STATE INSTITUTE OF MEDICAL EDUCATION AND TECHNOLOGY …

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1 STATE INSTITUTE OF MEDICAL EDUCATION AND TECHNOLOGY (SI-MET) (UNDER GOVERNMENT OF KERALA) PROSPECTUS For Admission to Professional Degree Course 2018 in Post Basic B.Sc Nursing (Approved as per GO (MS) No. 78/2018/H&FWD Dated. 21/05/2018 ) 1. SIMET College of Nursing,Mangattuparamba,Kannur (District.) 2. SIMET College of Nursing, Malampuzha, Palakkad (District.) 3. SIMET College of Nursing, Palluruthy, Ernakulam (District) 2018 STATE INSTITUTE OF MEDICAL EDUCATION AND TECHNOLOGY (SI-MET) PALLIMUKKU, PETTAH (P.O), THIRUVANANTHAPURAM - 695024 Phone/Fax No: 0471-2743090 Email: [email protected] ; Website: www.simet.in

Transcript of STATE INSTITUTE OF MEDICAL EDUCATION AND TECHNOLOGY …

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SSTTAATTEE IINNSSTTIITTUUTTEE OOFF MMEEDDIICCAALL EEDDUUCCAATTIIOONN AANNDD TTEECCHHNNOOLLOOGGYY ((SSII--MMEETT))

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PPRROOSSPPEECCTTUUSS

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22.. SSIIMMEETT CCoolllleeggee ooff NNuurrssiinngg,, MMaallaammppuuzzhhaa,, PPaallaakkkkaadd ((DDiissttrriicctt..))

33.. SSIIMMEETT CCoolllleeggee ooff NNuurrssiinngg,, PPaalllluurruutthhyy,, EErrnnaakkuullaamm ((DDiissttrriicctt))

2018

SSTTAATTEE IINNSSTTIITTUUTTEE OOFF MMEEDDIICCAALL EEDDUUCCAATTIIOONN AANNDD TTEECCHHNNOOLLOOGGYY ((SSII--MMEETT)) PPAALLLLIIMMUUKKKKUU,, PPEETTTTAAHH ((PP..OO)),, TTHHIIRRUUVVAANNAANNTTHHAAPPUURRAAMM -- 669955002244

PPhhoonnee//FFaaxx NNoo:: 00447711--22774433009900

EEmmaaiill:: ssiimmeettkkeerraallaa@@ggmmaaiill..ccoomm;; WWeebbssiittee:: wwwwww..ssiimmeett..iinn

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CONTENTS

Clause ITEM Page No

1 Introduction 5 2 Institutions and Seats 6-7 3 Duration of the Course 7 4 Eligibility for Admission 7 5 How to apply 7-8 6 Selection 8 7 Admission 9-10 8 Preventive Messages against ragging 10 9 Syllabus 10 10 Recognition/Approval 11 11 System of examination 11 12 Fee structure 11 13 Allotment Process 11 14 Date of Joining 11 15 Commencement of the Course, Attendance, Duration of

leave etc. 12

16 Liquidated damages & Execution of Bond 12

Sl No ANNEXURES

Page No

A Allotment Process – PB BSc(N): 2018 -- Authorization Letter

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B Bond 14 C Undertaking from the Students as per the Provisions of

Anti-Ragging Verdict by The Hon’ble Supreme Court of India

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D Physical Fitness Certificate 16

E Undertaking of the Student 17

F Undertaking of the Guardian 18

G SI-MET College of Nursing, Malampuzha, Palakkad (District)

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H SI-MET College of Nursing, Palluruthy, Ernakulam(District)

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I SI-MET College of Nursing, Mangattuparamba, Kannur (District)

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SI-MET

STATE INSTITUTE OF MEDICAL EDUCATION AND TECHNOLOGY

Established by the Government of Kerala Aims of SI-MET Promote teaching, research and development in the field of medical education, Medical

science, technology and their interfaces.

Generate, transfer and propagate knowledge in Medical, Nursing and Paramedical fields.

Run institutions in the three systems - Modern Medicine, Ayurveda and Homoeopathy.

Establish and run hospitals, laboratories, sub-centres etc.

Conduct lectures, seminars, courses and organize symposia, conferences, workshops, in-service training etc. in the fields related to medical education, medical sciences, technology and their interfaces.

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Management of SI-MET

SI-MET is fully owned by the Government of Kerala. The control, administration and management of the Institute shall vest with the Governing body constituted by the Government of Kerala.

