Government of Maharashtra MEDICAL EDUCATION & DRUGS DEPARTMENT File MHN CWT_Brochure 2012.pdf ·...

04/06/2012

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Application form & Information Brochure for MHN-CWT-2012 & Produce for New Recruitments of Staff Nurses (Vacant Post Only)

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Directorate of Medical Education & Research CET Cell, opp. Govt. Dental College Building, St.George’s Hospital Compound, 4th floor,

Near Chhatrapati Shivaji Terminus (CST), Mumbai - 400 001. GRAM: MEDUCATNSEARCH, Mumbai, TEL NO.: +91-22-22652257-59, 22652251

FAX NO.: +91-22-22652168, +91-22-22620562 WEBSITE: http://www.dmer.org

Government of Maharashtra

PGP-CET 2012 PGO-CET 2012

PGASLP-CET 2012

MHN-CWT-2012

MHN-CWT 2012 Competitive Written Examination (For New Recruitments of Staff Nurses)

IMPORTANT INFORMATION AT A GLANCE

1. Sale of Information Brochure, application forms & submission of application form

Certificate/Documents to be attached to application form (one set of attested Photo

Copies) at the time of Verification of the documents.

a) Nationality Certificate, Domicile Certificate/Valid Passport.

b) SSC and HSC Passing Certificate.

c) GNM/B. Sc. (Nursing) First, Second, Third Year Mark Sheets.

d) Attempt Certificate of GNM/B. Sc. (Nursing)

e) Diploma, Degree and Registration Certificate with recent renewal date.

f ) Medical Fitness Certificate.

g) School/College Leaving Certificate.

h) Caste Certificate/Caste Validity Certificate/Non Creamy Layer Certificate/

PAP/PH Certificate if applicable. (Non Creamy Layer Certificate should be valid for 2012-13 year)

06/08/2012

to

21/08/2012

2. Distribution of admit cards at where the application form is submitted 04/09/2012

3. Date of Examination 09/09/2012

4. Centre of Examination As indicated in Admit Card

5. 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

f) Examination concludes

9.15 a.m.

9.50 a.m.

9.55 a.m.

10.00 a.m.

10.00 a.m.

12.30 p.m.

6. Declaration of Final Result 15/09/2012

7. Issue of Mark Sheet where the application form is submitted 21/09/2012

8. Note :- The change can be taken place in the above specified programmed if any administrative difficulties arise.

INDEX Sr. Title Pg. No.

1 INTRODUCTION 01

2 DEFINITION 01

3 CONDUCT OF COMPETETIVE WRITTEN EXAMINATION 02

4 ELIGIBILITY 03

5 DECLARATION OF RESULT AND PREPARATION OF STATE MERIT LIST. 03

6 CONDUCT & DECIPLINE 04

ANNEXURES

‘A’ Guidelines for Applications 05

‘B’ Notifying Centers 05

‘C’ Designated Authority 06

‘D’ Constitutional Reservation. 07

‘E’ Physically Handicap (PH) 08

‘F’ Physically Handicap Certificate 09

‘G’ Medical Fitness Certificate 10

‘H’ Instructions for filling the Application form 11

‘I’ Application Form 13

‘J’ Specimen Copy of front page of Question Booklet 15

‘K’ Instructions how to mark in OMR. Answer Sheet 16

‘L’ Specimen Copy of OMR Answer Sheet 17

'M' Receipt of Application Form 19

'N' Receipt-cum-Identity Card 20

'P' Posts of "Staff Nurses" available 21

MHN‐CWT 2012 | MHN‐CWT 2012 | MHN‐CWT 2012 | MHN‐CWT 2012

DMER, Mumbai (1) Information Brochure

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAI

MHN - CWT- 2012 Competitive Written Examination For Recruitment of Staff Nurses

1. INTRODUCTION 1.1 The Government of Maharashtra has decided to recruit competent and efficient staff

nurses on the basis of merit through competitive written examination. 1.2 Objectives :- This competitive written examination is meant for recruitment of

competent candidates for the post of staff nurses and to appoint selected G.N.M/B. Sc. (Nursing) & M. Sc. (Nursing) trained nurses in the hospital under establishment of Director of Medical education & Research, Mumbai. (Government of Maharashtra)

2. DEFINITIONS

2.1 "Director" - Means Director of Medical Education & Research Maharashtra Government who will conduct competitive written examination for the post of Staff Nurses

2.2 " Divisional Authority" :- The Dean of specified Govt. Medical Colleges & Hospitals will be known as Divisional Authority and will be responsible to carry out the directions and instructions of the Competent Authority.

