ANNEXURE TO G.O.Ms.No. 239, HEALTH, MEDICAL AND FAMILY WELFARE (K2) DEPARTMENT, DATED 06-08-2004.

(Format to be submitted along with the application for Enhancement of seats in Para Medical Course by Private Educational Societies)

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1.      Name of the Educational Society      :
where  it is located                             

2.      Name of the Institution and its          :
full address

3.      Name of the Course and duration     :

4.      No  and  date of G.O. sanctioning the          :
course (Attested copy of G.O. should
be enclosed)

5.      a)   How may seats were sanctioned :

b)   Date of commencement of           :
       the course

6.      How many institutions are sanctioned         :
for this  course in that town and seats
permitted for each institution.

7.      How  many  Para  Medical  Courses :
sanctioned  to  the  same society and
with details of course and seats in the
District and  other Districts in the State

8.      Number of seats requested for increase     :

Contd. 2

:: 2 ::

9.      Clinical  attachment  whether  own   :
Hospital or Government Hospital with
number of beds. If Government Hospital
attachment   is  obtained   Indicate  the
place  of  Govt.   Hospital (Enclose
consent letter/order of Hospital)

10.    If the Clinical attachment  is from the           :
Government    Hospital,   how  many
institutions   were  permitted  to have
clinical  attachment  and  number of
students allowed from each institution.
A certificate  from   the  Government 
Hospital with specialty wise for which
clinical attachment is obtained, to be 
enclosed.

11.     Whether the  society is having  a     :
building of its own or located in
Rented building with plinth area

12.    Whether  additional accommodation            :
is provided for the proposed increase
of seats.

13.    Whether Hostel facility is available  :

14.    Whether lectures were appointed    :
on permanent basis  or  part time.   
If so  their names  together  with
salary  for each lecturer
( Attested copies should be enclosed)

15.    What is the financial position of        :
the institute?

16.    INC  regulations  are  followed   in    :
respect of Nursing school and B.Sc
College of Nursing.