GOVERNMENT OF GOA

DIRECTORATE OF HEALTH SERVICES

INSTITUTE OF NURSING EDUCATION, NEAR HOLY CROSS SHRINE,

BAMBOLIM GOA. 403 202

2009-2010

B.Sc NURSING PROSPECTUS

INSTITUTE OF NURSING EDUCATION, BAMBOLIM-GOA

INDEX

PART I

1. Introduction 2. Philosophy 3. Institutional Objectives 4. Course of study and number of seats 5. Ordinances and Regulations 6. Scheme of hours & scheme of examination 7. Fees 8. Hostel Accommodation 9. Bond 10. Ragging 11. Miscellaneous

PART II

1. Eligibility to apply for the course 2. Application for admission and certificates to be enclosed 3. Certified copies 4. Allocation of seats 5. Guidelines for selection 6. Notification of selected applicants 7. Cancellation of admission 8. Refund of fees 9. Proforma for certificates 10. Application Form

PART – I

1. Introduction Nursing education was started in Goa by the Portuguese during the 15th century, the

first of its kind in Asia. After liberation of Goa in 1961, the old nursing education courses were gradually phased out and in their place the Union Government started new nursing courses according to the Indian Nursing Council Regulations. The Auxiliary Nurse Midwifery Course was started in September 1964 and the General Nursing Midwifery Course was started in September 1965 with technical assistance from W.H.O. and other help from U.N.I.C.E.F. The Post Basic B.Sc. Nursing Course was conducted from 1993-2006. In August 2005 the B.Sc. Nursing Course (Basic) was started.

Presently the Institute of Nursing Education conducts two courses (a) The Auxiliary

Nurse Midwife Course (b) B.Sc. Nursing Course (Basic). The Institute of Nursing Education functions as an independent unit under the Directorate of Health Services of Goa. Students gain practical experience in the Goa Medical College Hospital, Institute of Psychiatry and Human Behavior, Asilo Hospital, Hospicio Hospital, Urban Health Centers and Primary Health Centers of the Directorate of Health Services. 2. Philosophy The faculty * believes that the core of nursing is the individual (sick or well)/family and community, therefore the nursing education programme run at the Institute of Nursing Education should primarily focus on meeting the health needs of the individual/family/community. * agrees that care is vital to the maintenance of a healthy life practice and to the recovery from illness/disease and though caring is universal - the expression, of caring is to be adapted to the cultural context of the individual/family. * believes that effective communication is an essential basis for efficient client care and is imperative in public dealing. * is of the opinion that the students can be developed as change agents, irrespective of their socio-economic background and cultural orientation. * believes that education is a continuous learning process and that nursing education involves imparting nursing theory, development of skills and attitudes that assist students to perform her/his duties and assume professional responsibility and accountability as registered nurses. * recognizes that optimum learning can occur in a stimulating, supportive environment in which frequent feedback motivates students to excel. * agrees that efficiency in the teaching-learning process is enhanced by teacher’s regularly updating their knowledge through participation in in-service-education programmes and other educational forums. * believes that the curriculum should meet the changing health needs of society and hence needs to be reviewed regularly.

3. Institutional Objectives Graduates will * acquire and update knowledge related to the practice of the nursing profession. * utilize the knowledge and concepts gained to provide holistic care to individuals/family/ significant others. * plan and meet the health needs of individuals/ family in collaboration with health team members and the concerned individual and his family (significant others). * provide supportive care to clients with chronic and terminal illnesses. * intervene appropriately in emergency situations. * provide care for clients and their significant others in a skillful, empathetic, supportive, compassionate and meaningful manner. * motivate individual/ family/ community to accept and adapt healthy life-style practices in accordance with the cultural background of the individual/ family/ community. * demonstrate effective communication skill to provide accurate, timely information and educate client/family about health issues to improve their health status. * establish and maintain interpersonal relationships with members of the society. * assume responsibility to utilize opportunities to maximize self-development and professional growth. * always uphold the dignity of the nursing profession. * demonstrate leadership qualities and decision-making abilities. * contribute to the development of their peers and other health care personnel. * evaluate his/her own nursing performance in relation to standards set by the nursing institute. Faculty will * motivate students to excel. * act as role models * participate in activities organized by governmental and non-governmental organizations who are involved in improving the health status of society. * implement a curriculum that meets the changing health needs of society. * be familiar with the latest developments and trends taking place in the nursing and allied profession. * optimize students’ learning. 4. Courses of study and number of seats The B.Sc. Nursing Course is a full time course extending over a period of 4 academic years. Number of Seats – 25. 5. Ordinances & regulations relating to award of 4 year Bachelor of Science Nursing degree of Goa University.

OC-30.1 Nomenclature of the Degree: The Degree awarded by Goa University in Nursing shall be “Bachelor of Science in Nursing”.

