MH-PGN-CET 2013 Book 2013 - DMER 2013_Book_2013 - 31 JULY 13.pdf · Affidavit (Gap Certificate) 12. Bond for Laps of ... the candidate should fill up one ... recognized study centre's

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Government of Maharashtra

Medical Education & Drugs Department

Information Brochure & Application Form For

MH-PGN-CET-2013

AA AA

DIR

ECTO

RATE

OF MEDICAL EDUCATION & RESEA

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Directorate of Medical Education & Research

CET CELL, ST. GEORGE'S HOSPITAL COMPOUND, OPP. GOVT. DENTAL COLLEGE BUILDING, NEAR CHHATRAPATI SHIVAJI TERMINUS (CST), MUMBAI - 400 001.

GRAM: MEDUCATNSEARCH, MUMBAI, TEL NO.: +91-22-22620361-65, (Ext. 319/313/323) 22652251/57/59. FAX NO.: +91-22-22652168, +91-22-22620562 WEBSITE: http://www.dmer.org

MH-PGN-CET-2013

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PREAMBLE

As per Indian Nursing Council's letter F.NO. 1-5/2010-INC Dated 31Aug 2010

candidates for M.Sc. Nursing Course should be selected through Common Entrance

Test.

The Government of Maharashtra vide G.R. No. Nur 1413/pra.kra.195/edu2,

dated 09/07/2013 permitted to the Director of Medical Education & Research, Mumbai

to conduct Entrance Test for the Selection of Candidates for M.Sc. Nursing Course.

Accordingly this Brochure is prepared for the detail information to the candidates who

wish to appear for this entrance test to pursue M.Sc. Nursing Degree.

Competent Authority MHPGN-CET-2013

Director of Medical Education & Research Mumbai

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MH-PGN-CET 2013 Entrance Examination IMPORTANT INFORMATION AT A GLANCE

1. Sale of information brochure and application forms (Including Govt. Holidays & Sunday). : 31/07/2013 to 14/08/2013

2. Submission of application forms (Including Govt. Holidays & Sunday). : 31/07/2013 to 14/08/2013

3. Date of receiving of Admit Cards from Principal, Institute of Nursing Education, Bai Motlibai Building, Sir J.J. Group of Hospitals Campus, Byculla, Mumbai

: 22/08/2013 to 23/08/2013 upto 5.00 pm

4. Date of Examination - : 25/08/2013 (Sunday) 5. Centre of examination

(Place - Mumbai) : As indicated in Admit Card

6. Schedule of Examination a) Entry in Examination Hall b) Distribution of answer sheets c) Distribution of question booklets d) Examination Commences e) Latest Entry permitted in Examination Hall (No candidate

will be permitted after 10.00 a.m. under any circumstances.)

f) Examination concludes

9.15 a.m. Long bell 9.40 a.m. 9.50 a.m. 10.00 a.m. Long bell 10.00 a.m. 12.00 p.m. Long bell

7. Declaration of Final Merit List : By 27/08/2013

8. Issue of Marksheet from DMER office : 29/08/2013

9. Counseling at Principal's Office, Institute of Nursing Education, Bai Motlibai Building, Sir J.J. Group of Hospitals Campus, Byculla, Mumbai

: 02/09/2013 10:00 am. to 4. 00pm

10. Certificates / Documents to be brought on the day of Counseling. (Original & One set of attested Xerox copies) 1. Original certificates and their attested photocopies must be submitted for scrutiny at the time of

submission of Application form. 2. Nationality Certificate issued by District Magistrate/Addl. District Magistrate or Metropolitan

Magistrate (Competent Authority for issue of such certificate)/valid Indian Passport or School Leaving Certificate of HSC/12th Std. indicating the nationality of the candidate as ‘Indian’.

3. SSC i.e.10th Standard or equivalent examination passing certificate and SSC Statement of Mark (for date of birth)

4. HSC i.e. 12th Standard equivalent examination passing Certificate and Statement of Marks 5. G.N.M. 3 or 3 and half Years All Years Mark lists along with attempt Certificate, M.N.C.

Registration Certificate with recent renewal date Valid up to March 2017. 6. Basic B.Sc. Nursing/P.B.B.Sc. Nsg./P.C.B.Sc. Nsg./IGNOU B.Sc. Nsg/ All Years Mark lists

along with attempt Certificate 7. Basic B.Sc.Nursing/P.B.B.Sc.Nsg./P.C.B.Sc. Nsg./IGNOU B.Sc. Nsg college Leaving Certificate. 8. Medical fitness certificate (Annexure-D) 9. For constitutional reservation claim. (Annexure-A)

a) Caste Certificate b) Caste Validity Certificate (CVC) c) Non-Creamy Layer Certificate (for VJ, NT-1 , NT-2 , NT-3 SBC & OBC) valid up to

31/03/2014. (Annexure - C) 10. Specified Reservation Claim :-Person with disability (PWD) Claim (Annexure-B) 11. Affidavit (Gap Certificate) 12. Bond for Laps of Seat. 13. Experience Certificate after Registration in MNC 14. Affidavit for Full attendance of course after admission. (As Per requirement of INC)

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Table of Contents

Sr. No. Title Page No.