Chairperson - Hon: Minister for Health & Social Welfare Government of Kerala Vice - Chairman - Secretary to Government,

Department of Health & Family Welfare Government of Kerala

Members - Secretary to Government Department of Finance

Government of Kerala Secretary to Government

Department of Planning Government of Kerala

- Special Secretary to Government Department of Health Government of Kerala

- Vice Chancellor University of Kerala Thiruvananthapuram

- Director of Medical Education Government of Kerala

- Director of Ayurveda Medical Education Government of Kerala

- Director of Health Service Government of Kerala

- Principal and Controlling Officer , Government Homeopathic Medical College Thiruvananthapuram

- Deputy Director of Nursing Education Directorate of Medical Education

Director - Dr.T.Sivadas There is also an Executive Committee headed by additional Chief Secretary (Health) to

look into the day today affairs as well as streamline the activities of SI-MET.

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Prospectus for Admission to Professional Degree Courses 2018 in Post Basic BB..SScc Nursing under SI-MET

1. Introduction 1.1 State Institute of Medical Education and Technology (SI-MET) was established in May-

2008 by the Government of Kerala with a view to promote Medical Education and Research in the State and to run Institutions in Medical Education and Research. The control, administration and management of the affairs of the Institutes shall vest in the Governing Body constituted by the Government with the Hon: Minister for Health, Government of Kerala, as Chairman, Secretary to Government, Health & Family Welfare, Government of Kerala as Vice Chairman and 13 senior officials of Government of Kerala as members.

1.2 SI-MET has established 3 Nursing Colleges in the state during 2009-10 in Malampuzha

(Palakkad Dist.), Uduma (Kasaragod Dist.) and Palluruthy (Ernakulam Dist.) with an annual intake of 60 seats in each. SI-MET have also established 2 Post Basic B Sc Nursing Colleges during 2010-11 at Thripunithura (Ernakulam Dist.) and Mundur (Palakkad Dist.) with an annual intake of 30 students in each and now those are merged with BSc Nursing College under SI-MET Malampuzha, Palakkad (Dist.) Palluruthy Eranakulam (Dist.) respectively. SIMET has started one more Nursing College in 2011-12 in Mangattuparamba (Kannur Dist.) for Post Basic B.Sc. Nursing course with an annual intake of 40 seats.) One more B.Sc Nursing College was started during 2015-16 at Muttathara (Thiruvananthapuram Dist.) .

1.3 Vision : The main vision of the Institute is to generate, transfer and propagate knowledge in Medical, Nursing and Paramedical fields in the three systems - Modern Medicine, Ayurveda and Homoeopathy and also in Allied Sciences, Medical Technology, Medical Administration and Management.

1.4 Mission To establish modern educational institutes in the State of Kerala, with a view to

promote teaching, research and development in the field of medical education, medical science, technology and their interfaces.

To train and acquaint the professionals in the medical, nursing and paramedical and medical management and technology of the country with the latest developments in these fields

To collaborate with national and international institutions engaged in the research and developmental activities and specialising in the subjects of interest to the Institute and seek recognition from Universities/ Governments other speciality bodies and organization for the courses offered by it.

To establish and run hospitals, laboratories, sub-centres etc. as required for the furtherance of the objectives of the Institute.

To conduct lectures, seminars, and courses and organize symposia, conferences, workshops, in-service training etc. in the fields related to medical education, medical sciences, technology and their interfaces.

To enable inclusive approach for the educational development of SC/ST and OEC students in Medical, Nursing and Paramedical areas, throughout the State.

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2. 1 INSTITUTIONS AND SEATS

SLNo

Name of College Duration of course

Annual intake of students

Year of establishment

1 SI-MET College of Nursing, Malampuzha, Palakkad (Dist) *

2 years 30 2010

2 SI-MET College of Nursing Palluuruthy, Eranakulkam (Dist.) *

2 years 30 2010

3 SI-MET College of Nursing, Mangattuparamba, Kannur (Dist)

2 years 40 2011

* As per G.O (Rt) No.534/2017/H&FWD dtd.03.03.17, SI-MET College of Nursing Mundur and Thrippunithura transferred to Nursing College Malampuzha and Palluruthy respectively.

2.2 i. General Merit - 50 % of total seats ii. a) Management Quota - 40 % ” ” b) NRI Quota - 10 % ” ”

a. General Merit seats: The seats under General Merit will be filled purely on merit basis irrespective of the category/ community to which the candidates belong.