OC-30.2 Admission Requirements: A candidate admitted for the Bachelor of Science in Nursing Course:

a) Should be 17 years of age.

b) Should have passed the Higher Secondary School Certificate (10+2) Science Examination or its equivalent with a minimum of 50% marks in the aggregate in the subjects of the Physics, Chemistry, Biology and English.

OC- 30.3 Duration of the Bachelor of Science in Nursing Course: The course shall be for

four academic years including internship. OC- 30.4 Minimum Duration of the academic year: The minimum duration of the

academic year will be of at least 45 weeks including study leave and examinations.

OC-30.5 Eligibility for Award of Degree:

To be eligible for the award of the degree of the Bachelor of Science in Nursing a candidate shall have to:

(a) Pass the four annual examinations i.e. (1st, 2nd, 3rd & 4th year)

(b) Complete the assigned project work.

(c) Complete the required hours of laboratory, practical work and internship.

OC-30.6 Attendance: A candidate should have attended at least 80% of theory and practical in each subject in order to be eligible to appear for the examination. However, a candidate shall be required to make up the shortfall in attendance of practical work and internship to attain 100% attendance as required for the award of the degree within a period of one year from the date of the 4th year examination. The college shall certify that the candidate has successfully completed the practical work and internship and shall submit the same to the University.

OC-30.7 Standard of Passing: a) To pass an examination the candidate shall obtain 50% marks in internal

assessments and external assessments separately in each of the theory subjects. Candidates securing less than 50% marks in the internal assessment shall not be allowed to appear for the external examination.

b) To pass an examination the candidate shall obtain 50% marks in internal assessments and external assessments separately in each of the practical subjects. Candidates securing less than 50% marks in the internal assessment shall not be allowed to appear for the external Examination.

c) The theory and practical in a subject are to be considered as separate heads of examination i.e. candidates shall have to pass both the theory and practical papers separately. d) Candidates have to pass in all the subjects in order to be promoted to the next year.

e) If a candidate fails in either theory or practical paper he/she has to re-appear for both the papers (theory and practical). The candidate will not be eligible to claim exemption in the component he/she passes. Such marks will be shown with the remark “N.E.” on the result sheet.

OC-30.8 Supplementary Examination: (a) A supplementary examination shall be held within six weeks from the

date of declaration of the annual examination results. (b) A candidate who wishes to appear at the supplementary examination shall have to appear in all the subjects that he/she had failed in. c) A candidate shall not be allowed to reappear if he/she has passed in the subject. d) Only one supplementary examination shall be held every year.

e) A candidate who wishes to appear in the supplementary examination may be admitted provisionally to the next year. However, he/she shall have to give an undertaking that if he/she fails to pass all the subjects at the supplementary examination, she /he shall reappear for the examination at the next annual examination and that she/he shall rejoin the course only after she/he passes in all the subjects. f) A candidate shall have to pass the previous year examination before being admitted to the subsequent higher examination.

OC-30. 11 Number of attempts: a) Maximum number of attempts permitted to pass an examination is three

including the first attempt. OC- 30.12 Maximum duration for completing the course: a) The candidate must pass all the examinations within a period of eight years from

date of admission to the course. (b ) The candidate must pass the first year examination within a period of three

years from date of admission to the course. OC-30.13 Discontinuation: candidate shall not be allowed to continue the course if:

(a) The candidate does not pass any examination in 3 attempts OR (b) The candidate does not pass the first year examinations within a period of 3 years

from the date of admission to course OR (c) The candidate does not pass all the examinations within a period of eight years

from the date of admission to the course. OC-30. 14 Obtaining a Class: (a) Class shall be awarded at the final year examination on the basis of the marks

obtained at all the four annual examinations. (b) For the award of the degree the performance of the student at all the four annual examinations shall be considered. (c) Second Class. Those of the successful candidates who obtain 50% or more marks but less than 60% marks in the total of all the subjects of all the examinations having passed each examination in one attempt shall be considered to have passed the examination in the “Second Class.” (d)First Class: Those of the successful candidates who obtain 60% or more marks but less than 70% marks of the total of all the subjects of all the examinations having passed each examination in one attempt shall be considered to have passed the examination in the ‘First Class’. (e)Distinction: Those of the successful candidates who obtain 70% or more marks of the total of all the subjects of all the examinations having passed each examination in one attempt shall be considered to have passed the examination in ‘Distinction’ (f)Passes: A candidate who passes any of the examinations of the course in more than one attempt shall not be eligible for any class. The remark against his/her result shall be ‘Passes’.