1. INTRODUCTION 1

2. SCHEME OF EXAMINATION 1

3. ELIGIBLITY CRITERIA FOR MH-PGN-CET-2013 2

4. APPLICATION FORM & INFORMATION BROCHURE 3

5. SEATS STATUS 4

6. CERTIFICATES 4

7. PREPARATION OF MERIT LIST & DECLARATION OF RESULT 5

8. CONDUCT AND DISCIPLINE 6

9. LEGAL JURISDICTION 6

10. FEES STRUCTURES 7

ANNEXURES

A CONSTITUTIONAL RESERVATION 8

B PERSON WITH DISABILITY (PWD) 9

C MEDICAL FITNESS 10

D NON-CREAMY LAYER CERTIFICATE 11

E APPLICATION FORM 12-13

F INSTRUCTION FOR FILLING APPLICATION FORM FOR MH- PGN NURSING – 2013 14-15

G-1 G-2

1) RESERVATION AND BREAKUP OF SEATS 2) RESERVATION AND BREAKUP OF SEATS ACCORDING TO SUBJECTS 16-18

H RECEIPT CUM IDENTITY CARD 19

I SCRUTINY FORM 20

Information Brochure MH-PGN-CET-2013 (1)

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAI MHN P.B.B.Sc – CET 2013

1. INTRODUCTION :

The Entrance Examination for the Selection of M.Sc. Nursing Post

Graduate Course of 2 years duration in the State of Maharashtra for the Academic

Year 2013-2014 shall be conducted by the Competent Authority appointed by the

Govt. of Maharashtra.

As per Govt. of Maharashtra vide G.R No Nur 1413/pra.kra.195/edu2,

dated 09/07/2013 Directorate of Medical Education & Research, Mumbai is the

Competent Authority to conduct Entrance Examination for MHPGN-CET-2013.

2. SCHEME OF EXAMINATION :

2.1 Date of Examination:- The Examination will be conducted on Sunday

25/08/2013 in Mumbai only at 10.00 am To 12.00 Noon.

2.2 Schedule and Test Design :- There will be one paper of 100 Multiple

Choice Question of 1 Mark each. There will be no choice among the

question i.e. all question have to be answered.

2.3 The candidate will be required to mark the correct answer by blackening the

corresponding circle against the serial number of the question in the answer

sheet with black ink ballpoint pen only. Out of four circles provided for

selection of an answer against a question, the candidate should fill up one

circle only. Each correct answer will be given one mark. There shall be no

negative marking for wrong answers.

2.4 Changing An Answer Is Not Allowed:

The candidate must fully satisfy himself/herself about the accuracy of the

answer before darkening the appropriate circle.

The answer once marked no change will be allowed. If any method being

used to change the answer will amount to a invalid/incorrect response.

2.5 Candidate should completely darken one and the only one best response

(circle)

Candidate should not use any other method for answering i.e. Half circle,

dot. tick mark, cross etc. This may not be read by the scanner. Answer sheet

of each candidate will be evaluated by computerized scanning method only

(Optical Mark Reader). There will not be any manual checking during

evaluation and verification.

Q.No A B C D 62


2.6 Language of Question Paper:- The medium for examination shall be

English only.

2.7 Examination Centre:- The centre once allotted by the Competent Authority

shall not be changed under any circumstances. (Details in admit card)

2.8 Syllabus :- Medical Surgical Nursing, Child Health Nursing, Community

Health Nursing, Mental Health Nursing, Obstrictics & Gynac Nursing,

Nursing research & Nursing Administration and General Knowledge.

2.9 Grievance Redressal Committee:- A Grievance Redressal Committee will

be constituted at centre comprising following members:

i) Centre In charge - Chairperson

ii) A Supervisor - Member Secretary

III) An Invigilator - Member The committee will function from 8.00 am to the end of the examination on

the day of examination. If there is any grievance during this period

(regarding loss of time due to administrative error or any other examination

related important matter), the candidate will report it to the invigilator of

his/her examination block. It will be communicated to the sub centre in

charge through supervisor. The committee will examine the Grievance on

the spot and take necessary decision regarding the Grievance/s.

3. ELIGIBILITY CRITERIA FOR MH -PGN-CET-2013:-

3.1 Candidate must be an Indian National. Nationality Certificate issued by

District Magistrate or Additional District Magistrate or Chief Metropolitan

Magistrate or valid passport. Persons of Indian Origin (PIO)/Non Resident

Indians. (NRI) Overseas Citizens' of India are not eligible.

3.2 All candidate must have passed Basic B.Sc. Nursing/Post Basic B.Sc.

Nursing/ Post Certificate B.Sc. Nursing/IGNOU B.Sc. Nursing Examination

from College of Nursing and Institution situated in Maharashtra and

recognized by Indian Nursing Council, Delhi, and Maharashtra Nursing

Council, Mumbai with minimum 55% Marks for Open Category 5% relaxation

will be given to Reserved Category are eligible.

The candidates who have completed IGNOU B.Sc. Nursing from

recognized study centre's which is recognized by Indian Nursing Council i.e.

Institute of Nursing Education, Mumbai and Tehmi Grant College of Nursing,

Pune.

3.3 Candidate should have M.N.C. Registration Certificate / Receipt


3.4 Candidate should have minimum one year work experience after completion

of B.B.Sc. ,P.B.B.Sc, P.C.B.Sc, IGNOU B.Sc, Nursing Course (as per Indian

Nursing Council Norm/syllabus and regulation) Experience will be counted

after date of Registration.

