government of maharashtra medical education & drugs department

04/06/2012

MEDICAL EDUCATION & DRUGS DEPARTMENT

Application form & Information Brochure for MH PGN-CET Course (2 Years)

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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

MH PGN-CET-2012

PREAMBLE

As per Indian Nursing Council Norms candidates for M.Sc. Nursing Course

should be selected through Common Entrance Test. The Govt. of Maharashtra wide

letter No. NUR-100/C.R.248/Edu-2, Dated 4th September 2012 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.

Sd/-

Competent Authority MH PGN -CET 2012

MH PGN -CET 2012

IMPORTANT INFORMATION AT A GLANCE

1. Sale & submission of information brochure and application forms 10/09/2012 to 17/09/2012

2. Last Date of Submission of application forms to Principal, College of Nursing 17/9/2012 till 3 pm

3. Last Date to receive admit card at DMER office 21/9/2012 to 22/9/2012

4. Date Of Examination Sunday 23/09/2012

5. Centre of Examination As shown 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

f) Examination concludes

9.15 a.m.

9.40 a.m.

9.55 a.m.

10.00 a.m.

10.00 a.m.

12.00 p.m.

7. Declaration of Result 25.09.2012

8. Counselling, preference form filling & mark sheet distribution at DMER office

28.09.2012 09.00 a.m

INDEX

Sr. Title Pg. No.

1 INTRODUCTION 01

2 SCHEME OF EXAMINATION 01

3 ELIGIBILITY FOR ADMISSION TO M.Sc. Nursing DEGREE (2years) COURSE 02

4 APPLICATION FORM & INFORMATION BROCHURES 03

5 CERTIFICATES 04

6 PREPARATION OF MERIT LIST AND DECLARATION OF RESULT 05

7 CONDUCT AND DISCIPLINE 05

8 LEGAL JURISDICTION 06

9 Fees Structure 07

ANNEXURES

‘A’ CONSTITUTIONAL RESERVATIONS 08

‘B’ PHYSICALLY HANDICAPPED (PH) 10

‘C’ NON-CREAMY LAYER CERTIFICATE 11

‘D’ MEDICAL FITNESS 12

‘E’ INSTRUCTION FOR FILLING APPLICATION FORM FOR MH PGN-CET-2012 13

‘F’ RESERVATION AND BREAKUP OF SEATS 16

MHPGN-CET 2012 | MHPGN-CET 2012 | MHPGN-CET 2012 | MHPGN-CET 2012

DMER, Mumbai (1) Information Brochure

DIRECTORATE OF MEDICAL EDUCATION & RESEARCH, MUMBAI

MH PGN-CET 2012

1. INTRODUCTION The Entrance Examination for the Selection of M.Sc. Nursing Post Graduate Course in

the State of Maharashtra for the Academic Year 2012-2013 shall be conducted by the

Competent Authority appointed by the Govt. of Maharashtra.

As per Govt. of Maharashtra wide letter No.NUR-100/C.R.248/Edu.-2, Dated 4th

September 2012 Directorate of Medical Education & Research, Mumbai will be

Competent Authority to conduct Entrance Examination for MHPGN-CET-2012

2. SCHEME OF EXAMINATION

2.1 The Examination will be conducted in Mumbai Maharashtra on Sunday 23rd 2012

at 10.00 am to 12 noon

2.2 The MHPGN-CET-2012 will consist of Multiple Choice Question 100 no & one 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 Candidate should completely darken one and the only one best response (circle)

e.g A B C D

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 be not any manual checking during evaluation and verification.

2.5 Grievance Redressal Committee. A Grievance Redressal Committee will be

constituted at each sub 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.

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

Mental Health Nursing, Obstratics & Gynac Nursing , Nursing research & statistics, Nursing

Administration, Nursing Education.

3. ELIGIBILITY CRITERIA FOR MH PGN-CET-2012 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 who have passed Basic B.Sc. Nursing/Post Basic B.Sc.

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

from recognized College of Nursing by Indian Nursing Council, Delhi. With

minimum 50% Marks for Open Category and 5% relaxation will be given to

Reserved Category. The candidate who have completed IGNOU B.Sc.