6. Scheme of Hours and Scheme of Examination:

A. SCHEME OF HOURS

S.No. Subject Theory (In hrs)

(class and lab) Practical (In hrs) (clinical)

(In hrs)

First Year 1. English 60 2. Anatomy 60 3. Physiology 60 4. Nutrition 60 5. Biochemistry 30 6. Nursing Foundations 265+200 450 7. Psychology 60 8. Microbiology 60 9. Introduction to Computers 45 10. Konkani 30 11. Library work/Self study 50 12. Co-curricular activities 50

Total Hours 930 450 100 Total Hours=1480 Second Year

1. Sociology 60 2. Pharmacology 45 3. Pathology 30 4. Genetics 15 5. Medical-Surgical Nursing(Adult

including geriatrics)-I 210 720

6. Community Health Nursing-I 90 135 7. Communication and Educational

Technology 60+30

8. Library work /Self Study 50 9. Co-curricular activities 35 Total Hours 540 855 85 Total hours=1480 Third Year

1. Medical –Surgical Nursing (Adult including geriatrics) II

120 270

2. Child Health Nursing 90 270 3. Mental Health Nursing 90 270 4. Midwifery and Obstetrical

Nursing 180

5. Library work/Self Study 50 6. Co-curricular activities 50 Total Hours 390 990 100 Total Hours=1480 Fourth Year

1. Midwifery and Obstetrical Nursing

180

2. Community Health Nursing II 90 135 3. Nursing Research & Statistics 45 * 4. Management of Nursing

Services & Education 60+ 30

Total Hours 225 315 Total Hours=540 Intern-ship (Integrated

Practice) Practical in

hours In

weeks 1. Midwifery and Obstetrical

Nursing 240 5

2. Community Health Nursing II 195 4 3. Medical –Surgical Nursing

(Adult and Geriatric) 430 9

4. Child Health 145 3 5. Mental Health 95 2 6. Research Project 45 1 Total hours 1150 24 Total hours= 1690 • Project work to be carried out during internship. Internship means 8 hours of integrated clinical duties in which 2 weeks of evening and night shift duties are included. Internship should be carried out as 8 hours per day@ 48 hours per week. Students during internship will be supervised by nursing teachers. Fourth year final examination to be held only after completing internship

B. Scheme of Examination Marks

No Subject Internal External Total Duration of External Theory Paper

THEORY: FIRST YEAR

1. Anatomy & Physiology 25 75 100 3 2. Nutrition and Biochemistry 25 75 100 3 3. Nursing Foundations 25 75 100 3 4 Psychology 25 75 100 3 5. Microbiology 25 75 100 3 6. English 25 75 100 3

7. Introduction to Computers 25 75 100 Practical and Viva Voce

1. Nursing Foundations 100 100 200 TOTAL 900 SECOND YEAR

8. Sociology 25 75 100 3 9. Medical-Surgical Nursing-I 25 75 100 3

10. Pharmacology, pathology, genetics 25 75 100 3 11. Community Health Nursing-I 25 75 100 3 12. Communication and Educational

Technology 25 75 100 3

Practical and Viva Voce 2 Medical-Surgical Nursing I 100 100 200 Total 700 THIRD YEAR

13 Medical Surgical Nursing II 25 75 100 3 14 Child Health Nursing 25 75 100 3 15 Mental Health Nursing 25 75 100 3

Practical & Viva Voce 3 Medical Surgical Nursing –Ii 50 50 100 4 Child Health Nursing 50 50 100 5 Mental Health Nursing 50 50 100 Total 600

FOURTH YEAR 16 Midwifery and Obstetrical

Nursing 25 75 100 3

17 Community Health Nursing II 25 75 100 3 18 Nursing Research & Statistics 25 75 100 3

19 Management of Nursing services and Education

25 75 100 3

Practical & Viva Voce 6 Midwifery and Obstetrical Nursing 50 50 100 7 Community Health Nursing 50 50 100

Total 600

Note 1. Anatomy and Physiology-Question paper will consist of Section A Anatomy of 37 marks and

B Physiology should be of 38 marks 2. Nutrition and Biochemistry –Question paper will consist of Section A Nutrition of 45 marks

and Section B of Biochemistry of 30 marks 3. Introduction to Computer theory and practical final examination will be conducted as a college

examination and the marks will be sent to Goa University for inclusion in the mark sheet. 4. Internal score in Anatomy & Physiology will consist of Anatomy with 12 marks and

Physiology with 13 marks 5. Internal score in Nutrition and Biochemistry will consist of Nutrition with 15 marks and

Biochemistry with 10 marks 6. Pharmacology, genetics, pathology: Section A of Pharmacology with 38 marks, Section B of

Pathology of 25 marks and Genetics of 12 marks 7. Internal score in. Pharmacology, Pathology, Genetics will consist of Pharmacology with 12

marks, Pathology of 8 marks and Genetics of 5 marks.

