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2 NATIONAL BOARD OF EXAMINATIONS,


REPRESENTED BY ITS PRESIDENT,
MEDICAL ENCALVE, ANSARI NAGAR,
RING ROAD, NEW DELHI 110 029

3 STATE OF KERALA,
REPRESENTED BY ITS SECRETARY TO GOVERNMENT,
HEALTH AND FAMILY WELFARE DEPARTMENT,
GOVERNMENT SECRETARIAT, TRIVANDRUM 695 001

4 THE DIRECTOR OF MEDICAL EDUCATION,


DIRECTORATE OF MEDICAL EDUCATION,
MEDICAL COLLEGE P.O, THIRUVANANTHAPURAM,
PIN 695 011, KERALA

5 COMMISSIONER OF ENTRANCE EXAMINATIONS,


HOUSING BOARD BUILDINGS, SANTHI NAGAR,
TRIVANDRUM 695 001

6 NATIONAL MEDICAL COMMISSION OF INDIA,


REPRESENTED BY ITS SECRETARY,
POCKET 14, SECTOR-8, DWARAKA PHASE -1
NEW DELHI 110 077 (AS CORRECTED BY THE HON'BLE
COURT SUO MOTO VIDE ORDER DATED 7-10-2020)

7 POST GRADUATE MEDICAL EDUCATION BOARD,


REPRESENTED BY ITS PRESIDENT, POCKET-14,
SECTOR-8, DWARAKA PHASE-1, NEW DELHI 110 077

OTHER PRESENT:

SRI ARAVINDAKUMAR BABU, SR GP.


SRI JAISANKAR V. NAIR, CGC.
SRI TITUS MANI VETTOM, SC
SRI S.SANAL KUMAR

THIS WRIT APPEAL HAVING COME UP FOR ADMISSION ON


07.10.2020, THE COURT ON THE SAME DAY DELIVERED THE
FOLLOWING:
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S.Manikumar, C.J.
&
Shaji P.Chaly, J.
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
W.A.No.1302 of 2020
=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=
Dated this the 7th day of October, 2020

JUDGMENT
S.Manikumar, C.J.

Being aggrieved by the directions in the common interim order

made in W.P.(C) Nos.20135, 20256 and 20572 of 2020 dated 5.10.2020,

declining to restrain Union of India, represented by its Director General of

Health Services, New Delhi (respondent No.1 therein), from proceeding

with the counselling/admission to 40% seats in in-service quota and

against the directions of the writ court, to respondent No.1, to consider

Ext.P10 representation; direction to the State of Kerala represented by its

Secretary to the Government, Health and Family Welfare Department,

Trivandrum (respondent No.3 therein), to consider Ext.P11 representation,

and the direction to the National Medical Council of India (respondent No.6

therein) to consider Ext.P12 representation, instant writ appeal is filed.

2. It is submitted that respondent No.6 herein should be National

Medical Commission of India represented by its Secretary, Pocket-14,

Sector-8, Dwarka Phase-1, New Delhi – 110 077. But, by inadvertence, it


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has been shown as National Medical Council of India. Registry is directed

to carry out necessary amendments wherever required.

3. We have heard Mr. George Varghese Perumpallikuttiyil, learned

counsel for the appellants, Mr. Jaishankar V. Nair, learned Central

Government Counsel and Mr. Aravindakumar Babu, learned Senior

Government Pleader for the State of Kerala and Mr. Titus Mani Vettom,

learned standing counsel for the respondent No.6.

4. Inviting our attention to the decision in Tamil Nadu Medical

Officers Association and Others v. Union of India and Others

reported in 2020 SCC Online SC 699, which answered a reference, in

particular, to the conclusions of the Hon'ble Supreme Court in the above

said decision, Mr. George Varghese Perumpallikuttiyil, learned counsel for

the appellants submitted that the State Government have legislative

competence and authority to make reservations and/or provisions for

admissions to Postgraduate/Super Speciality courses.

5. Learned counsel for the appellants further submitted that insofar

as State of Kerala is concerned, such reservation in admission for

Postgraduate/Super Speciality Courses was already provided under the

Kerala Medical Officers Postgraduate and Service Quota Act, 2008, and the
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rules framed thereunder.

6. He also submitted that the Act and the rules framed thereunder,

provide for guidelines prescribing eligibility criteria for the candidates

opting reservation under the in-service quota.

