GOVERNMENT OF TAMIL NADU

ADMISSION TO B. PHARM (Lateral Entry)

(D. PHARM TO B. PHARM )
As per G.O(D).No.1425, Health & Family Welfare (PME) Department
Dated: 12.07.2017 and as amended from time to time
2017- 2018 SESSION
LAST DATE FOR SUBMISSION OF APPLICATION
22.09.2017 upto 5.00 p.m.

 
SELECTIO
N
SELECTION COMMITTEE
COMMITT
DIRECTORATE OF
EE
MEDICAL EDUCATION
#162, PERIYAR E.V.R HIGH ROAD, KILPAUK
CHENNAI – 600 010.
Phone No : 044-28361674
Websites : http://www.tnhealth.org /www.tnmedicalselection.org
SMS will be sent through the official ID-“TNMESC”
regarding counselling only (if required)
COST Rs.350/-
 -2-

CONTENTS

S. NO PARTICULARS CLAUSE NO

1 GENERAL INSTRUCTIONS 1

2 ELIGIBILITY 2–5

3 MERIT LIST 6

4 SPECIAL CATEGORIES 7

METHOD OF SELECTION &

5 8–9
ADMISSION

6 TUITION FEE 10

PROCEDURE FOR FILING AND

7 12-14
SUBMISSION OF APPLICATION

8 ANNEXURE I - XII
 -3-

AT A GLANCE
Notification : 10.09.2017
Commencement of downloading : 11.09.2017
Last date for downloading : 21.09.2017
Last date for receipt of the application : 22.09.2017
Expected date for declaration of Merit : 1st week of october 2017
Allotment of seats by personal appearance : 2nd week of October 2017
 Last date of admission :The time as mentioned in the allotment order of the candidate.

 Merit list will be available in the websites www.tnhealth.org, 2)

www.tnmedicalselection.org Applications can only be downloaded from the websites
www.tnhealth.org, 2) www.tnmedicalselection.org and the filled in application along
with necessary enclosures should be sent in a large sized cover measuring 38cm X
28cm superscribed „APPLICATION FOR B.PHARM (LATERAL ENTRY ) COURSE
2017 – 2018 SESSION‟ to the Secretary, Selection Committee, Kilpauk, Chennai -10
before the last date along with a Demand Draft for 350 /- which is non-refundable
towards the cost of application form drawn in favour of “The Secretary, Selection
Committee, Kilpauk, Chennai-10” and payable at Chennai. The name of the
candidate and the name of the course should be written on the reverse of the Demand
Draft. The template with requisite details available for download should be printed and
pasted on the cover. SC/ SCA and ST candidates who are natives of Tamil Nadu are
exempted from payment of the cost of the Application Form.
 Candidates can track their applications on the above websites by entering either their
Application number or the Plus Two / Equivalent Examination Register Number of first
appearance with the year.
 AR Number will be assigned by the Selection Committee.
 Eligible Candidates can be download their call letters from the websites
www.tnhealth.org, 2) www.tnmedicalselection.org by entering their AR No allotted by
the Selection Committee and their Date of Birth and attend the counselling as per the
date and time mentioned in the counselling schedule which will also be available on
the websites. Candidate is requested to paste his/her photograph on the call letter
which is to be attested by a Gazetted Officer.
(The photograph must be a copy of the same one pasted on the Application)
I. GENERAL INSTRUCTIONS:-
a) Candidates seeking admission to B.Pharm (Lateral entry) should submit the application
form with necessary enclosures which should reach:
The Secretary,
Selection Committee,
No.162, Periyar E.V.R High Road,
Kilpauk, Chennai – 10.
on or before 22.09.2017 before 5.00 p.m.
 -4-

b) The candidates shall ensure that the completed application form with all
particulars and enclosures reaches the Selection Committee within the date and
time specified. Applications received by Speed post / courier or any other
means, after the last date & time will not be accepted irrespective of the date of
booking.
c) The Selection Committee shall not be responsible for any delay in the receipt or for
the loss in transit of application form etc.,
d) Request for extension of time for submission of documents called for, after the
specified date and time will not be entertained.
e) Any supporting documents received after the due date or application without required
documents / particulars will not be entertained.
f) No oral enquiry would be entertained.
g) Photocopy/ Fax copy of application will not be accepted.
h) Candidates seeking admission under Special Category under Orthopaedically
Physically Disabled shall submit a separate Special Category Form along with the
main application in the prescribed format available along with an additional fee of
Rs.100/- by way of a Demand Draft enclosing with the relevant certificates. If the
Certificates are not enclosed by the candidates, they will not be considered under the
special category without any intimation to the candidate.
i) Candidates selected under General category will not be allowed to claim very
same status as the candidates selected under special category and vice versa.
j) Both upper limbs, vision and hearing should be normal for all candidates including
for candidates applying under orthopaedically physically disabled category.
k) All the Demand Drafts should be drawn in favour of the Secretary Selection
Committee, Kilpauk, Chennai-10. (Payable at Chennai)
2. ELIGIBILITY :-Candidate should be a citizen of India.
3.NATIVITY :-
i. Candidate should be a Native of Tamil Nadu
ii. Candidates who have studied X Std to XII standard and Diploma in Pharmacy in Tamil
Nadu need not enclose the “Nativity Certificate”.
ii. Candidates who are native of Tamil Nadu but studied X Std to XII Std and Diploma in
Pharmacy either partly or completely in schools situated outside Tamil Nadu should
produce the “Nativity Certificate”.

iii. The Certificate of Nativity in Tamil Nadu should be issued by the competent authority
only in the specified format available in the application form and supported by a copy
of Passport/ Ration Card / Birth Certificate.If the copy of the supporting document is not
produced, then the application form will be rejected. Nativity Certificate submitted later
will be summarily rejected.
iv. Applications without a proper Nativity Certificate will not be considered.
vi) Permanent Residence Certificate will not be accepted.
vii) Tamil Nadu native candidates alone will be considered for communal reservation.
 -5-

