GOVERNMENT OF TAMIL NADU

ADMISSION TO PARA MEDICAL COURSES

(PARA MEDICAL CERTIFICATE COURSES / DIPLOMA COURSES)

2009 2010





PROSPECTUS FOR
PARA MEDICAL COURSES

LAST DATE FOR SUBMISSION OF APPLICATION
UP TO 5.00 P.M. ON 20.07.2009
AT
GOVERNMENT .
MEDICAL COLLEGE, .



COST Rs.200/=



INSTRUCTIONS TO CANDIDATE
1. Cost of Application Form is Rs.200/- . Application form can be obtained from the Dean of all the
Government Medical Colleges in person on Payment of Demand Draft for Rs.200/- which is non
refundable, drawn in favour of the Dean, Govt. Medical College,
.. from any one of the Nationalised Banks payable at .. As per
G.O.Ms.No: 111, Adi Dravidar and Tribal Welfare Department dated: 22.09.1998, SC / ST
candidates are exempted from payment of Demand Draft for Rs.200/- They should produce an
attested copy of Community Certificate issued by the appropriate Revenue authorities.
2. Before filling up of the Application form, Scrutiny form read all the instructions carefully.
3. Use separate Application form for Para Medical Certificate Courses, D.M.L.T. Course.
4. (a) Application form must be filled up by the candidates in their own handwriting.
(b) Scrutiny form should be filled up legibly, neatly and correctly. The information will be
processed by using a computer. Any mistake committed by the candidate will prejudice the
selection.
5. The Application form and other forms should not be folded. Making hole, using pin or stappler
on the Scrutiny form must be totally avoided.
6. All prescribed enclosures should only be attested (Xerox copies). ORIGINAL CERTIFICATES
NEED NOT BE ENCLOSED.
7. Application with enclosures received up to the last date and time specified only will be accepted.
8. Application received after the due date and time will not be considered. Any request for extension
of time for submission of documents called for after the prescribed date and time will not be
entertained.
9. Incomplete applications will be rejected.
10. The Dean of the Medical College cannot be held responsible for the rejection of application for
delayed receipt or loss in transit on any ground.
11. Completed application forms with enclosures may be delivered in person or sent in the cover
provided, by Registered post / Courier service / Speed Post to reach the Dean Govt.
.Medical College, .before 5.00 P.M on 20.07.2009
12. Any further correspondence with the Dean of the Medical College / Higher authorities will not be
entertained.
13. The filled in application form should be submitted to the Medical College in which the
candidate desire to join the course.




GOVERNMENT OF TAMIL NADU
DEPARTMENT OF MEDICAL EDUCATION
Govt. Medical Colleges.

ADMISSION TO PARAMEDICAL CERTIFICATE COURSES / DIPLOMA COURSES AT
GOVT MEDICAL COLLEGE,..
IN TAMIL NADU 2009-2010 SESSION.
PROSPECTUS
1. ELIGIBILITY
The candidate should be citizen of India.

2. NATIVITY
Candidate should be a Native of Tamil Nadu, except the candidates who have studied in the schools in the
state of Tamil Nadu from 8
th
Standard to Plus Two, others should produce the Nativity Certificate in the
format prescribed in Annexure IV from the competent authority. The candidates who are the children of
parents of Tamil Nadu origin, but living in other states should also produce the Nativity certificate as
mentioned above. Permanent Residence Certificate will not be accepted.

3. AGE LIMIT
1. The candidate should have completed the age of 17 years and should not have completed
30 years as on 31.12.2009 and for SC/ST it is 35 years.
2. The date of birth and age as entered in the Transfer certificate issued after completion of
H.S.C.(Academic)/ vocational C.B.S.E./ I.S.C. or any other equivalent course shall alone be
accepted.
3. FOR E.C.G.,E.E.G.,AND E.M.G COURSE THE AGE LIMIT IS 17 YEARS TO 25 YEARS.

4. EDUCATIONAL QUALIFICATION : MINIMUM ELIGIBILITY

1. PARA MEDICAL CERTIFICATE COURSES. (ONE YEAR DURATION)

Candidate who have passed Higher Secondary Certificate (Academic) Examination conducted by the Tamil
Nadu Higher Secondary State Board or Equivalent Board with any subjects shall be eligible for consideration for
admission .

2. DIPLOMA IN MEDICAL LABORATORY TECHNOLOGY COURSE (TWO YEARS
DURATION)

Candidates who have passed Higher Secondary Certificate (Academic / Vocational) Examination
conducted by the Tamil Nadu Higher Secondary State Board or Equivalent Board with the following subjects in the
Science Group are eligible to apply.

a. Physics, Chemistry, Botany and Zoology (or)
b. Physics, Chemistry, Biology with any other subject (or)
c. Vocational Medical Laboratory Technician Course.

3. DIPLOMA IN REHABILITATION THERAPY COURSE (TWO AND A HALF YEARS DURATION)

Candidate who have passed Higher Secondary Certificate (Academic) Examination conducted by the
Tamil Nadu Higher Secondary State Board or Equivalent Board with any subjects shall be eligible for consideration
for admission .

Preference will be given to the candidates who have passed H.S.C. in the first appearance. If suitable
candidates are not available with the first appearance , then preference will be given to candidate with less number
of appearance.



4.DIPLOMA IN RADIOLOGICAL TECHNOLOGY (DRDT / DRTT) COURSE (TWO YEARS DURATION)
FOR PRIVATE CANDIDATES 2 YEARS
Candidates who have passed Higher Secondary Certificate (Academic / Vocational) Examination
conducted by the Tamil Nadu Higher Secondary State Board or Equivalent Board with the following subjects in the
Science Group are eligible to apply.
a. Physics, Chemistry, Botany and Zoology (or)
b. Physics, Chemistry, Biology with any other subject

5. CERTIFICATE COURSE IN E.C.G., E.E.G., AND E.M.G. ( ONE YEAR DURATION) CONDUCTED
ONLY AT GOVERNMENT STANLEY HOSPITAL, CHENNAI-1.
Candidates who have passed Higher Secondary Certificate (Academic / Vocational) Examination
conducted by the Tamil Nadu Higher Secondary State Board or Equivalent Board with the following subjects in the
Science Group are eligible to apply.
a. Physics, Chemistry, Botany and Zoology (or)
b. Physics, Chemistry, Biology with any other subject

5. METHOD OF SELECTION AND ADMISSION

I. Selection will be made purely on merit basis on the aggregate of marks obtained in H.SC. and
by applying the rule of reservation.
II. Ranking of the candidates will be done based on the total marks computed to a maximum of
200 in the following subjects.( D.M.L.T. Course)
a) Physics and Chemistry taken together -100 Marks.
b) Biology or Botany and Zoology -100 Marks.
III. The Rules of Reservation shall be as follows:
Open Competition - 31 %
Backward Classes - 26.5 %
Backward Class Muslims - 3.5 %
Most Backward Classes/ Denotified Community - 20 %
Scheduled Caste - 18 % (Arundathiyar 2.8% of 18%)
Scheduled Tribe - 1 %

IV However the percentage of allocation of seats for Open Competition, Backward class, Backward
Class Muslims, Most Backward Class and Denotified Communities, Scheduled Caste and Scheduled Tribe or any
other category under the Rule of reservation for admission shall be in accordance with the rule of reservation in
force at the time of admission.

V Candidates claiming admission against reservation of seats for Backward Class, Backward Class
Muslims, Most Backward Class, Denotified communities and Scheduled Caste in the above course should submit a
certified Xerox copy of the permanent community card showing the social status (Backward Class, Backward Class
Muslims, Most Backward Class, Denotified communities and Scheduled Caste) of the applicant issued by an
authorized officer of the Revenue Department of the Government of Tamil Nadu duly attested by Grade A or Grade
B officer of Government of Tamil Nadu or Central Government.

VI The candidates who belong to Scheduled Tribe should submit a certified xerox copy of the
permanent community card obtained from the respective Revenue Divisional Officer of the revenue division duly
attested by Grade A or Grade B officer of Government of Tamil Nadu or Central Government.

6. Incase where more than one candidate has secured the same number of marks in H.S.C. the tie shall be
resolved on the basis of the following factors in the order of priority.
1 For Para Medical Certificate Courses.
a. Age (Candidate elder will be preferred to the younger).
2. For Diploma in Medical Laboratory Technology Course
a. Marks obtained in Vocational subjects.
b. Marks obtained in Botany and Zoology (or) Biology
c. Marks obtained in Chemistry and Physics.
d. Age (Candidate elder will be preferred to the younger).

3. For E.C.G., E.E.G., and E.M.G. Course
a. Age (Candidate elder will be preferred to the younger).



7. a. The Register numbers of provisionally selected candidates will be published in the office of the Dean
of the respective Govt. Medical Colleges / Institution.
b. Selected candidates will be called for counseling at the office of the Dean of the respective Govt.
Medical Colleges / Institution. Candidates should attend counseling at their own expense.

8. DURATION OF THE COURSES
1. Para Medical Certificate Courses - One year.
2. Diploma in Medical Laboratory Technology Course - Two years.
3. Diploma in Rehabilitation Therapy Course - Two and Half years.
4. Diploma in Radiological Technology(DRDT/DRTT) - Two years.
As per the G.O. (Rt.) No. 606, Health and Family Welfare (PME) Department dated: 01.04.2008,on
completion of the above Course the students have to undergo internship training for a period of 3 months without
payment of any stipend (or) collection of fees and the training will be given in the respective Govt. Medical
Colleges and Hospitals/ King Institute of Preventive Medicine, Guindy, Chennai-32 as part of the course and the
certificate will be issued to the students after completion of the said internship training.