7. Fees A) 1st Year 1) Admission fee (at one time only) Rs 550 2) Tuition Fee Rs 6,600 3) Institutional Fee Rs 500 4) Development fee Rs 1000 5) Library fee Rs 250 6) Caution fee for Library Rs. 250 7) Caution fee for Laboratory Rs 250 8) Identity card Rs. 50 9) Miscellaneous (damage to property of institute, hostel, hospital) Rs. 200 10) Hostel Fee Rs. 2500 Total Rs 12,150 B) 2nd, 3rd & 4th Year each 1) Tuition Fee Rs 6,600 2) Institutional Fee Rs 500 3) Development fee Rs 1000 4) Library fee Rs 250 5) Hostel Fee Rs. 2500 Total Rs 10850 6) In addition to the above the students will have to pay a) Laboratory fees as prescribed by the Institute where student gains practical experience. b) Goa University examination fee as prescribed by the university c) Students using mess facilities will have to pay a sum as decided by the mess committee. d) Annual Sports Registration and Affiliation fee Rs. 40/- e) Student Nurses Association fee Rs 830/- N.B. a) Caution fees will be refunded on the last day of the course provided she/he produces the receipt of payment and an NOC from various departments.

b) All fees are subject to change. c) Fees will be refunded only on RETURN OF THE RECEIPT ISSUED

D) Concessions in Tuition Fees Concession in tuition fee (only) will be offered, as follows to those students who have been residing in Goa for a period of ten or more years, preceding the date of application.

1) The candidates admitted against the seats reserved for the categories of SC/ST/OBC shall be eligible for concession of 50% for a minimum prescribed period of the course of study.

2) The candidates admitted against the seats reserved for the categories of FF/PH/ESM shall be eligible for concession of 30% for a minimum prescribed period of the course of study.

3) The candidates admitted against the seats of General, PH, FF, & ESM categories shall be eligible for concession of 50% for a minimum period of the course of study, provided the income of both the parents from all the sources does not exceed 2,00,000/- per annum.

4) The maximum concession offered under any of the above clauses shall not exceed 50% (combination of two clauses not permitted)

E) Mode of availing concession To avail concession of tuition fees:

a) Applicants belonging to S.C., S.T., & OBC category will have to submit an attested copy of a certificate from the Deputy Collector concerned to that effect.

b) An applicant belonging to general/physically handicapped/freedom fighter/ex- serviceman category shall have to produce a certificate in original from the Mamlatdar/Dy. Collector, countersigned by the Block Development Officer (for village areas) or Chief Officer of Municipalities (for Municipal areas) at the time of admission along with the other documents, stating the annual income of both the parents, from all the sources (including agricultural income). The 50% concession in tuition fee shall be granted to the applicant if the above income is less than Rs. 2, 00,000/- per annum.

c) Applicants belonging to general/physically handicapped/freedom fighter/ex-serviceman category who are unable to produce the required income certificate shall pay the full fee at the time of admission. He may submit the same within 60 days from the date of admission and claim refund/adjustment from the institute.

8. Hostel Accommodation a) Hostel accommodation is compulsory b) Students are expected to abide by the rules and regulations of the hostel. A copy of the same will be provided to them at the time of admission c) Any student reported and proved violating the hostel rules and regulations or misbehaving in any form, which is detrimental to him/her or to the reputation of the institution, will be liable for disciplinary action to be taken against him/her. This can amount up to expulsion from institute. The Principal is empowered to take the disciplinary action deemed fit. 9. Bond. Every student admitted to the Institute of Nursing Education, for the B.Sc. Nursing Course is required to execute a Bond examination within 30 days of admission that he/ she will

a) Complete the course * b) Serve the Government of Goa for a period of five years after completion of the

B.Sc.Nursing Course, if called upon to do so by the Government within in a period of six months from the date of completion of the course. On failure to comply with the said obligation under the bond, the student will be liable to pay to the Government a sum of Rs. One Lakh. The Government reserves the right to post him/her anywhere within Goa State.

C) If the candidate admitted is below the age of 18 years the bond form should signed by the parent/guardian

* the undergraduate student shall not, leave without completing the degree course to which he/she has been admitted by the Institute of Nursing Education and in case of default the undergraduate student and/or the surety, jointly and severally shall be liable to pay a sum of Rs. 1, 00,000/- (Rupees One Lakh only) to the Government as compensation besides forfeiture of his/her fees or/and deposits paid to the Institute of Nursing Education.

11. RAGGING

RAGGING IS STRICTLY PROHIBITED, ANY STUDENT FOUND GUILTY OF RAGGING IS LIABLE FOR PUNISHMENT WHICH MAY INCLUDE EXPULSION FROM THE INSTITUTE 11. Miscellaneous: a) Uniform Students are expected to have four sets of uniform for practical experience in the hospital and two sets of uniform for community health experience. b) Library, laboratory and other facilities Library facilities are provided to the students. Any library book lost/damaged by a student will have to be replaced by her/him or the cost of the book is to be paid for. Laboratory facilities are also provided in the Institute and in affiliated institutions. c) Student Nurses Association Students are required to enroll as members of the Student Nurses Association. The present membership fee is Rs.100/- which is subject to change. This association is affiliated to the Student Nurses Association of India and to the Trained Nurses Association of India (TNAI). Students are expected to actively participate at the local, state and national level activities conducted by the SNA/TNAI. d) Progress update: Students must keep Parents\Guardians informed of their progress by updating them about their performance in the regular assignments\tests etc. Parents\Guardians must realize that the training of their wards is their joint responsibility. They must come to meet the Principal without fail whenever called. d) Health: Parents/Guardians should ensure that their ward is immunized against Hepatitis B before the clinical posting.