Note:
a. Nativity Certificate should be produced as per Instructions for Nativity Certificate in
Annexure IX.
b. Producing false nativity certificate if detected at any time later during the course of
study, will result in expulsion of the candidate and also initiation of criminal
proceedings against the candidate as well as the Parents as per law.
4. EDUCATIONAL QUALIFICATION:-
a. Candidates should have passed in H.S.C. qualifying Examination conducted by the
Tamil Nadu State Board or any other equivalent examination.
b. Candidates should have passed Diploma in Pharmacy course.
5. MINIMUM ELIGIBILITY MARKS.
i. (a) For OC/BC/BCM/MBC/DNC CATEGORIES:-
Candidates should have aggregate of 40% marks in the first and second year
D.Pharm. Examination with a pass in H.S.C.
(or)
Individual pass mark in Physics, Chemistry, Biology or Botany & Zoology or
Mathematics both in theory and practical with not less than 40% aggregate marks in
the above subjects in the qualifying H.S.C. examination (Academic stream) with a
pass in D.Pharm Course.
(b) For SC/SCA/ST CATEGORIES: Candidates must have obtained individual pass
marks in Physics, Chemistry, Biology or Botany & Zoology (or) Mathematics both in
Theory & Practical with a minimum of 35% marks in the above subjects with a pass in
D. Pharm Course.
ii) Candidates who have passed Diploma in Pharmacy should have completed 500/750
hours of practical training on or before 31.5.2017 and should have obtained the
provisional certificate for having passed the Diploma Examination.
iii. D.Pharm. qualified candidates who are serving in Tamil Nadu Medical Services will be
treated as Service candidates for selection under the seats reserved exclusively for
service candidates.
a) Service candidates serving in Tamilnadu Medical Service on a regular basis should
have completed two years of service as on 31.5.2017 alone excluding the leave for
which the candidate is eligible/availed other than casual and compensatory leave will
be considered.
b) D.Pharm. qualified candidates who are approved probationers serving in local bodies
will be considered as service candidates and must have completed 2 years of service
as on 31.5.2017.
c) Service candidates should send their application through the Head of the Medical
College Hospital/ Institution in which they are presently working.

d) Service candidates taking allotment in Self-financing colleges will not be paid salary
and they have to avail leave to which they are eligible for the period of study on their
own after obtaining prior permission from their Head of the Department concerned.
e) Candidates who are serving purely under “temporary category” in Tamilnadu Medical
Service will be considered for selection under open quota as non-service candidates
only.
 -6-

6. MERIT LIST:-.
(a) The merit list for B.Pharm.(Lateral Entry)Course will be prepared by computing the
marks obtained in D.Pharm. course.
(b) It will be reduced to the base of 100 marks. The marks will be accurate to two
decimals.
c. The Secretary, Selection Committee will publish the merit list at the Selection
Committee, Directorate of Medical Education, Kilpauk, Chennai 10 and the same will be
available in the website:www.tnhealth.org/ www. tnmedicalselection.org
d) All selections for B.Pharm (Lateral Entry) course are only provisional. The Selection and
admission is liable to be cancelled at any time as and when the eligibility conditions are
found to be defective.
e) As per G.O.Ms.No.361,H&FWDept.,dated:17-10-2000 10% of the total seats in
B.Pharm course sanctioned in Government and self financing colleges are
reserved for lateral entry candidates.
f) Determination of Inter-se-merit-
In cases, where two or more candidates obtain equal marks, the rank of such
candidates shall be determined on the basis of the following order:-
(i) No. of attempts in D.Pharm. course.
(ii) Date of Birth – weightage given to seniority in age.
7. SPECIAL CATEGORY : -
Seats reserved for Orthopaedically Physically disabled in B.Pharm (Lateral Entry)
Course :-
(a) 5% of the total number of seats available in Government Colleges are reserved for the
Orthopaedically Physically Disabled candidates. The first incident in the reservation of
the seats, candidates with disability of lower limbs between 50% to 70% shall be
considered and in case candidates are not available in that category, then candidates
with disability of lower limbs between 40% to 50% may be considered. The other
conditions for admission into B.Pharm (Lateral Entry) course will be applicable as in
case of the general category.
b) The candidates are required to produce a certificate from the District Medical Board of
the area concerned constituted for this purpose assessing the nature and the extent of
the Physical Disability in the format prescribed in the Annexure – XII (a) & XII(b).
(c) The Medical Certificate issued by the District Medical Board of the area concerned for
this purpose is subject to the confirmation of the Expert Committee constituted by the
Director of Medical Education at the time of Counseling.
(d) The candidates seeking admission under this category should produce a full size
photograph exhibiting the deformity.
(e) The certificate must have been obtained within three months prior to submitting the
application for seeking admission under this category. If the Certificate has been
obtained earlier, the application will be rejected.
Note:
(1) The selected candidates for B.Pharm (Lateral Entry) Course will be required to undergo
second Medical Examination by a Medical Board constituted for the purpose by the
Director of Medical Education to ascertain and confirm their nature and extent of
physical disability.
(2) Candidates with any other disability other than the locomotor disability of the Lower
limb will not be considered for admission to B.Pharm (Lateral Entry) Course under the
Special Category. Such applications will be summarily rejected without any intimation
to the candidate.
 -7-

(3) The decision of the Director of Medical Education in this regard will be final.
4) Candidates who previously applied for B.Pharm (Lateral Entry) course under
Orthopaedically Physically Disabled Category and were rejected by Special Medical
Board constituted by the Director of Medical Education for this purpose are not eligible
to apply under this category. Such application will be summarily rejected.
As per G.O. (Ms).No.200, Social Welfare and Nutritious Meal Programme Department,
dated 22.12.2006, it has been ordered that for every 33 vacancies one disabled person
is to be selected and the candidate is to be placed against his / her community in the
communal roster.
8. METHOD OF SELECTION AND ADMISSION:-
a) (i) Out of the seats sanctioned for B.Pharm (Lateral entry) course, 50 % seats in each
college are reserved for service candidates in addition to those service candidates
selected under the open category. In case an odd number of seat remains in any
college out of the total seats sanctioned for that college, that seat shall be filled by
merit and communal reservation.
(ii) Selection & Admission will be made on merit basis for all categories of seats in
B.Pharm, (Lateral Entry) course, counselling according to choice of the candidates
and availability of seats following the rule of reservation / Roster method followed
by the Government of Tamil Nadu whichever is applicable. No change of college
will be entertained after allotment.
b) Any change or modification and relevant information pertaining to admission process
will be made available immediately on the websites www.tnhealth.org/
www.tnmedicalselection.org. . The candidates are instructed to visit the website from
the date of issue of application till the end of counselling without fail. Please do not
wait for counselling information to be received by post, as all information including the
date of counselling will be put up in the websites. Call letter can also be downloaded
from the websites. Candidates will be permitted for counselling accordingly.
c) Candidates who fail to attend the counselling session when called for by the
Secretary, Selection Committee, has to forfeit his / her right to claim admission to
B.Pharm. (Lateral Entry) course and his / her name will not be considered further.
However, the Selection Committee reserves the right to permit the candidate to attend
the subsequent counselling session, if a valid reason for absence is communicated to
the Selection Committee before the commencement of the counselling. The candidate
so permitted can only claim the course and college available at the time of counselling
when he / she actually attends.
(d) The candidate and parents accompanying them should make their own arrangements
for the counselling.
 -8-