3.5 AGE :- Age Limit is 50 years for in service Govt. & Private Candidates. On

or Before 31st July 2013 as per G.R. dated 09/07/2013

3.6 CONDITION FOR GOVT. CANDIDATES

a) The Candidate who is working in State Govt. of Maharashtra should submit

their forms through Dean/Superintendent/ Matron of their respective institute.

b) The candidate those who are selected for M.Sc. Nursing Course have to

submit 5 Years Service Bond to the Govt. at the time of Admission.

c) Govt. Candidates those who have not completed their Bond of P.B.Sc. /P.C

B.sc Nursing course should submit their undertaking for completion of this

bond along with M.Sc. Nursing Course Bond.

d) Govt. Candidates have to submit the undertaking that after completion

of their M.Sc. Nursing ,they may be placed anywhere in the State of

Maharashtra as per administrative requirement.

4. APPLICATION FORM & INFORMATION BROCHURE:-

1. MODE OF SALE :- Application form & information brochures for MHPGN-CET-

2013 will be available at following centres from 31/07/2013 to 14/08/2013.

a) Institute of Nursing Education, Bai Motlibai Building, Sir J.J. Hospital

Campus, Byculla, Mumbai – 400 008

b) S.T.E.S. Sinhagad College of Nursing, Servy No.49/1, Off Pune-Banglore

westerly bypass Highway, Narhe, Pune-411 041

c) Kasturba College Of Nursing, Kasturba Health Society,Sevageram

Wardha

d) Godavari College Of Nursing NH-6 Gat no.57/1 57/2 , Khirdi shivar, Tal:

Jalgoan Dist : Jalgoan PIN: 425309

2. THE COST OF THE APPLICATION FORM: - The cost of application form along

with information brochure of MHPGN-CET-2013 and the examination fees is Rs.

2000/- for Open Category & Rs.1500/- for Reserve Category Candidate. This

amount is not refundable. The Candidate should submit Demand Draft drawn in

favor of "DMER" Mumbai Payable at Mumbai from any Nationalized/ Commercial

Bank.


3. SEATS AVAILABLE FOR M.Sc. NURSING COURSE:-

4. CERTIFICATES :- 4.1 Original certificates and their attested photocopies must be submitted for scrutiny

at the time of submission of Application form. 4.2 Nationality Certificate issued by District Magistrate/Addl. District Magistrate or

Metropolitan Magistrate (Competent Authority for issue of such certificate)/valid Indian Passport or School Leaving Certificate of HSC/12th Std. indicating the nationality of the candidate as ‘Indian’.

4.3 SSC i.e. 10th Standard or equivalent examination passing certificate and SSC Statement of Mark (for date of birth)

4.4 HSC i.e. 12th Standard equivalent examination passing Certificate and Statement of Marks

4.5 G.N.M. 3 or 3 and half Years All Years Mark lists along with attempt Certificate, M.N.C. Registration Certificate with recent renewal date Valid up to March 2017 .

4.6 Basic B.Sc. Nursing/P.B.B.Sc. Nsg./P.C.B.Sc. Nsg./IGNOU B.Sc. Nsg/ All Years Mark lists along with attempt Certificate

4.7 Basic B.Sc. Nursing/P.B.B.Sc. Nsg./P.C.B.Sc. Nsg./IGNOU B.Sc. Nsg college Leaving Certificate.

4.8 Medical fitness certificate (Annexure-D) 4.9 For constitutional reservation claim. (Annexure-A)

a) Caste Certificate b) Caste Validity Certificate (CVC) c) Non-Creamy Layer Certificate (for VJ, NT-1 , NT-2 , NT-3 SBC & OBC)

valid up to 31/03/2014. (Annexure - C) 4.10 Specified Reservation Claim :-Person with disability (PWD) Claim (Annexure-B) 4.11 Affidavit (Gap Certificate) 4.12 Bond for Laps of Seat. 4.13 Experience Certificate after Registration in MNC 4.14 Affidavit for Full attendance of course after admission. (As Per requirement of

INC)

Sr.No.

Institute Name Available Seats

Speciality Seats Remark

1

Institute of Nursing Education, Bai Motlibai Building , Sir J.J. Hospital Campus, Byculla, Mumbai – 8

25

1) Medical Surgical Nursing 2) Child Health Nsg. 3) Obstractics & Gynecology Nsg. 4) Mental Health Nursing. 5) Community Health Nsg.

5 Each

Subject to approval of INC, MUHS,MNC and Govt. of Maharashtra

2

STES Sinhagad college of nursing ,sury no. 49/1, off Pune –Banglore westerly bypass Highway, Narhe , Pune 411041

25

1) Medical Surgical Nursing 2) Child Health Nsg. 3) Obstractics & Gynecology Nsg. 4) Mental Health Nursing. 5) Community Health Nsg.

5 Each


3

Kasturba College Of Nursing, Kasturba Health Society, Sevagram s Wardha

20

1) Medical Surgical Nursing 2) Obstractics & Gynecology Nsg. 3) Mental Health Nursing. 4) Community Health Nsg.

5 Each


4 Godavari college of Nursing Jalgoan 25

1) Medical Surgical Nursing 2) Child Health Nsg. 3) Obstractics & Gynecology Nsg. 4) Mental Health Nursing. 5)Community Health Nsg.

5 Each


5

Shirodkar Hospital Trust’s Institute of Nursing Education & Paramedical Sciences at Asian Institute of Medical Sciences, Dombivli

10 1) Medical Surgical Nursing 5 Each



5. PREPARATION OF MERIT LIST AND DECLARATION OF RESULT

The Competent Authority will conduct the examination, evaluate the answer sheets

and declare the result. The result will be declared on website of DMER i.e.

www.dmer.org on or before 27/08/2013.