PART- II

1. Eligibility to apply for the course To be eligible to apply for the B.Sc. Nursing course an applicant i) Should be a citizen of India. ii) Should have completed 17 yrs of age on or before 31st December 2009 and should not exceed 30 years of age on the first day of the course. iii) Should have passed HSSC examination of Goa Board or its equivalent examination with English, Physics, Chemistry, and Biology as compulsory subjects and should have not less than 50% marks in aggregate and not less than 50% marks in Physics, Chemistry, Biology and English. Candidates belonging to SC/ST category should have at least 45% of marks in aggregate in HSSC examination of Goa Board with not less than 50% marks in Physics, Chemistry, Biology and English.

iv) Should have resided in Goa for a minimum period of 10 (ten) years preceding the year of qualifying examination and should have studied and passed standard XI and XII in schools/colleges in the state of Goa. v) The condition of 10 (ten) years continuous residence shall not apply to: - a) Applicant whose parents /grand parents are of Goan origin and who have completed 5 (five) years continuous residence in Goa immediately preceding the year of qualifying examination and studied and passed standard XI and XII in schools/colleges of Goa.

b) Children of Central Government employees including employees of central government public sector undertaking and defense personnel transferred to and serving in Goa provided that they have studied and passed standard XI and XII in schools/colleges of Goa provided further that such applicants whose either parent is a central government employee serving in Goa and is transferred out of Goa during the latter half of standard XI and or during the academic session of standard XII shall be eligible. c) Children of regular employees of Goa state government (including employees of Goa state government public sector undertaking) who have studied and passed standard XI and XII from schools/colleges in Goa. d) Children of ex-service persons who have resided in the State of Goa continuously for a minimum period of 5 years immediately preceding the year of qualifying examination provided that they have studied and passed standard. XI and XII from schools/colleges in Goa. e) Any period spent by the applicant in another State, under the Scheme of Exchange Programme as the student of Navodaya Vidyalaya from Goa, shall be counted towards 10 years continuous residence in Goa (5 years for those whose either of the parents/grandparents is born in Goa.) f) A Goan native (G.N.) applicant whose either of the parents/grandparents was born in Goa shall be eligible to apply for a seat under this category, provided he/she has studied and passed the qualifying examination from the school \colleges located outside Goa but within the States of India. In the event of the seat from this category not being filled by the candidate as above the same will be allotted to that candidate whose either of the parents/grandparents is born in Goa, and who have studied and passed the qualifying examination from schools/colleges located outside India.

vi) Should possess good physical and mental health. A candidate found to be medically unfit will have to discontinue the course. vii) Knowledge of Konkani/Marathi is desirable. 2. Application for admission and certificates to be enclosed. The application form is appended to the prospectus, which can be obtained from the office of Institute of Nursing Education, Bambolim on payment of Rs.150/-(Rupees Hundred and Fifty only) in cash. A. Application for admission to the B.Sc. Nursing course should 1) Be addressed to the Principal, Institute of Nursing Education, Near Holy Cross Chapel Bambolim-Goa 403203 2) Be submitted personally (in order to obtain an acknowledgement and an application number). 3) Reach the said office on or before 2nd June, 2009 by 4 p.m. 4) Be accompanied by certified true copies of the testimonials and certificates required vide Part II, clause 3 of this prospectus. B. An applicant can apply in more than one category. However the applicant must submit a separate application form along with all the required certificates for each category.

3. Certified copies of testimonials and certificates to be attached with the application: 1. Certificate of birth from the Registrar, Births and Deaths. 2. School leaving certificate from where the candidate has passed Standard X. 3. Certificate of passing and statement of marks obtained for HSSC or equivalent examination. 4. Certificate of having passed XII Standard examination issued by the respective board/school from which she/he has passed the said examinations. This certificate should specify the medium of instruction at HSSC examination. 5. Certificate of migration for students who have passed Standard XII from Boards other than HSSC Goa Board. 6. Eligibility Certificate from Goa University for those students who have passed Standard XII from boards other than HSSC Goa Board 7. Certificate of residence from the Mamlatdar of the concerned Taluka indicating period of continuous residence (minimum last 10 years) in Goa, preceding the month of application as per Annexure I of the prospectus. a) In case the continuous residence in Goa is less than 10 years but more than 5 years and the applicant wants to claim concession on the grounds of parents/grandparents being born in Goa the birth certificate of either the parents/grandparents from the Registrar of Births and deaths, and documents to establish their links with the applicant. b) An applicant claiming concession in period of residence under PART II 1. v) b) must produce attested photocopy of the Central Government /Goa Government order indicating the place and period of deputation and posting outside the state of Goa c) An applicant claiming concession in period of residence under PART II 1. v) c must produce till date service certificate of the parent from the head of office/ department about posting of the parent. The service certificate should indicate the full name of the