e) If a candidate chooses a Govt. quota seat in Self-Financing Colleges category when

seats are available in Government Colleges, he/she has to give a declaration to that
effect.
f) If there are no eligible D.Pharm. qualified Service candidates opting for B.Pharm
(Lateral Entry) course, the same will be allotted to eligible Non- Service candidates.
g) If there are no eligible D.Pharm. qualified Non-service candidates opting for B.Pharm
(Lateral Entry) course, the same will be allotted to eligible Service candidates.
h) Any remaining unfilled seats for want of adequate number of eligible candidates
belonging to SCA community shall be filled by candidates belonging to SC community
other than Arunthathiyar as per merit and vice versa. (G.O. (Ms) No. 55 P & AR
Department dated:08.04.2010)
i) Any remaining reserved seats in ST Quota for want of adequate number of eligible
candidates belonging to ST community shall be allotted to candidates belonging to SC
Community as per merit. (G.O.(Ms) No.77 Health & Family Welfare Department
(MCA1) dated 24.02.2011)
j) Any remaining unfilled seats in BCM Community for want of adequate number of
eligible candidates after exhausting the merit list shall be filled up on merit basis by
candidates belonging to BC community without exceeding the quota for BC community
as a whole(G.O.(Ms).No.30/H&FW Dept(MCA1)/dated 18/01/2012)
k). Even after filling up of the required seats reserved for Arunthathiyars on preferential
basis, if more number of qualified Arunthathiyars are available, such excess number of
candidates of Arunthathiyars shall be entitled to compete with the Scheduled Castes
other than Arunthathiyas in the inter-se merit among them (As per G.O.(Ms).No.65,
dated:27.07.2009 of P &AR(K) Department).
l) All the candidates attending the counselling for B.Pharm(Lateral Entry) Degree
course will have to remit a non-refundable amount of Rs.200/- by means of
Demand Draft drawn in favour of “The Secretary, Selection Committee, Kilpauk,
Chennai-10” as processing fee.
9 (i) The candidates belonging to BC, BCM, MBC/DNC, SC, SCA and ST communities
should submit a xerox copy of the community certificate issued by the competent
Revenue authority of the area concerned. The candidates who belong to Scheduled
Tribe should submit a xerox copy of the permanent community card obtained from
the respective Revenue Divisional Officer of the Revenue Division.
(ii) Community certificate obtained from other states will not be considered and such
candidates will be treated as open category.
10. (i) FEE PAYABLE AFTER ADMISSION TO B.PHARM (LATERAL ENTRY) TUITION
FEE PER ANNUM:
Sl. Tuition fee for Govt. Tuition fee for Self-financing Institutions per
No. Colleges per annum annum
1 Rs.1,200/- As fixed by the Fee Committee constituted
by Govt. of Tamil Nadu Rs. 38,000/-*
* As per the Fee Committee proceedings dated 14.08.2014, the above fee does not
include Hostel, Transport/Mess charges, etc.
(ii) SC/SCA/ST candidates are exempted from payment of tuition fee. Candidates who
have been selected under Orthopaedically physically disabled category are also
exempted from paying Tuition fee and Special fee.
 -9-

Students of SC /SCA/ ST community, whose Parents / Guardian’s annual income is less

than 2,50,000/- (Rupees Two Lakhs and Fifty Thousand Only ) and for SC converted
Christianity students whose parents/ guardians annual income is less than
Rs.2,00,000/- ( Rupees Two Lakhs Only) are exempted from payment of all
compulsory, non- refundable fees ( Enrollment/ Registration, Tuition, Games, Union,
Library, Magazine, Medical Examination and such other fee compulsorily payable by the
scholar to the Institution or University / Board) and also exempted from all compulsory
Non refundable fee fixed by the Fee Committee. The fee, so exempted shall be claimed
by the respective Institutions under the Scholarship Programme of the Government of
India. (As per G.O.(Ms) No.6 AD and TW Dept. dated 09.01.2012 and G.O.(Ms) No.51,
Adi Dravidar and Tribal Welfare Department, dated 7.8.2013 ) and as per
G.O.(Ms).No.92/AD and TW Dept. dated 11.09.2012.
iii) Duration of the course: B.Pharm. (Lateral Entry ) : 3 years
11. Candidates should affix recent passport size photographs taken with name and date (as
shown in the Instructions-Annexure-VIII) in the places provided in the application form
and the Scrutiny form. The photograph pasted in the common application form alone
should be duly attested by Group A or Group B officer of the Government of Tamilnadu
or Central Government or the Head of the Institution last studied.
12.PROCEDURE FOR FILLING AND SUBMISSION OF APPLICATION:-
i) a. Before filling up the application form and scrutiny form, read all the instructions
carefully.
b. Fill up the Application form and scrutiny form legibly, neatly and correctly. The
information will be processed by using a computer. Any mistake committed by the
candidate will prejudice the selection.
c. Cutting, overwriting and erasing in the Application form and in the scrutiny form should
be strictly avoided.
d. Application with incomplete or insufficient particulars or without enclosures or those
received after the last date mentioned will be summarily rejected.
e. Filled up application without the signature of the candidates will be rejected.
(ii) All the entries in the application form should be written legibly by the candidate in his /
her own handwriting. The candidate should ensure that all information including the
marks in the qualifying examination furnished by him/her in the application and the
enclosures are correct. The candidate is informed that if after scrutiny of his / her
application it is found that the marks furnished by him / her in the application are not
correct or any other information is found to be incorrect, then;
a. He/she will forfeit the admission no matter at what stage of the course he/she will be at
that time.
b. He/she will be debarred from pursuing any studies for a period of three years.
c. Legal action will be initiated against him / her for furnishing incorrect information.
d. Criminal action will be initiated against him / her for furnishing bogus mark sheets /
bogus Community certificate/false nativity certificate.
e. Do not make hole, use pin or stapler on the scrutiny form. Do not fold any of the forms
under any circumstances.
13.CATEGORIES OF SEATS:-
i. CATEGORY I-GOVERNMENT COLLEGES:-
1. Madras Medical College, Chennai.
2. Madurai Medical College, Madurai.
 -10-