Admission process of allotment to Government Merit seats (50 %) under SI-MET Colleges of Nursing will be done by the Director, LBS Centre for Science and Technology under the supervision of the Director of Medical Education, as per the Government orders in force. Candidates are requested to visit the official website of LBS centre www.lbscentre.kerala.gov.in.

b. Management seats: are the seats, other than Government General Merit seats (40%), against which the SI-MET will make allotment. There will not be any type of reservation in the Management seats. Candidate shall pay the Tuition fees fixed by the Government and special fees fixed by the Governing Body of SIMET and other fees if any.

c. NRI seats : NRI seats (10%) are those seats set apart for the son/ daughter, brother/ sister, niece/ nephew/ first cousin or dependant of Non Resident Indian citizen or in their absence, foreign citizen of Kerala origin or in their absence NRI’s who are non- Keralites, which will be allotted by the SI-MET. There will not be any type of reservation in the NRI seats. Candidate shall pay the Tuition fees fixed by the Government and special fees fixed by the Governing Body of SI-MET. NRI candidates seeking admission to Post Basic BSc Nursing Course should enclose a copy of one of the following documents to prove the NRI status of his/ her parent and declaration of the NRI in the prescribed form to establish his/ her relationship with the candidate. NRI certificate : Any one of the following certificates :-

a. NRI Account number. Certificate issued by the Scheduled bank stating that he/ she is Non Resident Indian holding a NRI account other than a zero balance account

b. Attested copy of the employment certificate and relevant pages of the certificates

c. Certificate from the Embassy concerned Sponsorship certificate in the attached format. Attested copy of the relevant pages of the passport containing Visa details Undertakings stipulated in the prospectus. (see Annexure E & F)

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d. If candidates are not available under NRI quota, the vacant seats will be filled up under Management quota by SIMET.

3. DURATION OF THE COURSE : 2 years

4. ELIGIBILITY FOR ADMISSION

4.1 Academic Eligibility: a. Candidate should have passed Pre degree/+2 examination with Physics, Chemistry

and Biology as optional and General Nursing and Midwifery Course, with 50% marks recognized by the Indian Nursing Council and concerned State Councils.

b. Applicant shall have obtained registration with the Kerala Nurses and Midwives Council and the copy of registration certificate is to be submitted at the time of submitting application. Application of candidate without registration certificate from Kerala Nurses & Midwives Council will be rejected

c. Eligibility Certificate: - Candidates who have passed their qualified examination from outside the State of Kerala shall produce the certificate of recognition and equivalency of qualifying examination from the University concerned of Kerala. This should be furnished at the time of interview/admission.

d. Candidates who have qualified from recognised institution of Kerala State. Note: (i) Candidates should acquire the eligibility conditions specified under clause 4.1 on or before the last date for submission of applications. 4.2 Age : The upper age limit for candidate shall be 45 years as on the last date for

submission of application. 4.3 Self-attested copy of relevant page of school record namely SSLC/ICSE/CBSE

certificate showing date of Birth/Copy of the birth certificate from appropriate authority should be furnished along with the application as proof of age.

5. HOW TO APPLY Merit seats are filled up by LBS list. There will be separate application forms for (i) Management seats (40%) and (ii) NRI quota seats (10%). The candidates applying for Management quota /NRI quota should apply to SI-MET, in the prescribed application form issued by the SI-MET. Separate application fee should be remitted for the application forms, for Management quota seats and for NRI seats. If there is vacant NRI seats, the same will be allocated to Management quota .

a. Issue of application form and prospectus : The application forms and Prospectus can be obtained from the following offices of SI-MET on all working hours on payment of Rs. 500/- directly or remittance of Rs.500/-vide Challan in any branch of SBI.(see the Website for challan form (www.simet.in) Receipt will be issued from the office of SI-MET / College concerned, towards the direct payment of application form fee. The original receipt shall be produced at the time of admission. Photocopy of the application form fee receipt should be submitted together with the application for admission.

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Application can be obtained from the following offices

1 The Director, State Institute of Medical Education & Technology (SI-MET), TC 13/ 96-4, Pallimukku, Pettah P.O, Thiruvananthapuram – 695024

Ph / Fax : 0471-2743090 Website : www.simet.in

2 The Principal, SI-MET College of Nursing, Malampuzha P.O, Palakkad (Dist) – 678651

Ph / Fax : 0491-2816040/ 0491-2815333

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3 The Principal, SI-MET College of Nursing Uduma, Ayampara , Periya, Kasaragod – 671319

Ph / Fax : 0467-2419935

4 The Principal, SI-MET College of Nursing, Palluruthy, Veli, Palluruthy P.O, Ernakulam (Dist) – 682006

Ph / Fax : 0484-2231530

7 The Principal, SI-MET College of Nursing, E.K Nayanar Memmorial Government W & C Hospital , Mangattuparamba, Parassinikadavu P.O, Kannur (Dist) -

