MEDICAL SERVICES RECRUITMENT BOARD (MRB)

7th Floor, DMS Building, 359, Anna Salai,Teynampet, Chennai-600 006.

Website www.mrb.tn.gov.in E.mail: mrb.tn@nic.in twitter.com/mrb_tn
Phone No.: 044 -24355757

Notification No.12 /MRB/2016 Dated: 21.02.2017

Temporary post of Assistant Surgeon (General)

You are hereby informed to appear for verification of your certificates/ documents
as claimed by you in your on-line application.

The list of documents to be produced by you (in original along with one set of self-
attested photocopies) is attached herewith. You are required to appear for the verification
of certificates as per the following date/time/venue.

Date 08.03.2017 FN
Time 10.00 AM to 01:00 PM
Medical Services Recruitment Board
Venue 7th Floor, DMS Building, 359, Anna Salai, Teynampet,
Chennai-600 006

Note:
a. If the candidate fails to appear for verification of certificates / documents on the
specified date / time, it will be presumed that the candidate is no longer interested
for the post and his / her candidature is liable for rejection, without any further
notice.
b. Mere calling for verification of certificates / documents does not confer any right
over selection / appointment.
c. The candidates are called for verification of certificates / documents based on the
particulars furnished in their on-line applications such as age, educational
qualification, community, etc. The provisional selection of candidates will be made
only after verification/ acceptance of certain documents, educational qualification
possessed by him/her, clarification regarding community status and its acceptance,
marks / rank list of the candidate etc. as the case may be. If any of their claims are
found to be false or incorrect, their candidature is liable for rejection at any point of
time.
d. Candidate summoned for certificates verification is hereby advised to appear with
all the relevant documents in original without fail. Failure to produce even any one
of the essential documents will result in rejection of his / her candidature.

MEMBER SECRETARY

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 MEDICAL SERVICES RECRUITMENT BOARD
Documents for verification for the Temporary posts of Assistant Surgeon (General)

The following documents (original along with one set of self attested
photocopies) are to be produced at the time of certificate verification. [Please arrange
and bring the certificates in the same order for easy and quick verification]

1 Evidence of Date of Birth (Birth Certificate; SSLC; HSC) as per Annexure 3 of the detailed notification
2 Evidence of Educational qualification (SSLC; HSC; MBBS; PG Diploma; PG Degree; DNB; Super
Speciality; Ph.D Degree or Provisional certificate along with mark sheets etc.) as per Annexure 3 of
the detailed notification
3 Medical Council Permanent Registration Certificate as per Annexure 3 of the detailed notification
4a Certificate of character and conduct issued by Group A or Group B Officer on or after issue of the
current notification (10.11.2016) as per Annexure 3 of the detailed notification

4b Certificate of character and conduct issued by the Head of the Institution in which he /she last
studied as per Annexure 3 of the detailed notification
5 Evidence of Tamil qualification (viz., SSLC / HSC / Certificate for having passed the second class
Language Test (Full Test) in Tamil conducted by the Tamil Nadu Public Service Commission) as per
Annexure 3 of the detailed notification (if applicable)
Community certificate from the competent authority (Permanent Community Certificate) as per
6 Annexure 3 of the detailed notification

No Objection Certificate from the Appointing Authority concerned as per Annexure 5 of the detailed
7 notification (if applicable)
8 The candidate shall submit an undertaking and a declaration (as in para 11 of the
a&b notification) at the time of certificate verification (Formats will be provided at the venue)
9 Differently abled certificate issued by the competent authority as per G.O.(Ms).No.13, Welfare of
Differently Abled Persons (DAP.3.2) Department, dated 02.03.2016. (if applicable)

Two (2) Passport size colour photographs (with name and Application number written on the
10 backside)
Any one of Photo ID Card issued by Government Authority (other than PAN card) - showing the
10a Residential address for communication / permanent address as furnished in the On-line application
11 Challan copy (or) proof of Payment of fee already paid (either through on-line or off-line -
Indian Bank Branch)
On-line (Credit / Debit card / Net banking payment details)
  If credit card – copy of credit card statement showing the transaction of payment. 

 If debit card – copy of pass book entry for the transaction account details. 
 Net Banking – copy of account summary for the payment 

12 The candidate will also be asked to sign on the printed copy of on-line application (printed
copy will be provided to the candidate at the venue)
12a Ex-Servicemen: PPO No. and Discharge Certificate and other related documents (if applicable)

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 ANNEXURE – 9

Specimen Copy of conduct and Character Certificate (to be issued by a

Group A or Group B Officer)

Name of the Certificate issuing officer: Date :

Designation :

Address of Institution :

Phone No.:

E-mail :

CERTIFICATE OF CHARACTER AND CONDUCT

This is to certify that ……………………………………………..…. Son / Daughter of

Thiru………………………………………….………………………………………… who is

residing at (Full address to be furnished here) …………………………………………

………........................................………………………………………………………........ ….

… ……is known to me for the past ……………. years. His/ Her character and conduct

are ……...…………… The individual is not related to me.

Signature :
Photograph
of the candidate Full Name:

Designation:

Specimen Signature

(To be attested by the

Certificate issuing officer)

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 CERTIFICATE VERIFICATION SCHEDULE
ASSISTANT SURGEON (GENERAL)

DATE :08.03.2017 SESSION : FORENOON

SL.NO NAME APPLN NO. EXAM NO.

880 ARULVEL G 302541 13470

881 DHIVYA P 303825 11812

882 KOUSALYA DEVI S 304241 11742

883 VISHNUPRIYANGAN S 303044 13682

884 MOHAMED THARIQ M J 303511 15017

885 GANESH R 303696 14051

886 DIVYA NANDAKUMAR 303919 16457

887 MITHILA S 304324 16239

888 DIVYADARSHINI G 306343 14895

889 MALARVIZHI R 301715 15175

890 RAJALAKSHMI S 300915 15786

891 NITHIYA D 308001 16563

892 JAYABHARATHI R 303718 15598

893 DEEPA V 303197 14368

894 PRIYANKA V 303249 14769

895 HINDUJA G 302419 13562

896 SARANYA BHARATHI T 303804 11125

897 RAM KUMAR N 304569 11877

898 ISWARYA M 305601 13939

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SL.NO NAME APPLN NO. EXAM NO.

899 VALARMATHI S 300568 11677

900 GOWRI M 303179 13205

901 AISHWARYA E 301827 10181

902 ARUN GOWTHAM RADHA KRISHNAN 303673 12637

903 HARRINI DEVI P 300299 11253

904 MONIKA N 301001 12488

905 SHADHAM HUSSAIN M 305548 11434

906 MATHIVATHANI KUMAR 300926 10768

907 ANANTH KRISHNA T 300872 14595

908 LAKSHMIKANTH V 301960 15107

909 VEERAVEL RAMASAMY 306401 15444

910 BHARATHI G 304013 11827

911 DHIVYA V 303983 10328

912 RAMYA DEVI S 305392 14187

913 S VINU PRIYA 306162 13799

914 JEGAN D 304036 11568

915 BOOPATHI RAJA D 306707 11745

916 JAYAMOHAN V 300435 11598

917 SATHIYA PRIYA VELLAI SAMY 301337 11225

918 SANJEEV KUMAR K 301537 10323

919 VIDHYA DEVARAJ 304285 13988

920 MYTHILI RAJENDRAN 308111 14271

921 SAI MIRNALANI K B 300956 12684

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SL.NO NAME APPLN NO. EXAM NO.

922 PRIYA DHARSHINI A 305777 15353

923 ANTO ANGELINE D 303678 15201

924 SANGEETHA V C 304787 11029

925 DEEPAK KUMAR B 302386 10017

926 THANVEER AHAMED Z 304584 10780

927 KARTHIK K 301649 11958

928 PRASHANTHI B 303204 14989

929 HARISH R 300308 11102

930 AKILA MAHALAKSHMI SIVAKUMAR 307216 10694

931 VIGNESH S 307406 16229

932 NIVYA PREMKUMARI S 303378 12316

933 PRAVEENKUMAR V 303974 12994

934 NOORUL HASAN S A 303862 13600

935 DHANALAKSHMI G 302728 16514

936 SHANTHI M 302320 14430

937 BALAJI M 307056 13028

938 AJAISHA XAVIER D A 301116 12459

939 KALAIARASI K 301502 15042

940 SURENDHAR A 300259 13250

941 DAIVIK A 300392 14281

942 MARIYAPPAN T 306447 15549

943 THAMIZHTHENDRAL S D S 305162 10369

944 PRAVEEN KUMAR G 306036 11118

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SL.NO NAME APPLN NO. EXAM NO.

945 DEERUSH KANNAN S 304752 14586

946 BHARATHY K 307741 15047

947 VIJAYALAKSHMI U 300331 12902

948 NEUMIN SAHAY S 301253 10432

949 ASHOK P 301148 10821

950 SARAVANAN M MUTHUSAMY 304651 13540

951 ANUSHA J 307529 12185

952 VINODHINI S 303255 12973

953 RAGHAV RAJ J 304211 11618

954 SUBHA V 306644 12867

MEMBER SECRETARY

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