ii. CATEGORY II – SELF FINANCING INSTITUTIONS: -

Note: 10% of the total number of seats sanctioned for B.Pharm course are earmarked for
B.Pharm (Lateral Entry) candidates both in Government and Self Financing
Institutions.
(a) Selection and admission of students to the seats earmarked as Govt. Quota in Self-
Financing Institutions will be subject to the rules proposed by the Govt. coming into
force before Counselling. The Seat matrix for these institution will be displayed
during Counselling.
(b) The fee structure will be adopted as fixed by Committee appointed by the
Government of Tamil Nadu for this purpose.
14. Documents enclosed with the application will not be returned.
Candidates are required to enclose only photo copies of the following certificates along
with the application.
a) HSC mark sheet
b) D.Pharm. mark sheet(s)
c) Transfer certificate obtained after the completion of D.Pharm. Course.
d) Nativity Certificate (if applicable)
e) Permanent Community Certificate Card (if applicable)
f) 500 / 750 hours of practical training certificate.
g) Provisional Certificate / Diploma in Pharmacy certificate
h) Permanent Registration Certificate.
i) Service certificate in respect of Govt. servants completing 2 years continuous
regular service as on 31.5.2017
j) Candidates from other Universities have to produce Eligibility Certificate from
the Tamil Nadu Dr. MGR Medical University, Chennai–600 032 at the time of
counselling.
15. The Selected Candidates will have to produce the original mark-sheet of the qualifying
examination and other original documents, such as proof of age, certificate of social
status, transfer certificates, etc., at the time of admission to the Deans of the Medical
Colleges/ Institutions concerned. Selection will be cancelled if the candidates do not
produce all the original documents and the original transfer certificate.

16. The candidates will require to undergo Medical Examination at the College to which
they are allotted before the Medical Board on the date notified by the authorities of the
College. Only those candidates found medically fit will be admitted and be permitted to
pay the fee.

17. Candidates selected for admission and his / her parent / guardian will have to sign a
discipline declaration form (Annexure–V). Failure to sign the declaration will result in
cancellation of selection.

18. Candidates selected for admission to B.Pharm. (Lateral Entry) course are not
guaranteed any appointment in Government service.

19. The candidate shall diligently complete his / her training for the said course at the said
college, shall abide by the rules of the said college for the time being in force
regulating the conduct of students at the said College and shall pass all the
examinations prescribed for the said course by the University or the Medical Institution
concerned.
 -11-

20. The Government orders issued and to be issued from time to time pertaining to any
of the matters contained in the prospectus should be read as part and parcel of this
prospectus and such terms and conditions in the Government order are deemed to
have been incorporated in the prospectus.

21. Hepatitis-B-Vaccination: -All candidates selected for admission to Lateral B.Pharm.

course should take the Hepatitis – B vaccine before admission and produce a
certificate as in Annexure – II.
22. Ragging:-
The candidates who join B.Pharm. (lateral entry) course should not indulge or
participate in any kind of ragging throughout their study period. If they are found to
have indulged in ragging at any time, the candidate will be removed from the roll of the
Institution at whatever stage of study and criminal action will be taken against the
candidate.
23. Candidates who have applied for B.Pharm (Lateral Entry) course are deemed to have
read the contents in the prospectus and agreed with all the conditions / clauses and
will not have the right to challenge any of the clauses contained in the prospectus.

DIRECTOR OF MEDICAL EDUCATION

 ANNEXURE I

LIST OF GOVERNMENT INSTITUTIONS

B. PHARM (LATERAL ENTRY)

1. MADRAS MEDICAL COLLEGE, CHENNAI

2. MADURAI MEDICAL COLLEGE, MADURAI

Note :- Allotment will be made only to the course and colleges which are approved by
AICTE / PCI / NCI /The Tamil Nadu Dr. MGR Medical University and the
Government of Tamil Nadu on the day of counselling.

The seats available in the Self-Financing Colleges will be exhibited at the time of
counselling
ANNEXURE II

MEDICAL CERTIFICATE FOR ADMINISTRATION OF HEPATITIS-B VACCINATION

I, Dr. ___________________________ Registration No. _______ certify that I have this

_____ day of _____ 2017 administered the Hepatitis-B Vaccine to the candidate whose

particulars are given below :

1. Name of the Candidate :

2. Father’s Name :

3. Sex :

4. Age :

5. Identification marks :

6. Dose I/II/III :

Signature of the Applicant Signature of Medical Officer

Name and Designation

PLACE : Officer Seal

DATE :

Page 1 of 15
 ANNEXURE –III
LIST OF RELIGIONS LIST OF MOTHER TONGUES

RELIGION CODE NO MOTHER TONGUE CODE NO

BUDDHISM 1 TAMIL 1
TELUGU 2
CHRISTIANITY 2
MALAYALAM 3
HINDUISM 3
KANNADA 4
ISLAM 4
JAINISM 5 HINDI 5
SIKHISM 6 URDU 6
OTHERS 7 OTHERS 7
ANNEXURE –IV
LIST OF DISTRICTS IN TAMILNADU