Ph : 0497-2781499

8. The Principal, SI-MET College of Nursing, Muttathara , Thiruvananthapuram (Dist.) Now functioning at Thekkummoodu , Vanchiyoor.P.O , , Thiruvananthapuram, , Thiruvananthapuram (Dist.)- 35

Ph: 0471-2300660

b. Candidates can also obtain application forms and prospectus by downloading the same from the official website of SI-MET (www.simet.in) and submit filled up application together with challan for Rs.500/- from any SBI branch .(see the Website for challan form (www.simet.in).

c. Application via e-mail shall not be accepted.

d. Submission of application form: Duly filled application form along with the necessary documents shall be submitted to the following address- directly /by Registered post/Speed post on or before 16/06/2018; 5 pm.

The Director, State Institute of Medical Education & Technology (SI-MET), TC 13/96-4, Pallimukku, Pettah P.O, Thiruvananthapuram – 695024.

Duly filled up applications with all necessary documents will also be accepted by the Principals of the following Nursing College:

1. SI-MET College of Nursing Kannur(P.O), Kannur (Dt) 2. SI-MET College of Nursing Malampuzha (P.O), Palakkad (Dt) 3. SI-MET College of Nursing Uduma (P.O), Kasaragod (Dt) 4. SI-MET College of Nursing Palluruthy (P.O), Eranakulam (Dt) 5. SI-MET College of Nursing Muttathara, Thiruvananthapuram (Dt)

(Now functioning at Thekkummodu Vanchiyoor.P.O, Tvpm )

b. Incomplete/belated applications will be rejected. The office will not be responsible for the postal delay or any mishaps. Candidates are therefore advised to apply sufficiently early.

c. Certificate /documents to be submitted along with the application – Self attested copies of: Nativity certificate Course certificate of Diploma in General Nursing and Midwifery issued by the

Head of the Educational Institutions. Year wise mark list of qualifying examination. (Diploma in General Nursing and

Midwifery Fee receipt of application for admission remitted For NRI candidates relationship certificate mentioned in clause 2.2.c

6. SELECTION a. Selection of the candidates will be done based on merit b. Candidates should bring all the documents in original for verification at the time

of Admission.

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7. ADMISSION a. Admission will be subject to the general information and rules stipulated as per the

prospectus for admission to Post Basic BSc Nursing Degree course 2018-19 Govt. merit seats and further amendments/ orders issued by Government / Governing Body of SI-MET regarding the admission.

b. Selected candidates will be informed of the date and time of interview & admission, in due course, through website of SI-MET. Candidates are requested to visit the Official Website of SI-MET (www.simet.in) regularly for notifications and announcements.

c. The selected candidates shall pay the fees for the first year of the course at the time of admission which will not be refunded.

d. Selected candidates for admission under Management /NRI quota, are requested to remit fees in the prescribed chalan form in lump sum in the SI-MET Directorate Current Account No. 67130144345 of SBI, Pettah Branch, Trivandrum. The fee amount includes Tuition fee, Special fee, Caution Deposit and any other fees. Candidates are requested to remit the fees in any of the branches of the State Bank of India. Chalan forms can be downloaded from the website www.simet.in. Duplicate copy of chalan duly attested by the remittance branch of SBI should be submitted to the Principal of the College for admission. However, a photocopy of the same may be retained by the candidates for future reference. Candidates are also advised to produce the filled up chalan form to the College for verification of the correctness of entry prior to the remittance of money into the bank.

e. The fee will be as fixed by the Government /Governing Body of SIMET f. All the selected students should get themselves vaccinated against Hepatitis B before

admission. Certificates to the effect should be produced at the time of admission or before commencement of the course.

g. Physical Fitness Certificate in the relevant format given in Annexure D of the Prospectus

h. The Candidates admitted against Management seats and merit seats in Self Financing colleges under Govt., control, on discontinuance of course in the first year/ request TC for joining other courses/colleges or other purposes, after the cut off date to be fixed by the Govt or the closing date of admission whichever is earlier, are liable to pay liquidated damages equal to 2 times the annual tuition fee paid by them for the first year, irrespective of annual family income/nativity/reservation status..

i. Levying amount towards liquidated damage from candidates discontinuing their studies after the first academic year:

(i) Candidates admitted against Government seats in Govt. /Self Financing Colleges or in Management seats in Govt controlled Self Financing Colleges, who discontinue the course after the first academic year, are liable to pay liquidated damages equal to the total amount of tuition fee payable for the remaining year(s) of study.