parent, designation, date of transfer order, place transferred from date of joining and present status of posting. d) Applicants of Goan native category (PART II 1. v) f must produce a certificate of nativity (either by birth or domicile in Goa) either of parents/ grandparents from the competent authority, with the certificate that the applicant has passed the qualifying examination from the schools/colleges located outside Goa but within/outside India as the case may be. 8.)Applicants claiming seats reserved for the children of a Freedom Fighters of Goa must produce a certificate in the prescribed proforma,(Annexure V) from the Home Department, (Secretariat, Goa) that either of his/her parents is registered as a Freedom Fighter of Goa indicating the date and registration number. 9) In case of an applicant belonging to the Schedule Caste/Tribe category must produce a valid NON MIGRANT caste Certificate in the prescribed proforma (Annexure II) from the Deputy Collector of the area concerned. Certificates issued by the Village Panchayat /Mamladar shall not be accepted. 10) Applicants claiming seats reserved for OBC category must produce a recent Caste Certificate (non-creamy layer and/ non-migrant) in the prescribed pro-forma (Annexure III) from the Dy. Collector of the area concerned. Certificates issued by Village Panchayat\ Mamlatdar shall not be accepted. 11) In case of physically handicapped candidates a certificate from the constituted medical board of GMC Hospital, Hospicio Hospital or Asilo Hospital regarding his/her disability and ability/fitness to undergo all parts of the syllabus of the course. The percentage of disability should be recorded on the fitness certificate. Persons suffering from not less than 40% (forty percent) disability shall be eligible for the reserved seat. 12) In case of an applicant claiming additional marks on the basis of having taken part in sports, a certificate from the Director of Sports and Youth Affairs, Panaji to the effect that she/he represented the State or the country as the case may be in a recognized sport/game in a national or in an international event at least once during the last two years preceding the year of application. 13) N.C.C ‘C’ Certificate if applicable. 14) Evidence of having participated in NCC contingent in the Republic day parade in New Delhi. 15) Applicants claiming seats reserved for the children of Ex-serviceman (Category F) shall be required to produce a certificate from the secretary, Rajya Sainik Board indicating the full name the date and Registration number of Ex-serviceman and Residence Certificate. 16) Applicants claiming seats reserved for the children of Goa state/Central Government employees including Goa state /Central Government/Public Sector undertaking and defense personnel must produce till date Service Certificate of the parent from the head of the office/Department about the posting of the parent. The service certificate should indicate the full name of the parent, designation date of transfer order, place transferred from , date of joining and present status of posting

17) Recent passport size photograph duly attested by a gazetted officer which is to be affixed on the application form. 18) An applicant claiming concession in period of residence under category PART II v e must produce attested photocopy of the Goa Government order indicating the place and period of deputation and posting outside the state of Goa or a certificate stating that he/she is a student of Navodaya Vidyalaya from Goa. . 19) All those claiming concession in tuition fees must submit at the time of admission “certificate of income “in original from Mamlatdar /Deputy Collector, countersigned by the Block Development Officer (For village areas) or Chief Officer of Municipalities (For municipal areas), along with other documents, stating the annual income of both the parents, from all the sources( Including agricultural income) i) Incomplete applications and applications submitted after the due date and time 2nd June 2009 by 4 p.m. will not be considered. ii) All certificates enclosed with the application form should be attested. Copies of certificates attached with the application will not be returned even if they are not selected for admission. iii) No original certificate should be attached to the application however; the applicant will have to produce the certificate in original for verification at the time of admission. iv) Transference/leaving certificate from the school /college is to be produced within a period of 8 (eight) days from the date of their admission. 4. Allocation of Seats: Allocation of the 25 seats for the B.Sc. Nursing Course will be as follows

Category a) General ( 53.5 % ) 13 seats b) Seat reserved for scheduled caste of Goa ( 2 % ) 1 seat c) Seat reserved for scheduled tribe of Goa ( 12 % ) 3 seats d) Seat reserved for OBC of Goa ( 19.5 % ) 5 seats e) Seat reserved for children of CSP ( 6 % ) 1 seat f) Seat reserved for children of ESM / FF (1 % / 1 %) 1 seat. g) Seat reserved for physically handicapped (3 % ) 1 seat.