7. He further submitted that nothing in the prospectus prohibits the

State Government from granting admission to candidate falling under the

in-service quota towards Postgraduate/Super Speciality Courses.

8. Placing reliance on the decision of the Hon'ble Supreme Court in

Dr. Preeti Srivastava v. State of Madhya Pradesh and Others

reported in [1999] 7 SCC 120, Mr. Jaishankar V. Nair, learned Central

Government Counsel, submitted that Tamil Nadu Medical Officers

Association (cited supra) does not deal with reservation in Super

Speciality Courses. It is also his contention that the counselling is

scheduled tomorrow. The State Government have not submitted the list of

eligible candidates for admission, either in the general category or in-

service quota. Admissions as per the time schedule prescribed by the

Hon'ble Supreme Court have to commence on 15.10.2020. In the

abovesaid circumstances, prayer sought for cannot be granted.

9. Inviting our attention to one of the directions issued in Tamil


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Nadu Medical Officers Association (cited supra) by the Hon'ble

Supreme Court, learned Senior Government Pleader submitted that the

State Government have to make a rule specifying a minimum period of

service in rural area as mandatory, so as to make in-service candidate as

qualified and till such time, admission cannot not be made by providing

40% reservation in this year.

10. Inviting our attention also to a proceeding of the Director of

Medical Education, Chennai dated 6.10.2020, directing the Deans of

Medical Colleges, Chennai, to send the particulars stated therein, it is

submitted by the learned counsel for the appellants that the said

particulars are directed to be provided and, therefore, the judgment of the

Hon'ble Supreme Court has to be implemented in letter and spirit by the

State Government, National Medical Council of India, and the Central

Government.

11. Mr. George Varghese Perumpallikuttiyil, learned counsel for the

appellants further submitted that reservation provided to in-service

candidates cannot be equated or treated in par with communal reservation

and, therefore, the judgment in Preethi Srivasthava's case is not

applicable to the facts of this case. According to him, the list of eligible
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candidates for admission in in-service quota for Super Speciality Courts can

be forwarded to the Union of India for counselling which is scheduled to

commence tomorrow.

12. Mr.Aravindakumar Babu, learned Senior Government Pleader for

the State of Kerala submitted that list is yet to be prepared.

13. Heard the learned counsel for the parties and perused the

material available on record.

14. Direction issued by the Hon'ble Supreme Court in Tamil Nadu

Medical Officers Association's case (cited supra), are as hereunder:

―1) that Entry 66 List I is a specific entry having a very limited


scope;

2) it deals with ―coordination and determination of standards‖ in


higher education;

3) the words ―coordination and determination of standards would


mean laying down the said standards;

4) the Medical Council of India which has been constituted


under the provisions of the Indian Medical Council Act,
1956 is the creature of the statute in exercise of powers
under Entry 66 List I and has no power to make any
provision for reservation, more particularly, for in-service
candidates by the concerned States, in exercise of powers
under Entry 25 List III;

5) that Regulation 9 of MCI Regulations, 2000 does not


deal with and/or make provisions for reservation and/or
affect the legislative competence and authority of the
concerned States to make reservation and/or make special
provision like the provision providing for a separate source of
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entry for in-service candidates seeking admission to


postgraduate degree courses and therefore the concerned
States to be within their authority and/or legislative competence
to provide for a separate source of entry for in-service
candidates seeking admission to postgraduate degree
courses in exercise of powers under Entry 25 of List III;
6) if it is held that Regulation 9, more particularly,
Regulation 9(IV) deals with reservation for in-service candidates,
in that case, it will be ultra vires of the Indian Medical
Council Act, 1956 and it will be beyond the legislative
competence under Entry 66 List I.;
7) Regulation 9 of MCI Regulations, 2000 to the extent
tinkering with reservation provided by the State for in-
service candidates is ultra vires on the ground that it is
arbitrary, discriminatory and violative of Articles 14 and 21 of the
Constitution of India;
8) that the State has the legislative competence and/or
authority to provide for a separate source of entry for in-service
candidates seeking admission to postgraduate degree/diploma
courses, in exercise of powers under Entry 25, List III.
However, it is observed that policy must provide that
subsequent to obtaining the postgraduate degree by the
concerned in-service doctors obtaining entry in degree
courses through such separate channel serve the State in the rural,
tribal and hilly areas at least for five years after obtaining
the degree/diploma and for that they will execute bonds for
such sum the respective States may consider fit and proper;
and
9) it is specifically observed and clarified that the present
decision shall operate prospectively and any admissions given
earlier taking a contrary view shall not be affected by this
judgment.‖
15. Reading of the above makes it clear that Regulation 9 of MCI