2.3 "Notified Examination Centers" - The Matron office of the Medical Colleges and Hospitals responsible for distribution of information brochures, for competitive written examination - 2012, receipt of the applications forms, collection and distribution of Admit Cards and Mark Sheets of Competitive Written Examination.

2.4 "Appeal Committee" - A committee under the chairmanship of the Director shall deal with representations submitted by the candidates regarding competitive written examination and the selection process for the recruitment of the post of Staff Nurses.

2.5 "G.N.M./R.G.N.M." - A 3 or 3 1/2 Years diploma nursing and training course recognized by the INC, New Delhi & recognized by the MNC (M.S.) & approved by the Government of Maharashtra.

2.6 "Basic B.Sc. (Nursing)" - A 4 Years graduate degree course in nursing and Post Basic B.Sc. 2 Years degree Course recognized by the INC, New Delhi & recognized by the MNC (M.S.) & approved by the Govt. of Maharashtra.

2.7 "Maharashtra Nursing Council" (MNC) - is a autonomous body functioning under the jurisdiction of Maharashtra State for the recognition of diploma nursing course, conduction of said course examination, providing registration to the candidates who have successfully completed the nursing courses.

2.8 "Indian Nursing Council" (INC) - means the Indian Nursing Council established under the Indian Nursing Council Act, 1947.



2.9 "University" - means the non agricultural universities constituted under the Maharashtra University Act, 1994 and Maharashtra University of Health Sciences, Nashik constituted under MUHS Act, 1998.

2.10 "Competitive Written Examination" - A written examination introduced for selection of meritorious Staff Nurse.

2.11 "Scheduled Caste (SC)" means Scheduled Caste as specified and laid down by the Government of Maharashtra.

2.12 "Scheduled Tribes (ST)"- means Scheduled Tribes as specified and laid down by the Government of Maharashtra.

2.13 "Vimukta Jati (VJ)"- means Vimukta Jati as per specified and laid down by Government of Maharashtra.

2.14 "Nomadic Tribes (NT) - means Nomadic Tribes as specified and laid down by Government of Maharashtra.

2.15 "Other Backward Classes/Special Backward Class (OBC/SBC)" - means other Backward Class/Special backward class as specified and laid down by Government of Maharashtra.

2.16 "Physically Handicapped (PH)" means Physically Handicapped candidates as per the Government Resolution issued by Govt. of Maharashtra vide G.R. MES-1202/(81)/MED-1, Dated 19 August, 2005 subject to the physical fitness Certificate in prescribed proforma.

2.17 "Project Affected Persons (PAP)" - means Project Affected Persons as per the Govt. Resolution issued by Govt. of Maharashtra. dated 27-10-2009.

2.18 "Part Time Employee ( Aunshakalin)" - means part time employee (Aunshakalin) as specified in Govt. G.R. dated 27-10-2009 issued by GAD.

3. CONDUCT OF COMPETETIVE WRITTEN EXAMINATION 3.1 The Candidate who is eligible for the written test, will have to appear for the exam. on

their own cost.

3.2 The competitive written examination 2012 will be conducted on Sunday 09/09/2012 during 10.00 a.m. to 12.30 p.m.

3.3 The competitive written examination will be conducted at four centers (Mumbai, Pune, Aurangabad and Nagpur)

3.4 The competitive examination will be conducted in English only.

3.5 MHN-CWT paper will be of two and half hours duration containing 150 multiple choice questions (MCQS). Questions will be of single best response objective type with four answer options. Each correct response shall be awarded one mark. There shall be no negative marking for wrong answers. Scratching, overwriting, tick mark and multiple answers will be considered as wrong answers and no marks will be awarded to them.

3.6 Competitive Written Examination shall be of the standard of General Nursing & Midwifery Examination and shall cover all the subjects of General Nursing & Midwifery Courses.



3.7 Syllabus of Examination :- 125 questions shall be based on syllabus of G.N.M./Basic B.Sc. Syllabus and 25 questions shall be General Aptitude test.

3.8 The number of vacant post may very at the time of recruitment. The recruitment to the post of Staff Nurse will be made as per available Post and as per need with taking into account the roster point.

