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GOVERNMENT OF WEST BENGAL HEALTH & FAMILY WELFARE DEPARTMENT NATIONAL HEALTH MISSION (NHM) GN-29, 1STFLOOR,GRANTHAGARBHAWAN, SWASTHYABHAWAN PREMISES,SECTOR-V SALT LAKE, BIOHANNAGAR,KOLKATA - 700 091. f~ 033 - 2353 - 0432, A 033 - 2357 - 7930, Email 10: [email protected]; website: www.wbhealth.gov.in No. HFW/NUHM-232/2016/6LtQ Dated: ,(~..,.2017 From : Commissioner, Health & Family Welfare & Add!. Mission Director, NHM Government of West Bengal To CMOH, Asansol HD / Basirhat Health District / Birbhum / Burdwan / Cooch-Behar / Dakshin Dinajp~1 Darjeeling (SMP)I Diamond Harbour HD /Hooghly I Howrah I Jalpaiguri / Jhargram HD /Malda / Murshidabad / Nadia I North 24 Parganas /Nandigrarn HDI Paschim Medinipur I Purba Medinipur / Rampurhat HD I South 24 Parganas I Uttar Dinajpur Sub: Provisional Admission of Trainees for ANM Courseunder NUHM for UPHCin different ULBs Ref: Notification No. HFW/NUHM-232/2016/3826 dated 9.12.2016 With reference to above, an approved list containing ULBwise selected candidates for ANM training under NUHM received from your end is enclosed. The names of the Nursing Training Institutions (residential or Non-residential) where they will undergo such training have also been indicated ULB wise in the enclosed statement (Annexure I). 2. You are requested to send the photocopies of all the concerned applications along with all relevant documents of selected candidates to the Training Institutions before commencement of the said training. You are also requested to send intimation to the selected candidates to join the allotted Nursing Training Institutions within the period from 1.6.2017 to 7.6.2017 (excluding holidays). The class of ANM training course for 24 months duration will be started from 12.6.2017 in all the institutes. A draft copy of the intimation letter is enclosed. 3. Failure to join the training course in time, or leaving the course midway for any reasons whatsoever, will result in the candidature being cancelled. 4. While sending the letter of admission to training course from the office of the CMOH, it should be clearly indicated that the admission is provisional and is subject to verification of original documents produced by the candidate in support of her age, residence and qualification. After admission, if any candidate is found ineligible by any competent authority her candidature for undergoing training will liable to be cancelled and she will be terminated from the training course forthwith. Shewill also be liable to refund the stipend money paid to her.

No. HFW/NUHM-232/2016/6LtQ Dated: - wbhealth.gov.in for ANM Course... · government ofwest bengal health &familywelfaredepartment national healthmission(nhm) gn-29,1stfloor,granthagarbhawan,

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GOVERNMENT OFWEST BENGALHEALTH & FAMILY WELFARE DEPARTMENT

NATIONAL HEALTH MISSION (NHM)GN-29, 1STFLOOR,GRANTHAGARBHAWAN,SWASTHYABHAWAN PREMISES,SECTOR-V

SALT LAKE, BIOHANNAGAR,KOLKATA - 700 091.

f~ 033 - 2353 - 0432,A 033 - 2357 - 7930,Email 10: [email protected]; website: www.wbhealth.gov.in

No. HFW/NUHM-232/2016/6LtQ Dated: ,(~ . .,.2017

From : Commissioner, Health & Family Welfare &Add!. Mission Director, NHMGovernment of West Bengal

To CMOH, Asansol HD / Basirhat Health District / Birbhum / Burdwan / Cooch-Behar / DakshinDinajp~1 Darjeeling (SMP)I Diamond Harbour HD /Hooghly I Howrah I Jalpaiguri /Jhargram HD /Malda / Murshidabad / Nadia I North 24 Parganas /Nandigrarn HDI PaschimMedinipur I Purba Medinipur / Rampurhat HD I South 24 Parganas I Uttar Dinajpur

Sub: Provisional Admission of Trainees for ANM Courseunder NUHM for UPHCin different ULBs

Ref: Notification No. HFW/NUHM-232/2016/3826 dated 9.12.2016

With reference to above, an approved list containing ULBwise selected candidates for ANM trainingunder NUHM received from your end is enclosed. The names of the NursingTraining Institutions (residential orNon-residential) where they will undergo such training have also been indicated ULB wise in the enclosedstatement (Annexure I).

