GOVERNMENT OF WEST BENGAL HEALTH & FAMILY WELFARE DEPARTMENT NATIONAL HEALTH MISSION (NI-IM) GN-29, 1STFLOOR,GRANTHAGARBHAWAN, SWASTHYA BHAWAN PREMISES,SECTOR-V SALT LAKE, BIDHANNAGAR, KOLKATA - 700 091. ~ 033 - 2353 ., 0432, JAil 033 - 2357 - 7930, Email ID:[email protected]; website: www.wbhealth.gov.in No. HFW/NUHM-232/2016/.649 Dated: ~:(. ?2017 From : Commissioner, Health & Family Welfare & Addl. Mission Director, NHM Government of West Bengal To CMOH,Asansol HD I Basirhat Health District I Birbhum I Burdwan I Cooch-Behar I Dakshin Dinajpur I Darjeeling (SMP)I Diamond Harbour HD /Hooghlv I Howrah I Jalpaiguri I Jhargram HD /Malda I Murshidabad I Nadia I North _24Yarganas /Nandigram HDI Paschim . Medinipur I Purba Medinipur I Rampurhat HD I South"f4 Parganas I Uttar Dinajpur " Sub:ProvisionalAdmissionof Traineesfor ANMCourseunder NUHMfor UPHCin different ULBs Ref:Notification No.HFW/NUHM-232/2016/3826dated9.12.2016 With reference to above, an approved list containing ULBwise selectedcandidates for ANM training under NUHMreceivedfrom your end isenclosed.Thenamesof the NursingTrainingInstitutions (residential or Non-residential) where they will undergo such training have also been indicated ULBwise in the enclosed statement (AnnexureI). 2. You are requested to send the photocopies of all the concerned applications along with all relevant. documentsof selectedcandidatesto the Training Institutions before commencementof the saidtraining. You are also requested to send intimation to the selected candidates to join the allotted Nursing Training Institutions within the period from 1.6.2017 to 7.6.2017 (excluding holidays). The"class of ANM training coursefor 24 months duration will be started from 12.6.2017in all the institutes. A draft copyof the intimation letter isenclosed. 3. Failureto join the training course in time, or leavingthe course midway for any reasonswhatsoever, . will result in the candidature being cancelled. 4. While sending the letter of admission to training course from the office of the CMOH, it should be . clearly indicatedthat the admissionis provisional andissubject to verification of original documents produced bythe candidatein support of her age,residenceandqualification. After admission,if any candidate is found ineligible by any competent authority her candidature for undergoingtraining will liable to he cancelledand shewill be terminated from the training course forthwith. Shewill also be liableto refund the stipend money paidto her.
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GOVERNMENT OFWEST BENGALHEALTH & FAMILY WELFARE DEPARTMENT
NATIONAL HEALTH MISSION (NI-IM)GN -29, 1STFLOOR,GRANTHAGARBHAWAN,SWASTHYABHAWAN PREMISES,SECTOR-V
From : Commissioner, Health & Family Welfare &Addl. Mission Director, NHMGovernment of West Bengal
To CMOH,Asansol HD I Basirhat Health District I Birbhum I Burdwan I Cooch-Behar I DakshinDinajpur I Darjeeling (SMP)I Diamond Harbour HD /Hooghlv I Howrah I Jalpaiguri IJhargram HD /Malda I Murshidabad I Nadia I North _24Yarganas /Nandigram HDI Paschim .Medinipur I Purba Medinipur I Rampurhat HD I South"f4 ParganasI Uttar Dinajpur "
Sub:ProvisionalAdmissionof Traineesfor ANMCourseunder NUHMfor UPHCin different ULBs
With reference to above, an approved list containing ULBwise selectedcandidates for ANM trainingunder NUHMreceivedfrom your end isenclosed.Thenamesof the NursingTraining Institutions (residential orNon-residential) where they will undergo such training have also been indicated ULBwise in the enclosedstatement (AnnexureI).
2. You are requested to send the photocopies of all the concerned applications along with all relevant.documents of selectedcandidatesto the Training Institutions before commencementof the said training. Youare also requested to send intimation to the selected candidates to join the allotted Nursing TrainingInstitutions within the period from 1.6.2017 to 7.6.2017 (excluding holidays). The"class of ANM trainingcourse for 24months duration will be started from 12.6.2017in all the institutes.