4. ELEGIBILITY 4.1 The applicant must be an Indian National and Domicile of Maharashtra State.

4.2 Education Qualification : General Nursing Midwifery 3 or 3 1/2 years Diploma Course OR B.Sc. Nursing (Basic/Post Basic) Degree Course, pass from institution situated in Maharashtra.

4.3 The applicant must have registered to Maharashtra Nursing Council and should submit the certificate of registration and certificate of Diploma / Degree at the time of application.

4.4 A candidate allowed to appear for the said competitive exam does not mean that, he/she is qualified for the appointment to the post of Staff Nurse. A candidate will be declared qualified only after he/she successfully passed the said exam. and will fulfill to produce all required original certificates during the process of scrutiny of original documents.

4.5 Age: The Candidate should not be more than 33 years on 20-08-2012. Age relaxation up to 5 years for Backward Classes (38 Years) and if candidate is already in service the above age limit will be relaxable as per rule. (PAP & PH Candidate should not be more than 45 years.) For Aunshkalin age limit is 46 Yrs.

5. DECLARATION OF RESULT AND PREPARATION OF STATE MERIT LIST 5.1 The Director shall conduct competitive written examination for Staff Nurses

recruitment, evaluate the answer sheets and prepare the Provisional State Merit List (SML)

5.2 The Director will prepare a Provisional Merit List indicating Merit List Number, Name, Category Merit Number and Marks scored by the Candidate. The same will be made available on DMER web site.

5.3 For corrections if any in the mark sheet e.g. Name, Age, Sex etc. representation should be submitted to the Director within 3 days from the date of declaration of Result through the office of respective Divisional Authorities.

5.4 The Competent Authority will prepare State Merit List of eligible candidates who have completed their General Nursing And Midwifery from institutions recognized by the M.N.C., Mumbai/I.N.C. New Delhi which are situated in the state Maharashtra only.

5.5 The Selection List will be valid maximum up to one Year only from the date of declaration of the Result. However if required this period may be extended.

5.6 To be eligible for selection to recruitment for Staff Nurse post a candidate must secure 50 % marks in competitive written examination.

5.7 Equal Marks in MHN-CWT Tie-Breaker-Determination of the inter-se-merit. In case of two or more candidates obtaining equal marks in the MHN-CWT 2012 the inter-se-merit of such candidates will be determined in the order of Preferences as under.



5.7.1 The candidate with more aggregate marks (converted into percentage) at First, Second and Third Year of Revised General Nursing and Midwifery Course / B.Sc. Nursing taken together shall be preferred. If the tie still persists.

5.7.2 The candidate with more aggregate marks (converted into percentage) at Higher Secondary School Certificate Examination (12 th Std.) shall be preferred. If the tie still persists.

5.7.3 The candidate with more aggregate marks secured by the applicant at 10 th Std. examination, taken as a whole converted in percentage.

5.7.4 If tie still persist an older candidate will be preferred over a younger candidate.

6. CONDUCT AND DISCIPLINE Failure of the candidate in making full and correct statement in the application form and/or suppression of any information would lead to disqualification of the candidate, even at the later date. Such a candidate will be debarred from the entire selection process. 6.1 Appointment order will be issued as per merit to the selected candidates. The

probation period of two years of such candidates for the post of Staff Nurse will be started as soon as he/she will report to the place where he/she will be appointed. During this period if the candidates remain absent from the duty without legal & written permission of the head of the institute his/her services will be immediately terminated without giving him/her a prior notice, no further enquiry in this regards will be entertained.

6.2 The selection of the candidate for the post of Staff Nurse will be made on the basis of the certificates which he/she will produce at the time of verification of the documents only. (Receipts in lieu of certificate will not be entertained, certificates produced latter will not be considered.)

The candidates should note that it is his/her full responsibility to produce all the required documents at the time of verification. (i.e. if a candidate belongs to O.B.C. he/she must have a certificate of Non Creamy Layer with him at the time of verification otherwise he/she will be consider in OPEN Category). In any condition, no changes will be made in the final selection list prepared & published by the DMER Selection Committee. Non Creamy Layer should have been issued on or after 01-04-2012 or should be valid for 2012-13 Yrs.

6.3 A selected candidate will be given a 30 days time limit to join at the recommended institute from the date of issue of appointment order. In any condition this period will not be extended. A candidate fails to join the said institution in stipulated period will not be consider again and his/her claim for the entire selection will be lapsed & he/she will be disqualified from the entire process.

