MEDICAL SERVICES RECRUITMENT BOARD

7th Floor, DMS Buildings, 359, Anna salai, Teynampet, Chennai - 6.

Phone No:044-24355757
Website: [Link] [Link]: msrb@[Link]

NOTIFICATION NO: 19/MRB/2025 DATE:09.12.2025

1. Applications are invited only through online mode up to 29.12.2025 for

recruitment to the post of Field Assistant in Tamil Nadu Public Health
Subordinate Service.

Sl. No. Name of the post Scale of pay (Rs.)

18200 – 67100
1. Field Assistant
(Pay Matrix Level- 5)

2. No. of vacancies: 41*

Backlog
DAP** PSTM
Vacancies Shortfall Total
Category G W Ex-ser
Ex- Vacancy vacancies
W G W G
ser

GT 4 3 - - 2 - - - - 9

BC 3 - - 1 1 1 1 3 - 10

BC(M) 1 - - - - - - - - 1

MBC/DNC 3 1 - - 1 - - - - 5

SC 1 - 1 - 1 1 - 5 4 13

ST - - - - - - - 2 1 3

Total 12 4 1 1 5 2 1 10 5 41

(*Excluding reservation for meritorious sportsperson)

(**MD - Multiple Disabilities as mentioned in section 5(g) of the notification)

Page 1 of 37
 Abbreviation Detail
BC Backward Class
BCM Backward Class (Muslim)
DAP Differently Abled Person
DW Destitute Widow
Ex-Ser Ex-Servicemen
G General
GT General Turn
MBC / DNC Most Backward Class / Denotified Community
PSTM Person Studied in Tamil Medium
SC Scheduled Caste
SCA Scheduled Caste (Arunthathiyars)
ST Scheduled Tribe
W Women

3. IMPORTANT DATES:

Date of Notification 09.12.2025

Last date for submission of Application (Online

29.12.2025
Registration & Online payment)

4. PAY:
Level – 5 (Rs. 18200 – 67100)
5. RESERVATION AND RELATED INFORMATION:
The number of vacancies advertised is only an indicative number and is liable for
a)
change (increase or decrease) with reference to vacancy position at any time before
finalisation of selection for appointment.
The rule of reservation is applicable as per the rules in force. Detailed instructions
b)
with regard to reservation can be seen in Annexure-2 and 3 of this notification
Separate reservation of 3.5% within the 30% reservation available for Backward
c)
Classes is applicable only to Backward Class Muslims (BCMs). All the concessions
/ relaxations / benefits applicable to BC candidates are applicable to BC Muslim
candidates as well.
The expression B.C (i.e. Backward Class) wherever it occurs including online
d)
application form, should be read as “B.C. (other than BCM) and B.C. (Muslims)”,
[BCMs denotes Backward Class Muslims].

Page 2 of 37
e) Reservation for Destitute Widow:-
i. The direct recruitment to the posts as per provision to [Link] (2) of Sec 26 of
Tamil Nadu Government Servants Conditions of Service Act 2016, “ Provided that
in the case of direct recruitment to the posts with pay which does not exceed [level
10 in the pay matrix] Ten per cent of vacancies out of 30% vacancies set apart for
women shall be set apart for destitute widows”. In each category namely the General
Turn, Backward Class Muslims, Backward Classes, Most Backward Classes /
Denotified Communities, Scheduled Castes or Scheduled Tribes shall be apart for
destitute widows. If no qualified and suitable destitute widow is available, the turn so
set apart for destitute widow shall go to the women (other than destitute widow)
belonging to respective category.
ii. Every candidate claiming to be a “destitute widow” shall produce a certificate
in the format given in Annexure 9 to this notification from the Revenue Divisional
Officer or the Assistant Collector or the Sub-Collector concerned.
Reservation for Ex-service men:-
f)
In direct recruitment to the Group ‘C’ post, five percent (5%) posts are reserved for
Ex-service men as per the 200 point roster of Government of Tamil Nadu. Every
candidate claiming to be an Ex-servicemen, if already discharged, should produce
the Discharge Certificate from the Defence services, pension, payment order etc.
and if the candidate is serving personnel (yet to be discharged) the candidate has to
produce an undertaking as in Annexure 8 A (in Annexure – 8) and form of certificate
for serving personnel in Annexure 8 B (in Annexure – 8).

g) Reservation for differently abled:-

4% of the posts are reserved for Differently Abled candidates with bench mark
disabilities as per G.O.(Ms.) No.21, Welfare of Differently Abled persons (DAP-3.2)
Department, dated 30.05.2017 and as per the Government letter (D) No.1385, dated
25.11.2025. Such candidates have to produce a certificate of physical fitness and
the disability certificate as stated in section 3 (oo) of Tamil Nadu Government
Servants (Conditions of Service) Act, 2016 (Inserted by Tamil Nadu Act 30 of 2017)
from the Medical Board (as in Annexure 7 of this Notification).
Name of the post Categories of disabilities identified by the expert
committee
Field Assistant a) HI & HH
b) DF, LC, AC (All with good mobility, good physique
and with vision)
c) MD among the above
ABBREVATION
Code Physical Requirements
HI Hearing Impaired
HH Hard of Hearing
DF Dwarfism (All with good mobility, good physique and
with vision)
LC Leprosy Cured (All with good mobility, good physique
and with vision)
AC Acid Attack Victims (All with good mobility, good
physique and with vision)
MD Multiple Disability (All with good mobility, good
physique and with vision)

Page 3 of 37
 Person Studied in Tamil Medium (PSTM)
h)
Section 2 (d) of the Tamil Nadu Appointment on Preferential Basis in the Services
under the State of Persons Studied in Tamil Medium (Amendment) Act, 2020 [Tamil
Nadu Act No.35 of 2020], states that Person studied in Tamil medium means a
person who has studied through Tamil medium of instruction upto the educational
qualification prescribed for direct recruitment in the rules or regulations or orders
applicable to any appointment in the services under the State.

6 A. AGE (as on 01.07.2025):

Minimum Age Maximum Age

Sl. (should have (in years)
Category
No. completed)
(in years) SC / ST / SCA / BC / BCM / MBC&DNC OC

a. For all categories 18 No Maximum Age Limit 32*

b. Differently Abled 18 No Maximum Age Limit 42*

Person
c. Ex-Service men 18 No Maximum Age Limit 48

No Maximum
d. Destitute Widow 18 No Maximum Age Limit
Age Limit
* - As per orders issued in G.O.(Ms). No.91, Human Resources Management
Department, Dated: 13.09.2021
Explanation:
No Maximum age limit shall mean that the candidates should not have completed
60 years of age as on 01.07.2025 or at the time of selection / appointment to the
post.
Note:
1. Sub-Section 8 of Section 20 of the Tamil Nadu Government Servants
(Conditions of Service) Act- 2016 shall be applicable to this recruitment.