9. FEES
a.1) Fees prescribed for the Para Medical Certificate courses.
1) Tuition fees : Rs.200/- per annum.
2) Special fees : Rs.250/- per annum.
3) Library fees : Rs.500/- per annum.
4) Exam fees : Rs.500/- per annum.
.
Total Rs. 1450/- per annum.
..

a.2) Fees prescribed for the Diploma in Medical Laboratory Technology Course and Diploma in
Rehabilitation Therapy Course.
I Year II Year
1) Tuition fees : Rs.200/- per annum. : Rs.200/- per annum.
2) Special fees : Rs.500/- per annum. : Rs.500/- per annum.
3) Library fees : Rs.500/- per annum. ---
4) Exam fees --- : Rs.500/- per annum.
.
Rs. 1200/- per annum. Rs.1200/- per annum
. ..

a.3) Fees prescribed for the E.C.G., E.E.G. and E.M.G. Course is Rs.2000/- p.a.

b) The selected candidates should pay the above fees. However they are liable to pay any revision in fee as
and when fixed by the Government / Departments.
c) Fees once paid will not be refunded under any circumstances.
d) Candidates discontinuing the course cannot claim / refund of fees paid. The Transfer Certificate and
Conduct Certificate will be issued to the discontinued candidates by the Head of the Institutions on receipt of
declaration from the student and parent that they will not request for rejoining the Course or for the return
of fees paid.

10. Candidates should affix passport size photographs taken within three months prior to submission of
application and duly attested by Grade A or Grade B officer of Government of Tamil Nadu or Central Government
or the Head of Institution studied in the places provided in the application. Four copies of additional passport size
photos of the candidates should be enclosed.

11. 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 if it is found that the marks furnished by him / her in the application are not
correct or any other information is found to be incorrect, then;

1. He/She will forfeit the admission no matter at whatever stage of the course he/she will be at that time.
2. Action will be taken against the candidate as per rules.



12. No document enclosed with the application will be returned. Candidates are required to enclose only the
attested Xerox copies or attested true copies of the following certificates along with the application. Attestation
should have been made by Grade A or Grade B Officer of the State Government or Central Government or by Head
of the institution where the candidate studied.

a. Mark sheets of H.S.C. (Academic / Vocational) examinations in an appearance or appearances
including improvement examinations or equivalent examination (Both the sides of Mark Sheets should
be Xeroxed)
b. Transfer certificate obtained after the completion of H.S.C (Academic / Vocational or equivalent
courses).
c. Permanent Community Certificate Card.
d. Nativity Certificate (Wherever necessary)
e. Candidates seeking admission against Special Category seats should submit necessary certificates
obtained from Appropriate Authorities in the prescribed forms and submit them along with the
application (Please see format in the Annexure-VI)

13. The selected candidates will be called for verification of certificates by the Deans of the respective Govt.
Medical Colleges. Candidates will have to produce the original Mark Sheet of the qualifying examination and other
original documents such as proof of age, community certificate, transfer certificate, etc at the time of verification.
Selection will be cancelled if the candidates do not produce all the original documents and the original transfer
certificate.

14. Those who fail to join the course on the prescribed date and time will not be eligible for admission on a
later date.

15. Candidates selected for admission and his / her parent/guardian will have to sign a discipline
declaration form (Annexure). Failure to sign the declaration will result in cancellation of selection.

16. Candidates who have successfully completed the course of training and the internship training will
be awarded a certificate and they are not guaranteed any appointment in Government Service. However
there is plenty of job opportunities in private hospitals in India and abroad.

17. Enquiry or any correspondence regarding the selection of candidates will not be entertained.

18. SYLLABUS AND EXAMINATION.

a) The Candidates joining the course should pass the examinations conducted at the end of the year
by the concerned authorities. The syllabus, course content, theory, practical classes, clinical training etc as framed
by the concerned authorities will be followed.
b) Passing in theory and practical examination and clinical training is compulsory for issue of
completion certificate.
c) Medium of instruction will be English.

19. Hostel facilities will not be provided and admitted candidates have to make their own arrangements
for their stay.

20. No exemption from general educational qualification or age relaxation will be considered.

21. Selection for the course is only provisional. The selection and admission is liable to be cancelled at any
time as and when eligibility conditions are found to be defective in addition to facts suppressed or overlooked.
The right of Allotment to the selected candidates ultimately rests with the Director of Medical Education.

22. Candidates can exercise their option for the course at the time of the counseling and allotment will be
subject to availability of seats. Individual request for transfer of college or change of course will not be
entertained after the selection.

23. Candidates selected for admission have to undergo Medical Examination at the College to which they are
allotted before the Medical Board on the date notified by the authorities of the college. Only those candidates found
medically fit will be admitted and permitted to pay the fees.



24 The Dean, Madras Medical College, Chennai-3 is the Deputy Chairman for Certified Radiological
Assistant Course conducted in all Govt. Medical Colleges and Govt. approved Institutions.

25. The Chairman / Director of the Courses will have the right to enforce any of the Govt. orders / norms /
guidelines / adopt suggestions on the basis of court directions issued from time to time. The Government orders
issued and to be issued from time to time pertaining to any of the matters not contained in the Prospectus should be
read as part and parcel of this Prospectus and such Terms and Conditions in the Government Orders are deemed to
have been incorporated in the prospectus. Such Government orders will be announced on the Website and also in
popular Tamil / English dailies.

26. The candidate can purchase the Application form from any of the 14 Government Medical Colleges
/ King Institute of Preventive Medicine, Guindy, Chennai. The filled in application form should be submitted
to the Medical College in which the candidate desire to join the course.

27. SEATS RESERVED FOR PHYSICALLY HANDICAPPED

3 % of the total number of seats are reserved for Physically disabled candidates. The reservation of seats
will be provided for the candidates with 40% to 70% locomotor disabilities of the lower limbs. The other conditions
for admission into Para Medical Certificate Courses will be applicable as in the case of the general category.

The above candidates are required to produce a certificate from the District Medical Board of the area
concerned constituted for the purpose assessing the nature and the extent of disability in the format prescribed in the
Annexure.

The Medical Certificate issued by District Medical Board of the area concerned for this purpose is subject
to the confirmation of the Expert Committee constituted by the Director of Medical Education at the time of
counseling.

The candidate seeking admission under this category should produce the full size photograph exhibiting the
deformity.

The selected candidates for PARA MEDICAL CERTIFICATE COURSES / DIPLOMA IN
MEDICAL LABORATORY TECHNOLOGY COURSE will be required to undergo second Medical
examination by a Medical Board constituted for the purpose by Director of Medical Education to ascertain and
confirm the nature and extent of physically disability.

Candidates with any other disability other than the locomotor disability of the lower limb will not be
considered for admission into PARA MEDICAL CERTIFICATE COURSES / DIPLOMA IN MEDICAL
LABORATORY TECHNOLOGY COURSE under this Special Category.





DETAILS OF THE COURSES
1. CERTIFICATE COURSE IN CARDIAC SONOGRAPHY TECHNICIAN:
The course deals with the Physics of Ultrasound, Cardiac Anatomy and Physiology window techniques, normal and
abnormal studies etc. and practical training in Cardiac Sonography Machine.

2. CERTIFICATE COURSE IN ECG / TREAD MILL TECHNICIAN
The course deals with the proper usage of ECG / Treadmill equipments relating to detection of cardiac diseases and
monitoring devices in ICCU in hospitals.

3. CERTIFICATE COURSE IN EMERGENCY CARE TECHNICIAN
The Course deals with the Basic Anatomy, Physiology, Bio-Chemistry, Pharmacology, Applied Medical / Surgical
emergencies in Trauma Ward.

4. CERTIFICATE COURSE IN RESPIRATORY TECHNICIAN
The course deals with the basic theoretical and Practical training in the treatment and patients with respiratory
disorders. The Students will attend Clinical training in O.P and I.P Respiratory clinics and wards.

5. CERTIFICATE COURSE IN DIALYSIS TECHNOLOGY
The Course deals with the techniques of Haemodialysis, Peritoneal dialysis and Therapies in Nephrology Depts.

6. CERTIFICATE COURSE IN ANAESTHESIA TECHNICIAN
The course deals with the handling and maintaining of equipments related Anaesthesia room and operation theatre.

7. CERTIFICATE COURSE IN THEATRE TECHNICIAN
The course deals with the operation theatre works.

8. CERTIFICATE COURSE IN ORTHOPAEDIC TECHNICIAN
The course deals with basic training in the Casualty, Ortho Wards, Plaster room, Ambulance training and
Physiotherapy department.

9. CERTIFICATE COURSE IN CARDIAC CATHETERISATION LAB. TECHNICIAN
The Course deals with Radiography, Cardiac Anatomy and Physiology, Oximetry, Pressure recording calculations
of Haemodynamics normal and abnormal studies etc.
10. CERTIFICATE COURSE IN PUMP TECHNICIAN
The Course deals with Heart Lung Machine and basic principles of Defibrillators and Cardioversion , Artificial Pace
maker etc. in Cardiology Department.

11.CERTIFIED RADIOLOGICAL ASSISTANT COURSE.
The Course deals with giving basic training to operate X-ray and Radiotherapy equipments.
12. CERTIFICATE COURSE IN AUDIOMETRY
The Course deals with training lower level function arise a comprehensive and practical oriented programme. The
main objective is to generate Audiometricians who can take routine basic Audiometry.

13. CERTIFICATE COURSE IN HEARING LANGUAGE AND SPEECH
The Course deals with training lower level function arise a comprehensive and practical oriented programme. The
main objective is to generate Speech and Hearing Assistants who can take routine assessment and Therapeutic
management programmes for various speech, language and hearing disorders.

14. CERTIFICATE COURSE IN CLINICAL, THERAPEUTIC, NUTRITION AND FOOD SERVICE
MANAGEMENT COURSE
The course deals to improve dietary services in the hospitals and to impart knowledge in nutrition in order to
improve the clinical and nutritional status of the patients.