6.4 The address of correspondence given by the candidate should be in detailed & correct. If any changes made in the correspondence address till the date of appoint should be informed to the DMER in written by Registered Post A.D. in time, otherwise if the letter/order posted on the address given by the candidate is not reached to the candidate he/she himself will be responsible for the same.

6.5 If any candidate found to pressurized at any steps during or after the admission process or found to be adopting indiscipline manners or found to be leading an unauthorized persons to interfere in selection process will be declared disqualified and his/her selection will be cancelled.

6.6 The DMER/Government has reserved his final rights to make any changes/ modifications in the procedure specified in the Information Brochure.

6.7 The typographically mistakes in application form & Information Brochure will not lead to the candidates to take any disadvantages.

*** *** ***



Annexure “A” GUIDENLINES FOR APPLICATION

1. Apply only if you are eligible as per the prescribed criteria mentioned in Information Brochure.

2. Enclose attested photo copies of all relevant certificates with the application form.

3. Fill in the application form in your own handwriting.

4. Ensure that entries made in the application form are clear and legible.

5. A candidate should send only one application.

6. Write your name as recorded in Diploma/Degree Certificate.

7. Write the name if changed after marriage, if documents are available.

8. Recent passport size photograph must be affixed on the application in the specified box provided.

Annexure “B” Competitive Written Examination MHN-CWT-2012

Notified Centers and Code Number Sr. No.

District Code

Name & Full Address of the Colleges & Hospitals Telephone No./Fax No.

1. 11 Sir J.J. Group of Hospitals, Byculla, Mumbai – 400 008

Tel : (022) 23735555 23731144 Fax : (022) 23735599

2. 12 Sasoon General Hospital, Pune- 411 001 Tel : (020) 26128000 26126010 Fax : (020) 26126868

3. 13 Dr. V.M. Govt. Medical College & Hospital in front of District Court, Solapur – 413 003

Tel : (0217) 2319161 Fax : (0217) 2310766

4. 14 General Hospital, Pandharpur Road, Miraj, Dist. Sangli- 416 410

Tel : (0233) 2232091- 99 2231158 Fax : (0233) 2231959

5. 15 Shri Bhausaheb Hiray Govt. Medical College & Hospital, Mumbai-Agra Highway, Chhakarbardi Campus, Near Residency Park, Dhule -424301

Tel : (02562)239407 239207 Fax : (0231) 239207 239106

6. 16 R.C.S.M.Govt. Medical College & General Hospital, Kolhapur – 416 002

Tel : (0231) 2641583 Fax : (0231) 2645279

7. 17 Government Medical College & Hospital, Medical Square, Hanuman Nagar, Nagpur- 440003

Tel : (0712) 2701642 2702404 Fax : (0712) 2744489

8. 18 Shri Vasantrao Naik Govt. Medical College & Hospital Civil Line, Yavatmal – 445 001

Tel : (07232) 242456 240843 Fax : (07232) 244148

9. 19 Government Medical College & General Hospital Campus, Collector Office Road Dist. Akola-444001

Tel : (0724) 2431960 2437078 Fax : (0724) 2437078

10. 20 Government Medical College & Hospital Compound, Near Panchakki Road, Aurangabad 431 001

Tel : (0240) 402412-17 2402418 Fax : (0240) 2402418 2402419

11. 21 Dr. Shankarrao Chavan, Government Medical College & Guru Govind Singh Memorial Hospital, Vazirabad, Nanded 431 601

Tel : (02462) 234118 231573 234525 Fax : (02462) 234702 231573

12. 22 Government Medical College & General Hospital, Civil Hospital Campus, Latur – 412 513

Tel : (02382) 247676 253017 Fax : (02382) 253017 249292

13. 23 Swami Ramanand Teerth Rural Medical College & Hospital, Ambajogai Dist. Beed-431 517

Tel : (02446) 247031 247060 248438 Fax : (02446) 247132



Annexure “C” List of Designated Authorities

Sr. No.

Name & Address of Designated Authority Notified Colleges Telephone No./Fax No.