2. Applicants not belonging to SC, SC(A), ST, MBC&DNC, BC, BC(M) who
have put in 5 years or more of service in the State/Central Government are
not eligible to apply even if they are within the age limit.

Age concession for Ex-servicemen:-

“ Notwithstanding anything contained in the Act or in the special rules for the
various State and Subordinate Services, an ex-serviceman who has not completed
forty eight years of age, if he does not belong to Scheduled Caste, Scheduled Tribe
or Backward Class and fifty three years, if he belongs to Scheduled Caste,

Page 4 of 37
Scheduled Tribe or Backward Class on 1st July of the year in which the selection
for appointment is made, but is otherwise qualified and whose name is suggested
by a local Employment Exchange for appointment to a vacancy under the
Government notified to it shall be eligible for such appointment.
Persons serving in the Armed Forces shall be eligible to apply for posts
under the Government if they are due to complete the specified term of their
engagement in the Armed Forces within one year from the last date prescribed by
the appropriate authority for receipt of the application in respect of a particular
recruitment. All such candidates while making their applications shall submit a self
undertaking and a form of certificate from their Commanding Officer format given
in Annexure – 8 of this notification.”
The above mentioned age concession will not apply to the Ex-servicemen
applicants who have already been recruited to any class or service or category.
(Section - 3(j) of the Tamil Nadu Government Servants (Condition of Service) Act
- 2016.
[Section 3(j) and 63 of Tamil Nadu Government Servants (Conditions of
Service) Act - 2016]
Age concession for Differently abled candidates:-
Eligible Differently Abled candidates can avail age concession up to ten years
over and above the age limits prescribed for the appointment to post by direct
recruitment.
[Section 64 of Tamil Nadu Government Servants (Conditions of Service) Act -
2016]
6B. EDUCATIONAL QUALIFICATION:

Candidate shall possess the following qualification on the date of this notification viz.
09.12.2025.

Name of the
Sl. No. Qualification
post

i. Must have passed Plus-two Examination.

1. Field Assistant ii. Must possess certificate in Medical Laboratory

Technology Course (one year duration course)
undergone in any institution recognized by the
Director of Medical Education; and
iii. Must have a good physique, good vision and
capacity to do outdoor work.

Page 5 of 37
 6C. CONDITIONS AND QUALIFICATION:

i. The claims of the candidates with regard to the date of birth, educational/technical
qualifications and community are generally accepted only on the information furnished
by them in their on-line application, without physical verification of their claims. Their
candidature therefore will be provisional and subject to the Board satisfying itself,
about their age, educational/technical qualifications, community etc. through a
physical verification process. The candidature is therefore, provisional at all stages
and the Board reserves the right to reject any candidature at any stage, even after the
selection has been made.
ii. If a candidate claims equivalent qualification, the onus of proving the same rests
with the candidate.
iii. Persons with required qualification whether registered in employment exchange
or otherwise are eligible to apply.
7. PROCEDURE OF SELECTION:
7a. Selection will be made based on the marks scored by the candidates in their academic
and technical qualification(s) for the post of Field Assistant duly following the rules of
reservation and communal rotation issued by the Government of Tamil Nadu and
satisfaction of the qualification and other conditions stipulated in this Notification. There
will be no oral test (Interview) for the post.

Educational qualification Weightage for marks

required for the post as per Certificate HSC/
the Special Rules SSLC / 10th
(CMLT – One year) P.U.C

Certificate in Medical
Laboratory Technology Course
(one year duration course) 50% 30% 20%
recognized by the Director of
Medical Education

Note:
In case marks are not specifically awarded for any batch of the CMLT (one
year) course, then selection for all will be based on the marks scored by the
applicants in SSLC and HSC / PUC examinations only.
[Link] selection will be made for the Field Assistant post, duly following the
relevant rules of reservation and communal rotation of Government of Tamil
Nadu and other conditions stipulated in this Notification.

8. FEE AND SERVICE CHARGES:

SC / SCA / ST / DAP / DW Rs. 300/- Others Rs. 600/-

The details regarding on-line remittance can be seen in Annexure-1.
Page 6 of 37
 On-line applications once registered / completed will not be allowed to be
withdrawn and / or the fee paid towards the registration / application will not be
refunded / adjusted for any reason.
9. ON-LINE REGISTRATION:
a. Interested and eligible candidates are to visit the Medical Services Recruitment
Board’s website [Link] and familiarize themselves with the
detailed notification.
b. On the Home Page, click “Online Registration” to open up the On-Line
Application Form.
c. Select the name of the post of Field Assistant
d. All the required particulars be entered without skipping any field.
e. Mobile number and e-mail are mandatory; you are also requested to
provide alternate secondary Mobile No. All communication from MRB will
be sent only to the registered primary mobile number by SMS and to the
registered e-mail only and by no other means.
f. Candidates are required to upload their scanned copy of colour photograph,
scanned copy of signature as per the specifications given in the Guidelines for
Scanning and Upload of Photograph and Signature. An online application is
incomplete without the Photograph and Signature upload.
Model Photo

Model Signature with name in

Block Letters

g. The candidates need to apply only in online mode. They shall not send
copies of certificates / printed application to MRB. In the online application,
candidates need to furnish the details such as: Community Certificate
number; Issuing Authority; Date of issue, in support of the claims made
Page 7 of 37
 with regard to community failing which the application will not be
considered.
h. Evidence for all the claims made in the online application should be
uploaded at the time of submission of online application. Any
subsequent claim made after submission of online application will not
be entertained. Failure to upload the documents at the time of
submission of online application will entail rejection of application after
due process.
i. Incomplete applications and applications containing wrong claims or
incorrect particulars relating to category of reservation / eligibility / age
/ gender / communal category / educational qualification / medium of
instruction / physical qualification other basic qualifications and other
basic eligibility criteria will be summarily rejected after due process.
j. Candidates need to verify their eligibility for the post before submitting
their online application. If a candidate furnished wrong information,
action will be taken by MRB to debar such candidate from the future
exams/recruitment, apart from other legal actions.
Please read the instructions on “How to Apply On-line” in Annexure-1.

10. COMMUNICATION WITH THE MRB:

i. Any communication intended for the Board must be made in writing and
addressed only to the Medical Services Recruitment Board, 7th floor,
359, Anna Salai, Teynampet, Chennai 600 006.
ii. If a reply is sought, it must be accompanied by an envelope affixed with
sufficient postage stamps with the address to which the reply is to be sent.
iii. Communications seeking reasons for non-selection and other qualifications
will receive no attention. Requests for furnishing causes of failure (non-
selection) will not be complied with.
iv. The Board will receive communication only from candidates.
Communication in the name of pleader or agent will not be entertained.
v. Details of provisionally selected candidates will be hosted in the Board’s
website [Link].
vi. After the selection is made by the Board, the Appointment and postings of
Field Assistant will be made by the Directorate of Public Health and
Preventive Medicine, Chennai-6.
vii. Any claim relating to the selection should be received within 30 days from
Page 8 of 37
 the date of announcement of results. Claims received thereafter will not be
considered.
viii. During the process of recruitment, from Notification till completion of
selection process, No information / clarification on the selection particulars
/ details will be furnished to any petitions / representations including
petitions received under Right to Information Act, CM cell petitions would be
furnished.

