GOVERNMENT OF WEST BENGAL DEPARTMENT OF HEALTH & FAMILY WELFARE As 1_General_Nt dwt NM.) course for the Session : September, 201 Apt ications are invited from female candidates for admission to three & half year G.N.M. Training Course in Nursing Training Schools under the Govt. of West Bengal. The last six months of the G.N.M. Course will be for internship. Total No. of Seats + 1000 (changeable). Reservation of Seats 7 vil) Scheduled Caste candidates : 22% viii) Scheduled Tribe candidates : 6% ix) Other Backward Classes Category-A candidates : 109% x). Other Backward Classes Category-B candidates : 7% xi) Candidates belonging to Orphanages and Inmates of Destitute Homes recognized by the Social Welfare Department, Govt. of West Bengal : 2% xil) Lady Civil Defence Volunteers under Home (Civil Defence) Department, Govt. of West Bengal £ 25% Instructions: 1) Age + Between 17 years~27 years as on 01.01.2015, 2), The candidate must be a citizen of india and a permanent resident of the concerned District of West Bengal (for which she applies) uninterruptedly for at least five years preceding the date of submitting application for admission to the Training School. 3) Candidates must be able to read, write and express in Bengali/Nepali. 4) Minimum Educational Qualification: Passed Higher Secondary Examination (10+2) from West Bengal Council of Higher Secondary Education or passed equivalent examination from any recognized Council/Board. 5) Selection will be made strictly on the basis of total marks obtained in compulsory subjects [Languages out of which English must be one and Three Elective subjects (best of three) except Environmental Studies | in the H.S,(10#2) or equivalent Examination .The application of candidate from vocational stream will not be considered. Selection is subject to verification of mark-sheet from H.S. Council/concerned authority. 6) Applications are to be made as per pro-forma below in column 18. All the columns are to be filled up properly. No application will be entertained if necessary documents are not furnished or not as per pro-forma, 7) Applications must be accompanied by original/self attested photocopies of each of the following documents. IFany of the documents is not submitted with the application, the application will be rejected (this will be followed strictly) a. Self-attested photo copy of Marksheet of H.S. Examination or equivalent examination. b. Age proof certificate ~Self-attested photocopy of Admit Card or Certificate of Madhyamik or Equivalent Examination. ©. Original copy of Residential Certificate as prescribed below in the item No.17 of this advertisement to be issued by a Gazetted Government Officer of the concerned District where the candidate resides/ Sabhadhipati of locel Zilla Parishad/ Sabhapati of local Panchayet, Samity/Prodhan of local GramPanchayet/Mayor of local Municipal Corporation/Councilor of local Municipal Corporation/ Chairman of local Municipality/Local wardCouncilor /Local M.P/Local M.LA. 4d, Self-attested photocopy of candidate's own Scheduled Caste/Scheduled Tribe/OBC-A/ OBC-8 certificate Issued by the i) In the District- Sub-Divisional Officer of the Sub n concerned iin Kolkata- District Welfare Officer, Kolkata/ ex- officio Jt Director or Deputy Director, Backward Classes Welfare Department (Applicable for SC/ST/OBC-A/OBC-B Candidates only). (1) Contd.e. Selfattested photocopy of Certificate Issued by the Officer-in-Charge of the concerned Department to the effect of availing Civil Defence Training and Membership Certificate of casualty service,Civil Defence with Serial No. issued by the Officer commanding, Casualty service, Civil Defence , by the Candidates (applicable for Lady Civil Defence volunteers only) £. Original copy of the residential certificate issued by the Superintendent of the Home towards Orphanage and inmateship (of at least 5 years) in the concerned Destitute Homes recognized by the Social Welfare Department, Govt, of West Bengal (Applicable for Orphanage/inmates of Destitute Homes only). g One recent self -signed passport size photograph which is to be affixed on the top right hand corner of the application form, h. One self-addressed envelope with requisite postal stamps pasted on the proper place. 8) Applications are to be submitted to the respective District Selection Committee as below: SL] Candidates belonging to the ‘Application to be submitted to No. | districts. 1, | (For General/ SC/ST candidates) (a) | Darjeeling District (only The Senior Sister Tutor, Nursing Training School, Darjeeling Darjeeling, Kurseong & District Hospital, P.O.& Dist.-Darjeeling __| Kalimpong Sub-Division) (b) Coch Behar, Jalpaiguri, The Principal Nursing Officer, Nursing Training School, North Alipurduar and Siliguri Sub- Bengal Medical College & Hospital, P.O-Susratanagar Dist- Divn.of Darjeeling District Darjeeting {c)_ | Uttar Dinajpur, Dakshin Dinajpur_| The Principal Nursing Officer, Nursing Training School, Malda &Malda Medical College & Hospital, P.0.+Dist.Malda (a) | Murshidabad & Nadia The Principal Nursing Officer, Nursing Training School, District Hospital, Nadia, Saktinagar P.O. Krishnagat, Dist. Nadia, {e) | Purulia & Bankura The Principal Nursing Officer , GNM Training School, Purulia, P.O-Ranchi Road, Dist- Purulia. : (| Birbhum & Burdwan The Principal Nursing Officer, Nursing Training School, Suri Sadar Hospital, P.O.