1

Dean, Grant Government Medical College, Mumbai J.J.Hospital Compound, Byculla, Mumbai 400 008

Grant Government Medical College, J.J.Hospital Compound, Byculla, Mumbai 400 008

Tel : (022) 23735555 23731144 Fax : (022) 23735599

B.J. Government Medical College, Pune 411 001

Tel : (020) 26128000 26126010 Fax : (020) 26126868

D r. Vaishampayan Memorial Government Medical College,

Tel : (0217) 2319161 Fax : (0217) 2310766

Government Medical College, Pandharpur Road, Miraj, Dist. Sangli 416410

Tel : (0233) 2232091-99 2231158 Fax : (0233) 2231959

R.C.S.M. Govt. Medical College, CPR Hospital Compound, Dasara Chowk, Kolhapur-416002

Tel : (0231) 2641583 Fax : (0231) 2645279

2 Dean, B.J. Government Medical College, Pune

Shri Bahusaheb Hire Govt Medical College, Mumbai-Agra Highway, Chhakarbardi Campus, Near Residency Park, Dhule 424301

Tel : (02562) 239407 239207 Fax : (02562) 239207 239106

Government Medical College, Ghati Hospital Compound, Near Panchakki Road, Aurangabad 431 001

Tel : (0240) 2402412-17 2402418 Fax : (0240) 2402418 2402419

Dr. Shakarrao Chavan, Government Medical College, Vazirabad, Nanded 431 601

Tel : (02462) 234118 231573 234525 Fax : (02462) 234702 231573

Swami Ramanand Teerth Rural Government Medical College, Ambajagai, Dist. Beed 431517

Tel : (02446) 247031 247060 248438 Fax : (02446) 247132

3

Dean, Govrnment Medical College, Ghati Hospital Compound, Near Panchakkar Road, Aurangabad 431 001

Government Medical College. Civil Hospital Campus, Latur - 412513

Tel : (02382) 247676 253017 Fax : (02382) 253017 249292

Government Medical College, Medical Square, Hanuman Nagar, Nagpur- 440003

Tel : (0712) 2701642 2702404 Fax : (0712) 2744489

Government Medical College, General Hospital Campus, Collector Office Road Dist. Akola-444001

Tel : (0724) 2431960 2437078 Fax : (0724) 2437078

4

Dean, Government Medical College, Medical Square, Hanuman Nagar, Nagpur- 440003

Shri Vasantrao Naik Govt. Medical College, Civil Line, Yavatmal - 445001

Tel : (07232) 242456 240843 Fax : (07232) 244148



Annexure "D" CONSTITUTIONAL RESERVATIONS (BC)

1) Following seats are reserved for categories detailed below. Selection will be made

strictly on the basis of Merit within each category only. Constitutional reservation

shall be available for candidates of Maharashtra State only.

2) Post reserved are as follows.

A Scheduled Castes & Scheduled Caste convert to

Buddhism (SC)

13.00 %

B Scheduled Tribes including those living outside specified

areas (ST)

7.0 %

C Vimukta Jati (VJ) 3.0%

D Nomadic Tribes (NT-1) 2.5 %

E Nomadic Tribes (NT-2) 3.5 %

F Nomadic Tribes (NT-3) 2.0 %

G Other Backward Class (OBC) 19.0 %

H Special Backward Class (SBC) 2.0 %

I OPEN 48.0 %

Candidates belonging to categories of Backward Classes stated at (A) to (H)

will be required to submit the Caste Certificate/Caste Validity Certificate & Non

Creamy Layer Certificate for (C) to (H)

* The Candidate should have claimed the constitutional reservation in the

original application form. The candidate claming constitutional reservation

must submit caste validity certificate.

3) NON-CREAMY LAYER : A candidate belonging to 'Creamy Layer' amongst the categories

(C) to (H) must note that the provision of reservation is NOT applicable to him/her. A

candidate claming benefit of reservation under the categories (C) to (H) above will be required

to produce Non-Creamy Layer Certificate in the name of parent and candidate and the

certificate should be issued after 31/03/2012 and valid up to 31/03/2013



Annexure “E” PHYSICALLY HANDICAPPED (PH)

1) As per G.R. No.MES-1202/(81) MED-1, Dated 19/08/2005, 3 % of the total available posts in

Government Medical Colleges & Hospitals, Health Unit etc. are reserved for the physically

handicapped candidates. As per Government of Maharashtra guidelines the physically

handicapped candidates should have "One Leg Affected (OL-1 %), Partly deaf (PD-1 %) or

Partly or sighted (PS-1%) disability."

However, such a candidate will be required to undergo medical examination by a

special Medical Board constituted for this purpose. The Medical Board after ascertainment of

his/her disability must be satisfied that the candidate is physically fit to undergo the course,

despite his/her disability.