11. CERTIFICATE OF PHYSICAL FITNESS:

Candidates provisionally selected for appointment to the posts will be
required to produce a certificate of physical fitness including Vision Certificate in
the prescribed form.
12. SPECIAL INSTRUCTIONS:
All the candidates wishing to apply shall abide by / agree to the following
undertaking and declaration in the on-line application form. In addition, candidates
who are called for certificate verification shall also submit the following undertaking
and declaration.

A. UNDERTAKING BY THE CANDIDATE

i) In the event of selection, the candidate shall be willing to serve in Government

in any Medical Institution of the State.

ii) Successful candidate shall join duty within the stipulated time from the date
of receipt of appointment orders as instructed by the appointing authorities
and shall not claim extension of joining time citing that she is undergoing
higher studies or for any other reason. He / she shall abide by the condition
that her name will be removed from the approved list without assigning any
reasons therefor, if she fails to join duty within the stipulated time.

iii) He/she shall abide by the condition that if he/she is selected and appointed
as Field Assistant, after joining duty, he / she shall not be permitted to
undergo any course within the period of two years excluding the period of
leave.

iv) If the candidate is under any contractual obligation, to serve under any State
Government / Local Bodies / Private Institutions he/she must produce a ‘No
Objection Certificate’ from the Appointing Authority concerned.

(Signature of the candidate)

Page 9 of 37
 B. DECLARATION BY THE CANDIDATE

I. I hereby declare that all the particulars furnished in this application are true,
correct and complete to the best of my knowledge and belief. In the event of
any information being found false or incorrect or ineligibility being detected before
or after the selection, action can be taken against me by the MRB.

II. I hereby declare that I will not be a party to any kind of canvassing on my behalf.

III. I further declare that I fulfill all the eligibility conditions prescribed for admission
to this post.

IV. I have informed my employer in writing that I am applying for this post and furnish
the NOC for this purpose (if applicable).

V. I have gone through the instructions etc. to candidates and the Board’s
Notification for this recruitment before filling up the application form.

VI. I declare that I possess the Medical Standards prescribed for the post(s) which
I am now applying.

VII. I certify that I have not been debarred / disqualified by the Board or any other
recruitment agency.

VIII. I am not a dismissed Government Employee.

IX. There is no criminal case/ Vigilance Case filed against me in any Police Station
/ Court.

X. I hereby declare that my character/antecedents are suitable for appointment to

this post.

XI. I declare that I do not have more than one living spouse / I am unmarried.

(Signature of the cadidate)

13. Candidates are advised to read and familiarize themselves with this detailed
notification before filling online application in [Link]

Member Secretary

Page 10 of 37
 WARNING
➢ All recruitments by the Medical Services Recruitment Board are purely merit
based.
➢ The Medical Services Recruitment Board hereby cautions the applicants
against touts and agents who may cheat, be making false promises of
securing jobs through unfair means.
➢ The Medical Services Recruitment Board shall not be responsible or liable
for any loss that may be caused to any applicant on account of indulging in
any sort of dealings with such unscrupulous elements.
➢ Applicants are solely responsible for their claims in the online application.
They cannot blame service providers like internet cafes/browsing centres /
Common Service centres for the mistakes made while applying online for
recruitment. Applicants are advised to check the filled in online application
along with required documents before finally submitting the same.
➢ The applicants shall mandatorily upload the certificates / documents
(in support of all the claims made / details furnished in the online
application) at the time of submission of online application itself. It
shall be ensured by the applicants that the online application shall not
be submitted without uploading the required certificates.
➢ Applicants are directed to read all the information / instructions /
guidelines given in this notification before applying for this
recruitment. Clarification if any required may be obtained over phone
and email well ahead of the last date for submission of online
application. Candidates should follow the instructions given in the
online application also.

Page 11 of 37
 Medical Services Recruitment Board

DETAILED INSTRUCTIONS IN ANNEXURE

Annexure
Detail
No.

1 How to Apply On-line?

2 Reservation.

List of Documents to be produced at the time of

3
Certificate Verification.

4 Disqualification / Debarment.

5 No Objection Certificate.

6 Pay

Guidelines for submission of Medical Certificates by

7
the Differently abled Person.

8 Undertaking and Certificate to be furnished by serving

personnel

9 Certificate of concession for Destitute Widow.

10 Certificate for person having studied in Tamil Medium

(PSTM)

Page 12 of 37
 ANNEXURE - 1

HOW TO APPLY ON-LINE?

a. Candidates should apply only through online in the Board’s Website

[Link].

b. Before applying, the candidates should keep a scanned image of their colour
photograph and scanned image of their signature. (Preferably stored in a
CD/DVD/Pen drive as per their convenience).

c. A valid e-mail ID and Mobile Number is mandatory for registration and email ID
and the given mobile number should be kept active till the declaration of results.
MRB will send intimation regarding certificate verification, other Memos etc.
only through the registered e-mail ID.

d. The candidates shall register their mobile number in the application to receive
SMSs. All communications from the MRB will be through e-mail and SMS
to the candidate’s registered primary mobile number/registered email
only.

e. Please note that all the particulars mentioned in the online application including
Name of the Candidate, Post Applied, Communal Category, Date of birth,
Address, Email ID, etc. will be considered as final and no
modifications will be allowed after the last date specified for applying
online. Candidates are requested to fill in the online application form with
utmost care as no correspondence regarding change of details will be
entertained.

Online Payment (Net Banking, Credit card/Debit card/Mobile Wallet)

g. For payment of fees through the online payment gateway, i.e. Net Banking,
Credit Card, Debit card and Mobile Wallet Payment, an additional page of the
application form will be displayed, wherein candidates may follow the
instructions and fill in the requisite details to remit payment.

h. After submitting the payment information in the online application form, please
wait for the intimation from the server, DO NOT press Back or Refresh
button, in order to avoid double charge.

i. If the online transaction has been successfully completed a final Registration

Number and Password will be generated. Candidates should note the same for
future reference.