Nursing from recognized study centre should be recognized by Indian Nursing

Council i.e. I.N.E.,Mumbai, Tehmi Grant College of Nursing, Pune.

3.3. The candidate will be selected only on Merit Basis of MHPGN-CET-2012. If

there is a tie in MHPGN-CET-2012 rank selection will be done on the basis of

a) Highest aggregate of P.B.B.Sc. Nursing/Basic B.Sc. Nursing

b) G.N.M.

c) 12th aggregate Marks.

3.4 Age :-

a) Age Limit for In service Govt. Candidate is 50 Years on or Before 31th

July 2012

b) For Private Candidates 55 Years on or Before 31th July 2012.

3.5 Experience :- a) The Candidate who is working permanently in state Govt. of Maharashtra

should have 2 Yrs. Experience after Degree Course.



b) The Candidate who have been selected in Govt. Service through CWT

should have completed minimum 5 Yrs of Experience from the Date of

Joining in the Govt. Service.

c) Candidates from private organizations appearing for this MHPGN-CET-

2012 should have one year of minimum experience after registration in

the Maharashtra Nursing Council. 4. APPLICATION FORM & INFORMATIONA BROCHURE:-

Mode of sale application form & information brochure for MHPGN-CET-2012

at following centers.

a) Institute of Nursing Education, Sir J.J. Hospital Campus, Byculla, Mumbai – 8

b) S.T.S. Sinhagad College of Nursing, Serve No.41/1, West Bypass Pune

Banglore Highway, Narhe, Pune – 411 041.

c) Kasturbha College of Nursing, Kasturbha Health Society, Wardha,

1) The cost of the application form along with information brochure of MHPGN-

CET-2012 and the examination fees is Rs. 1000/- for Open Category & Rs.800/- for

Reserve Category Candidate. This amount is not refundable. The Candidate should

submit Demand Draft Pay Order drawn in favor

"DMER" Mumbai Payable at Mumbai from any nationalized Bank.

2) SEATS AVAILABLE FOR M.Sc. NURSING COURSE:-

Sr. No.

Institute Name Available Seats

Speciality Seats

1 Institute of Nursing Education, 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

2 S.T.S. Sinhagad College of Nursing, Serve No.41/1, West Bypass Pune Banglore Highway, Narhe, Pune – 411 041

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

5 Each

3 Kasturbha College of Nursing, Kasturbha Health Society, Wardha

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

5 Each



5. CERTIFICATES :- Original certificates and their attested photocopies must be submitted for scrutiny at the time of submission of complete form. 5.1 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’.

5.2 Domicile Certificate (Refer Rule 4.6) issued by District

Magistrate/Metropolitan Magistrate/Addl. District Magistrate or

Tehsildar. (Required only for the candidates passing SSC (10th

Std.) or equivalent examination situated outside the State of

Maharashtra.)

5.3 SSC i.e. 10th Standard or equivalent examination certificate and SSC

Statement of Marks

5.4 HSC i.e. 12th Standard equivalent examination Certificate and

Statement of Marks

5.5 G.N.M. 3 or 31/2 Years Mark sheets, Registration Certificate with

registration up to March 2017, Diploma Certificate.

5.6 Basic B.Sc. Nursing,/ P.B.B.Sc. Nsg./ P.C.B.Sc. Nsg./ IGNOU

P.B.B.Sc. Nsg. All Years Mark list along with Certificate

5.7 School Leaving Certificate, Birth Certificate

5.8 Medical fitness certificate (Annexure-D)

5.9 Constitutional reservation claim. (Annexure-A)

a) Caste Certificate

b) Caste Validity Certificate (CVC)

c) Non-Creamy Layer Certificate (for VJ/DT (v), NT (c), NT (d), NT (M),

SBC & OBC) valid up to 31/3/2013. (Annexure - C)

5.10 Specified Reservation Claim

a) PH Claim (Annexure-B)

5.11 Migration Certificate :-

5.12 Affidavit (Gap Certificate)

5.13 Bond for Laps of Seat.



6. 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 websites of DMER

i.e. www.dmer.org 25/09/2012.