h) Goan Native: (GN) Only One seat from the total of 25 seats will be allotted for a candidate applying under GN category. For allocation of seat to those candidates applying under GN category the selection will be based on order of merit in whichever category the candidate has applied for. If more than one candidate who has applied under GN category is selected on merit in the same category or in more than one category only one candidate obtaining the highest score will be selected. G.N. applicants have to specify under which category they are applying for i.e. a, b, c, d, e, f, g. N.B: Any seat remaining unfilled in subgroup (b) (c) (d), (e), (f) and (g) shall be transferred to category (a) general. 5. Guidelines for selection a) Applicants to the course will be provisionally selected on order of merit, which will be based on the aggregate marks in the qualifying HSSC examination

b) While computing the said marks;

i) Five marks will be added to the total marks of those applicants who have represented the State in national events and ten marks will be added to the marks to those applicants representing the country in international events at least once during the last 2 years preceding the year of application. However the total marks allotted to any one candidate will not exceed ten. ii) Five marks will be added to the total marks to those applicants who have passed the ‘C’ Certificate NCC examination. Ten marks will be added to the total marks to those applicants who are NCC Cadets and have represented Goa at the Republic Day parade in New Delhi. iii) Selection will be made in order of merit. iv) If two applicants are found to have scored equal number of marks in aggregate, the applicant who has secured more marks in Physics, Chemistry and Biology will be selected

v) If two applicants are found to have scored equal number of marks in aggregate and equal number of marks in Physics, Chemistry and Biology the applicant who has scored more marks in English will be selected. vi) Five marks will be deducted from the total aggregate of marks for every attempt (maximum attempts permitted are three) vii) For those applying under 4 f the applicant securing the highest marks in aggregate will be selected viii) For allocation of seat to those candidates applying under GN category the selection will be based on order of merit in whichever category the candidate has applied. If more then one candidate who has applied under GN category is selected on merit in the same category or in more than one category the candidate obtaining the highest score will be selected.

6. Notification of selected applicants a) Eligibility list of applicants will be displayed on 10th June 2009. at 12.noon

Applicants are expected to bring to the notice of the Principal (in writing) any discrepancy on the eligibility list within 48 hours, failing which the applicant himself/herself shall be responsible for the consequence of such an error. The candidate should also ensure that the revised position is informed to him/her.

b) The names of the applicants who are provisionally selected and in the waiting list will be displayed separately on the notice board of the Institute of Nursing Education, Bambolim –Goa on 15th June 2009 at 12 noon.

c) Applicants who are provisionally selected for the B.Sc. Nursing Course will have to report to the Institute of Nursing Education, Bambolim for verification of certificates and payment of fees (the date will be intimated on the selection list)

d) The first list of selected wait listed applicants who are offered a seat will be displayed on 18th June 2009.

e) Selected waitlisted applicants who are desirous of joining the course should report by 10 a.m. on 19th June 2009 failing which the admission offer will be cancelled.

f) The second list of selected waitlisted applicants who are offered a seat will be displayed on 22nd June 2009.at 12.noon

g) Selected waitlisted applicants from the second list who are desirous of joining the course should report by 4 pm on 23rd June 2009, failing which the offer will be cancelled.

7. Cancellation of admission If any applicant who is offered admission does not report or pay the prescribed fees within the date specified in the notice of admission, the offer will be treated as cancelled and seat will be offered to the next eligible applicant from the merit list. Candidates unable to report for genuine reasons, should intimate the Principal by telephone (2459727) on the same day. However they are expected to report on the next day by 12 noon, failing which the admission offer will be cancelled. 8. Refund of fees (ONLY ON RETURN OF RECEIPT ISSUED) A. Cancellation of Admission by Admitting Authority a) If an applicant who has paid the admission fees but fails to report to the college as per the date given in the selection list/notice of admission he/she shall forfeit the claim for admission and his/her entire admission fees paid shall be forfeited.

b) If any information/certificate submitted by the applicant in connection with his/her admission is found to be incorrect later on at any time, his/her admission shall be cancelled forthwith and the entire fees shall be forfeited.

c) Admission offered to the applicants shall be cancelled, if at a later stage, the Goa University declares that the applicant is not eligible for admission. In this case, the entire fees except admission fees (Rs.550/-) will be refunded.

B. Cancellation by Candidate a) Admission fee of Rs.550/- shall not be returned or refunded under any circumstances b) If an applicant desires to cancel his/her admission for any reason whatsoever, during the admission process, but before the start of the academic session (the date decided by Goa University), he/she shall be allowed to do so. It shall be presumed that the admission is cancelled at that stage and he/she shall forfeit the admission fees. The other fees shall be returned to him/her.

c) If an applicant cancels the admission after the start of the academic session (the date decided by Goa University), he/she shall be entitled for refund of fees, provided the refund is sought within 10 days from the date of admission. Besides the admission fee, Rs.550/- (Rupees Five Hundred Fifty only) shall be deducted towards cancellation charges by the institution d) If an applicant cancels the admission after the start of the academic session (the date decided by Goa University), within 30 days from the date of Admission, he/she shall be entitled for refund of fees, after deducting, besides the admission fee, Rs.1000/- (Rupees One Thousand only) towards cancellation charges by the institution.