5.1 Preparation of Merit List for Selection: Marks obtained by the candidate in

the MH-PGN-CET-2013 will be stated in the mark sheet along with State Merit

List indicating State merit number & category merit number which will be

prepared on the basis of marks in descending order of merit. 5.2 Tie Breakers:- In case of equal corrected marks at the MH-PGN-CET-2013 the

following procedure shall be adopted for deciding inter-se merit,

First level: : A Candidate with aggregate higher Marks in B. B.Sc.

Nsg/P.B.B.Sc.Nsg./P.C.B.Sc.Nsg./IGNOUB.Sc.Nursing.

Second level: : A candidate with aggregate higher marks in GNM at the

MNC Examination shall be preferred if the tie still

persists then:

Third level: : A candidate with aggregate higher marks in HSC/12th

Standard preferably science stream and PCBE marks

shall be preferred if the tie still persists then:

Forth level: : An older candidate shall be preferred over a younger

candidate

5.3 All the candidates who have appeared for MH-PGN-CET-2013 will receive their

mark sheets from the office of Principal, Institute of Nursing Education, Bai

Motlibai Building, Sir J.J. Hospital Campus, Byculla, Mumbai on 29/08/2013

(11.am to 4.00 pm.)

5.4 In case of loss of original MH-PGN-CET-2013 mark sheet, a duplicate marksheet

can be obtained with a application addressed to the Competent Authority along

with a demand draft drawn at any Nationlised/ Commercial Bank of Rs.500/-, in

favor of “DMER’’, Mumbai’ payable at Mumbai.

5.5 The Rules and Regulations/procedures stated herein is applicable for

MHPGNCET-2013 Examination and selection to M.Sc. Nsg. Courses for the

academic year 2013-2014 only.

No promise is implied herein for the subsequent years and no expectations should

be based on this for future.


6. CONDUCT AND DISCIPLINE

6.1 Failure of the candidate in making full and correct statements in the application

form and/or suppression of any information would lead to disqualification of the

candidate for MHPGN-CET-2013 or even at later date. Such a candidate will be

debarred from the examination / entire Selection process.

6.2 Adopting a unfair means or engaging in malpractice in the examination shall

render a candidate liable for punishment under, “Maharashtra Prevention of

Malpractices Act, Universities, Boards and Other Specified Examination Act,

1982” and disqualify him/her for MHPGN-CET-2013 examination.

6.3 If any person(s) or officer(s) dealing with the conduct of the MHPGN CET-2013

are found engaged in act(s) that would result in the leakage of question paper or

attempt to use or help in the use of unfair means in this Examination, he/she

shall be liable for prosecution under Indian Penal Code.

6.4 Any candidate responsible for lapse of seat will have to pay a penalty of

Rs.2,50,000/- (Rupees Two lakhs fifty thousand only).This is applicable to the

candidates resigning a seat after cut of date for M.Sc Nursing course or also fails

to complete course.

6.5 Deputed candidates from Government of Maharashtra will have to pay a penalty

of Rs.2,50,000/- (Rupees Two lakhs fifty thousand only) for lapse of seat and

salary drawn during that period with 12% Interest.

6.6 After completion of M.Sc Nursing candidate from Government sector should

submit 5 years service bond to the Government. If the candidate fails to serve,

they will have to pay Rs. 5,00,000/- (Rupees five lakhs only) with 12% interest.

Then only they will be relieved from the Bond

6.7 Candidate seeking admission in Government/Private institution will have to Pay

the Fees as per Government fee structure as decided by Shikshan Shulk Samiti.

7. LEGAL JURISDICTION:-

a) All disputes pertaining to the conduct of examination and selection shall fall

Within the jurisdiction of Courts, at Mumbai only. The Competent Authority

Shall be the legal person in whose name the candidate may sue Or may be

sued.

b) Any issue not dealt here-in above will be dealt with, when arising, fully and

finally by the Competent Authority. Any amendments made by Government of

Maharashtra from time to time will be implemented.


8. FEE STRUCTURE:- 8.1) Institute of Nursing Education, Bai Motlibai Building, Sir J.J. Group of Hospitals Campus, Byculla, Mumbai

Fee StructureAdmission Fee Rs.20000

Tuition Fee Rs.20000

Break up charges ( Refundable) Rs.5000

Library Fee (Refundable) Rs.5000

Hostel Fee Rs.15000

Club Fee Rs. 2000

Library Donation Rs.3000

Miscellaneous Rs.5000

Total Rs.75,000

(THE ABOVE FEE IS SUBJECT TO REVISION BY THE GOVERNMENT)

8.2) S.T.E.S. Sinhagad College of Nursing , Narhe, Pune-411 041

Fee StructureTuition fee Rs RS. 77,570

Development fee Rs Rs. 5430

Total Rs. 83000

8.3) Kasturba College of Nursing, Kasturba Health Society, Wardha

Fee StructureAdmission Fee Rs 15,000

Tution Fee Rs 52,500

Caution Fee (Refundable) Rs 2,000

Miscellaneous Rs 3,000

Total Rs 72,500

8.4) Godavari College Of Nursing, Jalgoan

Fee StructureTotal Rs 86,400

8.5) Shirodkar Hospital Trust’s Institute of Nursing Education & Paramedical

Sciences at Asian Institute of Medical Sciences, Dombivli

Fee StructureTotal Rs 1,10,000

Apart from above fees, University Examination fees will be as per University Norms. fee structure may change as per the decision of Shikshan Shulk Samiti.