15. CERTIFICATE COURSE IN E.C.G./E.E.G./ E.M.G. COURSE
16. DIPLOMA IN MEDICAL LABORATORY TECHNOLGY COURSE (2 YEARS)
17. DIPLOMA IN REHABILITATION THERAPY COURSE (2 YEARS)
18. DIPLOMA IN RADIOLOGICAL TECHNOLOGY (DRDT/DRTT) COURSE ( 2 YEARS)




ANNEXURE - I

(A) DISCIPLINE DECLARATION BY THE CANDIDATE

I .. the undersigned, a student selected for admission in the Course in
Medical College, do hereby agree to conform from this date if I am admitted
thereto the rules and regulations including those relating to the hostel laid down hereafter by the Dean for the time
being of the Colleges for the due maintenance of discipline at the said College and I assure that I will not join any
agitation / Strike of any kind during the course of study. I 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, negligence wantonly on my part.

In the presence of : Signature of Candidate
STATION : Signature of Parent / Guardian
DATE : Occupation and Address :



(B) DISCIPLINE DECLARATION BY THE PARENT / GUARDIAN OF THE CANDIDATE

I .the Parent / Guardian of Thiru/Selvi/Tmt..also agree that my son /
daughter / ward will conform to the rules and regulations referred to above, I also further agree to make good when
called upon to do so the Government, negligence wantonly on his / her part.

In the presence of :

STATION : Signature of Parent / Guardian
DATE : Occupation and Address :


(C) DISCIPLINE DECLARATION BY THE PARENT / GUARDIAN OF THE CANDIDATE
I assure that my son / daughter / Thiru/Selvi/Tmt. will not join any
agitation / strike of any kind during the course of studies.

STATION : Signature of Candidates Parent / Guardian
DATE : Occupation and Address :


ANNEXURE II


DECLARATION BY THE CANDIDATE FOR PAYMENT OF DUES AS A RESULT OF REVISION OF
FEES AS MAY BE DECIDED BY THE GOVERNMENT FOR THE ACADEMIC YEAR 2009 2010

I .. the undersigned, a student selected for admission in the Course in
Medical College. do hereby agree to pay any amount that may become due
from me as and when the fee structure is revised, as may be decided by the Government Department.

In the presence of : Signature of Candidate :

STATION : Signature of Parent / Guardian :

DATE : Occupation and Address :



ANNEXURE - III
DECLARATION / UNDERTAKING ON ALLOTMENT AND RE-ALLOTMENT OF INSTITUTIONS OF
SELECTED CANDIDATES FOR ADMISSION TO PARAMEDICAL CERTIFICATE COURSES

I .. the undersigned, a student selected for admission in the Para Medical Certificate
Course in ..Medical College.., do hereby agree to abide the Regulations prescribed
in the prospectus for admission to the above course 2009 2010 shall not make any claim for change of course for
admission to a particular College as a matter of right.

In the presence of : Signature of Candidate
STATION : Signature of Parent / Guardian
DATE : Occupation and Address :

NOTE : - to be submitted to the Head of the Institution at the time of Admission.

ANNEXURE IV
CERTIFICATE OF NATIVITY IN TAMIL NADU

Certified that Thiru/ ThirumathiParent / Guardian of
Thiru/Selvi/Thirumathi.residing at.an applicant seeking for admission to
.course in Government .. Medical College. in Tamil Nadu
is a Native of Tamil Nadu.

Signature :
Name and Designation :
Office Seal Station :
Date :

Note : 1. This certificate should be issued by an officer of the Revenue department not below the rank of
Tahsildar of the Taluk concerned.
2. Any Foreign national irrespective of the period of study / stay in the state will not become eligible to
apply for this course. No certificate of Nativity in the state of Tamil Nadu, should therefore be issued to Nationals
of other countries for this purpose.
3. The Certificate should bear the stamp of the office of the officer signing the Certificate. The certifying
officers should insist clear proof of the Nativity of the Parent / Guardian of the candidate and satisfy themselves on
the genuineness of the residential proof. They should particularly be careful in the case of candidates whose mother
tongue is not Tamil and whose place of birth is other than Tamil Nadu.

ANNEXURE - V
MEDICAL CERTIFICATE FOR ADMINISTRATION OF HEPATITIS-B VACCINATION

1. DrRegistration No.. certify that I have this
day of 2009 administered the Hepatitis-B Vaccine to the
candidate whose particulars are given below:

1. Name of the Candidate
2. Fathers Name
3. Sex
4. Age
5. Identification Marks
6. Dose I / II / III

Signature of the applicant Signature of the M.O.
Name and Designation
Place: Official Seal
Date:



ANNEXURE - VI

MEDICAL CERTIFICATE FOR PHYSICALLY DISABLED

The District Medical Board.District..certify that we have this
.day of 2009 examined the candidate whose particulars are given below:

1. Name of the Candidate :
2. Fathers Name :
3. Sex :
4. Approximate marks :
5. Identification marks :
6. Orthopaedically handicapped :
Nature of Physically Handicap
7. Extent of disability (mention the % of disability)
(Upper limb function must be normal) :
8. Whether the candidate fulfills the following
standard and may be considered for admission
to undergo studies in Para Medical Institutions :

(a) Normal Blood Pressure :
(b) Mentally normal :
(c) No visual and auditory handicaps :
(d) No gross speech disorders :
(e) Independent in ambulation with or without
calipers but without walking aids :
(f) Good standing balance with or without
calipers but without any support :
(g) Hand function within normal limits without
any aid :
(h) Good control over bowel and bladder :
(i) Disease must be non-progressive :
9. Whether the candidate is fit to undergo
Para Medical Courses : Yes / No

(The Medical Board should satisfy all the criteria mentioned in the foot note before giving the fitness)
Signature of the Applicant Member Signature of Chairman of the Medical Board
Place: 1 Designation
Date: 2 Office Stamp


Note: 1. Upper limbs should be normal: If it involves one lower limb it should not have more than 40% to 70%
disability. If it involves both lower limbs each limb should not have more than 10% deformity.
2. The District Medical Board should give specific recommendation under (Column 9) whether the candidate
is fit for admission to Para Medical Courses.
3. The above certificate should be issued only by the District Medical Board of the area concerned constituted
for the purpose after due physical examination by board.
4. Certificate received without the specific recommendations (in Col.9) of the District Medical Board will not
be considered for selection.




LIST OF DISTRICTS IN TAMIL NADU
NAME OF THE
DISTRICT
CODE NO NAME OF THE
DISTRICT
CODE NO

Chennai


01

Ramanathapuram

17

Coimbatore


02

Salem

18

Cuddalore


03

Sivagangai

19

Dharmapuri


04

Thanjavur

20

Dindugal


05

Thiruvallur

21

Erode


06

Thiruchirapalli

22

Kancheepuram


07

Thiruvannamalai

23

Kanyakumari


08

Thoothukudi

24



Karur


09

Theni

25

Krishnagiri


10

Tirunelveli

26

Madurai


11

Tiruvarur

27

Nagapatinam


12

Vellore

28

Namakkal


13

Villupuram

29

Nilgiris


14

Virudhu Nagar

30

Perambalur


15

Ariyalur

31

Pudukottai


16

Others


32





APPENDIX
Details of Para Medical Certificate Courses conducted in the Government Medical Colleges
(Revised in G.O.(Ms) No.101, Health and Family Welfare (PME) Department dated:26.03.2007
Sl.No. Name of the
Institution
Name of the Certificate/Diploma Courses.

No. of
students
intake.
Ratio of Male and
Female
intake
1. Madras Medical
College, Chennai
















Govt. Institute of
Rehabilitation
Medicine,M.M.C.
1. Cardiac Sonography Technician
2. ECG/Tread Mill Technician
3. Pump Technician
4. Cardiac Catherization Lab. Technician
5. Emergency Care Technician
6. Respiratory Therapy Technician
7. Dialysis Technician
8. Anaesthesia Technician
9. Theatre Technician
10.Orthopaedic Technician
11.Certified Radiological Assistant

12. Audiometry

13. Hearing Language & Speech

14.Clinical, Therapeutic, Nutrition & Food
Service Management
15. Diploma in Rehabilitation Therapy
16.Diploma in Medical Lab. Technology
17.Diploma in Radiological Technology -
DRDT

DRTT

Total
20
50
20
20
20
20
30
40
40
40
10

15

15

30

15
100

10

5

500
(All Female)


(All Male)





(All Male)
8:2 (General: Service
Candidate)
10:5(General: Service
Candidate)
10:5(General: Service
Candidate)





2:8 (General : Service
candidate)
1:4 (General : Service
candidate)
2. Stanley Medical
College, Chennai
1. Cardiac Sonography Technician
2. ECG/Tread Mill Technician
3. Pump Technician
4. Cardiac Catheterization Lab. Technician
5. Emergency Care Technician
6. Respiratory Therapy Technician
7. Dialysis Technician
8. Anaesthesia Technician
9. Theatre Technician
10.Orthopaedic Technician
11.Certified Radiological Assistant

12. Audiometry

13. Hearing Language & Speech

14.Clinical, Therapeutic, Nutrition & Food
Service Management
15. E.C.G/E.E.G./E.M.G.
16.Diploma in Medical Lab. Technology
17. Diploma in Radiological Technology -
DRDT

DRTT

Total
20
50
20
20
20
20
30
40
40
40
10

15

15

15

30
100

10

5

500
(All Female)


(All Male)





(All Male)
8:2 (General:
Service Candidate)
10:5(General: Service
Candidate)
10:5(General: Service
Candidate)





2:8 (General : Service
candidate)
1:4 (General : Service
candidate)




3

Kilpauk Medical
College, Chennai
1. Cardiac Sonography Technician
2. ECG/Tread Mill Technician
3. Emergency Care Technician
4. Respiratory Therapy Technician
5. Dialysis Technician
6. Anaesthesia Technician
7. Theatre Technician
8. Orthopaedic Technician
9. Certified Radiological Assistant

10. Audiometry

11. Hearing Language & Speech

12. Clinical, Therapeutic, Nutrition & Food
Service Management
13.Diploma in Medical Lab. Technology
14. Diploma in Radiological Technology -
DRDT

DRTT

Total
20
50
20
20
20
35
35
35
10

15

15

15

100

10

5

405
(All Female)






(All Male)
8:2 (General: Service
Candidate)
10:5(General: Service
Candidate)
10:5(General: Service
Candidate)




2:8 (General : Service
candidate)
1:4 (General : Service
Candidate)

4. Madurai Medical
College, Madurai
1. Cardiac Sonography Technician
2. ECG/Tread Mill Technician
3. Pump Technician
4. Cardiac Catherization Lab. Technician
5. Emergency Care Technician
6. Respiratory Therapy Technician
7. Dialysis Technician
8. Anaesthesia Technician
9. Theatre Technician
10.Orthopaedic Technician
11.Certified Radiological Assistant

12.Diploma in Medical Lab. Technology
13. Diploma in Radiological Technology -
DRDT

DRTT

Total
20
50
20
20
20
20
20
35
35
35
10

100

10

5

400
(All Female)


(All Male)





(All Male)
8:2 (General:
Service Candidate)


2:8 (General : Service
candidate)
1:4 (General : Service
Candidate)
5.