6.1 Preparation of Merit List for Selection Marks obtained by the candidate at the MHPGN-CET-2012 will be corrected

stated at State Merit List indicating State merit number, category-wise merit number,

will be prepared on the basis of such corrected marks, in descending order of merit.

6.2 Tie-breakers:

In case of equal corrected marks at the MHPGN-CET-2012 the following procedure

shall be adopted for deciding inter-se merit,

First level: A Candidate with higher Marks in B.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 higher marks in HSC/12th Standard preferably science stream and PCB marks. Shall be preferred, if the tie still persists then:

Fourth level: An older candidate shall be preferred over a younger candidate.

6.3 All the candidates who have appeared for MHPGN-CET-2012 will receive their

mark sheet from the office of D.M.E.R. on 28/9/2012

6.4 In case of loss of original MHPGN-CET-2012 mark sheet, a duplicate mark

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

along with a demand draft/pay order drawn on any scheduled commercial

bank of Rs.100/-, in favor of “DMER’’, Mumbai’ payable at Mumbai

6.5 The Rules and Regulation/procedure stated herein is applicable for MHPGN-

CET-2012 Examination and selection to Health Science Courses for the

academic year 2012-2013.No promise is implied herein for the subsequent

years and no expectations should be based on this for future.

7. CONDUCT AND DISCIPLINE 7.1 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-2012 or even at later date.

Such a candidate will be debarred from the examination / entire selection

process.



7.2 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, Board and Other Specified Examination Act,

1982” and disqualify him/her for MHPGN-CET- 2012 examination.

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

2012 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 to prosecution under Indian Penal Code.

7.4Any candidate responsible for lapse of seat will have to pay a penalty of

Rs.2,00,000/- (Rupees Two lakhs 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.

7.5 For deputed candidate from Government will have to pay a penalty of

Rs.2,00,000/- (Rupees Two lakhs only) for lapse of seat and salary drawn

during that period with 4% Interest or which is more.

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

submit 5 years service bond to the Government, if the candidate fails to do

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

bank interest, then they will be relieved.

7.7 Candidate will have to pay the fees as per Shikshan Shulka Samiti (for

private College) and for candidate seeking admission in Government

institution will have to pay as per Government fee structure.

8. LEGAL JURISDICTION 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 Government of Maharashtra may sue or may be

sued.

9. 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.



10. Fees Structure at:- 10.1) Institute of Nursing Education, Mumbai

Admission Fee Rs.1500

Tuition Fee Rs.4500 for each Year

Breakup Charges Rs.1000 Refundable

Library Fee Rs.1000 Refundable

Hostel Fee Rs.5000

Club Fee Rs.500

Library Donation Rs.500

Miscellaneous Rs.500

Laboratory Fee Rs.500 Refundable

Total Rs.15000

Apart from above fees University Examination fees will be as per University Norms 10.2) S.T.E.S. Sinhagad College of Nursing, Pune

Admission Fee Rs.70093

Develop Fee Rs.4907

Total Rs.75000

10.3) Kasturbha Nursing College, Kasturbha Health Society, Wardha Admission Fee Rs.10000 Tuition Fee Rs.52500 Canteen Fee Rs.2000 Hostel Fee Rs.10000

Total Rs.74500 It may change as per Fee fixed by Shikshan Shulka Samiti



ANNEXURE-A CONSTITUTIONAL RESERVATIONS

1) The candidates recognized by the State of Maharashtra as belonging to the following Backward Classes, shall alone be eligible to claim admissions as against the seats reserved for such backward class categories. These Backward Class categories are as follows:-

(i) Scheduled Castes and Scheduled Caste converts to Buddhism (SC) 13.0 percent(ii) Scheduled Tribes (ST) 7.0 Percent (iii) Vimukta Jati ( VJ ) 3.0 percent (iv) Nomadic Tribes ( NT 1 ) 2.5 percent (v) Nomadic Tribes ( NT 2 ) 3.5 percent (vi) Nomadic Tribes ( NT 3 ) 2.0 percent (vii) Other Backward Category (OBC) including SBC 19.0 percent

Total 50.0 percent2) Candidates belonging to aforesaid Backward Class categories will be required to submit the Caste

Certificate and the Caste/Tribe Validity Certificate. 3) Caste certificate issuing authority: - Caste certificate stating that the caste is recognized under a

particular backward class category in Maharashtra state is issued by Sub-Divisional Magistrate /Executive Magistrate /Metropolitan Magistrate in Maharashtra state.