Regulations, 2000 does not deal with and/or make provisions for

reservation and/or affect the legislative competence and authority of the


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concerned States to make reservation and/or make special provision like

the provision providing for a separate source of entry for in-service

candidates seeking admission to postgraduate degree courses and

therefore the concerned States to be within their authority and/or

legislative competence to provide for a separate source of entry for in-

service candidates seeking admission to postgraduate degree courses in

exercise of powers under Entry 25 of List III.

16. Clause 7 of paragraph 20 makes it clear that Regulation 9 of

MCI Regulations, 2000 to the extent tinkering with reservation provided by

the State for in-service candidates is ultra vires on the ground that it is

arbitrary, discriminatory and violative of Articles 14 and 21 of the

Constitution of India.

The Kerala Medical Officers' Admission to Postgraduate Courses Under

Service Quota Act, 2008 is an Act to provide for quota of seats among

Medical Officers of the State of and to a selection procedure for admission

to various Post graduate Courses in the Medical Colleges under the service

quota considering their service under the Government and for matters

connected therewith or incidental thereto.

17. Preamble of the Act states that WHEREAS, it is expedient to


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provide for quota of seats among Medical Officers of the State of Kerala

and to have a selection procedure for admission to various Postgraduate

Courses in the Medical Colleges under the service quota considering their

service under the Government;

18. Section 2(e) defines 'Postgraduate Course' to mean the course

of study after M.B.B.S. which may be a degree or diploma course declared

as such in the prospectus.

19. Section 2(f) defines 'Postgraduate Course Selection Committee'

to mean the committee constituted under Section 4.

20. Section 2(g) defines 'prescribed' to mean prescribed by rules

made under this Act.

21. Section (h) defines 'prospectus' to mean the prospectus issued

by the Director of Medical Education under the direction of the

Government every year for admission to Postgraduate Course.

22. Section 2(i) defines 'rural area service' to mean the service

rendered by a Medical Officer in an area declared by the Government as

'rural area'. Section 2(j) defines 'service' to mean the service rendered by

the Medical Officer under the Government for such period as may be

prescribed. 23. Section 2(k) defines 'service quota' to mean the


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number of seats allotted for Medical Officers in the service of the State,

from time to time, for admission to a Post Graduate Course of study, on

such terms and conditions as may be prescribed. Section 2 (l) defines

'State' to mean the State of Kerala.

24. Selection of Medical Officers for admission to Posgraduate

Course Under the Service Quota.- Notwithstanding anything contained in

the Indian Medical Council Act, 1956 (Central Act 102 of 1956) or any rule

or regulation issued thereunder or in any judgment, decree or order of

any court or authority, the selection of Medical Officers for admission to

Postgraduate Course of study in the State under the service quota shall be

made only under the provisions of this Act.

25. Section 5 of the Act speaks about procedure for selection and

the same reads thus:

"5. Procedure for selection.- (1) The Government may


set apart seats not exceeding forty percent of the total
seats available to state quota in an academic year, for
selection of Medical Officers under service quota considering
their service under the Government for admission to Post
Graduate Medical Courses in the Medical Colleges of the
State in such manner as may be prescribed.
(2) The academic qualification for admission to the Post
Graduate Course shall be M.B.B.S. degree with minimum
fifty percent marks and the other qualifications shall be
such as may be prescribed.
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(3) The details of eligibility for admission, the duration of


courses, allotment, fee to be paid, reservations of seats and
such other details shall be published every year in the
prospectus before the commencement of admission.
(4) The Postgraduate Course Selection Committee shall
finalise the selection list strictly based on the seniority in
service of the Medical Officers and following such other
criteria as may be prescribed.
(5) The selection list finalised under sub-section (4) shall
be published by the Post Graduate Course Selection
Committee for the information of the applicants."

26. Section 6 of the Act speaks about weightage for rural service

and the same reads thus:

"6. Weightage for rural service.- Every Medical Officer


who has 'rural area service' or 'difficult rural area service',
as the case may be, in the State shall be given weightage in
selection in such manner as may be prescribed."