2. You are requested to send the photocopies of all the concerned applications along with all relevantdocuments of selected candidates to the Training Institutions before commencement of the said training. Youare also requested to send intimation to the selected candidates to join the allotted Nursing TrainingInstitutions within the period from 1.6.2017 to 7.6.2017 (excluding holidays). The class of ANM trainingcourse for 24 months duration will be started from 12.6.2017 in all the institutes.

A draft copy of the intimation letter is enclosed.

3. Failure to join the training course in time, or leaving the course midway for any reasons whatsoever,will result in the candidature being cancelled.

4. While sending the letter of admission to training course from the office of the CMOH, it should beclearly indicated that the admission is provisional and is subject to verification of original documents producedby the candidate in support of her age, residence and qualification.

After admission, if any candidate is found ineligible by any competent authority her candidature forundergoing training will liable to be cancelled and she will be terminated from the training course forthwith.Shewill also be liable to refund the stipend money paid to her.

- 2 -

5. The above selection for admission is provisional and subject to the decision or direction in differentcaseswhich may subsequently be received from Hon'ble.Courts and competent authority ..

6. Admission is also subject to medical fitness of the candidates for which they have to submit MedicalCertificate from a registered Medical Practitioner having at least a MBBSdegree in the prescribed format (copyenclosed). This Medical Certificate is to be kept in the Training Institutions.

7. The selected candidates are entitled to receive an amount of Rs.1000/- (RupeesOne thousand only)per month asstipend, fund for which will be sent to the respective training Institutions.

8. Accommodation will be provided to the trainees where the course is residential. NTSsthose arecompletely residential, the trainees will have to avail themselves of the accommodation.

9. The residential trainees will be provided free accommodation in the hostel. But they will have to makemessing arrangements at their own cost,

List of articles usually required to be brought by each trainee is enclosed.

Enclo -

1. Annexure 12. Specimen copy of Medical Certificate.3. Specimen copy of Model letter of the CMOHto the trainees.4. Specimen copy of Model letter to the Nursing Training Institution.5. List of articles to be brought by the trainees

commiSS~W) &Addl. Mission Director, NHM

No. HFW/NUHM-232/2016/6't'1/I(II.)Copy forwarded for information and necessary action to:

1. Director of Health Services, WestBengal.2. State Family Welfare Officer, West Bengal, Swasthya Bhawan.3. Jt. DHS (Nursing), West Bengal.4. Registrar, West Bengal Nursing Council, 8, Lyons Range, Kolkata - 700001.5. Commissioner, (Howrahl Durgapurl Asansoll Chandannagarl Siliguril Bidhannagar)

Dated:.(..? ~.2017

6. Executive Officer, (Baduria, Basirhat, Bolpur, Suri, Burdwan, Kalna, Katwa, Coochbehar,Balurghat, Diamond Harbour, Arambag, Baidyabati, Bansberia, Bhadreswar, Champdany,Dankuni, Hooghly Chinsurah, Konnagar, Rishra, Serampore, Uttarpara Kotrang, Uluberia,Jalpaiguri, Jhargram, English Bazar, Old Maida, Jiaganj- Azimganj, Berhampur, Dhulian, Jangipur,Kandi, Chakdah, Gayeshpur, Haringhata, Kalyani, Krishnanagar, Nabadwip, Ranaghat, Santipur,Ashoknagar Kalyangarh, Bangaon, Baranagar, Barasat, Barrackpore, Bhatpara, Dumdum, Garulia,Habra, Halisahar, Kamarhati, Kanchrapara, Khardah, Madhyamgram, Naihati, New Barrackpore,North Barrackpore, North Dumdum, Panihati, South Dumdum, Titagarh, Ghatal, Kharagpur,