Page 13 of 37
Print Option:
j. After submitting the application, candidates can save / print their application in
PDF format.

k. On entering Registration Number and password, Candidates can download

their application and print, if required.

l. Candidates need not send the printout of the online application or any other
supporting documents to the Board. The certificates will be normally verified
later, when the candidates are called for certificate verification.

m. The certificates in support of claim(s) made by the candidates, as per

Notification, should be produced, whenever required as directed by the Board
without fail.
Note:

i. Candidates are advised in their own interest to apply on-line and remit fee
much before the closing date and not to wait till the last date to avoid
last-minute internet connectivity issues.
ii. MRB will not be responsible for delayed submission or remitting of payment.
iii. Under no circumstances, a candidate should share/mention e-mail ID
or Mobile Number with any other person. In case a candidate does not
have a valid personal e-mail ID, they should create a new e-mail ID
before applying on-line and must maintain that email account.
iv. No modification in fee payment through on-line mode is permitted.
v. Candidates should carefully fill in the details in the On-Line Application at
the appropriate places and click on the “SUBMIT” button at the end of the
On-Line Application format. Before pressing the “SUBMIT” button,
candidates are advised to verify each and every particular filled in their
application. The name of the candidate or his /her father/husband’s name
etc. should be recorded correctly in the application as it appears in the
certificates. Any change/alteration found may disqualify the candidature.
vi. Any clarification regarding on-line registration may be obtained from the
Help Desk Phone No.022 - 42706504 between (Monday to Saturday)
09.00 am to 06.00 pm – Except Public Holidays.

Page 14 of 37
 ANNEXURE- 2

RESERVATION
The rule of reservation and communal rotation is applicable as per the
existing orders of the Government of Tamil Nadu in this regard. Candidates
belonging to the Scheduled Castes (SC), Scheduled Caste (Arunthathiyars) (SCA),
Scheduled Tribes, Most Backward Classes & Denotified Communities, Backward
Classes (other than Muslim)(BC) and the Backward Classes (Muslim)(BCM) will
also be eligible for selection against the vacancies to be filled under General turns
on the basis of merit ,and where a Scheduled Caste/Scheduled Caste
(Arunthathiyars)/Scheduled Tribe, Most Backward Class/Denotified Community or
Backward Class (other than Muslim)/Backward Class (Muslim) candidate is
selected on the basis of merit against the General turn, the vacancy reserved for
them will not in any way be affected.

Reservation for Ex-service men:-

(Section 3(j) and 27 (c) of Tamil Nadu Government Servants (Conditions of

Service) Act 2016 )
In direct recruitment to the Group ‘C’ post, five per cent (5%) posts are reserved
for Ex-service men, as per the 200 point roster of Government of Tamil Nadu.

(i) Who will be below 53 years of age in the case of Scheduled Castes,
Scheduled Castes (Arunthathiyar), Scheduled Tribes, Most Backward
Classes / Denotified Communities, Backward Classes(other than Muslim)
and Backward Classes (Muslim), 48 years of age in the case of “Others” on
the 1st July of the year in which the selection is made.

(ii) Persons serving in the Armed Forces shall be eligible to apply for Posts
under the Government, if they are due to complete the specified term of
their engagement in the Armed Forces within one year from the last date
prescribed by the appropriate authority for receipt of the application in
respect of a particular recruitment. At the time, when they come up for
selection, if they are otherwise qualified, they can claim the concession for
ex-serviceman as per the rules issued by the Government of India. In such
cases the candidate has to produce an undertaking as in Annexure- 8A and
Form of Certificate for serving personnel in Annexure- 8B of this
Notification.

(iii) Provided that in all cases, an Ex-service men once recruited to a post in
any service or class or category, cannot claim the concession of being
called an Ex-service men for his further recruitment.

Reservation for Destitute Widow:-

i. The direct recruitment to the posts as per provision to [Link] (2) of Sec
26 of Tamil Nadu Government Servants Conditions of Service Act 2016, “
Provided that in the case of direct recruitment to the posts with pay which
does not exceed [level 10 in the pay matrix] Ten per cent of vacancies out
of 30% vacancies set apart for women shall be set apart for destitute
widows”. In each category namely the General Turn, Backward Class
Muslims, Backward Classes, Most Backward Classes / Denotified
Communities, Scheduled Castes or Scheduled Tribes shall be apart for
Page 15 of 37
 destitute widows. If no qualified and suitable destitute widow is available,
the turn so set apart for destitute widow shall go to the women (other than
destitute widow) belonging to respective category.
[Link] candidate claiming to be a “destitute widow” shall produce a
certificate in the format given in Annexure 9 to this notification from the
Revenue Divisional Officer or the Assistant Collector or the Sub-Collector
concerned.

Reservation for differently abled:-

4% of the posts are reserved for Differently Abled candidates with bench mark
disabilities as per G.O.(Ms.) No.21, Welfare of Differently Abled persons (DAP-3.2)
Department, dated 30.05.2017 and as per the Government letter (D) No.1385,
dated 25.11.2025. Such candidates have to produce a certificate of physical fitness
and the disability certificate as stated in section 3 (oo) of Tamil Nadu Government
Servants (Conditions of Service) Act, 2016 (Inserted by Tamil Nadu Act 30 of 2017)
from the Medical Board (as in Annexure 7 of this Notification).

Reservation in Employment for Transgender:-

i. The Transgender candidates, who identify themselves as “Female” shall
be considered against both 30% reservation for women as well as 70%
reservation for the General category (both Men & Women).
ii. The Transgender candidates, who identify themselves as “Male” or
“Transgender”, shall be considered against the 70% reservation for the
General category (both Men & Women).
The above concessions shall be granted subject to production of certificate
identifying them as Transgender of Transgender (Male) or Transgender
(Female), as the case may be, issued by the Tamil Nadu Transgender
Welfare Board(TNTGWB).”

Note: -
List for Scheduled Castes, Scheduled Tribes, Most Backward Classes/
Denotified Communities and Backward Classes and Backward Classes
(Muslim) can be seen in the Document section under the Instructions to the
candidates in MRB website in
[Link]

(i) Persons belonging to Tamil Nadu, and to one of the communities

mentioned in the lists indicated above alone shall be treated as
Scheduled Caste or Scheduled Tribe or Most Backward
Classes/Denotified Communities or Backward Classes and Backward
Classes (Muslim) as the case may be. Persons belonging to other States
shall not be treated as belonging to the Scheduled Caste or Scheduled
Tribe or Most Backward Classes/Denotified Communities or Backward
Class and Backward Class (Muslim) even though they may belong to one
of the Communities specified in the list.
(ii) Persons belonging to Christian Communities, who are converted from any
Hindu Community included in the list of Backward Classes will be considered
Page 16 of 37
 as Backward Classes with effect from 24-02-1986.

(iii) A member of the Scheduled Caste on conversion to Christianity will be

considered only under Backward Classes (other than Muslim) and not under
Scheduled Caste.

(iv) Scheduled Caste “Arunthathiyar” refers to, Arunthathiyar, Chakkiliyan, Madari,

Madiga, Pagadai, Thoti and Adi Andhra.

(v) DevendraKula velalar refers to (Devendrakulathan, Kadaiyan (excluding in the

coastal areas of Tirunelveli, Thoothukudi, Ramanathapuram, Pudukottai,
Thanjavur, Tiruvarur and Nagapattinam districts) Kalladi, Kudumban, Pallan,
Pannadi, Vathiriyan.

Reservation for PSTM (Persons studied in Tamil Medium):

20 % of notified vacancies shall be set apart on preferential basis to persons
studied in Tamil Medium as per the eligible conditions ordered in Tamil Nadu Act
40 of 2010 and Tamil Nadu Act 35 of 2020.

Page 17 of 37
 ANNEXURE- 3
LIST OF DOCUMENTS TO BE PRODUCED AT THE TIME OF CERTIFICATE
VERIFICATION
a. Evidence of Date of Birth (Birth Certificate/SSLC / HSC)

b. Evidence and Mark sheet of Educational qualification [SSLC / HSC /

Certificate in Medical Laboratory Technology (one year duration Course)
undergone in any institution recognized by the Director of Medical
Education].

c. 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).

d. Certificate for person having studied in Tamil Medium as in Annexure – 10

of this notification.

e. Community certificate from the competent authority (Permanent Community

Certificate)

f. Certificate of character and conduct issued by Group A or Group B Officer

on or after issue of the current notification.

g. Certificate of character and conduct issued by the Head of the Institution in

which he / she last studied.

h. Differently abled certificate issued by the competent authority

(if applicable) as in Annexure – 7 of this notification.

i. No Objection Certificate from the Appointing Authority concerned (if

applicable) as in Annexure – 5 of this notification.

j. An undertaking and Declaration to be submitted as in para 12A and 12B of

this notification

k. Two (2) passport size colour photograph (that was used to scan and
uploaded in the online application) (with name and application number on
the reverse).

l. Any one of the photo ID and Card issued by a Government Authority (other
than PAN card), depicting the Address for communication or permanent
Address furnished in the online application.

m. Destitute widow certificate as per Annexure –9 (if applicable).

n. In respect of Ex-Servicemen they have to produce the Discharge Certificate,

PPO No., in case if he is already Discharged. If the candidate is a serving
personnel to be discharged within one year from the last date of receipt of
the application of this notification, he has to produce An undertaking given
by the candidate in Annexure 8A & Form of Certificate for serving personnel
in Annexure 8B of this notification (if applicable).

o. The candidate will also be asked to sign on the printed copy of on-line
Page 18 of 37
 application (printed copy will be provided to the candidate at the time of
certificate verification)
p. Government Order for equivalence of the qualification to the prescribed
qualification (If applicable)
q. Transgender ID Card with Gender (If applicable)

r. Gazetted copy for name change (If applicable)

s. Documents / Court Orders proving acquitted / conviction of FIR in case of

pending cases for criminal cases registered (If applicable)

PRODUCTION OF EVIDENCE FOR CLAIMS MADE IN THE APPLICATION

The Original Certificates (including mark sheets) in support of the claims made
in the application, should be produced at the time of attending the certificate
verification, when called for. One set of photo copies duly attested of all certificates
along with two copies of colour photograph identical to the one uploaded in the
application, should also be handed over while attending the certificate verification,
when called for by recording his/her registration number on the reverse side on the
colour photo.

(a) Evidence of date of birth viz.,

(i) Birth certificate with name; (ii) the Secondary School-Leaving Certificate;

(b&c) Documents evidencing the qualification prescribed for the

appointment, including qualification in Tamil

Degree / Diploma / Certificate (as applicable for the post) alone will be accepted
as evidence of qualification. Copies of Mark Sheets or Grade Certificates will not
be accepted as sufficient evidence. In the case of an applicant, who claims to
possess adequate knowledge in Tamil, whether his mother-tongue is Tamil or not,
a certificate evidencing that he had taken Tamil as a language in his S.S.L.C. Public
Examination or had taken all the non-language subjects in the S.S.L.C. Public
Examination in Tamil Medium or he/she had passed the Second Class Language
Test (Full Test) in Tamil.

(d) Community Certificate

In the case of an applicant who claims to be a member of SC/ SC(A) or ST or
MBC/DNC or BC(Other than BCM) or BCM, a certificate from the following
authority noted against each should be produced in the form as specified in
[Link]. No. 781, Revenue department, dated 2nd May 1988:-

Sl. Name of the Competent Authority to Issue the

No. Community Certificate
(i) ST R.D.O/Asst. Collector / Sub Collector/ Personal
Assistant (General) to the Collector of
Chennai/ District Adi-Dravidar Welfare Officer.

(ii) SC/SC(A) TalukTahsildar.

Page 19 of 37
(iii) MBC/ DNC, BC (other than Revenue Officer not lower in rank than a Tahsildar
Muslim and BCM) or Head Quarters Deputy Tahsildar or Special
Deputy Tahsildar appointed to issue Community
Certificate. Additional Head Quarters Deputy
Tahsildar and Zonal Deputy Tahsildar.
(iv) ThottiaNaicker (including Head Quarters Deputy Tahsildar.
Rajakambalam, Gollavar,
Sillavar, Thockalavar,
ThozhuvaNaicker and
Erragollar) included in the
list of MBC/DNC)

Community Certificate should have been issued by the competent

authorities referred to above, in whose jurisdiction the candidate claims to have
permanent residence, after personal enquiries and proper verification. The
certificate obtained by the candidates in the form other than the one prescribed
in [Link].781, Revenue department, dated 2nd May 1988 and solely
based on the entries in S.S.L.C or Transfer Certificate or other School/College
records will not be accepted.

Candidates are warned that if the community recorded in the certificate

produced by them from the competent authority is not included in the list of
Scheduled Castes, Scheduled Tribes, Most Backward Classes/Denotified
Communities or Backward classes given in the list of communities in
[Link]
will not be considered as belonging to Scheduled Caste, Scheduled Tribes or
Most Backward Classes/Denotified Communities or Backward Classes as the
case may be. They will, in that case, be considered only under ‘Others’ and if
they are not qualified to be considered under ‘Others’, their applications will be
rejected.

In case of women candidates’, the community certificate should bear her

father’s name.

(e&f)Two certificates of Character and Conduct

(i) From a Government Officer belonging to Group A or B who knows the
candidate personally, obtained not prior to the date of current
notification. This certificate must be based on personal knowledge and
experience of the candidate and not from a relative.

(ii) From the Head of the Institution in which the candidate last studied.

Note:-
(i) If the period of study at the Institution in which the candidate last
studied, is less than one academic year, he must produce also
another certificate from the Head of the Institution, in which he
last studied for not less than one academic year.
(ii) No two certificates may be obtained from the same person.

(g) The Differently abled candidates should furnish the certificate as in annexure 7
and that should be obtained only from the Medical Board of the Government
Medical Colleges.

Page 20 of 37
(h) Persons who are in the service of the Indian Union or a State in India or in the
employment of Local Bodies or Universities, or Quasi Government Organizations
constituted under the authority of the Government of India or of a State in India
whether in regular service or in a temporary service need not send their
applications through their Head of Department or Employer. Instead, they may
directly apply to the Board duly informing their Employer in writing that they are
applying for the particular recruitment and with the condition that they should
produce “No Objection Certificate” in the form given in Annexure – 5 of this
notification, from the appointing authority.