4) The Caste/Tribe validity Certificate Issuing Authorities are as follows:- a) For Candidates belonging to Scheduled Caste, Scheduled Caste converts to Buddhism,

Vimukta Jati (v), Nomadic Tribes c, d & M and Other Backward Class, Caste Validity Certificate is issued by Divisional Caste Scrutiny Committee of respective Divisional Social Welfare Office (Mumbai, Pune, Nashik, Aurangabad, Amravati, Nagpur and Latur).

b) For Candidates belonging to Scheduled Tribe the Tribe Validity Certificate is issued by Commissioner/Jt. Commissioner, Tribe Scrutiny Committee of respective Region [Kokan (Thane), Pune, Nashik, Aurangabad, Amravati, Nagpur, Nandurbar and Gadchiroli].

5) The candidates who have claimed the Constitutional Reservation in the original Application Form must submit Caste Validity Certificate at the time of filling the Preference Form, failing which the category claim, will not be granted. 6) NON-CREAMY LAYER A candidate belonging to ‘Creamy Layer’ amongst the categories (iii), (iv), (v), (vi) and (vii) must note that the provision of reservation is NOT applicable to him/her. A candidate claiming benefit of reservation under the categories (iii), (iv), (v), (vi) and (vii) above will be required to produce Non-Creamy Layer Certificate in the name of candidate as specified in the Government resolution No. lhchlh 10$2008$i�d�697$ekod] fnukd 13$01$2009- The certificate in prescribed proforma (Annexure - H) stating that it is valid up to 31/3/2013 should be submitted at the time of filling up of Preference Form. The Non-Creamy Layer Certificate is issued by Sub-Divisional Officer/Deputy Collector/Collector of the district. However, such a Non-Creamy Layer Certificate shall be produced in any case on or before the last date of filling up of Preference Form, on 28/9/2012 failing which the category claim will not be granted. Applicants belonging to Special Backward Category N.B.: Hon’ble High Court Mumbai had stayed admission to Special Backward Category as a separate quota and therefore, vide Government Circular from Social Welfare, Cultural Affairs and Sports Department No. CBC-1095/WS/264/BCW-5 dated 24th October 1995, the persons belonging to Special Backward Category (SBC) are to be considered as OBC candidates.

Admission under constitutional reservation seat will be governed by the Maharashtra Schedule Castes, Scheduled Tribes, Denotified Tribes (Vimukta Jatis), Nomadic Tribes, Other Backward Classes and Special Backward Category (Regulation of Issuance and Verification of) Caste Certificate Act, 2000 (Mah. Act No.XXIII of 2001). Candidates are instructed to note following provisions of the said act; Para 10: (Benefits secured on the basis of false Caste Certificate to be withdrawn) (1) Whoever not being a person belonging to any of the Scheduled Castes, Scheduled Tribes, De-notified Tribes, De-notified tribes, (Vimukta Jatis), Nomadic Tribes, Other Backward Classes or