.--.-~~

- 3 -

Medinipur, Contai, Haldia, Panskura, Rampurhat, Baruipur, Budge Budge, Maheshtala, RajpurSonarpur, Islampur, Kaliaganj, Raiganj)

7. PNO, District Hospital, Coochbehar8. PNO, District Hospital, North 24 Pgns9. PNO, Chittaranjan Seva Sadan, 37, SPMukherjee Road, Kolkata - 700 02610. PNO, Howrah District Hospital11. Principal, Dr. RC. Mukherjee Memorial Health School, Singur, Hooghly.12. Superintendent, Kharagpur SD Hospital, Kharagpur, Paschim Medinipur13. Superintendent, Bolpur SD Hospital, Bolpur, Birbhum14. Superintendent, Vidyasagar S.G. Hospital, South 24 Pgns15. Accounts Officer, ID & BG Hospital, Beliaghata, Kolkata16. Principal / Teacher-in-Charge, NTS attached to District Hospital, Coochbehar / District Hospital, North

24 Pgns /Chittaranjan Seva Sadan/ Howrah District Hospital /Bolpur SD Hospital! Vidyasagar S.G.Hospital, South 24 Pgns / Kharagpur SD Hospital! ID & BG Hospital, Beliaghata, Kolkata

[He/She is requested to admit the trainees after verification of their original documents as well as medicalcertificate in the prescribed format by a Medical Practitioner having at least MBBS degree. He / She isrequested to send us the list of the candidates as soon admission is completed.]

A copy of the selection list as well as specimen copy of M.C. is enclosed for ready reference for 7 to 16only.

commiS~(H&FW) &Addl. Mission Director, NHM

______~_ormat for Submission of Panel for engagement of ANM under NUHMName of the District: Jnaroram Health DistrictName of the ULB: Jharorarn Municipality

_m••••••____ ·u_

No of required no. of trinee: Q2 UR-01,SC-01) -....Details of 110+2) Examinaiio'n

········.···u

SI Name of the Candidate Gurdian's Name Address with PhoneDate of Birth Caste Year of Marks obtained in RemarksNo Number Boardllnstitute Total final examination % of RankPassing Marks (best 5 subiects) marks

•..ViII - Raghunathpur, P 0-

1 Moumita Mahata W/O- Buddhadeb Jhargram, Disl-Paschlm03..04.1985 General CBSHE 2011 500 79.20%[Sarkar) Mahata Medinipur, Pin - 721507 396 1st

Mob- 9800345739_ ....._ .. _ ..

ViII - Raghunathpur, P 0-2 Sakuntala Mahata W/O- Bhaskar Jhargram, Dis! -Paschim

19.04.1991 General WBCHSE 2008 500 316 63.20% 2ndMahala Medinipur. Pin - 721507Mob- 9932032313 -.-

Vill- Balaramdihi, P.O-

3 Peu Goswami D/O- Tarit Goswami Jhargram, Dist ..Paschirn28.04.1987 General WBCHSE 2004 1000 631 63.10% 3rd UR

Medinipur, Pin - 72150'1Mob- 9800801069---_. .........~.'- __ ".0- -_ ....

ViII ..Bachurdoda, P.O·

4 Paramita Jana samanta 0/0- Nikhil Jana Jhargram, Dist- Pascbim2801.1984 General WBCHSE 2003 1()00 552 55.20% 4111Medinipur, Pin - 721507

______ t\IIob-9932825319U'" ._.....

ViII - Raghunathpur, P 0-5 Rinku Maijala W/O- Prajab Mahala Jhargram, Dis! ..Pascrum

1012.1983 General .JACR 2004 900 496 55.11% 5thMedinipur, Pin: 721507 !Mob- 99325411491-- -"... -_ ....._- f---.. __ .-.-.... '.____ .H .._.-- ...---- --.._ ...-..-

ViII - Bachurdoda, PO··

6 Nupur Roy (Bhadra) W/O' Bibhuti Jharqrarn, Dist- Paschirnlb 03.1987 SC VVBCHSE 2005 1000 446 44..60% 1stBhusan Bhadra Medinipur, Pin - 721507