Name of the
Name of the District Code No. Code No.
District
Ariyalur 01 Pudukottai 17
Chennai 02 Ramanathapuram 18
Coimbatore 03 Salem 19
Cuddalore 04 Sivagangai 20
Dharmapuri 05 Thanjavur 21
Dindigul 06 Thiruvallur 22
Erode 07 Thiruchirapalli 23
Kancheepuram 08 Thiruvannamalai 24
Kanyakumari 09 Thoothukudi 25
Karur 10 Theni 26
Krishnagiri 11 Tirunelveli 27
Madurai 12 Tiruvarur 28
Nagapattinam 13 Tiruppur 29
Namakkal 14 Vellore 30
Nilgiris 15 Villupuram 31
Perambalur 16 Virudhunagar 32

District in Other States

Kerala 33
Karnataka 34
Andhra 35
Others 36

Page 2 of 15
 ANNEXURE V
Joint Declaration by the candidate and Parent / Guardian
(This should not be enclosed with the application but should be submitted
only at the time of admission)
I /We do hereby Solemnly and sincerely affirm
1. that the statements made and information furnished in the application submitted and also
in all the enclosures thereto submitted by him/her are true. Should it however be found
that any information furnished therein is untrue in material particulars, I/we realize that
he/she is liable for criminal prosecution and forfeiture of his / her seat in the Institution
allotted during the counselling.
2. that my son/daughter/ward would conform strictly to all the rules and regulations
prescribed by the Tamil Nadu Dr. M.G.R. Medical University, Chennai in force now or
which may be introduced in the Institution hereafter and that I/we realize that breach of
discipline and rules on my son’s/daughter’s/ward’s part would entail forfeiture of his / her
seat in the Institution.
3. that my son/daughter/ward shall not make any claim for admission to a particular college
as a matter of right during allotment/ Re-allotment.
4. that my son/daughter/ward agrees to pay any amount that may become due as and when
the fee structure is revised as may be decided by Government of Tamil Nadu /Committee
appointed by the Government for the purpose.
5. that my son/daughter/ward do hereby agree to conform to follow the rules and regulations
including those relating to the hostel laid down or to be laid down by the Dean of the
Institution for due maintenance of discipline at the said College and assure that he/she will
not join any agitation /strike of any kind during course of study and further agree to make
good when called upon to do so to the Government of Tamil Nadu any damage to furniture,
apparatus or other articles which may be caused by any carelessness, negligence and
wantonly on his/her part.
6. that my son/daughter/ward who is a Native of Tamil Nadu and will not claim dual Nativity
in future.
7. that my son/daughter/ward hereby declare that he/she belongs to ----------------
Community (Sub caste -------------------) and is fully aware that producing a false
Community certificate leads to expulsion from any course of study at any time besides
initiation of criminal action against him/ her as per law.
8. that we are fully aware, as per the directions of the Hon’ble Supreme Court of India and
Tamil Nadu Prohibition of Ragging Act 1997. Ragging is an offence, and is banned in the
Institution and anyone indulging in ragging is liable to be punished by expulsion from the
Institution at whatever stage of study and criminal action will be taken against him/her as
per law.

Place :
Date :

Signature of the Candidate Signature of the Parent / Guardian

Page 3 of 15
 ANNEXURE VI

DECLARATION BY THE CANDIDATE FOR PAYMENT OF DUES AS A RESULT OF REVISION OF

FEES AS MAY BE DECIDED BY THE GOVERNMENT OF INDIA / THE STATE GOVERNMENT /
COMMITTEE APPOINTED BY THE GOVERNMENT
FOR THE ACADEMIC YEAR 2017 – 2018

I ________________ the undersigned, a student selected for admission in B.Pharm Course (Lateral

Entry ) 2017-2018 session in __________________ college do hereby agree to pay any amount

that may become due from me as and when the fee structure is revised, as may be decided by the

Government of India or State Government / Committee appointed by the Government for this

purpose for the year 2017 – 2018.

In the presence of : Signature of Candidate

Station: Signature of Parent / Guardian

Date: Occupation and Address :

ANNEXURE – VII
DECLARATION / UNDERTAKING ON ALLOTMENT AND RE-ALLOTMENT OF
INSTITUTIONS OF SELECTED CANDIDATES FOR ADMISSION TO B.PHARM
COURSE ( LATERAL ENTRY )

I_______________________ the undersigned, a student selected for admission in the

B.Pharm Course (Lateral Entry ) in _____________ College, do hereby agree to abide the regulations
prescribed in the prospectus for admission to the B.Pharm Course (Lateral Entry ) 2017– 2018 and
shall not make any claim for admission to a particular College as a matter of right.

In the presence of : Signature of Candidate

Station Signature of Parent / Guardian

Date Occupation and Address :

NOTE :- To be submitted to the Head of the Institution at the time of Admission.

Page 4 of 15
 ANNEXURE VIII

INSTRUCTIONS FOR PHOTOGRAPHS

1. Two recent identical passport size photographs with light background are required.
2. Polaroid photographs are NOT acceptable.
3. Photographs must be snapped on or after 1st June 2017.
4. Photographs must be taken with a placard indicating name of candidate ( as in the
application) and date of taking photograph.

5. In case the name and date are written on the photograph after taking it, the application will
be rejected.
6. The name and date on the photograph must be clear and legible.
7. Photograph should NOT have cap and goggles. Spectacles are allowed.
8. One photograph each should be pasted ( NOT STAPLED ) on Application Form.
9. The photograph pasted on the Application Form should be attested by a Gazetted Officer /
Headmaster / Headmistress with a clear stamp.
10. Applications not complying with these instructions or with unclear photographs will be
rejected.
11. Keep a few identical photographs in reserve for use at the time of admission.
Note: If the photograph is not a recent one taken at the time of submitting the application, the
application will be rejected.

