GOVERNMENT OF WEST BENGALHEALTH & FAMILY WELFARE DEPARTMENT

NATIONAL HEALTH MISSION (NHM)GN -29, 1ST FLOOR, GRANTHAGAR BHAWAN,SWASTHYA BHAWAN PREMISES, SECTOR-V

SALT LAKE, BIDHANNAGAR, KOLKATA - 700 091.~ 033 - 2353 - 0432,A 033 - 2357 - 7930,

Email ID: spmu.nuhm@gmail.com; website: www.wbhealth.gov.in

No. HFW/NUHM-232/2016/64Cf Dated: ~~. ?2017

From : Commissioner, Health & Family Welfare &Add!. 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 IM)'fda I Murshidabad I Nadia I North 24 Parganas /Nandlgram HDI PaschimMedinipur I Purba Medinipur I Rampurhat HD I South 24 Parganas I Uttar Dinajpur

Sub: Provisional Admission of Trainees for ANM Courseunder NUHM for UPHCin different ULBs

Ref: Notification No. HFW/NUHM-232/2016/3826 dated 9.12.2016

With reference to above, an approved list containing ULBwise selected candidates for ANM trainingunder NUHM received from your end is enclosed. The namesof the NursingTraining Institutions (residential orNon-residential) where they will undergo such training have also been indicated ULBwise in the enclosedstatement (Annexure I).

2. You are requested to send the photocopies of all the concerned applications along with all relevantdocuments of selected candidates to the Training Institutions before commencement of 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 24 months duration will be started from 12.6.2017 in all the institutes.

A draft copy of the intimation letter is enclosed.

3. Failure to join the training course in time, or leaving the course midway for any reasons whatsoever,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 beclearly indicated that the admission is provisional and is subject to verification of original documents producedby the candidate in support of her age, residence and qualification.

After admission, if any candidate is found ineligible by any competent authority her candidature forundergoing training will liable to be cancelled and she will be terminated from the training course forthwith.Shewill also be liable to refund the stipend money paid to her.

-2-

S. 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 makemessingarrangements at their own cost.

List of articles usually required to be brought by each trainee is enclosed.

Enclo -

1. Annexure 12. Specimen copy of Medical Certificate.3. Specimen copy of Model letter of the CMOHto the trainees.4. Specimencopy of Model letter to the Nursing Training Institution.5. List of articles to be brought by the trainees

commiSSV-W) &Addl. Mission Director, NHM

No. HFW/NUHM-232/2016/6't'l/I(It.)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. Jt. DHS (Nursing), West Bengal.4. Registrar, West Bengal Nursing Council, 8, Lyons Range, Kolkata - 700001.5. Commissioner, (Howrahl Durgapurl Asansoll Chandannagarl Siliguril Bidhannagar)

Dated:.?,(.5""".2017

6. Executive Officer, (Baduria, Basirhat, Bolpur, Suri, Burdwan, Kalna, Katwa, Coochbehar,Balurghat, Diamond Harbour, Arambag, Baidyabati, Bansberia, Bhadreswar, Champdany,Dankuni, Hooghly Chinsurah, Konnagar, Rishra, Serampore, Uttarpara Kotrang, Uluberia,Jalpaiguri, Jhargram, English Bazar, Old Maida, Jiaganj- Azimganj, Berhampur, Dhulian, Jangipur,Kandi, Chakdah, Gayeshpur, Haringhata, Kalyani, Krishnanagar, Nabadwip, Ranaghat, Santipur,Ashoknagar Kalyangarh, Bangaon, Baranagar, Barasat, Barrackpore, Bhatpara, Dumdum, Garulia,Habra, Halisahar, Kamarhati, Kanchrapara, Khardah, Madhyamgram, Naihati, New Barrackpore,North Barrackpore, North Dumdum, Panihati, South Dumdum, Titagarh, Ghatal, Kharagpur,

,{' ,~c·

- 3 -

Medinipur, Contai, Haldia, Panskura, Rampurhat, Baruipur, Budge Budge, Maheshtala, RajpurSonarpur, Islampur, Kaliaganj, Raiganj)

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.C. is enclosed for ready reference for 7 to 16only.

commis~ncr (H&FW) &Addl. Mission Director, NHM

Details Of (10+2) Examination

SI. Name of Date Of Marks Obtained

the CandidateGurdian's Name Address

BirthCaste Board/ Year of Total in final %of R(~marks

No. RankInstitute Passing Marks examination Marks

(best 5 subjects)

MOUSUMI CHAITANY/\ CHf\RANArea .. Bansh Bari Gosai Ghat.

1 Po- Bansh Bari, Maida. Pin.. 0105 1983 SC W B.S.CV. [.T 2008 500 407 81.4 btHALDAR CHOWDHURY

732101

Mokdurnuur. KamarParaghat.

2 KEYA GAS CHINMOY D/\5Po- Mokdurnpur. Ps- English

18·0S1990 SC W.B.CHS.E 2008 500 252. 50.4 2ndBazar. Dist Maida, Pin ..732.103(W.BI --_.Vill- Hat xnola, Ghoshpara

3DOLI

BHOlA CHOWDHURY(Bibigramj, Ps English

01-(13·1983 SC WBC.HSE 2003 WOO 439 43.9 3rdCHOWDHURY Bazar.Po & Dist- Maida, Pin ..

732101

Panel for engagement of ANM under NUHMName of the District: MALDA

Name Of the ULB: ENGLISHBAZAR MUNICIPALITYNo Of required no Of trainee' 01 (SC)

Panel for engagement of ANM under NUHMName of the District: MALDA

Name Of the UlB: OLD MAlDA MUNICIPALITYNo Of required no Of trainee- 01 (SCj

Anexture III

Details Of (10+2) Examination51. Name of Date Of Marks Obtained

the CandidateGurdian's Name Address

BirthCaste Board/ Year of Total in final %of RemarksNo,

RankInstitute Passing Marks exammatlcn Marks

In"" ~<!lhr.'d.1ViII·SaradaColonv, Po·

I li\POSI DAS GOUTAIV1SAHA Mangalban, Dist- Maida, Pin- 07·05·1982 SC W,n'c'H,S,E 2000 1000 521 52,1 1st732142

C/O· Birralendu Poddar Sarbari,;> SHRABANI D,\S BllV1AlENDU PODDAR Po- Oid Maida, Dilt· 11081991 SC w.s.c.a.s.r 2009 SOO 230 46 2nd

Malda(W,B), Pin- 732128_,

3 MOUSUMI DAS TANAl' Di\SGUPTA Bacharnari, Maida, Pin 732142 05'12·1989 SC W,[l,c'H,S,!' 2010 500 189 3'18 3rd

Annexure I

ULBwise Number of ANM & Training Institute

51. required Number selected Residentiall Non-No. District ULB of trainee for 1st number of Training Institute residential

phase trainee

1 Maida English Bazar 1 1 Dist Hospital, Cooch Behar Residential

2 Maida Old Maida 1 1 Dist Hospital, Cooch Behar 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.

APPARATUS, STETHOSCOPE,etc - TO KEPT WITH THE

STUDENT5 TORCH 1 PC6 UMBRELLA 1 PC7 PENCIL BOX ERASER,PENCIL, PEN, SCISSOR,

RED BLUE PEN8 NOTE BOOKS 8- (No.4-8)9 White paper 4DISTA