Special Backward Category secures admission in any educational institution against a seat reserved for such Castes, Tribes or Classes, or secures any appointment in the Government, local authority or in any other company of Corporation, owned or controlled by the Government or in any Government aided institution or Co-Operative Society against a post reserved for such Castes, Tribes or Classes by producing a false Caste Certificate shall, on cancellation of the Caste Certificate by the Scrutiny Committee, be liable to be debarred from the concerned educational institution, or as the case may be, discharged from the said employment forthwith and any other benefits enjoyed or derived by virtue of such admission or appointment by such person as aforesaid shall be withdrawn forthwith. (2) Any amount paid to such person by the Government or any other agency by way of scholarship, grant, allowance or other financial benefit shall be recovered from such person as an arrears of land revenue.7 (3) Notwithstanding anything contained in any Act for the time being in force, any Degree, Diploma or any other educational qualification acquired by such person after securing admission in any educational institution on the basis of a Caste Certificate which is subsequently proved to be false shall also stand cancelled, on cancellation of such Caste Certificate, by the Scrutiny Committee. (4) Notwithstanding anything contained in any law for the time being in force, a person shall be disqualified for being a member of any statutory body if he has contested the election for local authority, Co-operative Society or any statutory body on the seat reserved for any of Scheduled Castes, Scheduled Tribes, De-notified Tribes, (Vimukt jatis), Nomadic Tribes, Other Backward Classes or Special Backward Category by procuring a false Caste Certificate as belonging to such Caste, Tribe or Class on such false Caste Certificate being cancelled by the Scrutiny Committee; and any benefits obtained by such person shall be recoverable as arrears of land revenue and the election of such person shall be deemed to have been terminated retrospectively. Para 11: (Offences & Penalties) (1) Whoever,- (a) Obtains a false Caste Certificate by furnishing false information or filing false statements or documents or any other fraudulent means ; or (b) not being a person belonging to any of the Scheduled Tribes, De-notified Tribes, (Vimukt jatis), Nomadic Tribes, Other Backward Classes or Special Backward Category secures any benefits or appointment exclusively reserved for such Castes, Tribes or Classes in the Government, local authority or any other company or corporation owned or controlled by the Government or in any Government aided institution, or secures admission in any educational institution against a seat exclusively reserved for such Castes, Tribes or Classes or is elected to any of the elective offices of local authority or Co-operative Society against the office, reserved for such Castes, Tribes of Classes by producing a false Caste Certificate; shall, on conviction, be punished , with rigorous imprisonment for a term which shall not be less than six months but which may extent up to two years or with fine which shall not be less than two thousand rupees, but which may extend up to twenty thousand rupees or both. (2) No court shall take cognizance of an offence punishable under this section except upon a complaint, in writing, made by the scrutiny Committee or by any other officer duly authorized by the Scrutiny Committee for this purpose. Para 12: (Offences under Act to be cognizable & non-bailable) Notwithstanding anything contained in the Code of Criminal Procedure; 1973 -- (a) offence punishable under section 11 shall be cognizable and non-bailable; (b) every offence punishable under this Act, shall be tried by any Magistrate of First Class in a summery way and provisions of sections 262except sub-section(2) to 265 both inclusive of this Code shall as for as possible may be applied to such trial. Para 13: (Penalty for issuing false Caste Certificate) (1) Any person or authority performing the functions of Competent Authority under this act, who intentionally issues of false Caste Certificate shall earn conviction, be punished with rigorous imprisonment for a term which shall not be less than six months but which may extend up to two years or with fine which shall not be less than two thousand rupees, but which may extend up to twenty thousand rupees or both. (2) No court shall take cognizance of an offence punishable under this section except with the previous sanction of the Government. Para 14: (Penalty for abatement) Whoever abets any offence punishable under this Act shall be punished with the punishment provided for in this Act for such offence.



ANNEXURE - B PHYSICALLY HANDICAPPED (PH)

1) As per Graduate Medical Education Regulation 1997 and Amendment Notification No. MCI-34(41)/2008-Med./54469 Dated 25th March 2009, and MCI guidelines letter No.MCI-34(1)/2003-Med/11773, dated 14/7/2003 following is the criteria for reservation under Physically Handicapped 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% - before they are included in the annual sanctioned seats for State Quota candidates.

2) The Candidate with a disability more than 70% will not be eligible for admission to Health Sciences Courses. No other disability shall be allowed as per the MCI regulations. However, such a candidate will be required to undergo medical examination by a Special Medical Board constituted for this purpose by the Competent Authority. The Special Medical Board will a certain and certify the disability and will also a certain and certify that he/she is physically fit to undergo the course despite the disability. 3) Verification of the disability will be carried out by Special Medical Board constituted for this purpose by Competent Authority and decision of the Special Medical Board will be final. The date and place of Special Medical Board shall be communicated by the way of notification.

--------------------------------------------------------------------------- PROFORMA OF CERTIFICATE FOR PHYSICALLY HANDICAPPED (PH)

PROFORMA OF CERTIFICATE FOR PHYSICALLY HANDICAPPED (PH) 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 for the year 2012-2013 for claiming the benefit of seat reserved for Physically handicapped persons is an individual with percent 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 disability of upper limb/s. (2) Absence of any major visual/ auditory disability.