Page 5 of 15
 ANNEXURE IX (a)
INSTRUCTIONS FOR NATIVITY CERTIFICATE
1. This Certificate should be issued by an officer of the Revenue Department not
below the rank of Tahsildar in the Taluk concerned.
2. This Certificate should not be issued by the Special Tahsildars, Deputy
Tahsildars such as Loans, Land Acquisition, Election, Excise and HQs, Deputy
Tahsildars, Special Deputy Collectors, Assistant Commissioner of Agricultural
Income, Excise, Elections etc.
3. This Certificate should be signed also by the Village Administrative Officer.
4. The Certificate should bear the stamp of the office of the Officer signing the
Certificate.
5. Any foreign national irrespective of the period of study in the State will not
become eligible to apply for this course. No certificate of Nativity in the State of
Tamil Nadu should therefore be issued to Nationals of other countries for this
purpose.
6. The certifying officers should insist upon clear proof of the Nativity of the
Parent or Guardian of the candidate and satisfy themselves on the
genuineness of the residential qualification. They should be particularly
careful in the case of candidates whose mother tongue is not Tamil and whose
place of birth is other than Tamil Nadu and who have studied VIII to XII
standards outside Tamil Nadu.
6. Residence Certificate will not be considered as Nativity Certificate.
7. The guidelines prescribed for the issue of Nativity Certificate are as per Letter
No.RA.V(B)16932/2000, dated 3-4-2000 of the Special Commissioner and
Commissioner of Revenue Administration, Chepauk, Chennai-5.
i. The parents/guardians of the applicants/students or the applicants themselves
should have permanently resided continuously for a period of five years in Tamil
Nadu.
ii. Permanently residing for a period of five years should be supported by
documentary evidence.
iii. The family ration card, Electoral Roll, Census List if taken recently, documents
like sale deed, tax receipt etc., relating to the property owned by either of the
parents or by the applicant may be verified.
iv. The Transfer Certificate issued by the School authorities where the applicant
had studied last may be verified to know whether he/ she was in the State for
five years.
v. Enquiry in the village / place of residence of the neighbour / Village
Administrative Officers regarding continuous residing.
vi. To ensure that wrong or incorrect address had not been furnished to obtain the
certificate.
vii. The birth place, place of residence of the parent / father, permanent assets,
mother tongue, place of education, place of marriage of the applicant / parents,
the period of stay in and outside Tamil Nadu can also be considered before
issuing certificate.

Page 6 of 15
 ANNEXURE IX (b)
CERTIFICATE OF NATIVITY IN TAMIL NADU
Certified that ________________________________________________ S/D/W of

_______________________________ residing at _________________________________________

an applicant seeking admission to B.Pharm(Lateral Entry) Course 2017-2018 session

in Tamil Nadu is a Native of Tamil Nadu.

Signature of Village Administrative Officer Signature :

of __________________________ Name & Designation :

in the _______________________ Taluk Station :

of __________________________ District Date :

Office Seal

Note: This certificate should be issued by an officer of the Revenue Department not

below the rank of Tahsildar in the Taluk concerned.

Page 7 of 15
 ANNEXURE X (a)
(G.O.(Ms)No. 85, Higher Education (J2) Department, dated: 16.04.2010)
CERTIFICATE
It is certified that there is no Graduate in the family of
Selvan/Selvi………………………………………… S/o./D/o.Thiru…………………………………...
presently residing at…………………………………………………………………………….
……………………………………………………………………………………………………….
and who has applied for Professional courses during the year 2017 is eligible for
Tuition Fee exemption as per the G.O.(Ms).No: 85, Higher Education
(J2) Department,dated: 16.04.2010.

Relationship
Sl.No Name Father/Mother/ Educational Whether
Brother/ Sister/ Age Qualification Degree
Grandfather / Holder
Grandmother
1 2 3 4 5 6
2

Station:
Date: Headquarters Deputy Tahsildar:

Taluk :

District :

Page 8 of 15
 ANNEXURE –X (b)
(G.O.(Ms).No: 85, Higher Education (J2) Department, dated: 16.04.2010)

FIRST GRADUATE CONCESSION – JOINT DECLARATION FORM

I hereby declare the details of my family members and their educational

qualifications to avail the tuition fee Waiver for my studies in professional courses
under the scheme of waiver of tuition fees to the students from the family where
there are no graduates.

Sl.No. Name Relationship Age Educational Whether

Father/Mother Qualification Degree
/Brother / Sister holder
/Grand Father /
Grand Mother
(1) (2) (3) (4) (5) (6)

I hereby solemnly and sincerely affirm that I am the first person from my
family to claim the waiver of Tuition Fee for entire Professional Course of study and
there is no graduate in my family so far. The particulars furnished above are true.
Should it, however, be found that any information furnished therein is false in
material particulars on verification at a later stage, I am liable for criminal
prosecution and I also agree to return the amount equal to three times the tuition
fee waiver availed by me.

Date :

Place:
SIGNATURE OF CANDIDATE

I solemnly and sincerely affirm that I am fully aware of the above

declaration and the particulars furnished in the declaration are correct. I am liable
for the criminal action/recovery of amount equal to three times of the fees waived,
for incorrect particulars furnished.
Date :

Place:
SIGNATURE OF PARENT/ GUARDIAN

Page 9 of 15
 ANNEXURE XI
INCOME CERTIFICATE

(This Certificate should be issued by an Officer of Revenue Department not below

the rank of Tahsildar in the Taluk concerned)

Name of the Applicant:………………………….Application No:…………………

This is to certify that Annual income of Thiru/Thirumathi………………….

Parent/ Guardian of * Thiru/Selvi/Thirumathi …………………………………. an

applicant for admission to B.Pharm(Lateral Entry) Course in Government/ Self

Financing Colleges in Tamil Nadu residing at ……………………………………………..

…………………………………….……………………………………..……………………… is

…………..(Rupees…………………..….…………………………………………………….only)

Signature :

Name and Designation:

Station :

Office Seal :

Date :

Note:

*Applicable only when both parents are deceased.

1. This Certificte should not be issued by Special Tahsildar, Deputy Tahsildars such
as Loans, Land acquisition , Election, excise and HQs, Deputy Tahsildars, Special
Deputy Collectors, Asst. Commissioner of Agricultural Income, Excise, Elections etc.

2. Candidates of SC/SCA/ST whose parents’ annual income is less than .2.50

lakhs and candidates of SC Converted chiristianity whose parents annual income is
less than 2.00 lakhs, claiming the fee concession for admission to Government
Quota in Self Financing Medical /Dental Colleges , alone should produce the above
Income Certificate (As per G.O.(Ms.) No.6, AD and TW Department, dated
09.01.2012,G.O .(Ms.)No.92/AD & TW Dept. dated 11.09.2012 and G.O .(Ms.)
NO.51/AD&TW Department dated: 07.08.2013.