27. Government of Kerala have issued order dated 30.3.2009

framing procedure for Post Graduate Admission under Service Quota. The

said Government Order reads thus:

―GOVERNMENT OF KERALA
Abstract

Health & Family Welfare Department - MES - Academic - Procedure for


Post Graduate Admission under Service Quota Rules framed - Orders
issued.
HEALTH & FAMILY WELFARE (S) DEPARTMENT

GO(MS)No. 93 /09/H&FWD Dated, Thiruvananthapuram, 30.03.2009


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Read:- The Kerala Medical Officers Admission to Post Graduate courses


under Service Quota Act, 2008 (Act 29 of 2008)

ORDER

As per the Act read above the Kerala State Legislative Assembly has
passed the Service Quota Act, 2008 for enabling the service candidates to
get admission for Post Graduate Medical Courses without having Entrance
Examination. The President of India gave assent to the Act and hence it
became a Law now. As per the proviso 9 (i) of the Act, Government have
power for make rules on the basis of this Act. Considering this
Government here by make following rules to the Act.

1. Short title and commencement — (i) These rules may be called the
Kerala Medical Officers' Admission to Post Graduate Medical courses under
Service Quota Rules, 2009.

(ii) It shall come into force at once and will be applicable for admission
to PG Medical/Speciality/Super Speciality Courses from the academic year
2009-10 onwards.

2. Definitions- (i) In these rules, unless the context otherwise requires,-

(a) 'Act' means the Kerala Medical Officers' admission to Post Graduate
Medical courses under Service Quota Act, 2008 (29 of 2008).

(b)'Government' means the Government of Kerala.

(c) 'Committee' means the Post graduate Medical Course Selection


Committee constituted under section-4.

(d)'Meeting' means any ordinary or extra ordinary meeting of the


committee.
(e) 'Convener' means the convener of the committee selected under the
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Act.

(ii) Words and expressions used in these rules, but not defined shall have
the respective meanings assigned to them in the Act.

3. The procedure for the functioning of the Committee — (i) The


Director of Medical Education shall be the convener of the committee. It
shall be the function of the convener to place the provisional Rank List
along with such individual applications and objections if any received
before the post graduate selection committee constituted under the Act
for the selection of the candidates.

(ii) The Committee will prepare and publish the final Rank list for
admission to the post graduate Medical /Specilaity/Super Speciality
Courses under Service Quota.

4. The procedure for selection of candidates under Service Quota


(i) The Selection of service candidates will be based on seniority in


service. The total service will be reckoned as on the date of notification
for inviting application.

(ii) The applicants should be regular staff under Health Services


Department (HSD)/Medical Education Service (MES)/Insurance Medical
Service (IMS)/Municipal Services.

(iii) The Minimum period of service under Government of Kerala to


become eligible to apply shall be —

(a) 2 years for Lecturers in Medical Education Service in the


concerned discipline; and

(b) 5 years for other State services:


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Provided that unauthorized absence or absence due to Leave without


allowances (including leave on Medical ground) will not be counted for
the purpose of calculating the minimum service and for the seniority.

(iv) Interse seniority of actual physical service in the concerned


department (concerned specialty in the case of Medical Education
Service), excluding leave without allowance will be the criterion for
selection. If more than one candidate applies for the course and if the
difference in their length of service is below 90 days, the Public Service
Commission seniority will be the criterion.

(v) In case sufficient number of service candidates having 2 years and 5


years of minimum service as stated in sub-rule (3) are not available in
any category, the Period of minimum service can be relaxed by the
Government before the date of allotment.

5. The qualification, other than academic qualification for


selection —

(i) The candidates belonging to MES/HSD/IMS/Municipal Service having


minimum service as above are qualified to be selected for admission to
the 40% of the total seats for PG degree/Super Speciality and Diploma
set apart for them under service quota.

(ii) The upper age limit will be 47 years for Post Graduate Degree
courses and 48 years for Post Graduate Diploma course as on the 30th
day of April. Suitable changes in the upper age limit may be made by
the Government as per the terms included in the Prospectus for the
courses, notified from time to time.