e) If an applicant cancels the admission after the start of the academic session (the date decided by Goa University), after 30 days from the date of admission, no fees except caution fees will be refunded subject to NOC from various departments and producing the receipt of caution fee payment. In addition candidate will have to pay a bond as stipulated in Clause 9 a Part I 9. If any changes come into effect after printing of the prospectus, they will be notified on the notice board of Institute of Nursing Education, Bambolim –Goa

2009-2010

INSTITUTE OF NURSING EDUCATION, GOA APPLICATION FORM FOR B.Sc. NURSING COURSE

App. No._ (as per prospectus number)

For Office Use Only 1) Registration No. __________ 2) HSSC/ICSE/any other ________ 3) Total Score in XII out of _________ 4) % in XII __________ 5) Total score in PCBE __________ 6) % in PCBE __________ 7) Category__________ 8) Date of Birth______________ 9) Form checked by ____________ 10) Form Double-checked by ___________ 11) Original document checked _____________

Affix a passport size Attested photograph

1. Name in full (in block letter, as per qualifying examinations)

2. Date of Birth.

3. Age as on 31st December 2009 ---------years ---------months ----------days

4. Place of Birth:

5. Sex:

6. Marital status:

7. Nationality:

8. Father’s name, Occupation & Address:

9. Mother’s name, Occupation & Address:

10. Guardian’s name, Occupation & Address:

11. Phone No.________

12. Relationship with guardian:

13. Category under which you wish to apply for - General, S.T., S/C, O.B.C., Children of freedom fighter, Children of Ex-Serviceman, CSP,GN and physically handicapped. (Do not tick)

WRITE ONLY ONE __________ GN Applicants are to specify the category they wish to apply under.

14. Educational Qualification: Name of the Examination

Year of Passing

Name and address of school

Subjects answered for Std. XII Examination

Marks Obtained (in each subject)

1 2 3 4 5 Secondary School Leaving Examination

1 2 3 4 5 6 7 8

Total_____ Percentage ________

15. List of attested certificates/documents attached to this application as per requirements (Part-II, clause 3 of the prospectus). (Tick the certificates you have enclosed) Attested copies of:

1. Certificate of Birth from Registrar, Births and Deaths 2. Certificate of passing XII.(HSSC leaving certificate) 3. Mark sheet of XII. 4. Certificate from deputy Collector in case of applicants from S.C./S.T./OBC on prescribed proforma (Annexure II for S.C.& S.T Annexure III for O.B.C.) 5. Income certificate on prescribed proforma (annexure VI)

6. Certificate from the concerned authorities regarding freedom fighter,(Annexure V) sport and Central And State Government employee,Ex-servicemen (Annexure IV) and defense personnel. 7. Passport size photograph affixed and attested. 8. Certificate regarding residence from Mamladar on prescribed proforma (Annexure I) 9. Certificate for physically handicapped from constituted Medical board of G.M.C, Hospicio Hospital or Asilo Hospital. 10. School leaving Certificate 11. . Certificate regarding medium of instruction 12. Certificate of birth of parents/grandparents 13. . Certificate of domicile of the parent/grandparent from the Deputy Collector. 14. Migration Certificate. 15. Any other

16. DECLARATION BY THE APPLICANT a. I hereby state that I am eligible to be considered for admission to the B.Sc. Nursing Course. I hereby agree, if admitted, to conform to the rules and regulations at present in force or that may hereafter be framed for the administration of the Institute and its associated hospitals. I undertake that, so long as I am a student of the Institute I will not do anything that is unworthy of the Institute’s ideals or do anything that will interfere with its orderly working and discipline. If admitted, I undertake to complete the course. I also undertake to serve the Government of Goa in any part of the state for a period of five years after completion of the B.Sc.Nursing Course if called upon to do so by the Government within in a period of six months. b. I am aware that ragging is banned from the Institute of Nursing Education, Goa and that if I am found guilty of ragging I am liable for punishment, which is expulsion from the Institute.

Signature of the applicant________________

Name of applicant _______________________

Place: Date:

17. DECLARATION BY PARENTS/GUARDIAN a. I hereby declare that I am responsible for the timely payment of all dues i.e. fees, fines and other charges payable to the Institute and affiliated Institutes, for my son/daughter/ward ______________________________________during the period of her/his study in the Institute and thereafter until the dues are cleared. I also undertake to vouch for her/his good behavior during the period of study in the Institute of Nursing Education, Goa.

b. I am aware that ragging is banned from the Institute of Nursing Education, Goa and that if my son/daughter/ ward ___________________________________ is found guilty of ragging he/she is liable for punishment, which is expulsion from the Institute.

Signature of Parent/Guardian_____________________

Name of Parent/Guardian_________________________ Place: Date: