Office of the Govt, Kilpauk Medical College Kilpauk, Chennai - 10 Dated: 04.11.2023 Ref.No. 2058 /2023 CIRCULAR DISTRICT RESIDENCY PROGRAMME The District Residency Programme for the Post Graduate (2022- 2023 batch) will commence on 01.01.2024 and will undergo the training programme in four batches for a period of 3 months. 1. The Head of Departments are requested to provide the list of Post Graduates (2022-2023 Batch- 24 Year residents) with their corresponding NEET -PG Rank along with The DRP application form the Post Graduates on or before 07.11.2023 2. The Post Graduates are instructed to submit the attached DRP application form through the Head of the Departments. 9 The Post Graduate Opting for Home district Hospitals (List enclosed) as first choice, should fill up form 4 and Form 6A for opting other district hospitals as second choice. 4. Those post graduates opting other district hospitals including Tiruvallur Medical College as first choice should fill only form 6A orale DEAN Encl: 1. List of Empanelled hospitals 2.Form 4 and Form 6A 3Format 4: Application for DRP Postings for Postgraduates * Basic Details 1 | Name of the Postgraduate Student Name of the Specialty 2 ‘3 | Name of the Institute / Medical Coliege 4 | Contact Address including Phone — Landline No with STD Code, Mobile Phone and Email ID Name of the District in which the institute is located Preference of District Residency Program Institution a) District of Choice | b) District Hospital of Choice Benalsen [ ©) Quarters / Hostel Facility is Required Signature of the Postgraduate Student: Date .. ——-Office-—- Forwarded & Recommended Signature of the Unit Chief / Guide / Registrar: Date . Signature of the Head of the Department: Date . ‘Signature of the Dean / Director / Head of Institute: Date 25|Page DISTRICT RESIDENCY PROGRAM FOR POSTGRADUATE MEDICAL RESIDENTS/TAMIL NADUFormat 6A: No Objection Certificate (Outside District) Directorate of Medical Education & Research No Objection Certificate to be issued by the Head of the Department for Postgraduate Residents applying for DRP positions Out-side the District Basic Details 7 | Name of the Postgraduate Resident | \Age and Date of Birth 2 3 [Email'o 4 | Department / Specialty 5 |Request for Posting Outside the | Yes......... No. uae L District {6 [a District of Choice 7 2 3. 'b. Hospital of Choice 1 = 2 3 Certified that | the Department of has no objections on Dr. Postgraduate resident in preferring the District Residency Program training in a district cutside the home district of the institute. Head of the Dzpartment Forwarded Signature of the Dean / Principal Date Approved Signature of the Chairperson (District DRP-PIU): Date 29| Page DISTRICT RESIDENCY PROGRAM FOR POSTGRADUATE MEDICAL RESIDENTS/TAMIL NADU