(i) An undertaking and Declaration should be submitted as in para 12A and 12B of
this notification

(j) The candidate has to submit Two (2) passport size colour photograph (that was
used to scan and uploaded in the online application) (with name and application
number on the reverse) at the time of attending the certificate verification.

(k) The candidate shall furnish a Photo ID card issued by a Government Authority
(Other than PAN Card), the address for correspondence as furnished by the
candidate his/her online application should tally with the address details in their
Photo ID proof.

(l) The candidate claiming to be a “destitute widow” shall produce a certificate in

the format given in Annexure 9 to this notification from the Revenue Divisional
Officer or the Assistant Collector or the Sub-Collector concerned.

(n) Certificates to be submitted by Ex-servicemen

A candidate who claims to have been demobilised from the Army or Navy or Air
Force should produce in support of his claim properly authenticated extract from
his Discharge Certificate in the following form :-
(a) Name of the candidate
(b) Rank held
(c) Date of enrolment
(d) Date of discharge
(e) Reasons for discharge
(f) Conduct and Character while employed in the military
Certificates to be submitted by serving personnel

Those who are still serving in the Armed Forces shall also be eligible to apply for
a Civil Post, if they are due to complete the specified terms of his engagement in
the Armed Forces within one year from the last date prescribed by the appropriate
authority for receipt of the application in respect of a particular requirement. At the
time, when they come up for selection, if they are otherwise qualified, they can
claim the concession for ex-serviceman as per the rules issued by the Government
of India. In such cases the candidate has to produce an undertaking as in
Annexure - 8A and Form of Certificate for serving personnel as in Annexure- 8B of
this Notification.

Page 21 of 37
 ANNEXURE- 4

DISQUALIFICATION / DEBARMENT

Disqualification:
If a candidate attempts to canvas to bring influence on the Chairman or any
Member of the Board personally / by letter / through relatives, friends, patrons,
officials or other persons will be disqualified.

Debarment:
(a) If the applicant attempts any tampering, alteration with the documents or
certificates, he is liable to be debarred from appearing for any of the
selections and examinations conducted by the Board and consequently from
entry into public service itself.

(b) Candidates furnishing false particulars in the matter of qualification or the

nature of pass in various subjects, experience gained, their religion or
community etc.,
(c) Suppression of material information regarding

(i) Employment in Government or Local Bodies, Public Corporations

etc.,
(ii) Arrests, convictions debarment or disqualification by Union Public
Service Commission / State Public Service Commission / Similar
Recruitment Bodies
(iii) Participation in agitation or any political organization.
(iv) Candidature in election for Parliament / State Legislature / Local
Bodies etc.,

(d) Making false or vexatious allegations against the Board in petitions

addressed to it or any other authority will be viewed seriously and that the
candidate responsible for such act will be debarred from appearing for the
selection held by this Board permanently or for such period of years as the
Board may decide.

Page 22 of 37
 ANNEXURE- 5
NO OBJECTION CERTIFICATE
Persons who are in the service of the Indian Union or a State in India or in the
employment of Local Bodies or Universities, or Quasi Government Organizations
constituted under the authority of the Government of India or of a State in India
whether in regular service or in a temporary service need not send their
applications through their Head of Department or Employer. Instead, they may
directly apply to the Board duly informing their Employer in writing that they are
applying for the particular recruitment and with the condition that they should
produce “No Objection Certificate” in the form prescribed below, from the
appointing authority.

NO OBJECTION CERTIFICATE BY THE APPOINTING AUTHORITY

i. Name of the Candidate…………………………………………….

ii. Name of the Post held …………………………………………….
iii. Whether the Candidate is employed temporarily
under the emergency provisions or whether the
candidate is a probationer or an approved
probationer or a full member of any of the sub-
ordinate/State Services?
iv. Whether any criminal cases/disciplinary action is
pending against the individual?

v. Details of disciplinary/criminal action taken against

the individual, if any

vi. Period of Employment From (date) To (date)

vii. I have no objection to the candidate’s application being considered for
the post of Field Assistant

Signature, Designation, and Seal with Date

Note:

(i) Persons who get employment after the submission of their applications
and before the receipt of intimation of certificate verification requiring to
produce original documents for verification should also produce the “No
objection Certificate”.

(ii) In case any Criminal /Disciplinary action is taken against or if any

punishment is imposed against such persons after the production of “No
objection Certificate” and before the actual appointment, such
candidates should report this fact forthwith to the Board indicating their
Registration/ Application Number and other details at the earliest
opportunity.

Page 23 of 37
 ANNEXURE- 6

Pay Level

The selected candidates will be paid the salary in the level 5 (Rs.18200 – 67100)
of Pay Matrix.

i) Successful candidate should join duty within the stipulated time from the date of
receipt of appointment order as instructed by the appointing authority and shall
not claim extension of joining time citing that he/she is undergoing higher studies
or for any other reason. He / She shall abide by the condition that his/her name
will be removed from the list without assigning any reason there for, if he/she
fails to join duty within the stipulated time.

ii) Candidates selected and appointed to a post should undergo such probation
and training and should pass such tests as may be prescribed in the rules by
the Government from time to time and are liable to face such penalties as
prescribed by the Government for failure to pass such tests.

iii) At any time before the end of the prescribed period of probation, the probation
of a candidate / appointment may be terminated and he / shall may be
discharged from the service.

iv) A candidate who is in the service of a Government other than the Government
of Tamil Nadu, if selected and appointed, will not be entitled on the basis of the
previous service under that Government to any concession in the matter of
leave, transit pay, etc., under the Government of Tamil Nadu.

v) If a rate of pay actually in force at the time of appointment of selected candidate

is different from that announced, he / she will be paid only at that rate. The pay
of the post is also subject to such modification, as may be made from time to
time.

Page 24 of 37
 ANNEXURE- 7

Form-V
Certificate of Disability
(In cases of amputation or complete permanent paralysis of limbs or dwarfism and in case of blindness)
[See rule 18(1)]
(Name and Address of the Medical Authority issuing the Certificate)

Recent passport size attested

photograph
(Showing face only) of the
person with disability.