Page 10 of 15
 PRE - DESPATCH CHECK LIST FOR THE USE OF THE APPLICANT

It is the candidate's own responsibility to exercise suitable checks and ensure that
his / her application is correct and complete in all respects. As a facility for a
further check, a list of tasks are given below. Against each task-description, the
candidate should put a tick mark (√) or write "N.A." to indicate that the task has been
done or is not applicable to him / her.

1. DATA () / "N.A."

i Application and Scrutiny Form filled up.

ii Checked and confirmed that corresponding entries in

Application Form and scrutiny Form tally and that there
is no discrepancy
2 SUPPORTIVE DOCUMENTS

i D Pharm Mark Sheets –I & II Year.

ii Transfer certificate obtained after the completion of
D.Pharm course.
iii 500/ 750 hours of Practical Training Certificate.
iv Provisional / Diploma Certificate.

v Pharmacist Registration Certificate.

vi Service Certificate for Candidates in Government Service.

vii Eligibility Certificate if applicable.

viii Mark sheet of H.S.C. (Academic) examination (both sides

of mark sheet should be photocopied) or any other
equivalent examination of the first appearance.
Ix Permanent Community Certificate Card.

x Certificate for proof of study from X standard to XII

standard and D.Pharm Course.
xi Nativity Certificate with supporting documents .
( if applicable)
3 MISCELLANEOUS

i Attested Passport size photograph affixed in the

Application.
ii One self addressed envelope.

Date: Signature of the Applicant

Page 11 of 15
 DETAILS OF GOVERNMENT COLLEGES –B.PHARM (LATERAL ENTRY) 2017-2018

Hostel
Telephone Nearest Nearest
S. Facilities
College Address No. and Railway Bus
No. available for
Fax No. Station stop
Boys Girls
1 Madras Medical College, 044-25363131 Fort
Periyar EVR Road, Fax: 044- Station GH Bus Stop Yes Yes
Park Town, 25305115 0.2 km
Chennai-600 003.
2 Madurai Medical College, 0452- Madurai Anna Bus Yes Yes
Madurai-625 020 2532535 to 42 Rly.Station Stand
Fax: 0452- 3 km. 0.5 km
526028
DETAILS OF SELF FINANCING COLLEGES –B.PHARM (LATERAL ENTRY)
CHENNAI DISTRICT
1 Mohamed Sathak 044- Tambaram Sholinganallur Yes Yes
A.J. College of Pharmacy, 24502571, 3 15 km. 0.5 km.
Medavakkam Road, Fax : 044-
Sholinganallur, 24502572
Chennai – 600 119.
2 C.L. Baid Metha College of 044-24960151 Chennai Thorapakkam Yes Yes
Pharmacy, 24960425 Central – Bus Stop
Jyothi Nagar, Fax:044- 20 km.
Rajiv Gandhi Salai, 24962592
Thorapakkam,
Chennai – 600 097.

3 K.K. College of Pharmacy, 044-23821272 Guindy Porur Junction Yes Yes

1/161 Sankaralinganar FAX No. 044 - Rly.Stn. 3 km.
Road, Gerugambakkam, 23821272 7 km.
Chennai 600 128.

4 Jaya College of 044-29038239 Nemilicherry Nemilicherry Yes Yes

Paramedical Sciences, Fax :044- 300 mtr. 300 mtr.
College of Pharmacy, 26345525
Thiruninravur,
Chennai-602 024.
COIMBATORE DISTRICT
5 Cherraan’s College of 0422– Coimbatore Ukkadam Yes Yes
Pharmacy, 2343380 Junction 5 km.
521, Siruvani Main Road, 5 km. Gandhipuram
Telungupalayam Pirivu, 8 km.
Coimbatore –641 039.
6 KMCH College of 0422 – Coimbatore KMCH College Yes Yes
Pharmacy, Kovai Estate, 2369302 Rly.Stn. Bus Stop
Kalapatti Road, Fax: 0422 – 11 km.
Coimbatore –641 048. 2369302

Page 12 of 15
7 College of Pharmacy, 0422- Coimbatore Central Bus Yes Yes
Sri Ramakrishna Institute 2247756 Junction Stand
of Para Medical Sciences, 4500164 4 km Gandhipuram
395, Sarojini Naidu Road, 4500194
Coimbatore -641 044 FAX No.
0422-
4500194
8 PSG College of Pharmacy, 0422- Coimbatore Peelamadu Yes Yes
P.B.No.1674, 2570170 Junction Bus Stop
Avinashi Road, -7 lines Rly.Stn. 100 mtr
Peelamedu, Fax: 0422- 7 km.
Coimbatore – 641 004. 2594400
9 RVS College of 0422- Coimbatore Sulur Bus Stop Yes Yes
Pharmaceutical 2687603 Junction 0.5 km
Sciences, 242-B, Fax No: 20 km.
Trichy Road, Sulur, 0422-
Coimbatore – 641 402 2687604
10 Karpagam College of 0422- Coimbatore Othakkal Yes Yes
Pharmacy, 2904100 Junction Mandapam
S.F.No.762, 6453777 20 km. 0.5 km.
Othakkal Mandapam, Fax: 0422-
Pollachi Main Road, 2611043
Coimbatore-641 032

DHARMAPURI DISTRICT
11 Padmavathi College of 04348-247020 Dharmapuri Periyanahalli Yes Yes
Pharmacy, Fax: 04348- 14 km. Bus Stop
Krishnagiri Main Road, 247111 0.5 km.
Periyanahalli P.O,
Dharmapuri Dt –635 205.
ERODE DISTRICT
12 Nandha College of 04294-224611, Erode College Bus Yes Yes
Pharmacy, 221405 12 km. Stop on
Koorapalayam Pirivu, Fax-04294- Erode -
Pitchandampalayam Post, 224622 Perundurai
Erode – 638 052. Main Road