Thanjavur
Medical College,
Thanjavur.

1. Cardiac Sonography Technician
2. ECG/Tread Mill Technician
3. Emergency Care Technician
4. Respiratory Therapy Technician
5. Dialysis Technician
6. Anaesthesia Technician
7. Theatre Technician
8.Orthopaedic Technician
9.Certified Radiological Assistant

10.Diploma in Medical Lab. Technology
11. Diploma in Radiological Technology -
DRDT

DRTT

Total
20
50
20
20
20
35
35
35
10

100

10

5

360
(All Female)






(All Male)
8:2 (General:
Service Candidate)


2:8 (General : Service
candidate)
1:4 (General : Service
Candidate)




6.












Coimbatore Medical
College,
Coimbatore.







1. Cardiac Sonography Technician
2. ECG/Tread Mill Technician
3. Emergency Care Technician
4. Respiratory Therapy Technician
5. Dialysis Technician
6. Anaesthesia Technician
7. Theatre Technician
8.Orthopaedic Technician
9.Certified Radiological Assistant

10.Diploma in Medical Lab. Technology
11. Diploma in Radiological Technology -
DRDT

DRTT

Total
20
50
20
20
20
35
35
35
10

100

10

5

360
(All Female)






(All Male)
8:2 (General:
Service Candidate)


2:8 (General : Service
candidate)
1:4 (General : Service
Candidate)

7. Tirunelveli Medical
College, Tirunelveli.
1. ECG/Tread Mill Technician
2. Emergency Care Technician
3. Respiratory Therapy Technician
4. Dialysis Technician
5. Anaesthesia Technician
6. Theatre Technician
7.Orthopaedic Technician
8.Certified Radiological Assistant

9. Diploma in Medical Lab. Technology
10. Diploma in Radiological Technology -
DRDT

DRTT

Total
50
20
20
20
35
35
35
10

100

10

5

340






(All Male)
8:2 (General:
Service Candidate)


2:8 (General : Service
candidate)
1:4 (General : Service
Candidate)

8. Chengalpattu
Medical College,
Chengalpattu.


1. Emergency Care Technician
2. Respiratory Therapy Technician
3 Anaesthesia Technician
4. Theatre Technician
5.Orthopaedic Technician
6.Certified Radiological Assistant

7.Diploma in Medical Lab. Technology

Total
20
20
35
35
35
10

100

255




(All Male)
8:2 (General:
Service Candidate)



9. Govt. Mohan
Kumaramangalam
Medical College,
Salem
1. ECG/Tread Mill Technician
2. Emergency Care Technician
3. Respiratory Therapy Technician
4. Dialysis Technician
5. Anaesthesia Technician
6. Theatre Technician
7.Orthopaedic Technician
8.Certified Radiological Assistant

9.Diploma in Medical Lab. Technology
10. Diploma in Radiological Technology
DRDT

DRTT

Total
50
20
20
20
35
35
35
10

100

10

5

340






(All Male)
8:2 (General: Service
Candidate)


2:8 (General : Service
candidate)
1:4 (General : Service
Candidate)



10 K.A.P.Viswanatham
Medical College,
Trichy.











1. Emergency Care Technician
2. Respiratory Therapy Technician
3. Dialysis Technician
4. Anaesthesia Technician
5. Theatre Technician
6.Orthopaedic Technician
7.Certified Radiological Assistant

8.Diploma in Medical Lab. Technology
9. Diploma in Radiological Technology
DRDT

DRTT

Total
20
20
20
35
35
35
10

100

10

5

290





(All Male)
8:2 (General: Service
Candidate)


2:8 (General : Service
candidate)
1:4 (General : Service
Candidate)

11 Thoothukudi
Medical College,
Thoothukudi.







1. Emergency Care Technician
2. Respiratory Therapy Technician
3. Anaesthesia Technician
4. Theatre Technician
5.Orthopaedic Technician
6.Certified Radiological Assistant

7.Diploma in Medical Lab. Technology

Total
20
20
35
35
35
10

100

255




(All Male)
8:2 (General:
Service Candidate)


12.









Kanya kumari
Medical College,
Nagercoil






1. Emergency Care Technician
2. Respiratory Therapy Technician
3. Anaesthesia Technician
4. Theatre Technician
5.Orthopaedic Technician
6.Certified Radiological Assistant

7.Diploma in Medical Lab. Technology

Total
20
20
35
35
35
10

100

255




(All Male)
8:2 (General:
Service Candidate)



13.









Vellore Medical
College, Vellore





1. Emergency Care Technician
2. Respiratory Therapy Technician
3. Anaesthesia Technician
4. Theatre Technician
5.Orthopaedic Technician
6.Certified Radiological Assistant

7.Diploma in Medical Lab. Technology
Total
20
20
35
35
35
10

100
255




(All Male)
8:2 (General:
Service Candidate)



14. Theni Medical
College, Theni.
1. Emergency Care Technician
2. Respiratory Therapy Technician
3. Anaesthesia Technician
4. Theatre Technician
5.Orthopaedic Technician
6.Certified Radiological Assistant
7.Diploma in Medical Lab. Technology
Total
20
20
35
35
35
10
100
255




(All Male)
8:2 (General:
Service Candidate)

15. King Institute of
Preventive
Medicine, Guindy,
Chennai-32
Diploma in Medical Lab. Technology
course
50




ANNEXURE
LIST SHOWING THE SCHEDULED CASTES, SCHEDULED TRIBES, MOST BACKWARD CLASSES &
DENOTIFIED COMMUNITIES, BACKWARD CLASSES, BACKWARD CLASSES MUSLIMS, IN THE
STATE OF TAMILNADU UNLESS AND OTHERWISE SPECIFIED
******
LIST OF BACKWARD CLASSES, BACKWARD MUSLIMS,MOST BACKWARD CLASSES AND
DENOTIFIED COMMUNITIES

1. G.O. Ms. No.85, BC & MBC&MW Department dated: 29-07-2008.
2. G.O. Ms.No.96, BC & MBC&MW Department dated: 08-09-2008.
3. G.O. Ms. No. 97, BC, MBC & MW Department, Dated : 11-09-2008.
4. Tamil Nadu Act 51 of 2008.

Code
No. I. LIST OF BACKWARD CLASSES
1. Agamudayar including Thozhu or Thuluva Vellala.
2. Agaram Vellan Chettiar.
3. Alwar, Azhavar and Alavar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District)
4. Servai (except Tiruchirapalli, Karur, Perumbalur and Pudukottai Districts).
5. Nulayar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District).
6. Archakarai Vellala.
7. Aryavathi (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District).
8. Ayira Vaisyar.
9. Badagar.
10. Billava
11. Bondil
12. Boyas (except Tiruchirappalli, Karur, Perambalur, Pudukottai, The Nilgiris, Salem, Namakkal and
Dharmapuri and Krishnagiri Districts).
Pedda Boyar (except Tiruchirapalli, Karur, Perambalur and Pudukottai Districts).
Oddars (except Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur,
Pudukottai, Madurai, Theni and Dindigul Districts).
Kaloddars (except Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar,
Madurai, Theni, Dindigul, Pudukottai, Tiruchirapalli, Karur, Perambalur, Tirunelveli,
Thoothukudi, Salem and Namakkal Districts).
Nellorepet Oddars (except Vellore and Tiruvannamalai Districts).
Sooramari Oddars (except Salem and Namakkal Districts).
13 Chakkala (except Sivagangai, Virudhunagar, Ramanathapuram, Thanjavur, Nagapattinam, Thiruvarur,
Pudukottai, Tiruchirapalli, Karur, Perambalur, Madurai, Theni, Dindigul and the Nilgiris Districts).
14. Chavalakarar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
15. Chettu or Chetty (including Kottar Chetty, Elur Chetty, Pathira Chetty, Valayalchetty, Pudukkadai Chetty
(in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
16. Chowdry.
16A. Converts to Christianity from Scheduled Caste irrespective of the generation of conversion for the purpose
of reservation of seats in Educational Institutions and for seats in Public Services.
16B. C.S.I formerly S.I.U.C. (in Kanyakumari District and Shenkottah Taluk of Tirunelveli District)
17. Donga Dasaris (except Kancheepuram, Tiruvallur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Chennai,
Salem arid Namakkal Districts).
18. Devangar, Sedar.
19. Dombs (except Pudukottai, Tiruchirapalli, Karur and Perambalur Districts). Dommars (except
Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Vellore and Tiruvannamalai Districts).
20. Enadi
21. Ezhavathy (in Kanniyakumari District and Shenkottali Taluk of Tirunelveli District).
22. Ezhuthachar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
23. Ezhuva (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
24. Gangavar
25. Gavara, Gavarai and Vadugar (Vaduvar) (other than Kamma, Kapu, Balija and Reddi).
26. Gounder
27. Gowda (including Gammala, Kalali and Anuppa Gounder).
28. Hegde.
29. Idiga.
30. Illathu Pillaimar, llluvar, Ezhuvar and Illathar.