It is further certified that he/she is medically fit to undergo the professional training course, inspite of his/her physical disability being diagnosed as

Place : Signature :

Date : Name : Official Seal



ANNEXURE - C 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/daughter of

......................................................................... of Village ......................... Taluka ............................,

District ..................................... of the State of Maharashtra belongs to the ............................................

Caste/Community/Tribe which is recognized 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 up to 31/3/.............. from the date of issue. Sr. No. .............................................. Signature : ......................................

Place :. .............................................. Designation : ................................... (with seal of office) Dated : .................... 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 recognized 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 - I 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 Health Science Courses.

He/she has not given any personal history of any disease incapacitating him/her to

undergo the professional course. Also, on clinical examination it has been found that he/she is

medically fit to undergo the professional 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, 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. ...................................................................................................................

Signature

Name

Registration No.

Address of the Registered Medical Practitioner

Date :

Seal of Registered Medical Practitioner



ANNEXURE - E Instruction for Filling Application Form for MH PGN -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. 1. Shade the appropriate oval completely like this . Do not mark the oval like this X 2. 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 P R A S H A N T

Father's/Husband’s Name N A R A Y A N

Last Name(Surname) P A W A R

Mother's Name K A L P A N A

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

Date Month Year 1 3 0 8 1 9 8 7

4. Address for Correspondence - Write in CAPITAL letters. Contact Telephone Number (STD code with Telephone number.)

e.g. Landline 0240-2235423 : 0 2 4 0 2 2 3 5 4 2 3

or Mobile : 09869545647 : 0 9 8 6 9 5 4 5 6 4 7 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. 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. a. Mathematics 1 4 5 Out of 1 5 0

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

c. Grant Total 0 6 1 1 Out of 0 7 5 0

15. 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 - 2 7

ii) Candidates who have passed HSC/12th (or equivalent exam) from outside Maharashtra should write the code for College outside Maharashtra State i.e. 9 1

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



17. FEE STRUCTURE 1) Institute Of Nursing Education P.B.B.Sc. Nursing (Both Men and Women) Total Seats: 30 Fee structure

Admission fee Rs.1000 Tuition Fee Rs.3000 (Annual) Compensation Amount Rs.200 (Refundable) Hostel Rs.2000 (Annual) Library Rs.300 (Refundable) Club fee Rs.500 Each Year Library Fee Rs.100 (Annual) Miscellaneous Rs.100 (Annual)

Total Rs.7200 2)Kasturba Nursing College, P.B.B.Sc. Nursing (Only For Girls) Total seats 20

Fee structure Admission fee Rs.5000 Tuition Fee Rs.39500 Canteen Fee Rs.2000 Hostel Rs.8000

Total Rs.54500 *May Change as per fees fixed by Shikshan Shulka Samiti For 2012 3)Sinhagad College Of Nursing, P.B.B.Sc. Nursing (Both Men and Women) Total Seats 50 Fee Structure

Tuition fee Rs.47145 Development Fee Rs.3300

Total Rs.50445



12. Reservation and Breakup of Seats M.sc. Nursing Course (2 Years.)

MHPGN-CET- 2012 Reservation and Breakup of Seats. .

Sr. No.

Name of the Institute

Available Seats

S.C 13%

ST 7%

VJ (A) 3%

NT-B 2.5%

NT-C 3.5%

NT-D

2%

OBC 19%

Total Reserve

50%

OPEN 50%

NRI

1 Institute of Nursing Education, Mumbai

25 3 1 1 1 1 1 4 12 12+1 (Handicap)

N/A

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

25 2 1 - 1 - - 2 6 15 4

3 Kasturbha Nursing College, Kasturbha Health Society, Wardha

20 1 1 1 - - - 1 4 16 N/A



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 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 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/ confide 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 MHPGN-CET 2012 and does not imply that the candidates satisfies all the requirements of eligibility conditions for admission.

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



MH PGN-CET-2012

DESIGNATED AUTHORITY