The Medical Board at Sir J. J. Group of Hospitals, Mumbai or the Special Board

constituted for this purpose by Competent Authority will also work as referral board in required

cases. No other disability shall be allowed as per the Government of Maharashtra guidelines.

2) Candidate is required to submit the proof of his disability by way of a certificate in prescribed

Pro-forma from Civil Surgeon of a District Hospital/Medical Board/Medical Superintendent of

Government Medical College & Hospital in Maharashtra; or from the Director of All India

Institute of Physical Medicine and Rehabilitation, Haji Ali, Mumbai; (as per Prescribed Pro-

forma) at the time of verification of documents.

Verification of the disability will be carried out by special Medical Board of the

College/Hospital at the place of the Designated Authorities before selection for a post

finalized. The concerned Regional/Designated Authorities for the areas are as under.

Region Designated Medical Board

Mumbai Sir J. J. Group of Hospitals Compound, Byculla - 400 008

Rest of Maharashtra except Mumbai

Sasoon General Hospital, Pune-411 001

Marathwada Govt. Medical College & Hospital, Aurangabad - 431 001

Vidarbha Govt. Medical College & Hospital, Nagpur - 440 003



ANNEXURE “F” PROFORMA OF CERTIFICATE FOR PHYSICALLY HANDICAPPED (PH)

This is to certify that after clinical examination, it has been found that

Mr./Mrs………………………………..who desires to claim the benefit of post reserved for Physically

Handicapped persons in as individual with …………….. percent permanent / partial disability to one

leg affected (OL)/ Partially deaf (PD)/ Partially sighted (PS).

It is also certified that he/she fulfills following criteria.

1) Absence of any incapa ct posture.

2) Absence of any major visua/auditory, Disability.

3) Absence of psychosis/neurosis/mental retardation.

4) Abilities to maintain erect posture,

5) Reasonable manual dexterity,

It is further certified that he/she is medically fit to appoint on the post of Staff Nurse, in spite of

his/her physical disability diagnosed as ------------------

Place :- Signature :- Date :- Name:- Official Seal ----------------------------------------------------------------------------------------------------------------------------------



Annexure "G" MEDICAL FITNESS

A candidate must be medically fit for selection for the post. 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 Shri/Smt./Kumari

.............................................................. who is desirous of selection to the post of Staff Nurse

in Government Medical/ Dental Colleges & Hospital on the establishment of Directorate of

Medical Education & Research, Mumbai.

He/she has not given any personal history of any disease incapacitating him/her. Also, on

clinical examination it has been found that he/she is medically unfit / ....................... to do the

work required for the post of Staff Nurse.

Certified that he/she fulfills the following criteria.

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

Yes/

2. Absence of any disability of upper limb/s. Yes/

3. Absence of any major visual/ auditory disability. Yes/

4. Absence of psychosis/neurosis/mental retardation, Yes/

5. Ability to maintain erect posture, Yes/

6. Reasonable manual dexterity. Yes/

Though, following deviations have been revealed, in my opinion, these are not impediments

to do work as Staff Nurse.

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

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

3. ...................................................................................................................

Signature:

Name:

Registration No.:

Address of the Registered Medical Practitioner

Date : Seal of Registered Medical Practitioner



Annexure "H" GENERAL INSTRUCTIONS FOR FILLING APPLICATION FORM FOR MHN-CWT- 2012

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 circle completely like this . Do not mark the circle like this X 5. Please note that, no certificate (Original/Photocopy) is to be submitted along with the application form.

How to Fill the Computerised Application form

1. Name of Candidate :- Write in CAPITAL letters within the boxes provided. e.g.: Latika

Devidas Naik, Mother’s Name : Mrs.Sharadini

First Name L A T I K A

Mother's Name S H A R A D I N I

Father's/Husband’s Name D E V I D A S

Last Name(Surname) N A I K

2. Name & Address of the Institution from which Nursing Course (GNM/B.Sc.) completed, with pin code No.

3 Address for Correspondence : Write detail address with pin code No.

4. Date of Birth e.g.: 30th November 1979 Date Month Year 3 0 1 1 1 9 7 9

5. Darken : Darken the appropriate circle of gender.

6 Candidate is Domicile holder of: - Darken the appropriate circle. 7. Details of SSC (10Std)/Equivalent Examination. SSC(10th)/equivalent passed from School situated in - Darken the appropriate circle

8. Details of HSC (12TH) HSC (12th)/Equivalent Exam/Passed from -Darken the appropriate circle

9. GNM/B.Sc. Nursing Course Passed from Institute situated in Maharashtra/Out side Maharashtra.



10. Application Form Submission District Code:- The candidate should submit the Application Form to any of the Notified College :- To darken appropriate circle Refer Annexure ‘B’.