31. J hetty
32. J ogis (except Kancheepuram, Tiruvallur, Madurai, Theni, Dindigul, Cuddalore, Villupuram, Vellore and
Tiruvannamalai Districts).
33. Kabbera.
34. Kaikolar, Sengunthar.
35. Kaladi (except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul,
Thanjavur,Nagapattinam, Thiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts).
36. Kalari Kurup including Kalari Panicker (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli
District).
37. Kalingi.
38. Kallar. Easanattu Kallar. Gandarvakottai Kallars (Except Thanjavur, Nagapattinam, Thiruvarur and
Pudukottai Districts). Kootappal Kallars (Except Pudukottai, Tiruchirapalli, Karur and Perambalur
Districts). Piramalai Kallars (Except Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni
Dindigul, Pudukottai, Thanjavur, Nagapattinam and Thiruvarur Districts). Periya Sooriyur Kallars (Except
Tiruchirapalli, Karur, Perambalur and Pudukottai Districts).
39. Kallar Kula Thondaman.
40. Kalveli Gounder.
41. Kambar
42. Kammalar or Viswakarma, Viswakarmala (including Thattar, Porkollar, Kannar, Karumar, Kollar, Thacher,
Kal Thacher, Kamsala and Viswabrahmin).
43. Kani, Kanisu, Kaniyar Panikkar.
44. Kaniyala Vellalar.
45. Kannada Saineegar, Kannadiyar (Through out the State) and Dasapalanjika (Coimbatore, Erode and the
Nilgiris Districts).
46. Kannadiya Naidu.
47. Karpoora Chettiar.
48. Karuneegar (Seer Karuneegar, Sri Karuneegar, Sarattu Karuneegar, Kaikatti Karuneegar, Mathuvazhi
Kanakkar, Sozhi Kanakkar and Sunnambu Karuneegar).
49. Kasukkara Chettiar.
50. Katesar, Pattamkatti.
51. Kavuthiyar.
52. Kerala Mudali.
53. Kharvi.
54. Khatri.
55. Kongu Vaishnava.
56. Kongu Vellalars (including Vellala Gounder, Nattu Gounder, Narambukkatti Gounder, Tirumudi Vellalar,
Thondu Vellalar, Pala Gounder, Poosari Gounder, Anuppa Vellala Gounder, Padaithalai Gounder,
Chendalai Gounder, Pavalankatti Vellala Gounder, Pala Vellala Gounder, Sanku Vellala Gounder and
Rathinagiri Gounder).
57. Koppala Velama.
58. Koteyar
59. Krishnavaka (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
60. Kudikara Vellalar. .
61. Kudumbi (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
62. Kuga Vellalar.
63. Kunchidigar.
63A.Latin Catholics except Latin Catholic Vannar (in Kanniyakumari District)
63B.Latin Catholics in Shenkottah Taluk of Tirunelveli District
64. Lambadi.
65. Lingayat (J angama)
66. Mahratta (Non-Brahmin) (including Namdev Mahratta)
67. Malayar
68. Male
69. Maniagar
70. Maravars (Except Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Ramanathapuram, Sivagangai,
Virudhunagar, Tirunelveli and Thoothukudi Districts).
Karumaravars Appanad Kondayam Kottai Maravars (Except Sivagangai, Virudhunagar, Ramanathapuram,
Madurdi, Theni and Dindigul Districts). Sembanad Maravars (Except Sivagangai, Virudhunagar and
Ramanathapuram Districts).
71. Moondrumandai Enbathunalu (84) Ur. Sozhia Vellalar.


72. Mooppan.
73. Muthuraja, Muthuracha, Muttiriyar, Muthiriyar, Mutharaiyar.
74. Nadar, Shanar and Grarnani including Christian Nadar, Christian Shanar and Christian Gramani.
75. Nagaram
76. Naikkar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
77. Nangudi Vellalar
78. Nanjil Mudali (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
79. Odar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
80. Odiya.
81. Oottruvalanattu Vellalar.
82. O.P.S. Vellalar.
83. Ovachar.
84. Paiyur Kotta Vellalar.
85. Pamulu.
86. Panar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the
community is a Scheduled caste).
86A. Pandiya Vellalar
87. Omitted
88. Kathikarar in Kanniyakumari District.
89. Pannirandam Chettiar or Uthama Chettiar.
90. Parkavakulam (including Surithimar, Nathamar, Malayamar, Moopanar and Nainar).
91. Perike (including Perike Balija).
92. Perumkollar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
93. Podikara Vellalar.
94. Pooluva Gounder.
95. Poraya.
96. Pulavar (in Coimbatore and Erode Districts).
97. Pulluvar or Pooluvar.
98. Pusala.
99. Reddy (Ganjam)
100. Sadhu Chetty (including Telugu Chetty, Twenty four Manal Telugu Chetty)
101. Sakkaravar or Kavathi (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District)
102. Salivagana.
103. Saliyar, Padmasaliyar, Pattusaliyar, Pattariyar and Adhaviyar.
104. Savalakkarar.
105. Senaithalaivar, Senaikudiyar and Illaivaniar.
105A.Serakular Vellalar
106. Sourashtra (Patnulkarar)
107. Sozhiavellalar (including Sozha Vellalar, Vetrilaikarar, Kodikalkarar and Keeraikarar)
108. Srisayar.
109. Sundaram Chetty.
110. Thogatta Veerakshatriya
111. Tholkollar (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District)
112. Tholuva Naicker and Vetalakara Naicker. .
113. Omitted.
114. Thoriyar.
115. Ukkirakula Kshatriya Naicker.
116. Uppara, Uppillia and Sagara
117. Urali Gounder (except Tiruchirappali, Karur, Perambalur and Pudukottai Districts) and Orudaya Gounder
or Oorudaya Gounder (in Madurai, Theni, Dindigul, Coimbatore, Erode, Tiruchirapalli, Karur, Perambalur,
Pudukottai, Salem and Namakkal Districts).
118. Urikkara Nayakkar.
118A.Virakudi Vellala
119. Vallambar.
119A.Vallanattu Chettiar
120. Valmiki
121. Vaniyar, Vania Chettiar (including Gandla, Ganika, Telikula and Chekkalar)
122. Veduvar and vedar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where
the Community is a Scheduled Caste),


123. Veerasaiva (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District).
124. Velar.
125. Vellan Chettiar.
126. Veluthodathur Nair (in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District)
127. Vokkaligar (including Vakkaligar, Okkaligar, Kappiliyar, Kappiliya, Okkaliga Gowda, Okkaliya Gowda,
Okkaliya Gowder, Okkaliya Gowda).
128. Wynad Chetty (The Nilgiris District)
129. Yadhava (including Idaiyar, Telugu Speaking Idaiyar Known as Vaduga Ayar or Vaduga Idaiyar or Golla
and Asthanthra Golla).
130. Yavana
131. Yerukula
131A. Converts to Christianity from any Hindu Backward Classes Community or Most Backward Classes
Community (except the converts to Christianity from Meenavar, Parvatharajakulam, Pattanavar,
Sembadavar, Mukkuvar or Mukayar and Paravar) or Denotified Communities
132. Orphans and destitute Children who have lost their parents before reaching the age of ten and are
destitutes and who have nobody else to take care of them either by law or custom; and also who are
admitted into any of the schools or orphanages run by the Government or recognized by the Government.

II.LIST OF BACKWARD CLASSES CHRISTIANS

Omitted

III.LIST OF BACKWARD CLASSES MUSLIMS
1. Ansar
2. Dekkani Muslims
3. Dudekula
4. Labbais including Rowthar and Marakayar (Whether their spoken language is Tamil or Urdu)
5. Mapilla
6. Sheik
7. Syed
IV. LIST OF MOST BACKWARD CLASSES
1. Ambalakkarar.
2. Andipandaram
2A. Arayar (in Kanniyakumari District)
3. Bestha, Siviar.
4. Bhatraju (Other than Kshatriya Raju)
5. Boyar, Oddar.
6. Dasari.
7. Dommara.
8. Eravallar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the
community is a Scheduled Tribe).
9. Isaivellalar.
10. J ambuvanodai.
11. J angam.
12. J ogi.
13. Kongu Chettiar (in Coimbatore and Erode Districts only)
14. Koracha.
15. Kulala (including Kuyavar and Kumbarar).
16. Kunnuvar Mannadi.
17. Kurumba, Kurumba Gounder
18. Kuruhini Chetty.
18A.Latin Catholic Christian Vannar (in Kanniyakumari District)
19. Maruthuvar, Navithar, Mangala, Velakattalavar, Velakatalanair and Pronopakari.
20. Mond Golla.
21. Moundadan Chetty.
22. Mahendra, Medara.
23. Mutlakampatti.
24. Narikoravar.
25. Nokkar