6. The other criteria to be followed for selection.- (i) Lecturers


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who have post graduate Degree/DNB in the specialty concerned in


which they are working will not be eligible for admission. to
Postgraduate Diploma/Degree other than Superspeciality degrees under
service quota

(ii) The candidates who have already undergone PG Degree/Diploma


course under the service quota, will not be eligible for selection to
another PG Degree/Diploma under such quota for a second time.
However such candidates will be eligible for selection to superspeciality
degree courses in the concerned discipline.

(iii) The candidates shall join the course to which they are selected and
if they do not join the course or discontinue the course after joining
they will not be considered for selection to such course under this quota
in future.

7. The procedure for weightage in selection for rural service —


(i) The candidates will be eligible for weightage for rural area service or
difficult rural area service as per sec. 6 of the Act. This will be applicable
for admission to Postgraduate Courses under the Health Service Quota
only. A minimum of one year continuous service in Rural Area/ Difficult
Rural Area service is necessary to get weightage. Those who have more
than one-year service in such areas will get more weightage. The
weightage will be decided by the Committee on the basis of the number
of years of service in rural/difficult rural areas. The list of
stations/hospitals eligible for weightage under Rural areas/Difficult Rural
Areas will be notified by the Government from time to time. The list will
be reviewed by the Government once in 5 years. The length of service
done in the stations only after the date of Government Order notifying
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the stations will be considered for giving weightage. The candidates


shall attach certificate in this regard in such format as decided by the
Government, from time to time.

(ii) Not withstanding the provisions as in 7 (i) above, there shall be


separate sub quotas for admission to the candidates under Health
Service Quota for the year 2009 as per the details given the sub clause
(iii) below.
(iii) The Director of Health Services shall prepare separate rank list for
the sub quotas mentioned below.

(a) Seniority in Service Quota (SSQ) — Rank will be reckoned


according to the seniority assigned to them in the service seniority list
prepared by Director of Health Services;

(b) Rural Service Quota (RSQ) — Applicants under this category


should have a minimum of 5 years services, out of which 3 years
service should be in rural areas, designated by the Government for
this purpose as in (7) above.

(c). Difficult Rural Area Quota (DRAQ) — Minimum period of 5 years


service out of which two years of effective service in Difficult Rural
Areas to be designated by the Government for such purpose is fixed
as eligibility to be considered for Difficult Rural Area Quota only the
service rendered a Difficult Rural Area stations will be reckoned for
calculating the seniority under this quota, with candidates having
more years of DRA service getting higher rank irrespective of the
total service including stations;

(d) Leprosy Service Quota (LEPQ)-One seat for M.D. Dermatology is


reserved for Doctors of Health Services Department having longest
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period of service in Leprosy Hospital/Leprosy unit. One year of service


in a Leprosy hospital will be equivalent to two years of service in a
leprosy unit under the Directorate of Health Services. The minimum
service required for claiming this seat will be 5 years service in the
department out of which either one year service in a leprosy Hospital
or two years of service in a Leprosy unit. The selection will be made
on the basis of seniority in service in Leprosy Service as decided by
the Director of Health Services. If there are no candidates under the
above category the seat will be added to Difficult Rural Area Quota
(DRAQ);

(e) Tuberculosis Service Quota (TBQ) — One seat each in M.D. TB &
RD and Diploma in TB & RD is reserved under this quota. The
minimum service required for claiming this seat will be 5 years service
in the department out of which either one year service in a
Tuberculosis Hospital or two years of service in a Tuberculosis unit.
The selection will be made on the basis of seniority in service in TB
Service as decided by the Director of Health Services. If there are no
candidates under the above category the seat will be added to
Difficult Rural Area Quota (DRAQ);

(f) First Referral Unit Quota (FRUQ) — One seat in Diploma in


Anaesthesia is earmarked as FRU quota to be allotted to a doctor
who had undergone training in Anaesthesiology under the scheme of
First Referral Unit (FRU). The eligibility for this will be decided by the
Director of Health Services on the basis of interse seniority. If no
eligible candidate is available the seat will be added to the DRAQ;

(g) Family Welfare Quota (FWQ) — One seat in DGO is reserved for
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Family Welfare Award Holders. If no eligible candidate is available the


seat will be added to the DRAQ;

(h) Prison service quota (PRQ) — One seat in D.Ortho is reserved for
Prison service quota. If no eligible candidate is available the seat will
be added to the DRAQ.