A draft copyof the intimation letter is enclosed.
3. Failureto join the training course in time, or leaving the course midway for any reasonswhatsoever,. will result in the candidature being cancelled.
4. While sending the letter of admission to training course from the office of the CMOH, it should be .clearly indicated that the admission is provisional and is subject to verification of original documents producedby the candidatein support of her age, residenceandqualification.
After admission, if any candidate is found ineligible by any competent authority her candidature forundergoing training will liable to he cancelledand shewill be terminated from the training course forthwith.Shewill also be liable to refund the stipend money paidto her.
-2-
5. The above selection for admission is provisional and subject to the decision or direction in differentcaseswhich may subsequently be received from Hon'ble Courts and competent authority.
6. Admission is also subject to medical fitness of the candidates for which they have to submit MedicalCertificate from a registered Medical Practitioner having at least a MBBSdegree in the prescribed format (copyenclosed). This Medical Certificate is to be kept in the Training Institutions.
7. The selected candidates are entitled to receive an amount of Rs. 1000/- (RupeesOne thousand only)per month asstipend, fund for which will be sent to the respective training Institutions.
8. Accommodation will be provided to the trainees where the course is residential. NTSsthose arecompletely residential, the trainees will have to avail themselves of the accommodation.
9. The residential trainees will be provided free accommodation in the hostel. But they will have to makemessing arrangements at their own cost.
List of articles usually required to be brought by each trainee is enclosed. ...-1.:•..~
Enclo -
1. Annexure 12. Specimencopy of Medical Certificate.3. Specimencopy of Model letter ofthe CMOHto the trainees.4. Specimencopy of Model letter to the Nursing Training Institution.5. Listof articles to be brought by the trainees
commiss4FW) &Addl. Mission Director, NIIM
No. HFW/NUHM-232/2016/6LtCJ/I(II.)Copy forwarded for information and necessary action to:
1. Director of Health Services, West Bengal.2. State Family Welfare Officer, West Bengal, Swasthya Bhawan.3 It. DHS (Nursing), West Bengal.4. Registrar, West Bengal Nursing Council, 8, Lyons Range, Kolkata - 700001.5. Commissioner, (Howrah/ Durgapurl Asansoll Chandannagarl Siliguril Bidhannagar).
7. PNO, District Hospital, Coochbehar8. PNO, District Hospital, North 24 Pgns9. PNO, Chittaranjan Seva Sadan, 37, SP Mukherjee Road, Kolkata - 700 02610. PNO, Howrah District Hospital11. Principal, Dr. H.C. Mukherjee Memorial Health School, Singur, Hooghly.12. Superintendent, Kharagpur SD Hospital, Kharagpur, Paschim Medinipur13. Superintendent, Bolpur SD Hospital, Bolpur, Birbhum14. Superintendent, Vidyasagar S.G. Hospital, South 24 Pgns15. Accounts Officer, ID & BG Hospital, Beliaghata, Kolkata16. Principal / Teacher-in-Charge, NTS attached to District Hospital, Coochbehar / District Hospital, North
24 Pgns /Chittaranjan Seva Sadan/ Howrah District Hospital !Bolpur SD Hospital! Vidyasagar S.G.Hospital, South 24 Pgns / Kharagpur SD Hospital/ ID & BG Hospital, Beliaghata, Kolkata
[He/She is requested to admit the trainees after verification of their original documents as well as medicalcertificate in the' prescribed format by a Medical Practitioner having at least MBBS degree. He / She isrequested to send us the list of the candidates as soon admission is completed.]