Certificate No. Date:

This is to certify that I have carefully examined Shri/Smt./Kum
__________________________ son/wife/daughter of Shri _________________________Date
of Birth (DD/MM/YY) ______ Age_______years, male/female ________registration No.
_____________________ permanent resident of House No.__________ Ward/Village/Street
PostOffice______________District___________________State____________
____________,whose photograph is affixed above, and am satisfied that:
(A) he/she is a case of:
• locomotor disability
• dwarfism
• blindness
(Please tick as applicable)
(B) the diagnosis in his/her case is
(A) he/she has % (in figure) percent (in words)
permanent locomotor disability/dwarfism/blindness in relation to his/her (part of body) as per
guidelines ( number and
date of issue of the guidelines to be specified).
[Link] applicant has submitted the following document as proof of residence:-

Nature of Document Date of Issue Details of authority issuing certificate

(Signature and Seal of Authorised Signatory of

notified Medical Authority)

Signature/thumb impression
of the person in whose favour
certificate of disability is
issued

Page 25 of 37
 Form – VI
Certificate of Disability
(In cases of multiple disabilities)
[See rule 18(1)]
(Name and Address of the Medical Authority issuing the Certificate)

Recent passport size

attested photograph
(Showing face only) of
the person with
disability.

Certificate No. Date:

This is to certify that we have carefully examined Shri/Smt./Kum __________________________
son/wife/daughter_________________________ of Shri _________________________Date of Birth
(DD/MM/YY) ______ Age_______years, male/female ________Registration No.
_____________________ permanent resident of House No.__________ Ward/Village/Street
PostOffice______________District___________________State____________ ____________,whose
photograph is affixed above, and am satisfied that:

he/she is a case of Multiple Disability. His/her extent of permanent physical impairment/disability has been
evaluated as per guidelines (……………number and date of issue of the guidelines to be specified) for the
disabilities ticked below, and is shown against the relevant disability in the table below:

Sl. Disability Affected part of Diagnosis Permanent physical impairment/mental

No. body disability (in %)

1. Locomotor disability @
2. Muscular Dystrophy
3. Leprosy cured
4. Dwarfism
5. Cerebral Palsy
6. Acid attack Victim
7. Low vision #
8. Blindness #
9. Deaf £
10. Hard of Hearing £
11. Speech and Language disability
12. Intellectual Disability
13. Specific Learning Disability
14. Autism Spectrum Disorder
15. Mental illness
16. Chronic Neurological Conditions
17. Multiple sclerosis
18. Parkinson’s disease
19. Haemophilia
20. Thalassemia
21. Sickle Cell disease
(A) In the light of the above, his/her over all permanent physical impairment as per guidelines
(……..number and date of issue of the guidelines to be specified), is as follows : -
In figure:- _-------------percent
Page 26 of 37
 In words:- --------------------------------------------percent
2. This condition is progressive/non-progressive/likely to improve/not likely to improve.
3. Reassessment of disability is :
(i) not necessary,
or
(ii) is recommended/after ............... years ................ months, and therefore this certificate
shall be valid till

(DD) (MM) (YY)

@ e.g. Left /right/both arms/legs

# e.g. Single eye

£ e.g. Left/Right/both ears

4. The applicant has submitted the following document as proof of residence:-

Nature of document Date of issue Details of authority issuing certificate

5. Signature and seal of the Medical Authority.

Name and Seal of Member Name and Seal of Member Name and Seal of the Chairperson

Signature/thumb impression of the

person in whose favour certificate of
disability is issued.

Page 27 of 37
 Form – VII
Certificate of Disability
(In cases other than those mentioned in Forms V and VI)
(Name and Address of the Medical Authority issuing the Certificate)

[See rule 18(1)]

Recent passport size

attested photograph
(Showing face only)
of the person with
disability

Certificate No. Date:

This is to certify that I have carefully examined Shri/Smt./Kum

__________________________ son/wife/daughter of Shri _________________________Date of Birth
(DD/MM/YY) ______ Age_______years, male/female ________Registration No.
_____________________ permanent resident of House No.__________ Ward/Village/Street
PostOffice______________District___________________State____________ ____________,whose
photograph is affixed above, and am satisfied that he/she is a case of disability. His/her extent of
percentage physical impairment/disability has been evaluated as per guidelines (……number and date of
issue of the guidelines to be specified) and is shown against the relevant disability in the table below:-

Sl. No. Disability Affected part of Diagnosis Permanent physical

body impairment/mental disability (in
%)
1. Locomotor disability @
2. Muscular Dystrophy
3. Leprosy cured
4. Cerebral Palsy
5. Acid attack Victim
6. Low vision #
7. Deaf €
8. Hard of Hearing €
9. Speech and Language
disability
10. Intellectual Disability
11. Specific Learning Disability
12. Autism Spectrum Disorder
13. Mental illness
14. Chronic Neurological
Conditions
15. Multiple sclerosis
16. Parkinson’s disease
17. Haemophilia
18. Thalassemia
19. Sickle Cell disease
(Please strike out the disabilities which are not applicable)

Page 28 of 37
 The above condition is progressive/non-progressive/likely to improve/not likely to improve.
Reassessment of disability is:
not necessary, or
is recommended/after years months, and therefore this certificate shall be valid till
(DD/MM/YY) _____ _____ _____

@- [Link]/Right/both arms/legs
#- [Link] eye/both eyes
€ - eg. Left/Right/both ears
The applicant has submitted the following document as proof of residence:-

Nature of document Date of issue Details of authority issuing certificate

(Authorised Signatory of notified Medical Authority)

(Name and Seal)

Countersigned
{Countersignature
and seal of the Chief Medical Officer/
Medical Superintendent/
Head of Government Hospital,
in case the Certificate is
issued by a medical authority
who is not a Government
servant (with seal)}

Signature/thumb impression
of the person in whose
favour certificate of
disability is issued

Note.- In case this certificate is issued by a medical authority who is not a Government servant, it shall be
valid only if countersigned by the Chief Medical Officer of the District

Page 29 of 37
 List of Certifying Authority for the issue of disability certificate

Table-I

Certifying authority to
S. Medical Authority for the purpose of
Specified disability issue certificate of
No the issue of disability certificate disability
Any doctor/ medical
In case of amputation or
practitioner working in the
complete permanent Hospitals/ Institutions/ Primary Health
1 Hospitals/ Institutions/
paralysis of limbs or Centres run by Central and State Primary Health Centres run
dwarfism Government/ Statutory Local bodies by Government/ Statutory
Local bodies
District Hospital/ Other hospitals/
Medical Board consisting of
Institutions run by Central and State
three members of whom two
2 Multiple Disability Government /Statutory Local Bodies
will be specialist dealing with
having relevant medical specialist and
relevant disabilities
testing/assessment facilities
Hospitals/ Primary Health
Centers
Specified Disabilities not / Institutions run by Central and A specialist dealing with the
mentioned in Serial State Government/ Statutory Local relevant disability as
3
numbers 1& 2 above bodies having relevant medical specified in the Table - II
specialist and testing/ assessment given below
facilities

Page 30 of 37
 Table-II

SI.
Category Specialist
No
Locomotor disability
other than
amputation or
1 complete Specialist in Physical Medicine and Rehabilitation or Orthopaedician
permanent
paralysis of limbs
and
dwarfism
2 Muscular Dystrophy Specialist in Physical Medicine and Rehabilitation or Orthopaedician.