(iv) The Government will have power to continue the sub-quotas


for P.G. admission under Health Service Quota as in 7 (iii) above for
future years also if found necessary or to resort to admissions based
on service seniority with suitable weightage given for service in
Rural Areas /Difficult Rural Areas as the case may be as provided in
7(i) above.

(v) The list of Difficult Rural Area stations eligible for


weightage/admission under DRAQ as in iii (c) above will be as per
the rules/Government orders to be issued by the Government from
time to time and mentioned in the prospectus for the courses. For
the calculation of seniority for admissions under RSQ as in iii (b)
above, only the service rendered in (a) hospitals/stations designated
as Rural stations in the list of Government allopathic medical
institutions published by the Director of Health Services, and/or, (b)
as casualty Medical Officer (CMO) in the approved casualty units in
Government hospitals will be considered.
(vi) The selection for Superspecialty degree courses under the
service quota, will be based on interse seniority in service, subject to
the conditions to be mentioned in the prospectus to be issued for
course from time to time, apart from the provisions clause (4)
above.
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8. Allotment - (i) For the Post Graduate Diploma/Degree courses,


candidates will be allowed to exercise their option for individual
specialties/college as per their ranks in the order of priority given below
-
First — Medical Education Service Quota (MESQ)
Second — General candidates
Third — Service Quota other than MESQ

(ii) The allotment list of Medical Education Service Quota candidates will
be first published and these candidates will be intimated through
allotment memo. The details of unavailed seats under this quota will be
published in the web site of DME/Government. Other service quota
candidates can opt for these unavailed seats also during counseling.

9. Delegation of Powers- The Government may, by general of special


order, direct that any power exercisable by it or any head of department
under these rules, shall subject to such conditions, if any, as may be
specified in the order, be exercisable also by such officer or authority as
may be specified in the order.

10. Interpretation- If any question arises relating to the


interpretation of these rules it shall be referred to the Government
whose decisions thereon shall be final.

11. State Government's power to modify the rules —


Notwithstanding anything contain in these rules, the State Government
may, on their own motion or otherwise, review/modify any of the
provisos /clauses of the existing rules to incorporate new
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provisos/clauses in the rules.‖


By Order of the
Governor
Dr. VISHWAS MEHTA
Secretary to
Government‖

28. Reading of the above statutory provisions, as well as the rules

framed by the Government, make it clear that there is a provision for

reservation for in-service candidates for admission to Postgraduate/Super

Speciality courses.

29. The fact that 40% reservation is provided for both admission in

Postgraduate/Super Speciality courses, in Government of Kerala, has not

been disputed by the learned Senior Government Pleader. However, it

could be deduced that, after the decision in State of UP v. Dinesh Singh

Johal reported in (2016) 9 SCC 749, Government of India have issued a

notification dated 31.7.2017 substituting the regulations.

30. Forty percent reservation was being continuously followed from

2009-2010 till the Central Government issued the notification No.MCI-

18(1)/2017-Med./128371 dated 31.7.2017. Correctness of the judgment in

Dinesh Singh Johal's case (cited supra) was doubted and, therefore,

that is under reference.


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31. Now that the Hon'ble Supreme Court in Tamil Nadu Medical

Officers Association's case (cited supra), held that the State has got

authority and competence to provide reservation. Hence, we are of the

considered view that directions issued by the Hon'ble Supreme Court in

Tamil Nadu Medical Officers Association (cited supra) is binding on

the National Medical Commission of India/State Government/Union of

India.

32. The contention of the learned standing counsel for National

Medical Commission and the learned Central Government Counsel that the

Hon'ble Supreme Court in Tamil Nadu Medical Officers Association's

case (cited supra), has not considered the dictum laid down in Preethi

Srivasthava (cited supra), cannot be countenanced for the reason that in

Preethi Srivasthava (cited supra), the standards required for admission

was sought to be reduced on the basis of communal reservation and in

such circumstances, the Hon'ble Supreme Court interfered with.