ANNEXURE-A

CONSTITUTIONAL RESERVATIONS

1) The candidates recognized by the State of Maharashtra as belonging to the following

2) Categories shall alone be eligible to claim admissions as against the seats reserved

for such categories. These categories are as follows:-

Sr. No. Categories Percentage

1. Scheduled Castes and Scheduled Caste converts to Buddhism (SC)

13.0 %

2. Scheduled Tribes (ST) 7.0 %

3. Vimukta Jati ( VJ) 3.0 %

4. Nomadic Tribes ( NT-1) 2.5 %

5. Nomadic Tribes ( NT-2 ) 3.5 %

6. Nomadic Tribes ( NT-3) 2.0 %

7. Other Backward Category (OBC) including SBC

19.0 %

Total 50.0 %

3) Candidates belonging to aforesaid categories will be required to submit the Caste

Certificate and the Caste/Tribe Validity Certificate.

4) The candidates who have claimed the Constitutional Reservation in the original

Application Form must submit Caste Validity Certificate at the time of counseling.

Failing which the category claim, will not be granted.


ANNEXURE - B

PERSON WITH DISABILITY (PWD)

1) Following are the criteria for reservation under Person With Disability Category. “3% seats of the annual sanctioned intake capacity shall be filled up by candidates with locomotory disability of lower limbs between 50% to 70%. Provided that in case any seat in this 3% quota remains unfilled on account of unavailability of candidates with locomotory disability of lower limbs between 50% to 70% then any such unfilled seat in this 3% quota shall be filled up by persons with locomotory disability of lower limbs between 40% to 50%.

Provided further that this entire exercise shall be completed by each institute/college as per the statutory time schedule for admissions and in no case any admission will be made in the nursing college after 30th of September.

2) The Candidate with a disability more than 70% will not be eligible for admission to

M.Sc Nsg. Courses. No other disability shall be allowed. However, such a candidate will be required to undergo medical examination by a Medical Board constituted for this purpose by the Competent Authority. The Medical Board will acertain and certify the disability and will also acertain and certify that he/she is physically fit to undergo the course dispite the disability.

-----------------------------------------------------------------------------------------------------------------------

PROFORMA OF CERTIFICATE FOR PERSON WITH DISABILITY (PWD) This is to certify that after clinical examination, it has been found that

Mr./Miss ……………………………………............................................who desires to

pursue M.Sc Nursing Course in Government/Private for the year 2013-2014 for claiming

the benefit of seat reserved for Person With Disability, is an individual with ------%

permanent/ partial disability pertaining to locomotory disorder of the lower limbs.

It is also certified that he/she fulfills the following criteria:

(1) Absence of any incapacitating and /or progressive systemic disease/disorder/ condition

(2) Absence of any disability of upper limb/s. (3) Absence of any major visual/ auditory disability. (4) Absence of psychosis/neurosis/mental retardation/ability to maintain erect

posture. (5) Reasonable manual dexterity.

It is further certified that he/she is medically fit to undergo the professional training

course(M.Sc.Nsg) inspite of his/her physical disability being diagnosed as ..........................................

Place:

Signature:

Date: Name :

Official Seal:


ANNEXURE - C

MEDICAL FITNESS

A candidate must be medically fit to undergo the professional course applied for.

The medical fitness must be certified by a Registered Medical Practitioner in the

prescribed proforma, as given below on a Letterhead:

CERTIFICATE OF MEDICAL FITNESS

This is to certify that I have conducted clinical examination of Mr./Ms

....................................................................................................................... who is

desirous of admission to M.Sc Nsg Course. He/she has not given any personal history of

any disease incapacitating him/her to undergo the M.Sc Nsg Course. Also, on clinical

examination it has been found that he/she is medically fit to undergo the M.Sc Nsg

Course

Certified that he/she fulfills the following criteria.

(1) Absence of any incapacitating and /or progressive systemic disease/disorder/condition,

(2) Absence of any disability of upper limb/s.

(3) Absence of any major visual/ auditory disability.

(4) Absence of psychosis/neurosis/mental retardation,

(5) Ability to maintain erect posture,

(6) Reasonable manual dexterity.

Though, following deviations have been revealed, in my opinion,as these are not impediments to pursue a career as a Medical/ Dental/ Ayurved/ Unani/ Occupational Therapy/ Physiotherapy / Audiology & Speech, Language Pathology / Prosthetics & Orthotics / M.Sc.Nursing. (Strike, which is not applicable):

1 ........................................................................................................................................

2 ........................................................................................................................................

3 ........................................................................................................................................ Address of the Registered Medical Practitioner Date :

Signature

Name

Registration No.

Seal of Registered Medical Practitioner


ANNEXURE – D A candidate belonging to ‘Creamy Layer’ amongst the categories 3,4,5,6 and 7 must note that the provision of reservation is NOT applicable to him/her. A candidate claiming benefit of reservation under the Categories 3,4,5,6 and 7 above will be required to produce Non-Creamy Layer Certificate in the name of parent as specified in the Government resolution No.lhchlh&10$2008$iz-dz-697$ekod] fnukad 13$01$2009- The certificate in prescribed proforma (Annexure - H) stating that it is valid upto 31/03/2013 should be submitted at the time of counseling, .However, such a Non-Creamy Layer Certificate shall be produced in any case on or before the last date of counseling, failing which the category claim will not be granted. -----------------------------------------------------------------------------------------------------------------------

PROFORMA FOR NON-CREAMY LAYER CERTIFICATE ifjf'k"V & d

Form of Certificate to be produced by Other Backward Classes, Vimukta Jati (A), Nomadic Tribes (B, C, D) and Special Backward Category and its synonyms belonging to the State of Maharashtra along with Non Creamy Layer Status. PART - A Documents Verified: 1.