The Erode College 0424-2339929,

13 ofPharmacy, 2339538 Erode Veppam-
Perundurai Main Road, Fax: 0424- Junction palayam Yes Yes
Veppampalayam, 2339539 7 km. 300 m.
Vallipurathanpalayam P.O,
Erode – 638 112
14 S.S.M.College of 04256-249699 Erode Chinniyam- Yes Yes
Pharmacy, Fax: 04256- 25 km. palayam
S.F.No.834/1 & 2, 249699 1 km.
Chinniyampalayam,
Jambai P.O., Bhavani Tk.,
Erode – 638 312

Page 13 of 15
15 J.K.K.Munirajah Institute of 04285-262220 Erode College Bus Yes Yes
Health Sciences College of Fax: 04285- 50 km. Stop
Pharmacy, 260290 1 km.
Thookanaickenpalayam,
Gobichettipalayam,
Erode – 638 506.
KANCHEEPURAM DISTRICT
16 Adhiparasakthi College of 044- Melmaru- Melmaru- Yes Yes
Pharmacy, 27529093 vathur vathur
Melmaruvathur 9003542444 3 km. 3 km.
Kancheepuram– 603 319. Fax: 044-
27529196
17 Pallavan Pharmacy College, 044 – Kanchi- Kanchi- Yes Yes
Kolivakkam, 27242160 puram puram
Iyyengarkulam, Fax: 044- 12 km. 10 km.
Kancheepuram – 631 502. 27242191

MADURAI DISTRICT
18 K.M. College of Pharmacy, 0452- Madurai Integrated Yes Yes
Melur Road, 4395050 Junction Bus Stand
Uthangudi, Fax-0452- 9 km. 0.5 km
Madurai – 625 107. 2423415
19 Ultra College of Pharmacy, 0452- Madurai Suguna Yes Yes
4/235, College Road, 2534593, Junction Stores Bus
Thasildar Nagar, Fax:0452- 4 km. Stop
Madurai - 625 020. 2539828 200 yards
NAGAPATTINAM DISTRICT
20 Edayathangudy G.S. Pillay 04365- Nagore Collector Yes Yes
College of Pharmacy, 251260 3 km. Office Stop
Old Nagore Road, Fax: Naga- 0.2 km.
Nagapattinam–611 002 04365- pattinam
251968 5 km.
NAMAKKAL DISTRICT
21 Annai JKK Sampoorani Ammal 04288- Erode Vattamalai Yes Yes
College of Pharmacy, 260032, Rly.Stn Bus Stop
P.B.No.70, Ethirmedu, 266760 17 kms. 50 feet
B.Komarapalayam, Fax: 04288-
Namakkal District– 638 183 266760
22 J.K.K. Nattraja College of 9487833330 Erode Vattamalai Yes Yes
Pharmacy, Natarajapuram, 9965363999 15 km. NH – 544
NH-544, 9488733332 Salem to
Salem to Coimbatore, Fax: 04288- Coimbatore
Komarapalayam, 265793
Namakkal Dt – 638 183
23 Swamy Vivekananda 04288- Erode Thiruchen- No Yes
College of Pharmacy, 234670 Rly.Stn. godu
Elayampalayam, Fax: 04288- 30 km.
Thiruchengodu Tk., 234670
Namakkal Dt – 637 205

Page 14 of 15
24 PGP College of Pharmaceutical 04286-267722 Namakkal PGP Yes Yes
Sciences and Research Institute, Fax-04286- 15 km / Campus
NH-7, Namakkal-Karur Main 267722 Pugalur bus stop
Road, Namakkal –637 207. 15 km.
PERAMBALUR DISTRICT
25 Thanthai Roever College of 04328-278114 Ariyalur Bus Stop Yes Yes
Pharmacy, 277835 Rly.Stn 1 km.
Roever Campus, Fax: 04328- 30 km.
Perambalur –621 212. 278114
TIRUNELVELI DISTRICT
26 S.A. Raja Pharmacy College, 04637-230257 Nagercoil Kavalkinaru Yes Yes
Raja Nagar, Vadakangulam, 231193 23 km. 5 km.
Tirunelveli Dt.- 627116 Fax:04637-
230257
27 Sri Ram Nallamani Yadava 04633-280525 Tenkasi College Bus Yes Yes
College of Pharmacy, Fax:04633- Rly.Stn. Stop
Nallamani Nagar, 280525 7 km. 300 mtrs.
Kodikurichi,Tenkasi-627804
TIRUVANNAMALAI DISTRICT
28 Kamalakshi Pandurangan 04175- Thiruvanna- Thiruvanna- Yes Yes
College of Pharmacy, 236215 malai malai
Ayyampalayam, Fax-04175- 10 km. 10 km..
Tiruvannamalai –606 603. 236215
29 Aadhi Bhagawan College of 04182- Kacheepuram Rantham Yes Yes
Pharmacy, Rantham Village, 248211 35 km. 1 km
Cheyyar Taluk, Fax-04182-
Tiruvannamalai Dt –604 407. 248379
TRICHY DISTRICT
30 Periyar College of 0431-2459911 Trichy Simco No Yes
Pharmaceutical Sciences, Fax: 0431- Junction factory Bus
Periyar Centenary Educational 2456677 4 km. Stop
Complex, 50 m.
K.Sathanoor Main Road,
Trichy –620 021.
VILLUPURAM DISTRICT
31 Surya School of Pharmacy, 04146- Villupuram Vikravandi Yes Yes
Surya Nagar, GST Road, 233181 23 km. 2 km.
NH-45, Vikravandi, Fax: 04146-
Villupuram Dt-605 652. 263131
VIRUDHUNAGAR DISTRICT
32 Arulmigu Kalasalingam 04563- Srivilliputhur KrishnanKoil Yes Yes
College of Pharmacy, 289006 15 km. 2 km.
Anand Nagar, Krishnankoil, Fax: 04563-
Srivilliputur (Via), 289006
Virudhunagar Dt -626 126.
33 Sankaralingam Bhuvaneswa 04562-231918, Sivakasi Anaikuttam Yes Yes
ri College of Pharmacy, 231619 8 km. 1 km.
FAX No.04562-
3/77-C, Anaikuttam, Sivakasi, 231619
Virudhunagar Dt. –626 130.

Page 15 of 15