A copy of the selection list as well as specimen copy of M.e. is enclosed for ready reference for 7 to 16only.
commis~ner (H&~'W)&Addl. Mission Director, NHM
.To· ..i,. 'I:
"~"-II-- F_o_rm_a_t_fo_r_S_u_b_m_is_s_io_n_o_f_P_a_n_e_l_fo_r_E_n__;g:,_a...::g:_e_m_e_n_t_o_f_A_N_M__ u_n_d_e,,_r_N_U__' _H_M . .__ .._._ __.._ _ ..~Name of the District: South 24 Parganas _Jf-N_a_m_e:--o_f_th_e_u_LB_:--:- ~ • B-:a_ru_i,;_p_u_r_M_u_n-:ic_i;_pa_~I_it.:..Y_._..~No of require no of train_e_e_: --. ---: 2__:_!_U_R_:....:l,:._S_C_:_l..:..}_-,- __ ...._ ....~J
Details of (10+2) Examination JI--,..------,------.---------,,-------.--+----.-----.---_:___,.......:----.--.---t-··--lMarks Obtain in ;
27/H YUSUF SAFUI RO/\D,BUDGEBUDGE,700137.Ph No: 801 '1465984
soo 200201019-08-90
NOTE: No Eligible Candidates for Waiting list.
Signatute of
D€PUly Mi'!!,Jlstr<1t€l.
& GoH,'CtofSouth 24 Pqs, Ail.pvr6
d":'-f~/(j2-lrfS~l:ll!,eoftl~';TOFHNO with $edl. & Date
oSignature of -CMOH·I CMDHwith ScM 8. Committee of tlH! District ,','ilh
with Seal &J)ate . C)1fticefot health Seal 8, Date/'. H. '1 CI)tetMedical V ,ca....... . . Dy. C:M.O - . ~ '. ..... SOUth24 Pars<:\I\a~.... ...... ~outh 2.4parganas
S 24 PGS, PO: GARIA, P S SONARPUR, 27-09 91 SC W.B.CH.S.E 2009 500DEBANJANKUNDU
BONNYI(U~WU3j
I
TotalMa.k5
Year 01Passing
Addres.$ With Phone NurnbN [late Of Birth Caste Board j Institute
335 67SELECTED(UR 2)
3
IV1ALANCHA, G P MAITHA fWAO, ro:MALANCHA MAH.INAGAF, PSSONAR PUR, KOl 700145,
~ -4 ~------~P~h~N~o~~9(~)6~)2~...5~7~7~5~7~7--------~----~----4---------4-----4-----+--------------+-----+--~--~I---+-----~~. "--PO: GAR lA, F,I\IHABAD, SAHA
No.District ULB of trainee for 1st number of Training Institute residential
phase trainee
1 South 24 Parganas Baruipur 2 1 ,:>y"","'; KhaI"Clgpur.SD·Hospita I Residential
2 South 24 Parganas Budge Budge 3 3 Kharagpur SO Hospital Residential
3 South 24 Parganas Maheshtala 12 5 Kharagpur SO Hospital Residential
4 South 24 Parganas Rajpur Sonarpur 3 3 Kharagpur SO Hospital Residential
Medical Certificate in case of appointment of candidates underWest Bengal state Health & Family Welfare Somiti
Name ot Ihe candidate in tull (in block letters)
Height (without shoe)
Weiglll
Cm.
Kg.
"1 hereby certltv that I hove examined Sri/Smt. " , a
.candidate for employment in tile Wesl Bengal State Health & Family Welfare Samiti. and can'l
discover thaI Sri/Smt , ,.., " ,......... has any disease.
(communicable or otherwise) constitutional weakness or bodily infirmity,
except. " .." " ,,"
I do nol consider this a disqualification for employment in the office of Slate Somiti.
Sri/Srnt 's age is.according to hisown statement. Years,
and by.appearance about. " ""." " yeors".
a. General Development Good/Fair/ Average/Poor
b Vision Righi eye: Leff eye:
i. Uncorrected/Naked eye
ii. Correcled
iii. Nature and degree
c. Teeth: d. Hearing e. Blood pressure:
t. Lung: g. Heart h. Liver
i. Spleen
j. Hernia (present or absent)
k. Hydroeceles (present or absenf)
I. • Urine i. Specific Gravity Ii. Albumin iii. Sugar
rn. Identification marks
n. TheCandidate is
P.~eIoil
Doted:
Signature of Candidate
Attested
. 1
i. Fit
ii. Unfit on account of
iii. Temporarily unfit on account of
Signature of the Medical Pllli:<titioner
Name
Degree
Regn. No.(Seal)
Government of West BengalOffice of the CMOH .
District .No. Date:
ToSmt ..Address .
MunicipalitylMunicipal Corporation .District ..
