is attached herewith. You are required to appear for the verification as per the following date / time / venue. Forenoon Afternoon Date of Certificate 10:00 AM 02:00 PM Verification (Sl.No)* (Sl.No)* 21.12.2018 1 - 75 76 - 150 26.12.2018 151 - 225 226 – 300 27.12.2018 301 - 375 376 – 450 28.12.2018 451 - 525 526 – 600 03.01.2019 601 – 675 676 – 750 04.01.2019 751 - 825 826 – 900 07.01.2019 901 - 975 976 -1050 08.01.2019 1051 - 1125 1126 – 1200 09.01.2019 1201 - 1275 1276 -1350 10.01.2019 1351 - 1425 1426 – 1500 11.01.2019 1501 - 1575 1576 – 1650 Page 1 of 50 Forenoon Afternoon Date of Certificate 10:00 AM 02:00 PM Verification (Sl.No)* (Sl.No)* 21.01.2019 1651 - 1725 1726 -1800 22.01.2019 1801 - 1875 1876 – 1950 23.01.2019 1951 - 2025 2026 - 2073 Medical Services Recruitment Board, Venue 7th Floor, DMS Buildings, 359, Anna Salai, Teynampet, Chennai-6. * (For Sl.No. refer Annexure) 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 in 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 called for Original 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 2 of 50 MEDICAL SERVICES RECRUITMENT BOARD Documents for verification for the post 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 Evidence of Educational qualification (SSLC; HSC; MBBS; CRRI Completion Certificate; PG Diploma; PG 2 Degree; DNB; Super Speciality; Ph.D Degree or Provisional certificate along with mark sheets etc.) as per Annexure 3 of the detailed notification 3 Medical Council Permanent Registration Certificate as per Annexure 3 of the detailed notification 4a Certificate of character and conduct issued by Group A or Group B Officer on or after issue of the current notification (25.09.2018) 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 4b studied as per Annexure 3 of the detailed notification Evidence of Tamil qualification (viz., SSLC / HSC / Certificate for having passed the second class 5 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 No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed notification (if applicable) 8 The candidate shall submit an undertaking and a declaration (as in para 11 of the notification) at the a&b time of certificate verification (Formats will be provided at the venue) Differently abled certificate issued by the competent authority as per G.O.(Ms).No.20, Welfare of 9 Differently Abled Persons (DAP.3.2) Department, dated.20.06.2018. (if applicable) Two (2) Passport size colour photographs (with name and Application number written on the 10 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 The candidate will also be asked to sign on the printed copy of on-line application (printed copy will 11 be provided to the candidate at the venue) 12 Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable) Page 3 of 50 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………………………………………........................................…… …….………………………………………………………….………is known to me for the past ……………. years. His/ Her Character and conduct are ……...