(ii) The candidates can be transferred from one SI-MET College to another SI-MET College, as per the proceedings of the Director, SI-MET . No transfer will be permitted after the cut off date specified by the apex body.

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j. The cut off date for closure of admission in respect of SI-MET will be four weeks before the closing date of admission decided first by the Government for the operation of clause stated in para 7 (h), (i) (1)) above. Further extension of time for admission, if any, will not be applicable for the operation of clause stated in para 7 (h), (i) (ii) above.

k. Candidate admitted under Management quota seat in SI-MET will not be allowed transfer without paying liquidated damages 2 times of the annual tuition fee to be paid by them, after the date fixed by Government.

l. Regarding the discontinuation from the course and cancellation of the admission shall be subject to the legal and factual scrutiny of the ASC/ FRC, when any compliant is submitted before the Committee on such matter.

8.1 PREVENTIVE MEASURES AGAINST RAGGING:- According to the Kerala Prohibition of ragging Act, 1998, ‘ragging’ means doing of any

act by disorderly conduct to a student of an Educational Institution, which causes or is likely to cause physical or psychological harm or raising apprehension or shame or embarrassment to that student and includes teasing or abusing or playing practical jokes or causing hurt to such students or asking a student to do any act or to perform something which such student will not in the ordinary course be willing to do. All institutions will have to abide by the directives of the Honourable Supreme Court of India, Dated May 16, 2007 in SLP No. (S) 24295 of 2006 University of Kerala Vs Council, Principal’s Colleges, Kerala & Ors [with SLP (C) No. 24296-99/2004 & W.P (Crl) No. 173/2006 & SLP (C) No. 14356/2005] and the recommendations approved by the Honourable Supreme Court of India on effective prevention of ragging in Educational Institutions. In case, the applicant for admission is found to have indulged in ragging in the past or if it is noticed later that he / she had indulged in ragging, admission may be refused or he/she shall be expelled from the Educational Institution. It shall be the collective responsibility of the authority of the Institution to see to it that effective steps for preventing ragging are taken. Anti- ragging committees and Anti ragging squads will have to be formed to take effective measures against ragging and they should adhere to the stipulations and effectively monitor and comply with the directives. Each of the student of the Institution and his/her parents, or guardian are required to submit a combined undertaking at the time of registration/admission in prescribed format available in Annexure-C which is mandatory for registration/admission.

8.2 Use of mobile phone: Uses of Mobile phone by the candidates are not allowed in the campus. Any violation of

the prohibition will lead to stringent disciplinary action by the college management. 8.3 All the students who are selected should obey the rules and regulations of the institution

without fail. 8.4 They should come to the college properly and neatly dressed in accordance of the college

dress code and have to wear prescribed uniform with ID card while they are on duty in the clinics

9 SYLLABUS SI-MET Colleges of Nursing, Thripunithura (Ernakulam Dist), Mundur (Palakkad Dist) and Mangattuparamba are affiliated to Kerala University of Health Sciences, (KUHS) Thrissur and are following the syllabus stipulated by this University and Indian Nursing Council

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10 RECOGNITION/ APPROVAL SI-MET Colleges of Nursing in Thripunithura (Ernakulam Dist), Mundur (Palakkad) and SI-MET Colleges of Nursing, Mangattuparamba are recognised / approved by Indian Nursing Council, New Delhi, Kerala University of Health Science (KUHS) and Kerala Nurses and Midwives Council (KNMC)

11. SYSTEM OF EXAMINATION Examinations (University and internal) are conducted as prescribed by the Kerala University of Health Science (KUHS)

12 FEE STRUCTURE (A) THE FEE STRUCTURE FOR PB B.Sc NURSING COURSE 2017-18 APPROVED

BY GOVERNMENT LAST YEAR

Fees / Annum Govt. Merit / Management seats Tuition fee Rs.55000/- * Special fees Rs.15000/- *

( * Fee structure will be changed according to Government orders for the students of PB B.Sc Nursing Course 2018-19)

(b) Caution Deposit, Hostel facility etc. Caution Deposit is Rs.10000/- Hostel fee etc. will be fixed as decided by SI-MET. Admission to College Hostel will be according to the availability.

(C) NRI Quota : Fees will be as decided by the Govt. of Kerala

13. ALLOTMENT PROCESS

13.1 Candidate who fails to appear for the counselling /interview as per schedule will forfeit his /her chance for admission . However, if a candidate is not able to attend the allotment process on genuine grounds, the parent/guardian, or any authorized person can act as a proxy at the risk of the candidate on production of authorization letter in the form given in Annexure - A. Authorization letter once received will be considered as valid for the entire allotment process, unless the candidate revokes it in writing. A photocopy of the filled up authorization letter should also be brought by the proxy at the time of first appearance. The original authorization letter will be retained and the photocopy will be returned to the proxy with acknowledgement. This photocopy with the acknowledgement on it must be used for subsequent appearance(s) if any.