Mob- 977536712:)"'_-_- -. .. _,--_",,,,,, H.__H_ ......-ViII - Benageria, P 0-

7 Subhadra Mukin W/O - Raju Mukhi Jharoram. Dis! - Paschirn0208.1989 SC WBCHSE 2013 ::)00 209 41.80% 2nd SCMedrnipur. Pin - 721507

Mob· 8436597752._---._..... - ._..... ...__ ....... - ........_ViII ..Bachurdoda, PO·

8Priyanka Manoa: W/O- Milan Jhatqrarn, Dist- Paschim

0'< 05.1988 SC WBCHSE 2007 1000 385 38.50% 3rd ./Sengupta Sengupta Medinipur, Pin'~ 721507Mob- 9514469623

f .. -- .... .__ .L__ ...........~..........,........_ f--.-'-- -..~ 1-. ...' ......_ .-..- 1-----_ ......-.........•_ .....L..'-. __

.~~

~, ~~'\f 161'~.V'iV~~~. ~f" '""",L :>

~ &'~\~'\t "", ,/ ~ ~>.t:f:;;'5& Signature of the Hon'ble ChairrJ-' '~)v\ Signature of the Mayor,

Sigl1at'o~\ '\ . Signature of tr Person of the Recruitment

Signature of Representative of the Dis l'1tIiagistrate Signature of the DPHNO MC/Chairperson, MOH ~\ CMOH wit Committee ot the District withwith Seal & D' with Seal & DatEO _,M,\ MIJ.niCipality_ -'''0, J. Oat Seal & Date

01' ~?~~~~V""._ .. I.,.,!l<;mltla

~t,.<\I~\~\ V JhargrBm Municipality ·c ~:~:ti~{, ~, -.,,~ ('c.\ ~\1\'\

r>?/."p..',' }~'ili

Annexure I

ULBwise Number of ANM & Training Institute

51.required Number selected Residential! Non-

No. District ULB of trainee for 1st number of Training Institute residentialphase trainee

1 Jhargram HD Jhargram 2 2 KhgragpurSD Hospital Residential

Medical Certificate in case of appointment of candidates underWest Bengal state Health & Family Welfare Somiti

Name ot Ihe candidate in tull (in block letters)

Height (without shoe)

Weiglll

Cm.

Kg.

"1 hereby certltv that I hove examined Sri/Smt. " , a

.candidate for employment in tile Wesl Bengal State Health & Family Welfare Samiti. and can'l

discover thaI Sri/Smt , ,.., " ,......... has any disease.

(communicable or otherwise) constitutional weakness or bodily infirmity,

except. " .." " ,,"

I do nol consider this a disqualification for employment in the office of Slate Somiti.

Sri/Srnt 's age is.according to hisown statement. Years,

and by.appearance about. " ""." " yeors".

a. General Development Good/Fair/ Average/Poor

b Vision Righi eye: Leff eye:

i. Uncorrected/Naked eye

ii. Correcled

iii. Nature and degree

c. Teeth: d. Hearing e. Blood pressure:

t. Lung: g. Heart h. Liver

i. Spleen

j. Hernia (present or absent)

k. Hydroeceles (present or absenf)

I. • Urine i. Specific Gravity Ii. Albumin iii. Sugar

rn. Identification marks

n. TheCandidate is

P.~eIoil

Doted:

Signature of Candidate

Attested

. 1

i. Fit

ii. Unfit on account of

iii. Temporarily unfit on account of

Signature of the Medical Pllli:<titioner

Name

Degree

Regn. No.(Seal)

Government of West BengalOffice of the CMOH .

District .No. Date:

ToSmt ..Address .

MunicipalitylMunicipal Corporation .District ..

Sub: Provisional admission for training for ANM Course under NUHM

With reference to above subject, I am to inform you that you are selected for 2 years

ANM training course under NUHM. You are therefore requested to report to the Principal /

Sister Tutor In-Charge or the Officer-in-Charge of the

Nursing Training School positively within

........................ (excluding holidays) .

Failure to join in the training course in time, or leaving the course midway for any

reasons whatsoever, will result in the candidature being cancelled.