2.

3.

4.

This is to certify that Shri/Shrimati/Kumari son/mdaughter of ............................................................ of Village……………………… Taluka…………………………………District…………………………. of the State of Maharashtra belongs to the ………………………………………………………………….. Caste/Community/Tribe which is recognised as a Other Backward Class/ Vimukta Jati(A)/Nomadic Tribe (B,C, D)/ Special Backward Category under the Government Resolution No. dated....................... as amended from time to time. 2.Shri/Shrimati/Kumari…………………………………………………………………………….. and/or his/her family ordinarily reside(s) in village, Taluka, District of the State of Maharashtra. 3.This is to certify that he/she does not belong to the persons/sections (Creamy Layer) mentioned in the Government of Maharashtra Gazette, Part-IV-B, dated 29th January 2004, Maharashtra State Public Service (Reservation for S.C./S..T./D.T. (V.J.), N.T., S.B.C. & O.B.C. Act, 2001 and instruction and guidelines laid down in the Government Resolution, Social Justice, Cultural Affairs and Sports & Special Assistance Department No. CBC.1094/CR-86/BCW-V, dated 16th June 1994 and Government Resolution No. CBC.10/2001/CR-111/BCW-V, dated 29th May 2003 as amended from time to time. 4.This Certificate is valid for the period upto 31/3/…………from the date of issue. Sr. No ……………………………………… Signature : …………………………………

Place : ……………………………………… Designation : ……………………………

Dated : (with seal of office)

Please delete the words which are not applicable Please quote the name of department and specific number and date of Resolution under which the caste/community/tribe has been recognised as O.B.C., V.J., N.T., of S.B.C. by the Government of Maharashtra. Note:- The term "Ordinarily reside(s)" used here will have the same meaning as in Section 20 of the Representation of the Peoples Act, 1950


ANNEXURE – E Speciman Copy of Application Form Front side



ANNEXURE – F Instruction for Filling Application Form for MH-PGN-CET-2013

1. Write with a BLACK ink ballpoint pen using English Capital Letters and English numerals only.

2. Do not make any stray mark on this form. 3. Do not staple, pin, wrinkle, scribble, wet or fold the form as this will be scanned by the

computer. 4. Shade the appropriate oval completely like this. Do not mark the oval like this 5. Please note that, no certificate (Original/Photocopy) is to be submitted along with the

application form. How to Fill the Application form

1.Name of Candidate e.g. : Prashant Narayan Pawar, Mother’s Name : Kalpana

First Name :-

Father's/Husband’s

Name:-

Last

Name(Surname) :-

Mother's Name :-

2. Gender: Darken the appropriate oval. 3. Date of Birth e.g. : 13th August 1987 Date Month Year

4. Address for Correspondence - Write in CAPITAL letters.

Contact Telephone Number (STD code with Telephone number.) e.g. Landline 0240- 2235423 : or Mobile : 09869545647

5. Place of permanent Residence: Darken the appropriate oval.Village - The area/place

governed by a Grampanchayat or a group Grampanchayat Town - The area /place

governed by Municipal Council (Nagar Palika / Nagar Parishad) City - The area/place

governed by Municipal Corporation (Mahanagar Palika)

6. Nationality: Darken the appropriate oval.

7. Candidate is Domicile of: Darken the appropriate oval.

P R A S H A N T

N A R A Y A N

P A W A R

K A L P A N A

1 3 0 8 1 9 8 7

0 2 4 0 2 2 3 5 4 2 3

0 9 8 6 9 5 4 5 6 4 7


8. Constitutional reservations: Darken the appropriate oval. The candidate claiming constitutional reservation must submit the necessary certificates i.e. caste certificate, Caste/Tribe validity certificate from scrutiny committee and non creamy layer certificate (if applicable) at the time of filling the preference form, failing which the claim will not be granted. Candidate not claiming constitutional reservation should darken the oval for none.

9. Religion*: Darken the appropriate oval. * This information is only for statistical purpose. 10. Signature of Candidate: The candidate should sign within the box. Signature should

not touch or cross the outline of the box. 11. Photograph: Please read the instructions within the box provided for the photograph &

follow them carefully. Photograph may be Color/Black-white. Cut the edges of the photograph to accommodate it within the box, if necessary. Write application form number and name of the candidate on the back side of the photograph. Do not put stamp/seal or Signature on the photograph.

12. I wish to claim reservation under: Please refer the respective information brochures & darken the appropriate oval(s).

13. Total Annual Family Income - Darken the appropriate oval. 14. Details of SSC (10th Std)/Equivalent Examination. a. SSC(10th)/equivalent passed from School situated in - Darken the appropriate oval b. Marks obtained in Mathematics in SSC/Equivalent Examination. e.g. Mathematics Out of a. c. Total Marks obtained in SSC/Equivalent Examination. e.g. Grant Total Out of 16. Details of HSC (12th Std.)/Equivalent Examination. a. HSC(12th)/Equivalent Exam. Appeared/Passed from - Darken the appropriate oval b. Name & Address of the Institute at HSC / 12th (or equivalent exam): Write in capital

letters within the box. c. District Code - Refer Annexure - K i) Write the code of the District from where the candidate has appeared / appearing for

HSC

exam. e.g. Aurangabad –

ii) Candidates who have passed HSC/12th (or equivalent exam) from outside Maharashtra should write the code for College outside Maharashtra State i.e.

Write telephone no. of the Junior College / School along with the STD code.