11. Constitutional reservations: Darken the appropriate circle. The candidate claiming constitutional reservation must show the necessary certificates i.e. Caste Certificate, Caste/Tribe Validity Certificate and Non Creamy Layer Certificate (if applicable) at the time of submission of Application form. Candidates from the open category/common merit should darken the circle for Open.

12. Choice of Exam Center :- Mark the appropriate circle.

13. PAP :- Mark the appropriate circle if you want to claim specified reservation for Project Affected Person.

14. Aunshakalin :- Mark the appropriate circle if you want to claim specified reservation

for Part time employee. 15. EQA :- Mark the appropriate circle if you want to claim specified reservation for Earth

Quake Affected. 16. Specified Reservation :- Mark the appropriate circle if you want to claim reservation

as a Physically Handicapped Candidate. If yes, specify the type of handicap, whether orthopedic/ hearing/visual. Mark the appropriate circle.

17. Total Marks obtained in SSC/Equivalent Examination. e.g.

Grand Total 0 6 1 1 Out of 0 7 5 0

18. Total Marks obtained in HSC/Equivalent Examination. e.g. Grand Total 0 6 1 1 Out of 0 7 5 0

19. Total Marks obtained during in GNM Course. Grand Total 0 6 1 1 Out of 0 7 5 0

20. Total Marks obtained during in B.Sc. Nursing Course. Grand Total 0 6 1 1 Out of 0 7 5 0

Signature of Candidate: The Candidate should sign within the box below the photograph

in square provide. Signature should not touch or cross the outline of the box. The Parent/Husband should sign the declaration. The candidate should also sign the declaration.

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. Do not put stamp/seal or Signature on the photograph.



Annexure – “I”



ANNEXURE - "J" Specimen Copy of MHN-CWT 2012 front page of a Question Booklet

MHN-CWT-2012

Question Booklet Version

MHN-CWT-2012 Roll No. Question Booklet Sr.No. Answer Sheet No.

(Write this number on your Answer Sheet

(Write this number on your Answer Sheet)

Day and Date : 09-09-2012 Duration: 2 1/2 hour. Total Marks : 150

This is to certify that, the entries of MHN-CWT Roll No. and Answer Sheet No. have been correctly written and verified. Candidate’s Signature Invigilator’s Signature _________________________________________________________________________________

Instructions to Candidates

1. This question booklet contains 150 Objective type question. 2. The question paper and OMR (Optical Mark Reader) Answer Sheet is issued separately at the

start of the examination. 3. Choice and sequence for attempting questions will be as per the convenience of the candidate. 4. Candidate should carefully read the instructions printed on the Question Booklet and Answer

Sheet and make the correct entries on the Answer Sheet. As Answer Sheets are designed to suit the OPTICAL MARK READER (OMR) SYSTEM, special care should be taken to mark the entries correctly. Special care should be taken to fill QUESTION BOOKLET VERSION, SERIAL No. and MHN-CWT Roll No. accurately. The correctness of entries has to be cross-checked by the invigilators. The candidate must sign on the Answer Sheet and Question Booklet.

5. Read each question carefully. 6. Determine the correct answer from out of the four available options given for each question.

7. Fill the appropriate circle completely like this •, for answering a particular question. Mark with Black ink ball point pen only.

8. Each answer with correct response shall be awarded one mark. There is no Negative Marking. No mark shall be awarded for marking two or more answers of same question, scratching or overwriting.

9. Use of whitener or any other material to erase/hide the circle once filled is not permitted. 10. Avoid overwriting and/or striking of answers once marked. 11. Rough work should be done only on the blank space provided on the Question Booklet. Rough

work should not be done on the Answer Sheet. 12. Immediately after the prescribed examination time is over, the Question Booklet and Answer

sheet is to be returned to the invigilator. Confirm that both the candidate and invigilator have signed on question booklet and Answer sheet.

13. No candidate is allowed to leave the examination hall till the time is over.



ANNEXURE - "K"

Important Instructions - How to Mark In The ‘OMR Answersheet’

1. Use only BLACK ink ball point pen to darken/mark the appropriate circle.

2. Mark should be dark and should completely fill the circle.

3. Mark/darken only one circle for each entry. The answer once marked is final, any change in the option once marked, done by any method, will amount to a invalid/incorrect response.