33. In K.Duraisamy and Another v. State of Tamil Nadu and

Others reported in (2001) 2 SCC 538, the Hon'ble Supreme Court has

made it clear that reservation provided to in-service candidates cannot be

equated or treated as par with communal reservation. For brevity,


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paragraph 8 of the judgment is extracted hereunder:

―That the Government possess the right and authority to decide


from what sources the admissions in Educational Institutions or to
particular disciplines and courses therein have to be made and that
too in what proportion, is well established and by now a proposition
well settled, too. It has been the consistent and authoritatively
settled view of this Court that at the super speciality level in
particular and even at the Post-Graduate level reservations of the
kind known as protective discrimination in favour of those
considered to be backward should be avoided as being not
permissible. Reservation, even if it be claimed to be so in this case,
for and in favour of in- service candidates, cannot be equated or
treated on par with communal reservations envisaged under
Articles 15(4) or 16(4) and extended the special mechanics of their
implementation to ensure such reservations to be the minimum by
not counting those selected in open competition on the basis of
their own merit as against the quota reserved on communal
considerations.‖

34. In the light of the decision in K. Duraisamy's case (cited

supra), Preethi Srivasthava's case (cited supra) cannot be made

applicable to the case on hand. Fact remains that the Government of

Kerala have been providing reservation during the period 2017-2019, and

the same has been suspended giving effect to the notification of the
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Central Government, as stated supra. Now that the Hon'ble Supreme Court

has made it clear that the State has the right to provide reservation, the

position as on 2009-2010 has to be restored, as per the provisions in

Kerala Medical Officers Postgraduate and Service Quota Act, 2008 and the

rules framed thereunder. State Government is bound to implement the

judgment of the Hon'ble Supreme Court in Tamil Nadu Medical Officers

Association's case (supra), giving effect to the same as per the statutory

provisions and the rules. State is yet to prepare the list. Appellants and

others have participated in the examination conducted for admission to the

Super Speciality courses, which is the subject matter in this appeal. State

Government is directed to prepare a list of eligible candidates, for

admission against general and candidates against 40% reservation

earmarked for in-service candidates, and accordingly, forward the list of

candidates, both general as well as in-service candidates, to Director

General of Health Services (respondent No.1), the authority for counselling

the candidates for admission to the Super Speciality courses.

35. At this juncture, it is relevant to note that the Government of

Tamil Nadu vide letter dated 6.10.2020 have directed the Deans of various

Medical Colleges in Chennai to forward the list of revised seat matrix for
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the Super Speciality DM/M.Ch. Courses for the academic session 2020-

2021 to the Director General of Medical Education before 4 pm.

36. In the light of the above discussion and decisions, State of

Kerala represented by Secretary to the Government, Health and Family

Welfare Department (respondent No.3), Director of Medical Education,

Directorate of Medical Education, Trivandrum (respondent No.4) and

Commissioner of Entrance Examinations, Housing Board Buildings,

Trivandrum (respondent No.5) are directed to prepare the list of

candidates eligible for admission in general category, as well as in-service

candidates, as stated supra, and send the list to the Directorate of Medical

Education, New Delhi, by tomorrow before 5 pm for counselling.

Respondent No.1 is directed to fix the date of counselling accordingly,

insofar as in-service candidates in Kerala for admission to Super Speciality

courses is concerned.

37. Learned Senior Government Pleader and learned Central

Government Counsel are directed to communicate this judgment to the

respective authorities for implementation of the same. In case, if there is

a requisition submitted claiming reservation, exclusively for admission, as

against 40% provided for in-service candidates by the appellants and


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others through online, such applications be received and acted upon by

Directorate of Medical Education, Kerala and others.

For the foregoing reasons, the impugned interim order is set aside.

Writ appeal is allowed as above.

Sd/-

S.Manikumar,
Chief Justice

Sd/-

Shaji P.Chaly,
Judge
vpv
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APPENDIX

PETITIONER'S/S EXHIBITS:

ANNEXURE I TRUE COPY OF THE KERALA MEDICAL OFFICERS'


ADMISSION TO POST GRADUATE MEDICAL COURSES
UNDER SERVICE QUATA RULES, 2009 ISSUED BY 3RD
RESPONDENT-STATE OF KERALA

ANNEXURE II TRUE COPY OF THE RELEVANT PAGES OF THE


PROSPECTUS FOR ADMISSION TO MEDICAL SUPER
SPECIALITY COURSES FOR THE YEAR 2016 ISSUED
BY THE STATE OF KERALA-3RD RESPONDENT

ANNEXURE III THE TRUE COPY OF THE ORDER DATED 31-08-2020


PASSED BY THE CONSTITUTION BENCH OF THE
SUPREME COURT OF INDIA IN WPC 196/2018 AND
OTHER CONNECTED MATTERS.

/true copy/

P.A. to Judge
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