Sub: Provisional admission for training for ANM Course under NUHM
With reference to above subject, I am to inform you that you are selected for 2 years
ANM training course under NUHM. You are therefore requested to report to the Principal /
Sister Tutor In-Charge or the Officer-in-Charge of the
Nursing Training School positively within
........................ (excluding holidays) .
Failure to join in the training course in time, or leaving the course midway for any
reasons whatsoever, will result in the candidature being cancelled.
At the time of admission you should bring Medical Certificate in the enclosed format
from a registered Medical Practitioner having at least MBBS degree. You should also bring
original certificates in support of the age, educational qualifications, caste certificate and
residential status, which will be returned to you after verification.
Venue of training centre will not be changed under any circumstance.
All trainees are entitled to receive a sum of Rs. 1000/- (Rupees One thousand only) per
month as stipend. Accommodation will be provided to the trainees where the course is
residential. NTS, those are completely residential, the trainees will have to avail themselves of
the accommodation compulsorily. The residential trainees will be provided free accommodation
in the hostel. But they will have to make messing arrangements at their own cost.
List of articles usually required for the residential trainee, which will have to bring by
each trainee is enclosed.
After admission, if you are found ineligible by any competent authority, your candidature
for undergoing training will be liable to be cancelled and you will be terminated from the
training course forthwith. In that case, you will also be liable to refund the stipend money paid
to you.
Selection / admission is provisional subject to decision of any court of law in future in the
matter and verification of original documents as to age, residence, caste certificate and
qualification as well as medical fitness. It is reiterated that selection / admission will be
summarily rejected / cancelled if any of the documents produced by you is found to be notgenuine.
CMOH, District .
Government of West BengalOffice of the CMOH .
District .
No. Date:
ToThe {In-charge of NTS).......................................... {Name of the Nursing Training Institution)
Sub: Admission of trainees for ANMCourse under NUHMfor theUPHC of the ULB
Sir / Madam,
With reference to the above subject I am sending the photocopies of
the applications alongwith all relevant papers of the selected candidates of
Municipality/ Municipal Corporation for taking further
necessary action from your end in terms of letter no .
dated from the Department of Health & Family Welfare, West
Bengal.
Yours faithfully,
CMOH, District
A.N.M. TRAINING UNDER NUHM
LIST OF ARTICLES REQUIRED TO BE BROUGHT BY EACH TRAINEE
FOR RESIDENTIAL STUDENTS
SL No. Materials Quantity1 TRUNK WITH LOCK 1 PC2 MATIRESS SINGLE 1 PC3 PILLOW 1 PC4 MOSQUITO NET 1 PC5 BED SHEET 1 PC6 BED COVER 1 PC
7 BLANKET 1 PC8 MUG 1 PC9 TIFFIN CARRIER/BOX 1 PC10 RICE PLATE 1 PC11 GLASS 1 PC12 BATI 2 PC13 SPOON 2 PC14 BLACK HAIRNET 1 PC15 PERSONAL TOWEL (TOOTHBRUSH,PASTE) 1 PC16 EXTRA LOCK & KEY(FOR ROOM) 1 PC17 B.P. APPARATUS TO BE PURCHASED LATER
ON18 STETHOSCOPE DO19 MONEY (AT LEAST RS.5000/) FOR UNIFORM,BOOKS,
B.P. APPARATUS,STETHOSCOPE etc. - TOKEPT WITH THE STUDENT
20 TORCH 1 PC21 UMBRELLA 1 PC22 PERSONAL DRESSES AS PER NEED23 PENCIL BOX ERASER,PENCIL, PEN,
SCISSOR, RED BLUE PEN24 NOTE BOOKS 8- (No.4-8)25 White paper 4 DISTA
------------------------------------- . --
A.N.M. TRAINING UNDER NUHM
LIST OF ARTICLES REQUIRED TO BE BROUGHT BY EACH TRAINEE
FOR NON-RESIDENTIAL STUDENTS
SL No. Materials Quantity1 BLACK HAIRNET 1 PC2 B.P. APPARATUS TO BE PURCHASED LATER ON3 STETHOSCOPE DO4 MONEY (AT LEAST RS.5000/) FOR UNIFORM,BOOKS,B.P.