…………… The individual is not related to me. Signature : Photograph of the candidate Full Name : (To be attested by the Certificate issuing officer with seal) Designation : with seal Specimen Signature of the candidate (To be attested by the Certificate issuing officer with seal) Page 4 of 50 ANNEXURE LIST OF CANDIDATES CALLED FOR CERTIFICATE VERIFICATION FOR THE POST OF ASSISTANT SURGEON (GENERAL) SNO EXAM NO APPLICATION NO NAME DOB 1 306392 701612 VIVEKANANDHAN ASOKAN 10/06/1994 2 303659 702965 VINAYAGAM 01/06/1986 3 309767 700666 BASKAR S 04/07/1974 4 303345 711338 JAGADEESAN S 20/07/1993 5 300689 704877 KAMALAKANNAN V 07/05/1990 6 300824 711359 NIRANJAN KUMAR A 25/08/1995 7 305210 708027 PRIYADHARSHINI H 20/12/1995 8 301003 701223 MANJULA P 09/03/1994 9 305575 705587 BIRUNDHA E 10/07/1994 10 305874 710240 DEEPA K 26/01/1993 11 301033 703576 SETHUKKARASI R 14/02/1995 12 304457 703606 VIJILA V 08/02/1993 13 300004 706934 LATHA D 10/05/1992 14 300576 705301 AMIRTHA KANI A 29/06/1994 15 301151 700756 MEGALA K KRISHNAMOORTHI 19/01/1995 16 302370 702188 MINOLIN DHAS A 10/07/1988 17 305626 704679 GEETHA S 17/12/1993 18 306052 705811 KARTHIK KUMAR S 03/02/1991 19 304898 711724 MARIKOMALA P 16/05/1994 20 303264 707309 LOKESHWARI S 16/06/1993 21 304234 703396 SATHYA S 20/01/1993 22 300463 706952 THANGAM SAGAYARAJ J 03/02/1993 23 305077 709657 INDHUJA S 15/04/1993 24 307232 709667 MOHAMED SYED RAMEESH B 30/09/1994 25 305431 708548 MURUGAN C 15/06/1993 26 304138 711767 VELMURUGAN D 01/04/1990 27 303086 708275 SAGAYA PANIMALAR A 03/04/1986 28 302267 708065 PRIYANKA A K 05/07/1995 29 304999 704350 UDHAYAKUMARI P 27/03/1994 30 302288 700684 GAYATHRI S 21/04/1995 31 309957 707458 MALATHI K 21/01/1993 32 300056 704055 THAMARAI SELVAN I 15/06/1987 33 303362 700367 PREETHI P 13/02/1995 34 308101 700232 KARTHIKEYAN M 10/03/1995 35 302886 701983 VINOTH P 13/07/1985 36 307639 702763 KEERTHANA K 26/09/1994 37 305192 707387 JANANI S 25/09/1993 38 302668 711435 RAGULAJAY B G 09/02/1995 39 300573 709473 THIRUSELVAM A 11/12/1993 40 304293 702606 UDHAYACHANDRIKA MURUGAN 04/06/1994 41 309096 703925 RAKESH RAJ A D 11/09/1993 Page 5 of 50 SNO EXAM NO APPLICATION NO NAME DOB 42 303506 705444 RAMYALAKSHMI K G 06/07/1994 43 301490 708108 VENKATESHAN M 03/12/1994 44 307355 708456 BHARATHIRAJA M 10/06/1993 45 306793 700081 VINODHINI M 27/09/1994 46 304727 701253 FATHIMA NILOFAR M A 10/11/1994 47 305435 701246 MONISHA M 19/07/1995 48 306877 709876 ANUSHYA SASIDHARAN 27/06/1994 49 302705 707955 GAYATHRI DEVI A 27/10/1993 50 305335 709267 SAI VYSHNAVI Y 31/10/1994 51 305202 704501 SUJATHA M 02/04/1995 52 307417 701381 KOWSALYA S 07/06/1994 53 304458 708294 VENGADESAN R 16/05/1994 54 309047 703386 SATHEESHKUMAR P 08/09/1995 55 304433 703063 ARAVIND RAM N 06/01/1995 56 306684 709804 KARUPPUSAMY K 25/08/1993 57 300452 708436 VIJAY THIRAVIYAM R 16/11/1993 58 300220 700593 PARTHIBAN SHANMUGAVEL 04/06/1994 59 309022 710694 NANDHINI M 23/11/1994 60 309934 704665 VIGNESH S 16/11/1993 61 305152 700597 RUPINI S 12/11/1993 62 305796 707794 GIRIDHARAN S 08/12/1994 63 307661 702736 MONIKHA T 15/06/1994 64 301336 700222 KOKILA G 26/03/1994 65 309299 706154 MS VAISHNAVI D 23/01/1994 66 301497 711412 SIVARANJANI S 04/06/1994 67 308574 709152 VASANTH N 06/07/1994 68 304873 708736 NISHANTH L 15/06/1995 69 302272 703587 THIRUPATHI V 02/04/1995 70 300673 704048 CHOZHAVENTHAN A 10/05/1994 71 309599 708078 NATHIYA K 01/06/1993 72 300737 705856 MADHUMITHA K 01/09/1993 73 303336 710900 ARVINDH SANTHOSH S R 12/02/1994 74 304174 709812 ANAND R 12/11/1994 75 300913 705139 DIVYA S 29/09/1993 76 304326 701769 DINESH BHARATHI S 11/12/1993 77 309003 700477 SUFIYA ANJUM M 15/09/1993