Declaration (on Backside)- It must be signed by candidate, the parent / guardian and the Principal /Head Master of the College / High School from which the candidate has appeared / passed the HSC (12th) or equivalent examination or head of the institute where the form is submitted by the candidate. Please write date and place wherever indicated.

1 4 5 1 5 0

0 6 1 1 0 7 5 0

2 7

9 1


ANNEXURE “G-1”

SEATS AVAILABALE FOR MH-PGN-CET-2013 RESERVATION AND BREAKUP OF SEATS

Institute of Nursing Education , Mumbai. Available

Seats S.C 13%

ST 7%

VJ (A) 3%

NT-1 2.5%

NT-2 3.5%

NT-3 2%

OBC 19%

Total Reserve

50%

OPEN 50%

NRI

25 3 2 1 1 1 - 4 12 13 N/A * PWD Reservation will be given alternate year as per rule. * PWD Reservation filled in the academic year 2012-13 ( OBGY speciality) * N.B. :- As per Hon'ble High Court Writ Petition No. 9406/2012, Order Dated 28/09/2012 . 02(Two) seats (Open-01, OBC-01,) are kept reserved for the academic year 2013-14.

S.T.E.S. Sinhagad College of Nursing,Pune.

Available Seats

S.C 6.5%

ST 3.5%

VJ (A) 1.5%

NT-1 1.25%

NT-2 1.75%

NT-3 1%

OBC(Including SBC) 9.5%

NRI 15%

OPEN 60%

25 2 1 - - 1 - 2 4 15 N.B.:- As per Hon'ble High Court Writ Petition No. 9406/2012, Order Dated 28/09/2012 . 01(One) seats ( Open-01, ) are kept reserved for the academic year 2013-14.

Kasturba Nursing College Sevagram, Wardha. Available

Seats S.C

ST

VJ (A)

NT-1

NT-2

NT-3

OBC(Including

SBC) OPEN 60%

20 1 1 - 1 - - 2 15 N.B. :- As per Hon'ble High Court Writ Petition No. 9406/2012, Order Dated 28/09/2012. 01(One) seats (Open-01) are kept reserved for the academic year 2013-14.

Godavari College Of Nursing, Jalgoan Available

Seats S.C

6.5% ST

3.5% VJ (A) 1.5%

NT-1 1.25%

NT-2 1.75%

NT-3 1%

OBC(Including SBC)

9.5%

NRI 15%

OPEN 60%

25 2 1 1 - - - 2 4 15

Institute of Nursing Education Paramedical Sciences, At-AIMS Hospital, Dombivli

Available Seats

S.C

ST

VJ (A)

NT-1

NT-2

NT3

OBC (Including

SBC)

NRI 15%

OPEN 60%

10 1 1 0 0 1 -- 7 Admission for reserved category candidates will be given as per the rule and inter-se merit by means of rotation.


ANNEXURE “G-2” Reservation and Breakup of Seats According to subjects

M.sc. Nursing Course (2 Years.) * In Institute of Nursing Education, Mumbai

Subjects Available Seats

S.C 13%

ST 7%

VJ (A) 3%

NT-1 2.5%

NT-2 3.5%

NT-3 2%

OBC(Including SBC) 19%

Total Reserv

e 50%

OPEN 50%

NRI

Percentage 25 3.25 1.75 0.75 0.625 0.875 0.5 4.25 12 13 N/A

1)Medical Surgical Nursing

5 1 - 1 - - - 1 3 2 N/A

2)Child Health Nursing

5 1 - - 1 - - 1 3 2

N/A

3)Obstractic & Gynecology Nursing

5 - 1 - - - 1 2 3 N/A

4)Mental Health Nursing

5 1 - - - 1 - 2 3 N/A

5)Community Health Nursing

5 1 - - - 1 2 3 N/A

Total 25 03 02 01 01 01 00 04 12 13 -

• S.T.E.S. Sinhagad College of Nursing, Pune.


S.C 6.5%

ST 3.5%

VJ (A) 1.5%

NT-1 1.25%

NT-2 1.75%

NT-3 1%

OBC (Includi

ng SBC) 9.5%

Total Reserve

25%

OPEN 60%

NRI 15%

1)Medical Surgical Nursing 5 1 - - - - - - 1 3 1

2)Child Health Nursing 5 1 - - - - - - 1 3 1

3) Obstetrics & Gynecology Nursing

5 - 1 - - - - - 1 3 1

4)Mental Health Nursing 5 - - - - - - 1 1 3 1

5)Community Health Nursing 5 - - - - - 1 1 2 3 -

Total 25 02 01 00 00 00 01 02 06 15 04


• Kasturba Nursing College,Sevagram Wardha.


S.C

ST

VJ (A)

NT-1

NT-2 NT-3 OBC Total Reserve

25%

OPEN 75%

NRI


5 1 - - - 1 4 N/A


5 - - - 1 - 1 4 N/A

3)Mental Health Nursing 5 1 - - - - 1 2 3 N/A

4)Community Health Nursing 5 - - - - 1 1 4 N/A

Total 20 01 01 00 01 00 00 02 05 15 -

• Godavari College of Nursing , Jalgoan


S.C 6.5 %

ST 3.5%

VJ (A)1.5%

NT-1 1.25%

NT-2 1.75%

NT-3 1%

OBC 9.5%

Total Reserve 25%

OPEN 60%

NRI 15%


5 - - 1 - - - - 1 2 2

2)Child Health Nursing

5

- - - - 1 1 4 -


5 - 1 - - - 1 4

4)Mental Health Nursing

5 1 - - - - 1 2 2

5)Community Health Nursing

5 1 - - - - -1 2 3 -

Total 25 02 01 01 - - - 02 06 15 04

• Institute of Nursing Education Paramedical Sciences, At-AIMS Hospital, Dombivli.