- Suri, Dist.Birbhum (@)_| Paschim Medinipur & The Principal Nursing Officer, Nursing Training School, Purba Medinipur Sambhunath Pandit Hospital, 11, Lala Lajpat Roy Sarani, Kolkata-20 (h) | Howrah & Hooghly The Principal Nursing Officer, Nursing Training School. District Hospital, Howrah, P.O + Dist. Howrah (i) | North & South 24-Parganas The Principal Nursing Officer, Nursing Training School, District Hospital, North 24 Pgs., Barasat, P.O. -Barasat, Dist. North 24 Pgs ) | Kolkata The Senior Sister Tutor, Nursing Training School, Medical College & Hospital, 88 College Street, Kolkata-12 2. _| Candidates in Orphanage quota / | The Principal Nursing Officer, Nursing Training School, S.S.K.M. Inmates of Destitute Homes, Hospital, 244, A.J.C. Bose Road, Kolkata-20. belonging to any district of W.B. 3. | Candidates in the Lady Ci The Principal Nursing Officer, Nursing Training School, S.S.K.M. Defence Category, belonging to | Hospital, 244, A.J.C. Bose Road, Kolkata-20. any district of W.B, (2) Contd.9) To provide employment to the candidates on completion of the training is not to be taken as an obligation on the part of the Government. 10) The provisionally selected candidates will be called for necessary medical checkup at the respective Hospitals, The candidates who will fal to appear on the specified date will not be reconsidered. ‘Medically fit candidates will be called for the training according to serial number as per panel 111) Applications must be sent only by Registered Post /Speed Post/Courier. Last date of receiving applications by the respective institution is 04.05.2015. No application will be entertained if t is not sent by registered Post /Speed Post/Courier or reaches the office after scheduled date (i.e. 04.05.2015) 12, The Selected Candidates will have to undergo training residentially in any of the training schools in West Bengal. 13). The selected Candidates have to pay an amount of Rs.12/- per month towards the charge of residential purpose and a certain amount of money {to be fixed by concerned school authority] towards messing charge 14) During the period of training if eny unlawful activity or violation of rules and regulations of the training course is committed by any candidate, she will be discharged from the training course. 15) Acandidate shall not be eligible to apply for admission into more than one Training School at 2 time. if any candidate is found to resort to such practice, all her applications are liable to be cancelled, 16} No individual intimation will be given to the candidate about rejection, @) Contd.17) Proforma for Residential Certificate: (Applicable to the candidate of all categories). thereby certify that | personally know Smt. / Miss D/o She is a citizen of india and has been residing in the district of wu in West Bengal for at least five years till date. Her present address is Date: . Signature of Competent Authority With Office seal Place : (4) Contd18) Proforma of application : Application for Admission to the General Nursing and Midwifery Course for the Session September, (Applied for.. istrict) To ‘The Principal Nursing Officer/Senior Sister Tutor, .»mneuDistrict Selection Committee Nursing Training School attached to Enrolment No. (To be filled in by the Training .. Hospital School Concerned) one DIS Affix here self signed recent passport size Photograph Madam, | like to be admitted to the General Nursing & Midwifery Training Course for ensuing Session September, 2015 to February, 2019. in this connection the requisite particulars and documents are given below: 1. Name (in block letters) 2. Father's Name : 3. Guardian's Name 4, Present Address (With Pin Code) 5. Permanent Address (With Pin Code and Phone no.) 6. Date of Birth 7. “Age (As on 01.02.2015) 8. Religion 9. Qualification (oy Contd,10. Details of H.S. Examination (10+2) or Equivalent Exam. Name& | Name ofthe | RoliNo.(as| Year of | TotallMarks | Total Marks obtained | Percentage of Address of | Boarc/Councit | mentioned | Passing | (Agaregate) | in (Languages(out of | marks of the School in Admit (Excepting | which Engmust be | column (f card) Environmental | one) +3élective subjects studies} subjects (best of three except Environmental Studies) } a b € d e f 8 11. . Whether belong to SC/ST/ : Yes/No [please (v ) on whichever is applicable} (08C-A/OBC-8 Category (if yes submission of documents in support of the statement is compulsory) 12, Whether an inmate of the ‘Yes/No [please {V ) on whichever is applicable] Destitute home/Orphanage recognized by the Govt, of West (Ifyes details of statement) Bengal Name & Address | Number & | Period of Specific Name of the ‘Statement if ofHome & | date of the | inmate- | statement of | father/mother/ | already applied for Registration No. | orderfor | ship | her inmate-ship | local guardian | this purpose under her iftransferred | andaddress | Orphanage quota inclusion fromone home | before her to other during | inmate-ship last 5 years a b © d é t (6) Contd.13. Whether availing Civil Defence Volunteers Training Yes/No [please(v) on whichever is applicable] if yes details particulars) Name & Year& | Si.No.of Name & | Whether already | Whether applied Address of the | period of | certificate to | Designation engaged other than under Training Centre | Training | theeffectof | ofthe Officer | anywhereby | Civil Defence quota Training issued virtue of anywhere else for certificate | Training, ifso | Nursing training for details this session a b c d e f 14. Marital Status (Strike out which are not applicable) Married / Unmarried / Widow/ Divorcee /legally Separated. 15, | hereby declare that above mentioned particulars furnished by me are true to the best of my knowledge and belief. | am able to read, write and speak in Bengali/ Nepali. (V which one is applicable.) Date Place : Signature of Applicant Phone No.APRS FAST ay 6 aaa Teptt Bert DOD g03¢ - TRgHIa, 2osp Prelcts wo wNtat Mfaceat 6 etaiferot ewer FPrmircr (Rer o o Gie. 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