13.2 The additional seats, if any, sanctioned during the validity of the rank list shall be filled

up from the same rank list. 14. DATE OF JOINING :

It is mandatory for the candidate to join the course on the date intimated by the Director SIMET, Thiruvananthapuram.

14.1 Joining time : No extension of joining time shall be granted by the Director SI-MET, Thiruvananthapuram to the allotted candidates under any circumstances.

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15. COMMENCEMENT OF THE COURSE, ATTENDANCE, DURATION OF

LEAVE ETC.

15.1 The duration of the Post Basic BSc. Nursing course including University Examination is two years. For the purpose of reckoning the duration of the course, any candidate will be deemed to have joined the course on the date on which the candidate actually commences the academic programme as certified by the Principal concerned. He/she will have to complete the total duration of the course before being given the course certificate.

15.2 The candidate should earn 80% attendance for each year of the course separately for appearing for the examination or as decided by the Apex bodies..

16. LIQUIDATED DAMAGES & EXECUTION OF BOND 16.1 General Terms : The candidate selected for Post Basic B.Sc Nursing Degree course shall have to

execute bond in Kerala Stamp paper worth Rs.200/- at the time of admission to the course to the effect that

a) He / she shall not discontinue the Course, allotted to after the validity period of closing of admission/ Rank List whichever is earlier. Otherwise he/she shall pay liquidated damages specified in clause 7 i (1), h & j above .

16.2 Conditions : a) There shall be a bond for all the candidates as per clause 16. A copy of the bond

attached as Annexure as B.

b) A student who discontinues the course after the validity period of the select list mentioned in clause 16.1 (a) above, he/she shall pay Liquidated Damages equal to the total amount of the annual tuition fee to be paid for the 2 years .Those who have not remitted the 1st year fee should pay an amount equal to the 2 year’s tuition fee. Those who are remitted the 1st year fee shall pay the 2nd years tuition fee

c ) No Admission shall be valid with out getting the bond as detailed above executed at

the time of joining or within a period of 7 days at the discretion of the Principal concerned.

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ANNEXURE A

ALLOTMENT PROCESS – PB BSc (N): 2018 AUTHORIZATION LETTER

Submitted by an Authorized representative

[ See Clause 13.1 ]

I, --------------------------------------------------------------------------------(name of candidate) son/daughter of Shri /Smt. ---------------------------------------------------------------having Roll No ------------------------ in the Post Basic BS c Nursing course, with Rank /Seniority no-----------------------, do hereby authorize Shri / Smt. ------------------------------------------------------------------------------------- (name & address of the person being authorized) to represent me to report at the allotment venue for admission to PB B Sc Nursing course, 2018. The signature of the person authorized is attested below by a Gazetted Officer.

Signature of the Candidate:

Name of the Candidate:-------------------------------------- Address: ---------------------------------------------------------------

--------------------------------------------------------------- Name and Designation of the Gazetted officer

Office Seal

Signature of the Authorised Representative:

ATTESTED: SIGNATURE OF THE CANDIDATE

Candidate to sign over the photograph

U N D E R T A K I N G I, undertake that the decision taken if any, by my authorized representative at the allotment venue shall be binding on me and I shall not have any claim whatsoever, other than the decision taken by my authorized representative on my behalf. Place : Date : Signature of candidate

Note: An authorized representative attending Allotment process, 2018- 2019 must bring a photocopy also of the filled up form. The same will be returned to the representative with the seal of the SIMET office. This copy of the filled up form having the seal of the SIMET office can be used in lieu of authorization letter during subsequent appearances.

Affix a recent passport size

photograph of the candidate and get it

attested by a Gazetted Officer

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ANNEXURE - B BOND

(Total value of Rs 200/- Kerala Stamp Paper*) To KNOW ALL MEN BY THESE PRESENTS THAT we Shri/Smt……………………………………………………………………..son/ daughter/wife of ……………… ……..……………………………………………………………. residing at (herein-after called the Bounden) and (1)Shri.………………………………………residing at …………………………………..……………. and (2) Shri…………………… …………….………………………residing at ………………………………………………... (Here enter name and address) (hereinafter called ‘the sureties’) do hereby bind ourselves and each of us, our and each of our heirs, executors and administrators jointly and severely to pay to the Governor of Kerala (hereinafter referred to as ‘the Government/SI-MET*’) on demand the sum of Rs.............. towards liquidated damages/penalty for violation of the conditions in clause 16.2 (b) of the Prospectus for admission to the Post Basic BSc Nursing course 2018. The bounden has also agreed to pay to the Government/ Director, SI-MET on demand, a sum of Rupees equal to the total amount of tuition fee payable for the remaining period of the course of study in accordance with the clause 7 i (i).