4. A lightly/faintly marked/darkened circle may also be treated as a incorrect/wrong method of marking and may not be read by the Optical Scanner.

5. Marking should only be done in the space provided.

6. Please do not fold the answer sheet and do not make any stray marks on it.

Marking of Responses:-

There will be four answer options for each question. The candidate will indicate his/her response to the question by darkening the appropriate circle completely with BLACK ink ball point pen.

For example Question No.15 in the Question Paper reads as follows:-

15. Coronary Arteries supply blood to the

(A) Lung (B) Brain (C) Heart (D) Intestine

The correct answer is ‘C’ Heart. The candidate will locate the place for response to Q.no.15 in the OMR Answer sheet and darken the circle where the option ‘C’ is printed as shown below :-

15.

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.

CHANGING AN ANSWER IS NOT ALLOWED

The candidates must fully satisfy themselves about the accuracy of the answer before darkening the appropriate circle, as no change in the Answer once marked is allowed. The answer once marked is final, any change in the option once marked, done by any method, will amount to a invalid/incorrect response.

A B D



ANNEXURE - "L"



ANNEXURE - "M"

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAI MHN-CWT-2012

TO BE RETAINED BY THE CANDIDATE

(This is receipt for application form and information brochure)

Application form No.

Received Rs.................................. by D.D. /Pay Order No........................... towards the cost

of application form & information brochure & examination fees.

Date :- / /2012 Name of the Bank ...................................................................................

Date :- .................................

From Mr./Mrs./Kum.................................................................................................................... Date :- / /2012. Place :- Seal/Stamp of College Signature of the receiving Clerk ...................................................................................................................................................



Annexure "N"

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAI MHN-CWT-2012

RECEIPT - CUM - IDENTITY CARD

(This is receipt for MHN-CWT-2012)

Received Application form No. From Mr./Mrs./Kum................................................................................................................. for recruitment to MHN-CWT-2012 Photograph of the

Candidate (Attested by Dean/ Principal/Matron)

Date: / /2012 Signature of Signature of Dean/Principal Receiving Clerk Seal/Stamp of the College .................................................................................................................................................. Note: This is only Receipt-cum-Identity Card. The issue of the card does not mean that the candidate is eligible for selection and Recruitment of Staff Nurse. CANDIDATE WILL BE ISSUED ADMIT CARD FROM RESPECTIVE MEDICAL COLLEGE/OFFICE WHERE SHE/HE SUBMITTED HER/HIS APPLICATION FORM. ...................................................................................................................................................



Annexure "P"

Available of Post of Staff Nurses

PH (3%)

PAP (5%)

EQA (2%)

PT (10%) Unreserved Total

S.C. (13%)

3 6 2 11 87 109

S.T. (7%)

2 3 1 6 46 58

VJ/DT (A) (3%)

1 1 1 3 20 25

NT-1 (2.5%)

1 1 - 2 17 21

NT -2 (3.5%)

1 1 1 3 23 29

NT -3 (2%)

- 1 - 2 13 17

OBC (19%)

5 8 3 16 127 159

SBC (2%)

- 1 - 2 14 17

OPEN (48%)

12 20 8 40 320 400

TOTAL

25 42 16 85 667 835



1) Candidate must preserve the Receipt - cum- Identity card and Admit Card safely and bring 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 Fourty 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 respective Divisional Authority not later than one hour before the commencement of examination, on production of sufficient evidence to prove that he/she is the genuine/bonafide examinee (Receipt-cum-Identity card issued by the Notified 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 and

Authority letter (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 MHN - CWT - 2012 and does not imply that the candidates satisfies all the requirements of eligibility conditions for recruitment.

9) Please quote your application form number and roll number in further

correspondence. 10) In case the Admit Card is not received the office of the Directorate

should be contacted immediately for duplicate Admit Card.

IMPORTANT INSTRUCTIONS TO CANDIDATES



MHN CWT 2012

DESIGNATED AUTHORITY

Government of Maharashtra MEDICAL EDUCATION & DRUGS DEPARTMENT File MHN CWT_Brochure 2012.pdf ·...

Documents

Transcript of Government of Maharashtra MEDICAL EDUCATION & DRUGS DEPARTMENT File MHN CWT_Brochure 2012.pdf ·...