S.C ST VJ (A)

NT-1 NT-2 NT-3 OBC OPEN NRI

1)Medical Surgical Nursing 10 1 1 0 1 7 NA

N.B:- Admission for subjects for reserved category candidates will be given as per the rule and enter se merit by means of rotation.


Annexure “H”

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAI

MH-PGN-CET-2013 RECEIPT-CUM-IDENTITY CARD

(TO BE RETAINED BY THE CANDIDATE)

(This is receipt for submission of MH -PGN-CET-2013 application form)

Received application form No.

From Mr./Mrs./Ms.____________________________________________________ for

admission to MH-PGN-CET-2013

Date : / /2013 Place : ________________

Note : This is only Receipt-cum-Identity card. The issue of the card does not mean that the candidate is eligible for appearing at MH -PGN-CET-2013- 2013.

.......................................................................................................................................................

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAI

MH-PGN-CET-2013 (TO BE RETAINED BY THE CANDIDATE)

(This is receipt for purchase of application form and information brochure)

Application form No.

Received Rs.__________/- by D.D. /Pay order No. __________________ towards the cost of application form & information brochure & fees for examination.

Dated : / /2013 Name of the bank ____________________ Date _____________

From _________________

Date : / /2013 Place:

Annexure “M”

Signature of receiving clerk

Signature of the Dean/ Principal

Seal/Stamp of the College (Notified College)

Seal/Stamp of the college

(Notified College)

Signature of the receiving clerk

Paste Recent Passport size photograph

3.5 X 4.5 c.m.

Signature of Candidate


Annexure “I” Government of Maharashtra

Directorate of Medical Education and Research, Mumbai MH-PGN-CET-2013- Application Form Filling Process

SCRUTINY FORM Candidate's Name : _________________________________________________________________________

Complete Address : _________________________________________________________________________

_____________________________________________________________________Pin Code _____________

Category : _________________ Mobile No.: ______________

Signature of Candidate

(Arrange a set of original certificates and one set of attested Xerox copies separately in the order given below for verification)

Remarks : (For Office Use only)

Eligible : Yes / No If not eligible, reason/s ________________________

Signature of Scrutiny Clerk ____________________________________________ ____________________________________________

____________________________________________

Name & Signature of Scrutiny Officer

Signature of the Principal Office Stamp

Receipt-cum-Identity card Nationality / Valid Passport SSC Passing Certificate and Mark sheet HSC Passing Certificate and Mark sheet GNM Mark sheets (All year exams ) Attempt certificate of GNM BBSc/PBBSc/PCBSc/IGNOU BSc Nsg. (All exams Mark sheets) Attempt Certificate of BBSc/PBBSc/PCBSc/IGNOU BSc Nsg. Registration certificate of MNC with recent renewal date Experience Certificate from competent authority (Dean/ Nursing Supt./ Medical supt.) Physical fitness certificate. IF APPLICABLE: Caste Certificate Caste Validity Certificate Non- creamy layer Certificate For VJ ,NT-1, NT-2, NT-3, OBC and SBC valid up to 31/3/2013 Specified reservation Person with Disability Certificate (PWD) Migration Certificate Affidavit for full attendance Affidavit (Gap Certificate) Bond for Laps of seat


INSTRUCTIONS TO CANDIDATES

Candidates must read all the instructions carefully

1) Candidate must preserve the Receipt - cum- Identity card and Admit Card safely and bring them to the examination hall and produce the same on demand by invigilator/supervisor.

2) Candidate should occupy the seat in the examination hall at least Forty Five minutes before the commencement of the examination.

3) Details such as seat number, questions paper booklet number and version code number must be entered carefully on the answer sheet. The answer sheet No. & the seat No. must be entered carefully on the Question Booklet.

4) No candidate will be allowed to leave the examination hall till the end of Examination.

5) In case of the loss of Admit Card, it shall be obligatory on the part of the Candidate to procure duplicate Admit Card from the office of the Competent Authority CET cell D.M.E.R . Mumbai not later than one hour before the commencement of examination, on production of sufficient evidence prove that he/she is the genuine / confide examinee

(Receipt-cum-Identity card issued by the College authority.)

6) All entries on answer sheet must be made only with Black Point Ball pen

7) Photograph on application form and Receipt - cum - Identity card (if required during selection process) should be taken from the same negative.

8) Please note that issue of admit card is just an enabling provision for appearing MH-PGN-CET 2013 and does not imply that the candidate satisfies all the requirements of eligibility conditions for admission.

9) Please quote your application form number and roll number in further/future correspondence.

10) In case the Admit Card is not received the office of the Directorate should be contacted immediately for duplicate Admit Card.

(22)

Directorate of Medical Education & Research

CET CELL, ST. GEORGE'S HOSPITAL COMPOUND, OPP. GOVT. DENTAL COLLEGE BUILDING, NEAR CHHATRAPATI SHIVAJI TERMINUS (CST), MUMBAI - 400 001.

GRAM: MEDUCATNSEARCH, MUMBAI, TEL NO.: +91-22-22620361-65, (Ext. 313/323) FAX NO.: +91-22-22652168, +91-22-22620562 WEBSITE: http://www.dmer.org

MH-PGN-CET - 2013