Signed this ………. Day of …….………. in the year ………… by the bounden Shri/Smt. …………… Signature In the presence of witnesses: 1. …………………………. 2. …………………………. Signed by Shri/Smt. ……….. ………………and Shri/Smt. …………………………………... (The sureties) (Official Address & Residential Address is compulsory) In the presence of witnesses:- 1. 2. WHEREAS the Bounden Shri/Smt. …………………………………..………. has been selected to undergo Post Basic B.Sc Nursing course in SI-MET Nursing College, for a period of one year. PROVIDED further that the bounden and the sureties do hereby agree that all sums found due to the Government under or by virtue of this bond may be recovered jointly and severely from them and their properties movable and immovable as if such dues were arrears of land revenue under the provisions of the Revenue Recovery Act for the time being force or in such other manner as the Government may deem fit. THE liabilities of the sureties under this Bond is Co-extensive with that of the Bounden and shall not be affected by the Government giving time or any other indigence to the bounden or by the Government varying of the terms and conditions herein contained, Signed by the Bounden …….. In the presence of witnesses: 1. (Official Address & residential Address of the sureties as well as witnesses is compulsory) Signed by the Sureties: 1. 2. In the presence of witnesses: 1. 2.

* Director, State Institute of Medical Education and Technology

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ANNEXURE - C UNDERTAKING FROM THE STUDENTS AS PER THE PROVISIONS OF

ANTI-RAGGING VERDICT BY THE HON’BLE SUPREME COURT OF INDIA

I, Mr./Ms …………………………………………………………………….., Application

No……………………………Course:…………………… students of

………………………………., do hereby undertake on this day ………………………Month

…………………………Year ……………., the following with respect to above subject and

Office Order No: ………………………………………….

1). That I have read and understood the directives of the Hon’ble Supreme Court of India on anti ragging and the measures proposed to be taken in the above reference. 2). That I understand the meaning of Ragging and know that the ragging in any form is a punishable offence and that is banned by the court of Law. 3). That I have not been found or charged for my involvement in any kind of ragging in the past. However, I undertake to face disciplinary action/legal proceedings including expulsion from the Institute if the above statement is found to be untrue or the facts are concealed, at any stage in future. 4). That I shall not resort to ragging in any form at any place and shall abide by the rules/laws prescribed by the Courts, Govt. of India and Institute authorities for the purpose time to time. ………………….

Signature of students I here by fully endorse the undertaking made by my child/ ward.

……………….. Signature of Mother/ Father and or Guardian

Witness:………….

Signature of Mother/ Father and or Guardian

Witness:………….

16

ANNEXURE - D

PHYSICAL FITNESS CERTIFICATE

For Admission to Post Basic Degree Courses

……………………..

Signature of Candidate

I, Dr…………………………………………… after careful personal examination of the case

do hereby certify that Sri/ Kum… ……………… …………………… whose signature is

given above is found physically fit to undergo professional education.

His / Her height ………………, weight………………, chest………….. and

vision……………………

Signature : Name :

Place : Reg.No : Date : Designation :

17

ANNEXURE – E

UNDERTAKING OF STUDENT

I…………………………………………………………S/o/D/o………………………………………………. hereby undertaking to abide by the following conditions stipulated in the prospectus for my admission to NRI seats in ………………….. to Post Basic BSc Nursing 2018 under NRI quota.

1. Fee once paid against the NRI seat allotted to me shall not be refunded by the institution under no circumstances.

2. In the event of my discontinuing the course after the closing of the admission for Post Basic BSc Nursing Course in the same academic year or in subsequent years the refundable deposit remitted shall stand forfeited to the institution and I shall be liable to pay liquidated damages equal to the total fees payable for the remaining years of study at the time of TC. The TC and original certificates will be returned only on remittance of the liquidated damages as above

3. Fee paid by me for the NRI seat admission to Post Basic BSc Nursing Course shall not be adjusted against fees if any that I am liable to pay in the event of my being allotted a seat for admission to Post Basic BSc Nursing Course or any other course by other authority in the same or in any other colleges.

4. I agree to abide by the conditions stipulated above and in token of my acceptance of the condition my signature is appended hereto. I have read and fully understood the above. The above undertaking had been read out and explained to me and I fully understood the same.