3 Leprosy cured Specialist in Physical Medicine and Rehabilitation or Orthopaedician.

person
4 Cerebral Palsy Specialist in Physical Medicine and Rehabilitation or Orthopaedician
5 Acid Attack Victim Specialist in Physical Medicine and Rehabilitation or Orthopaedician
6 Blindness Specialist in the field of Ophthalmology.
7 Low Vision Specialist in the field of Ophthalmology
8 Deaf Specialist in the field of Ear, Nose, Throat (E.N.T)
9 Hard of Hearing Specialist in the field of Ear, Nose, Throat (E.N.T).
Speech and
10 Language Specialist in the field of Ear, Nose, Throat (E.N.T) and Neurologist
Disabilities

Children with intellectual disability below the age of 18 years –

11 Intellectual Paediatrician or Paediatric Neurologist or Psychiatrist.
Disability
Adults with intellectual disability above the age group of 18 years –
Psychiatrist.
Medical board consisting of
12 Specific Learning a)Paediatrician; and
Disabilities b)Psychiatrist and trained psychologist.

Autism spectrum Medical Board consisting of

13 disorder a)Psychiatrist and Trained psychologist; and
b)Paediatrician or General Physician
14 Mental Illness Psychiatrist.

Medical Board consisting of

Chronic Neurological a)Psychiatrist and Trained Psychologist; and
15 Conditions such as b)Neurologist; and
Multiple Sclerosis and c) Orthopaedician or Specialist in Physical Medicine and
Parkinson’s Disease Rehabilitation.

Hematologists or Orthopaedician or Paediatrician or General

16 Hemophilia Physician
17 Hematologists or Orthopaedician or Paediatrician or General
Thalassemia Physician
Hematologists or Orthopaedician or Paediatrician or General
18 Sickle Cell Disease Physician

Page 31 of 37
 ANNEXURE – 8

FORM OF UNDERTAKING AND CERTIFICATE TO BE FURNISHED BY THE

SERVING PERSONNEL

SCHEDULE-XII
[ See section 63(2) ]
Annexure - 8A
Undertaking to be given by the candidate

I hereby accept that, if selected on the basis of the recruitment / examination

to which this application relates, I will produce documentary evidence to the
satisfaction of the appointing authority that I have been duly released / retired /
discharged from the Armed Forces and I am entitled to the benefits admissible to
Ex-servicemen given under section 63 of the Tamil Nadu Government Servants
Conditions of Service Act, 2016

Place: Signature of the candidate.

Annexure - 8B
Form of certificate for serving personnel

I hereby Certify that, according to the information available with me

( No ) ( Rank ) ( Name ) is
due to complete the specified term of his engagement with the Armed Forces on
the ( date )

Place: Signature of the Commanding officer

Date:

Page 32 of 37
 ANNEXURE – 9

CERTIFICATE TO BE PRODUCED BY THE CANDIDATES WHO CLAIMS

CONCESSION UNDER DESTITUTE WIDOW

SCHEDULE – x

* [See section 20(8) and 26(3)]

(1) Name of the individual :

(2) Full Postal Address :

(3) Details of job held, if any :

(4) Particulars of her Children, if :
any
(5) Name and last occupation of :
her late husband

(6) Date of demise of her husband :

(7) Monetary benefits received :

after her husband’s death by
way of family pension,
Insurance etc., if any.

(8) Details of Properties if any

immovable and movable left
behind by him

(9) Present monthly income:-

(a) From salaries / wages :
(b) From family pension :
(c) From private properties :
(d) Rents received :
(e) From private practice :
(f) Other sources, if any :
(g) Total :

(10) Whether living alone or living :

with her husband’s parents / in-
laws / parents / brother (s)

Page 33 of 37
 (11) Whether she satisfies the :
definition of the term “Destitute
Widow” as defined in section
20 (8) and 26 of the Tamil Nadu
Government Servants
(Conditions of Service) Act,
2016.

Certified that I have verified the particulars furnished by the individual and
satisfied myself as to the correctness of her claim with reference to the definition
of the term “Destitute Widow” in section 20 (8) and 26 of the Tamil Nadu
Government Servants (Conditions of Service) Act, 2016.

Certificate Reference No: Signature :

Place: Name :

Date: Designation :

Revenue Divisional Officer /

Assistant Collector / Sub-Collector.

Explanation:- The above certificate should be issued only by the Revenue

Divisional Officer or the Assistant Collector or the Sub-Collector concerned.

Page 34 of 37
 ANNEXURE – 10

Certificate for having studied in Tamil Medium #

This is to certify that Thiru./Tmt./Selvi. ……………………………………………..…(Name)

had studied Classes ……….. to ………..with Tamil as the medium of instruction, during the
year…………. to …….……..and had satisfactorily completed the course of studies prescribed
for Classes ………. to ………..
Thiru./Tmt./Selvi. …………………………………………..(Name) was / was not awarded
scholarship meant for students studying in the Tamil medium.
This certificate is issued with reference to Section 2(d) of the PSTM (Amendment) Act, 2020,
based on verifiable documentary evidence. The undersigned assumes full responsibility for the
veracity of the contents herein.

Signature of Principal /
Head Master /
District Educational Officer /
Chief Educational Officer /
District Adi Dravidar Welfare Officer
Place:
Date: Seal of the Institution Mobile No. ___________________

#
If the candidate has studied in different schools from 1st std. up to 10th std./ 12th
std.,then the above certificate shall be obtained from each of the schools the
candidate has studied in.
Certificate for having studied in Tamil Medium @

This is to certify that Thiru./Tmt./Selvi. ………………………………………………….(Name) had

studied …..………………….. (Certificate Course/ ITI/Diploma/Degree/PG Degree, etc.) during
the year …………. to …….……. with Tamil as the medium of instruction and had
satisfactorily completed the course of studies prescribed for …………………………………
(Certificate Course/ ITI/ Diploma/Degree/PG Degree, etc.).
Thiru./Tmt./Selvi. …………………………………………..(Name) was / was not awarded
scholarshipmeant for students studying in the Tamil medium.
This certificate is issued with reference to Section 2(d) of the PSTM (Amendment) Act, 2020,
based on verifiable documentary evidence. The undersigned assumes full responsibility for the
veracity of the contents herein.

Signature of Registrar/ Principal/

Controller of Examinations /
Place:
Date: Seal of the Institution Mobile No. ___________________

@
If the candidate has completed different courses in different Institutions, such a
certificate shall be obtained from each of these Institutions for the courses completed therein.

Page 35 of 37
 DISCLAIMER

“The applicants while applying for the recruitment should furnish the details of
equivalence of qualification declared in the form of Government order issued prior to the
date of this Notification, if any, and produce the same when called for by Medical Services
Recruitment Board, failing which their application will be rejected. The Government
Orders regarding equivalence of qualification issued after the date of this Notification will
not be accepted.”

Member Secretary

Page 36 of 37
END OF NOTIFICATION

Page 37 of 37