25A.Panisaivan / Panisivan
26. Vanniyakula Kshatriya (including Vanniyar, Vanniya, Vannia Gounder, Gounder or Kander,Padayachi, Palli
and Agnikula Kshatriya).
27. Paravar (except in Kanniyakumari District and Shenkottah Taluk of Tirunelveli District where the community
is a Scheduled Caste) (including converts to Christianity),
28. Meenavar (Parvatharajakulam, Pattanavar, Sembadavar) (including converts to Christianity).
29. Mukkuvar or Mukayar (including converts to Christianity).
30. Punnan Vettuva Gounder.
31. Pannayar (other than Kathikarar in Kanniyakumari District).
32. Sathatha Srivaishnava (Including Sathani, Chattadi and Chattada Srivaishnava).
33. Sozhia Chetty.
34. Telugupatty Chetty.
35. Thottia Naicker (including Rajakambalam, Gollavar, Sillavar, Thockalavar and Thozhuva Naicker and Erra
Gollar).
36. Thondaman.
36A. Thoraiyar(The Nilgiris)
36B. Thoraiyar (Plains)
37. Valaiyar (including Chettinad Valayars).
38. Vannar (Salavai Thozhilalar) (including Agasa, Madivala, Ekali, Rajakula, Veluthadar and Rajaka) (except in
Kanniyakumari District and Shencottah Taluk of Tirunelveli District where the community is a Scheduled
Caste).
39. Vettaikarar.
40. Vettuva Gounder.
41. Yogeeswarar.
V. LIST OF DENOTIFIED COMMUNITIES
1. Attur Kilnad Koravars (Salem, Namakkal, Cuddalore, Villupuram, Ramanathapuram, Sivagangai and
Virudhunagar Districts).
2. Attur Melnad Koravars (Salem and Namakkal District).
3. Appanad Kondayam Kottai Maravar (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni and
Dindigul Districts).
4. Ambalakkarar (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai
Districts).
5. Ambalakkarar (Suriyanur, Tiruchirapalli District).
6. Boyas (Tiruchirapalli, Karur, Perambalur, Pudukottai, The Nilgiris, Salem, Namakkal and Dharmapuri
Districts).
7. Battu Turkas.
8. C.K.Koravars (Cuddalore and Villupuram Districts).
9. Chakkala (Sivagangai, Virudhunagar, Ramanathapuram, Thanjavur, Nagapattinam, Thiruvarur, Pudukottai,
Tiruchirapalli, Karur, Perambalur, Madurai, Theni, Dindigul and the Nilgiris Districts).
10. Changyampudi Koravars (Vellore and Tiruvannamalai Districts)
11. Chettinad Valayars (Sivagangai, Virudhunagar and Ramanathapuram Districts)
12. Dombs (Pudukottai, Tiruchirapalli, Karur and Perambalur Districts)
13. Dobba Koravars (Salem and Namakkal Districts)
14. Dommars (Thanjavur, Nagapattinam, Tiruvarur, Pudukottai, Vellore and Tiruvannamalai Districts.)
15. Donga Boya.
16. Donga Ur.Korachas.
17. Devagudi Talayaris.
18. Dobbai Korachas (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.)
19. Dabi Koravars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai,
Vellore and Tiruvannamalai District.
20. Donga Dasaris (Kancheepuram, Tiruvallur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Chennai, Salem
and Namakkal Districts).
21. Gorrela Dodda Boya.
22. Gudu Dasaris.
23. Gandarvakottai Koravars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur,
Pudukottai, Cuddalore and Villupuram Districts).
24. Gandarvakottai Kallars (Thanjavur, Nagapattinam, Thiruvarur and Pudukottai Districts.)
25. Inji Koravars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai
Districts.)


26. J ogis (Kancheepuram, Tiruvallur, Chennai, Cuddalore, Villupuram, Vellore and Tiruvannamalai Districts)
27. J ambavanodai.
28. Kaladis (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Thanjavur,
Nagapattinam, Thiruvarur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts.)
29. Kal Oddars (Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar, Madurai, Theni,
Dindigul, Pudukottai, Thanjavur, Nagapattinam, Tiruvarur, Tiruchirapalli, Karur, Perambalur, Tirunelveli,
Thoothukudi, Salem and Namakkal Districts.)
30. Koravars (Kancheepuram, Tiruvallur, Ramanathapuram, Sivagangai, Virudhunagar, Pudukottai, Thanjavur,
Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Tirunelveli, Thoothukudi, Chennai, Madurai,
Theni, Dindigul and the Nilgiris Districts)
31. Kalinji Dabikoravars (Thanjavur, Nagapattinam, Thiruvarur and Pudukottai Districts.)
32. Kootappal Kallars (Tiruchirapalli, Karur, Perambalur and Pudukottai District)
33. Kala Koravars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur and Pudukottai
District)
34. Kalavathia Boyas.
35. Kepmaris (Kancheepuram, Tiruvallur, Pudukottai, Tiruchirapalli, Karur and Perambalur Districts.)
36. Maravars (Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Ramanathapuram, Sivagangai, Virudhunagar,
Tirunelveli and Thoothukudi Districts)
37. Monda Koravars
38. Monda Golla (Salem and Namakkal Districts.)
39. Mutlakampatti (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts)
40. Nokkars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.)
41. Nellorepet Oddars (Vellore and Tiruvannamalai Districts.)
42. Oddars (Thanjavur, Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Madurai,
Theni and Dindigul Districts)
43. Pedda Boyas (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.)
44. Ponnai Koravars (Vellore and Thiruvannamalai Districts.)
45. Piramalai Kallars (Sivagangai, Virudhunagar, Ramanathapuram, Madurai, Theni, Dindigul, Pudukottai,
Thanjavur, Nagapattinam and Thiruvarur Districts)
46. Peria Suriyur Kallars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.)
47. Padayachi (Vellayar Kuppam in Cuddalore District, Tenore in Tiruchirapalli District)
48. Punnan Vettuva Gounder (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.)
49. Servai (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts)
50. Salem Melnad Koravars (Madurai, Theni, Dindigul, Coimbatore, Erode, Pudukottai, Tiruchirapalli, Karur,
Perambalur, Salem, Namakkal, Vellore and Tiruvannamalai Districts.)
51. Salem Uppu Koravars (Salem and Namakkal Districts.)
52. Sakkaraithamadai Koravars (Vellore and Tiruvannamalai Districts.)
53. Saranga Palli Koravars.
54. Sooramari Oddars (Salem and Namakkal Districts)
55. Sembanad Maravars (Sivagangai, Virudhunagar and Ramanathapuram Districts)
56. Thalli Koravars (Salem and Namakkal Districts.)
57. Thelungapatti Chettis (Tiruchirapalli , Karur, Perambalur and Pudukottai Districts.)
58. Thottia Naickers (Sivagangai, Virudhunagar, Ramanathapuram, Kancheepuram, Tiruvallur, Thanjavur,
Nagapattinam, Thiruvarur, Tiruchirapalli, Karur, Perambalur, Pudukottai, Tirunelveli, Thoothukudi, Salem,
Namakkal, Vellore, Tiruvannamalai, Coimbatore and Erode Districts.)
59. Thogamalai Koravars or Kapmaris (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.)
60. Uppukoravars or Settipalli Koravars (Thanjavur, Nagapattinam, Thiruvarur, Pudukottai, Madurai, Theni,
Dindigul, Vellore and Tiruvannamalai District).
61. Urali Gounders (Tiruchirapalli, Kaur, Perambalur and Pudukottai Districts.
62. Wayalpad or Nawalpeta Korachas.
63. Vaduvarpatti Koravars (Madurai, Theni, Dindigul, Ramanathapuram, Sivagangai, Virudhunagar,
Tirunelveli, Thoothukudi, Tiruchirapalli, Karur, Perambalur and Pudukottai Districts. )
64. Valayars (Madurai, Theni, Dindigul, Tiruchirapalli, Karur, perambalur, Pudukottai, Erode and Coimbatore
Districts.)
65. Vettaikarar (Thanjavur, Nagapattinam, Thiruvarur and Pudukottai Districts.)
66. Vetta Koravars (Salem and Namakkal Districts.)
67. Varaganeri Koravars (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.)
68. Vettuva Gounder (Tiruchirapalli, Karur, Perambalur and Pudukottai Districts.)


THE SCHEDULE (SCHEDULED CASTES) TAMIL NADU
1. Adi-Andhra
2. Adi-Dravida
3. Adi-Karnataka
4. Ajila
5. Arunthathiyar
6. Ayyanavar (in Kanyakumari District and
Shenkottah taluk of Tirunelveli District)
7. Baira
8. Bakuda
9. Bandi
10. Bellara
11. Bharatar (in Kanyakumati District and
Shenkottah taluk of Tirunelveli District)
12. Chakkiliyan
13. Chalavadi
14. Chamar, Muchi
15. Chandala
16. Cheruman
17. Devendrakulathan
18. Dom, Dombara, Paidi, Pano
19. Domban
20. Godagali
21. Godda
22. Gosangi
23. Holeya
24. J aggali
25. J ambuvulu
26. Kadaiyan
27. Kakkalan (in Kanyakumari District and
Shenkottah taluk of Tirunelveli District).
28. Kalladi
29. Kanakkan, Padanna (in the Nilgiris
District)
30. Katimpalan
31. Kavara (in Kanyakumati District and
Shenkottah taluk of Tirunelveli District).
32. Koliyan
33. Koosa
34. Kootan, Koodan (in Kanyakumari District
and Shenkottah taluk of Tirunelveli
District).
35. Kudumban
36. Kuravan, Sidhanar
37. Madari
38. Madiga
39. Maila.
40. Mala.
41. Mannan (in Kanyakumat'i District and
Shenkottah taluk of Tirunelveli District).
42. Mavilan.
43. Moger.
44. Mundala.
45. Nalakeyava.
46. Nayadi
47. Padannan (in Kanyakumati District and
Shenkottah taluk of Tirunelveli District)
48. Pagadai.
49. Pallan
50. Palluvan
51. Pambada.
52. Panan (in Kanyakumari District and
Shenkottah taluk of Tirunelveli District).
53. Panchama.
54. Pannadi.
55. Panniandi.
56. Paraiyan, Patayan, Sambavar
57. Paravan (in Kanyakumari District and
Shenkottai Taluk of Tirunelveli District)
58. Pathiyan (in Kanyakumari District and
Shenkottai taluk of Tirunelveli District)
59. Pulayan, Cheramar
60. Puthirai Vannan
61. Raneyar
62. Samagara
63. Samban
64. Sapari
65. Semman.
66. Thandan (in Kanyakumari District and
Shenkottai taluk of Tirunelveli District)
67. Thoti.
68. Tiruvalluvar.
69. Vallon
70. Valluvan.
71. Vannan (in Kanyakumari District and
Shenkottai Taluk of Tirunelveli District.
72. Vathiliyan.
73. Velan
74. Vetan (in Kanyakumari District and
Shenkottai Taluk of Tirunelveli District)
75. Vettiyan.
76. Vettuvan (Kanyakumari District and
Shenkottah Taluk of Tirunelveli District.)
77. S.C. Converts to Buddhism.




THE SCHEDULE ( SCHEDULED TRIBES) TAMIL NADU

1. Adiyan
2. Aranadan
3. Eravallan
4. Irular.
5. Kadar
6. Kammara (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District.)
7. Kanikaran, Kanikkar (in Kanniyakumari District and Shenkottah taluk of Tirunelveli District.
8. Kaniyan, Kanyan.
9. Kattunayakan.
10. Kochu Velan.
11. Konda Kapus.
12. Kondareddis.
13. Koraga.
14. Kota (excluding Kanniyakumari District and Shenkottah taluk of Tirunelveli District.)
15. Kudiya, Melakudi.
16. Kurichchan.
17. Kurumbas (in the Nilgiris District)
18. Kurumans.
19. Maha Mal as ar.
20. Malai Arayan.
21. Malai Pandaram
22. Malai Vedan
23. Malakkuravan
24. Malasar
25. Malayali (in Dharmapuri, Vellore, Pudukottai, Salem, Namakkal, Cuddalore, Villupuram, Tiruchirapalli,
Tiruvannamalai, Karur and Perambalur District)
26. Malayakandi.
27. Mannan
28. Mudugar, Muduvan
29. Muthuvan.
30. Pallayan
31. Palliyan
32. Palliyar
33. Paniyan
34. Sholaga
35. Toda (excluding Kaniyakumari District and Shenkottah taluk of Tirunelveli District)
36. Uraly
*****





A. R. No:



(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION

APPLICATION FOR PARAMEDICAL CERTIFICATE COURSE
(EXCEPT E.E.G./E.C.G./E.M.G. COURSE)
ADMISSION 2009 2010 SESSION

1. Name in Block letters
(initial at the end) .. SPACE FOR
PHOTOGRAPH
2. Address for Communication (TO BE ATTESTED
. BY GRADE A/B
. OFFICERS OF
..... CENTRAL / STATE
Pin GOVERNMENTS)

3. Name of the Parent / Guardian

4. Religion . 5. Mother Tongue ..

6. Nationality 7. Sex 8. Date of Birth


Indian Other Male Female Date Month Year

1 2 1 2


9. Community 10. Caste Code


S.T. S.C. M.B.C./D.N.C. B.C./B.C.M. O.C.
1 2 3 4 5


11. Name of the Caste ..

12. Community Certificate Particulars
Sl. No. and Date

Issuing Officers Designation

Issuing Office


13. Qualifying Examination 14. Medium of Instruction


H.S.E S.S.C.E of I.S.C.E Others Tamil English Others
CBSE
1 2 3 4 1 2 3

15. Appearance in which Qualifying Exam. was passed.


First Second Third IV and
above

1 2 3 4

16. Particulars of the Qualifying Examination



Reg. No:


Month & Year


17. Marks in Select Subjects in Qualifying Examination

Subjects Maximum
Marks
Marks
obtained
Biology
Physics
Chemistry
Botany
Zoology
Vocational

18. Weighted total marks for a maximum of 200:
a. Percentage in Biology (X)
b. Percentage in Physics and Chemistry
taken together (Y) .
c. Percentage in Botany and Zoology taken
together (Z) .
Weighted total for a maximum of 200 .
The Percentages and the weighted total should be accurate to two decimals

19. Native District Code



20. Civic Status of your native place and School Place.
Corporation Municipality Town Ship Town
Panchayat
Village
Panchayat
Others

Native Place 1 2 3 4 5 6
School Place 1 2 3 4 5 6

21. Occupation of Parent / Guardian
Agriculture Industry Business State
Government
Central
Government
Private

Small
Trade
Others
1 2 3 4 5 6 7 8


22. Average Monthly income of parent
Below 1001 1001 1250 1251 2000 2001 4000 4001 6000 Above 6000
1 2 3 4 5 6

23. School (s) of Study :
Month & Year
of Passing
Name and Place of School
X Std
XI Std
XII Std / Equivalent

24.(a) Whether applied for D.M.L.T. Course :
24.(b) Course applied for in Para Medical Certificate}1...
Courses with order of preferences for 3 Courses }2...
3

25 (a) DECLARATION BY THE APPLICANT
I (Name in full and in Block Letters) Son / Daughter of
..hereby solemnly declare that the information furnished and the statement given in
the application, Scrutiny form and the enclosures are true, correct and complete. I further declare that
should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the
Institution at whatever stage of study, I may be liable for criminal prosecution.

Place:
Date: Signature of the Applicant

25 (b) DECLARATION BY THE PARENT / GUARDIAN

I (Name in full and in Block Letters) Father / Mother /
Guardian of ..hereby solemnly declare that I am fully aware of the declaration made by the
applicant, my son / Daughter and I declare and bind myself on the same terms contained with the above
declaration. The statements and the information given are true, correct and complete. If it is found
otherwise, the applicant is liable to forfeit the admission and liable for criminal prosecution.

Signature of the Parent/Guardian
Place:
Date:
Note: The Guardian can execute the above declaration only if both parents are not alive.



A.R.No:
(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION
SCRUTINY FORM FOR PARAMEDICAL CERTIFICATE COURSES
(EXCEPT E.E.G./E.C.G./E.M.G. COURSE)
ADMISSION 2009 2010 SESSION

1. Name in Block letters SPACE FOR
(initial at the end) PHOTOGRAPH
(TOBE ATTESTED
2. Address for Communication (in Block Letters) BY CRADE A / B
OFFICERS OF
CENTRAL /STATE
GOVERNMENTS)
Pin.
3. Name of the Parent / Guardian :
4. Sex :
5. Date of Birth & Age :
6. Nationality :
7. Religion :
8. Community & Name of the Caste
OC / BC/BCM / MBC / DNC / SC / ST:
9. Mother Tongue :
10. Native Place District :
11. +2 Examination Passed in
( Academic Stream) :
1. Name of the Board / Place :
2. Year of Passing :
3. Marks in +2 Exam :
SUBJECT MAXIMUM MARKS MARKS OBTAINED
Biology
Physics
Chemistry
Botany
Zoology
Vocational

12. Course applied for : 1.
2.
3.

Signature of the Candidate



A.R. No.

(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION

APPLICATION FOR DIPLOMA IN MEDICAL LABORATORY TECHNOLOGY
/DIPLOMA IN RADIOLOGICAL TECHNOLOGY (DRDT/DRTT) COURSE
ADMISSION 2009 2010 SESSION

1. Name in Block letters
(initial at the end) .. SPACE FOR
PHOTOGRAPH
2. Address for Communication (in Block Letters) (TO BE ATTESTED
. BY GRADE A/B
. OFFICERS OF
..... CENTRAL / STATE
Pin GOVERNMENTS)

3. Name of the Parent / Guardian

4. Religion . 5. Mother Tongue ..

6. Nationality 7. Sex 8. Date of Birth


Indian Other Male Female Date Month Year

1 2 1 2


9. Community 10. Caste Code


S.T. S.C. M.B.C./D.N.C. B.C./B.C.M. O.C.
1 2 3 4 5


11. Name of the Caste ..

12. Community Certificate Particulars
Sl. No. and Date

Issuing Officers Designation

Issuing Office



13. Qualifying Examination 14. Medium of Instruction


H.S.E S.S.C.E of I.S.C.E Others Tamil English Others
CBSE
1 2 3 4 1 2 3

15. Appearance in which Qualifying Exam. was passed.

First Second Third IV and
above

1 2 3 4

16. Particulars of the Qualifying Examination
Reg. No:

Month & Year


17. Marks in Select Subjects in Qualifying Examination
.
Subjects Maximum
Marks
Marks
obtained
Biology
Physics
Chemistry
Botany
Zoology
Vocational
18. Weighted total marks for a maximum of 200:
a. Percentage in Biology (X)
b. Percentage in Physics and Chemistry
taken together (Y) .
c. Percentage in Botany and Zoology taken
together (Z) .

Weighted total for a maximum of 200 .
The Percentages and the weighted total should be accurate to two decimals
19. Native District Code

20. Civic Status of your native place and School Place.
Corporation Municipality Town Ship Town
Panchayat
Village
Panchayat
Others

Native Place 1 2 3 4 5 6
School Place 1 2 3 4 5 6



21. Occupation of Parent / Guardian
Agriculture Industry Business State
Government
Central
Government
Private

Small
Trade
Others
1 2 3 4 5 6 7 8


22. Average Monthly income of parent
Below 1001 1001 1250 1251 2000 2001 4000 4001 6000 Above 6000
1 2 3 4 5 6

23. School (s) of Study :
Month & Year
of Passing
Name and Place of School
X Std
XI Std
XII Std / Equivalent

24.(a) Whether applied for only D.M.L.T. Course :
24.(b) Course applied also for Para Medical Certificate Courses :

25 (a) DECLARATION BY THE APPLICANT
I (Name in full and in Block Letters) Son / Daughter of
..hereby solemnly declare that the information furnished and the statement given in
the application, Scrutiny form and the enclosures are true, correct and complete. I further declare that
should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the
Institution at whatever stage of study, I may be liable for criminal prosecution.

Place:
Date: Signature of the Applicant

25 (b) DECLARATION BY THE PARENT / GUARDIAN

I (Name in full and in Block Letters) Father / Mother /
Guardian of ..hereby solemnly declare that I am fully aware of the declaration made by the
applicant, my son / Daughter and I declare and bind myself on the same terms contained with the above
declaration. The statements and the information given are true, correct and complete. If it is found
otherwise, the applicant is liable to forfeit the admission and liable for criminal prosecution.

Signature of the Parent/Guardian
Place:
Date:
Note: The Guardian can execute the above declaration only if both parents are not alive.



A.R.No:

(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION
SCRUTINY FORM FOR DIPLOMA IN MEDICAL LABORATORY
TECHNOLOGY/ DIPLOMA IN RADIOLOGICAL TECHNOLOGY
(DRDT/DRTT) COURSE ADMISSION 2009 2010 SESSION

1. Name in Block letters SPACE FOR
(initial at the end) PHOTOGRAPH
(TOBE ATTESTED
2. Address for Communication (in Block Letters) BY CRADE A / B
OFFICERS OF
CENTRAL /STATE
GOVERNMENTS)
Pin.
3. Name of the Parent / Guardian :
4. Sex :
5. Date of Birth & Age :
6. Nationality :
7. Religion :
8. Community & Name of the Caste
OC / BC/BCM / MBC / DNC / SC / ST :
9. Mother Tongue :
10. Native Place District :
11. +2 Examination Passed in
( Academic / Vocational Stream) :
a. Name of the Board / Place :
b. Year of Passing :
c. Marks in Select Science Subjects in the +2 Exam:-
SUBJECT MAXIMUM MARKS MARKS OBTAINED
BIOLOGY
PHYSICS
CHEMISTRY
BOTANY
ZOOLOGY
VOCATIONAL
12. Course applied for :
Signature of the Candidate




A.R. No.

(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION

APPLICATION FOR DIPLOMA IN REHABILITATION THERAPY COURSE
(2 YEARS)
ADMISSION 2009 2010 SESSION

1. Name in Block letters
(initial at the end) .. SPACE FOR
PHOTOGRAPH
2. Address for Communication (in Block Letters) (TO BE ATTESTED
. BY GRADE A/B
. OFFICERS OF
..... CENTRAL / STATE
Pin GOVERNMENTS)

3. Name of the Parent / Guardian

4. Religion . 5. Mother Tongue ..

6. Nationality 7. Sex 8. Date of Birth


Indian Other Male Female Date Month Year

1 2 1 2


9. Community 10. Caste Code


S.T. S.C. M.B.C./D.N.C. B.C./B.C.M. O.C.
1 2 3 4 5


11. Name of the Caste ..

12. Community Certificate Particulars
Sl. No. and Date

Issuing Officers Designation

Issuing Office



13. Qualifying Examination 14. Medium of Instruction


H.S.E S.S.C.E of I.S.C.E Others Tamil English Others
CBSE
1 2 3 4 1 2 3

15. Appearance in which Qualifying Exam. was passed.


First Second Third IV and
above

1 2 3 4

16. Particulars of the Qualifying Examination
Reg. No:

Month & Year


17. Marks in Select Subjects in Qualifying Examination
.
Subjects Maximum
Marks
Marks
obtained






18. Weighted total marks
The Percentages and the weighted total should be accurate to two decimals
19. Native District Code
20. Civic Status of your native place and School Place.
Corporation Municipality Town Ship Town
Panchayat
Village
Panchayat
Others

Native Place 1 2 3 4 5 6
School Place 1 2 3 4 5 6

21. Occupation of Parent / Guardian
Agriculture Industry Business State
Government
Central
Government
Private

Small
Trade
Others
1 2 3 4 5 6 7 8




22. Average Monthly income of parent
Below 1001 1001 1250 1251 2000 2001 4000 4001 6000 Above 6000
1 2 3 4 5 6

23. School (s) of Study :
Month & Year
of Passing
Name and Place of School
X Std
XI Std
XII Std / Equivalent

24.(a) Whether applied for only D.M.L.T. Course :
24.(b) Course applied also for Para Medical Certificate Courses :

25 (a) DECLARATION BY THE APPLICANT
I (Name in full and in Block Letters) Son / Daughter of
..hereby solemnly declare that the information furnished and the statement given in
the application, Scrutiny form and the enclosures are true, correct and complete. I further declare that
should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the
Institution at whatever stage of study, I may be liable for criminal prosecution.

Place:
Date: Signature of the Applicant

25 (b) DECLARATION BY THE PARENT / GUARDIAN

I (Name in full and in Block Letters) Father / Mother /
Guardian of ..hereby solemnly declare that I am fully aware of the declaration made by the
applicant, my son / Daughter and I declare and bind myself on the same terms contained with the above
declaration. The statements and the information given are true, correct and complete. If it is found
otherwise, the applicant is liable to forfeit the admission and liable for criminal prosecution.

Signature of the Parent/Guardian
Place:
Date:
Note: The Guardian can execute the above declaration only if both parents are not alive.




A.R.No:

(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION
SCRUTINY FORM FOR DIPLOMA IN REHABILITATION THERAPY
COURSE (2 YEARS)
ADMISSION 2009 2010 SESSION

1. Name in Block letters SPACE FOR
(initial at the end) PHOTOGRAPH
(TOBE ATTESTED
2. Address for Communication (in Block Letters) BY CRADE A / B
OFFICERS OF
CENTRAL /STATE
GOVERNMENTS)
Pin.
3. Name of the Parent / Guardian :
4. Sex :
5. Date of Birth & Age :
6. Nationality :
7. Religion :
8. Community & Name of the Caste
OC / BC/BCM / MBC / DNC / SC / ST :
9. Mother Tongue :
10. Native Place District :
11. +2 Examination Passed in
( Academic / Vocational Stream) :
a. Name of the Board / Place :
b. Year of Passing :
c. Marks in Select Science Subjects in the +2 Exam:-
SUBJECT MAXIMUM MARKS MARKS OBTAINED
BIOLOGY
PHYSICS
CHEMISTRY
BOTANY
ZOOLOGY
VOCATIONAL
12. Course applied for :
Signature of the Candidate



A.R. No.

(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION

APPLICATION FOR PARA MEDICAL CERTIFICATE COURSE
(E.E.G./E.C.G./E.M.G. COURSE- ONE YEAR DURATION)
ADMISSION 2009 2010 SESSION

1. Name in Block letters
(initial at the end) .. SPACE FOR
PHOTOGRAPH
2. Address for Communication (in Block Letters) (TO BE ATTESTED
. BY GRADE A/B
. OFFICERS OF
..... CENTRAL / STATE
Pin GOVERNMENTS)

3. Name of the Parent / Guardian

4. Religion . 5. Mother Tongue ..

6. Nationality 7. Sex 8. Date of Birth


Indian Other Male Female Date Month Year

1 2 1 2


9. Community 10. Caste Code


S.T. S.C. M.B.C./D.N.C. B.C./B.C.M. O.C.
1 2 3 4 5


11. Name of the Caste ..

12. Community Certificate Particulars
Sl. No. and Date

Issuing Officers Designation

Issuing Office





13. Qualifying Examination 14. Medium of Instruction


H.S.E S.S.C.E of I.S.C.E Others Tamil English Others
CBSE
1 2 3 4 1 2 3

15. Appearance in which Qualifying Exam. was passed.


First Second Third IV and
above

1 2 3 4

16. Particulars of the Qualifying Examination
Reg. No:

Month & Year


17. Marks in Select Subjects in Qualifying Examination
.
Subjects Maximum
Marks
Marks
obtained
Biology
Physics
Chemistry
Botany
Zoology
Vocational
18. Weighted total marks for a maximum of 200:
a. Percentage in Biology (X)
b. Percentage in Physics and Chemistry
taken together (Y) .
c. Percentage in Botany and Zoology taken
together (Z) .

Weighted total for a maximum of 200 .
The Percentages and the weighted total should be accurate to two decimals
19. Native District Code



20. Civic Status of your native place and School Place.
Corporation Municipality Town Ship Town
Panchayat
Village
Panchayat
Others

Native Place 1 2 3 4 5 6
School Place 1 2 3 4 5 6

21. Occupation of Parent / Guardian
Agriculture Industry Business State
Government
Central
Government
Private

Small
Trade
Others
1 2 3 4 5 6 7 8


22. Average Monthly income of parent
Below 1001 1001 1250 1251 2000 2001 4000 4001 6000 Above 6000
1 2 3 4 5 6

23. School (s) of Study :
Month & Year
of Passing
Name and Place of School
X Std
XI Std
XII Std / Equivalent

24.(a) Whether applied for only D.M.L.T. Course :
24.(b) Course applied also for Para Medical Certificate Courses :

25 (a) DECLARATION BY THE APPLICANT
I (Name in full and in Block Letters) Son / Daughter of
..hereby solemnly declare that the information furnished and the statement given in
the application, Scrutiny form and the enclosures are true, correct and complete. I further declare that
should it be found otherwise, I will be liable to forfeit my seat and / or removed from the rolls of the
Institution at whatever stage of study, I may be liable for criminal prosecution.

Place:
Date: Signature of the Applicant

25 (b) DECLARATION BY THE PARENT / GUARDIAN

I (Name in full and in Block Letters) Father / Mother /
Guardian of ..hereby solemnly declare that I am fully aware of the declaration made by the
applicant, my son / Daughter and I declare and bind myself on the same terms contained with the above
declaration. The statements and the information given are true, correct and complete. If it is found
otherwise, the applicant is liable to forfeit the admission and liable for criminal prosecution.

Signature of the Parent/Guardian
Place:
Date:
Note: The Guardian can execute the above declaration only if both parents are not alive.



A.R.No:

(To be filled by Office)
DEPARTMENT OF MEDICAL EDUCATION
SCRUTINY FORM FOR PARA MEDICAL CERTIFICATE COURSE
(E.E.G./E.C.G./E.M.G. COURSE- ONE YEAR DURATION)
ADMISSION 2009 2010 SESSION

1. Name in Block letters SPACE FOR
(initial at the end) PHOTOGRAPH
(TOBE ATTESTED
2. Address for Communication (in Block Letters) BY CRADE A / B
OFFICERS OF
CENTRAL /STATE
GOVERNMENTS)
Pin.
3. Name of the Parent / Guardian :
4. Sex :
5. Date of Birth & Age :
6. Nationality :
7. Religion :
8. Community & Name of the Caste
OC / BC/BCM / MBC / DNC / SC / ST :
9. Mother Tongue :
10. Native Place District :
11. +2 Examination Passed in
( Academic / Vocational Stream) :
a. Name of the Board / Place :
b. Year of Passing :
c. Marks in Select Science Subjects in the +2 Exam:-
SUBJECT MAXIMUM MARKS MARKS OBTAINED
BIOLOGY
PHYSICS
CHEMISTRY
BOTANY
ZOOLOGY
VOCATIONAL
12. Course applied for :


Signature of the Candidate