Dated this day of …………………………………….2018 Signature Name and Address of Student Signed before me Principal

18

ANNEXURE – F

UNDERTAKING OF GUARDIAN

I…………………………………………………………S/o/D/o………………………………………………. hereby undertaking to abide by the following conditions stipulated in the prospectus for admission of my son/daughter/ward (name of student)..........................................................to NRI seats in ………………….......(name of the college) to Post Basic BSc Nursing 2018 under NRI quota.

1. Fee once paid against the NRI seat allotted to my student shall not be refunded by the institution under no circumstances.

2. In the event of discontinuing the course by my student after the closing of the

admission for Post Basic BSc Course in the same academic year or in subsequent years the refundable deposit remitted shall stand forfeited to the Institution and I/we shall be liable to pay liquidated damages equal to the total fees payable for the remaining years of study at the time of requested for TC. The TC and original certificates will be returned only on remittance of the liquidated damages as above

3. Fee paid by me for the NRI seat admission to Post Basic BSc Nursing Course shall

not be adjusted against fees if any that I am liable to pay in the event of my student being allotted a seat for admission to Post Basic BSc Nursing Course or any other course by other authority in the same or in any other colleges.

4. I agree to abide by the conditions stipulated above and in token of my acceptance of

the condition my signature is appended hereto. I have read and fully understood the above. The above undertaking had been read out and explained to me and I fully understood the same.

Dated this day of …………………………………….2018 Signature Name and Address of Guardian Signed before me Principal

19

ANNEXURE – G

SI-MET COLLEGE OF NURSING, MALAMPUZHA, PALAKKAD (Dist)

Year of Establishment

2009

Postal address

The Principal S1-MET College of Nursing , Malampuzha, Palakkad -678651

Contact Phone No Fax E-mail

0491-2815333 0491-2816040 [email protected]

No. of seats 60

Name of Management SI-MET Name of Director Dr.T.Sivadas

Name of Principal Smt.Prasanna.K.B

Name & Address of Contact person Smt.Prasanna.K.B (Principal in charge) S1-MET College of Nursing , Malampuzha, Palakkad -678651

University to which affiliated Kerala University of Health Sciences (KUHS)

Name of affiliated Parent Hospital District Hospital, Palakkad Hostel facilities Available

Distance from nearest Railway Station 5 km from Palakkad junction (Olavakode) Distance from nearest Bus stand in KM 10 Km from Palakkad KSRTC Bus stand

20

ANNEXURE – H

SI-MET COLLEGE OF NURSING, PALLURUTHY, ERNAKULAM (Dist) Year of Establishment

2009

Postal address

The Principal, SI-MET College of Nursing Palluruthy Veli, Palluruthy(P.O), Kochi-682006

Contact Phone No Fax E-mail

0484-2231530 0484-2231530 [email protected]

No. of seats 60

Name of Management SI-MET

Name of Director Dr.T.Sivadas

Name of Principal Smt.Geetha.P.T

Name & Address of Contact person with Phone No

Smt.Geetha.P.T Principal , SI-MET College of Nursing Palluruthy Veli, Palluruthy (P.O), Kochi-682006

University to which affiliated Kerala University of Health Sciences (KUHS)

Name of affiliated Parent Hospital General Hospital, Ernakulam

Hostel facilities Available

Distance from nearest Railway Station 10 kms from Railway station, Ernakulam junction

Distance from nearest Bus stand in KM 11 kms from KSRTC Bus stand, Ernakulam

21

ANNEXURE –I

SI-MET COLLEGE OF NURSING, Mangattuparamba, KANNUR Dist Year of Establishment

2011

Postal address

The Principal, SI-MET College of Nursing, E.K. Nayanar Memorial W&C Hospital ,Mangattuparamba Parassinikadavu.P.O, Kannur Dist

Contact Phone No E-mail

0497-2781499 [email protected]

No. of seats 40

Name of Management SI-MET

Name of Director Dr.T.Sivadas

Name of Principal Smt. Josephine Jacquiline Mary N.I

Name & Address of Contact person Smt. Josephine Jacquiline Mary N.I Principal SI-MET College of Nursing, E.K. Nayanar Memorial Hospital W&C Hospital ,Mangattuparamba Parassinikadavu.P.O, Kannur Dist

University to which affiliated Kerala University of Health Science (KUHS)

Name of affiliated Parent Hospital District Hospital, Kannur

Hostel facilities As per availability

Distance from nearest Railway Station 20 kms from Kannur Railway Station

Distance from nearest Bus Station 4 km from Thaliparamba bus station