At the time of admission you should bring Medical Certificate in the enclosed format

from a registered Medical Practitioner having at least MBBS degree. You should also bring

original certificates in support of the age, educational qualifications, caste certificate and

residential status, which will be returned to you after verification.

Venue of training centre will not be changed under any circumstance.

All trainees are entitled to receive a sum of Rs. 1000/- (Rupees One thousand only) per

month as stipend. Accommodation will be provided to the trainees where the course is

residential. NTS, those are completely residential, the trainees will have to avail themselves of

the accommodation compulsorily. The residential trainees will be provided free accommodation

in the hostel. But they will have to make messing arrangements at their own cost.

List of articles usually required for the residential trainee, which will have to bring by

each trainee is enclosed.

After admission, if you are found ineligible by any competent authority, your candidature

for undergoing training will be liable to be cancelled and you will be terminated from the

training course forthwith. In that case, you will also be liable to refund the stipend money paid

to you.

Selection / admission is provisional subject to decision of any court of law in future in the

matter and verification of original documents as to age, residence, caste certificate and

qualification as well as medical fitness. It is reiterated that selection / admission will be

summarily rejected / cancelled if any of the documents produced by you is found to be notgenuine.

CMOH, District .

Government of West BengalOffice of the CMOH .

District .

No. Date:

ToThe {In-charge of NTS).......................................... {Name of the Nursing Training Institution)

Sub: Admission of trainees for ANMCourse under NUHMfor theUPHC of the ULB

Sir / Madam,

With reference to the above subject I am sending the photocopies of

the applications alongwith all relevant papers of the selected candidates of

Municipality/ Municipal Corporation for taking further

necessary action from your end in terms of letter no .

dated from the Department of Health & Family Welfare, West

Bengal.

Yours faithfully,

CMOH, District

A.N.M. TRAINING UNDER NUHM

LIST OF ARTICLES REQUIRED TO BE BROUGHT BY EACH TRAINEE

FOR RESIDENTIAL STUDENTS

SL No. Materials Quantity1 TRUNK WITH LOCK 1 PC2 MATIRESS SINGLE 1 PC3 PILLOW 1 PC4 MOSQUITO NET 1 PC5 BED SHEET 1 PC6 BED COVER 1 PC

7 BLANKET 1 PC8 MUG 1 PC9 TIFFIN CARRIER/BOX 1 PC10 RICE PLATE 1 PC11 GLASS 1 PC12 BATI 2 PC13 SPOON 2 PC14 BLACK HAIRNET 1 PC15 PERSONAL TOWEL (TOOTHBRUSH,PASTE) 1 PC16 EXTRA LOCK & KEY(FOR ROOM) 1 PC17 B.P. APPARATUS TO BE PURCHASED LATER

ON18 STETHOSCOPE DO19 MONEY (AT LEAST RS.5000/) FOR UNIFORM,BOOKS,

B.P. APPARATUS,STETHOSCOPE etc. - TOKEPT WITH THE STUDENT

20 TORCH 1 PC21 UMBRELLA 1 PC22 PERSONAL DRESSES AS PER NEED23 PENCIL BOX ERASER,PENCIL, PEN,

SCISSOR, RED BLUE PEN24 NOTE BOOKS 8- (No.4-8)25 White paper 4 DISTA

------------------------------------- . --

A.N.M. TRAINING UNDER NUHM

LIST OF ARTICLES REQUIRED TO BE BROUGHT BY EACH TRAINEE

FOR NON-RESIDENTIAL STUDENTS

SL No. Materials Quantity1 BLACK HAIRNET 1 PC2 B.P. APPARATUS TO BE PURCHASED LATER ON3 STETHOSCOPE DO4 MONEY (AT LEAST RS.5000/) FOR UNIFORM,BOOKS,B.P.

APPARATUS, STETHOSCOPE,etc - TO KEPT WITH THE

STUDENT5 TORCH 1 PC6 UMBRELLA 1 PC7 PENCIL BOX ERASER,PENCIL, PEN, SCISSOR,

RED BLUE PEN8 NOTE BOOKS 8- (No.4-8)9 White paper 4DISTA