{rtr EI{eq ftq-q, E-fua-gei n-a,ud-s,ra aa Fnf.r qu-sa qr+slfuf, qftsr, (<B"r f,{ sfJy)

t-eq-zz, rqr crqg{, order rrR. ftc-qszors (ufrs:rts)({rIIq-077 1 -25 1 1 za7, 25 1 I zgs, {-i-o: offi ce.mdnrhm@gmail.com

{ffift-arqc Fqi6lNHM/HR/2021 /r.lg-lolB/ 213q ;rsr {rqf. sreET ;Frq, d6 n\lILlzoLt

/ /frl$rcn/ /sISq {q{w frqt{, Efi-srrd ffn triyr d i-oel $rs Aa-i$ rHt d gars

irsrf,{ tg qrro Haf,f{, 1qr{a4 Cq qRqR daqrrr q{rdq, MnT llfi, {{ ffi gmqft erdcnq-fttq q-{ F.z-1s015 /4/z0ts-NHM-r (part-r) ftqio zs qEqt zorg ii friTq fi-{snffltr wXEtfut wtPz etfr6lt7 (community Heatth officerJ d R-fi qEt q-q

.rffi ig eff,m' p.Sc. Nursing/Post Basic B.Sc. Nursing Certificate in Community Health

Integrated course) {s-i qrd Eqo GrqfDtqi t ffi{ Grrilfi qz fuTFfi=q Mzwww.cghealth.nic.in d qnqq t frqio os.rr.zozr t zs.t.zozr rrrri os:oo cS roGilqfud frd qrd d r

,r-ff tg riqrrrdr. oTnsq ltsr srgwn R-tr qEt of dqr oT fq-flur ftqgsR t-

. ?16 qff qn-fi-q sa qrqTFru u$-wra dxr R-c fu&s{ (fi) sstTzotzftc fu&s{ (rfr) sszTzorz. R-e fr.&qq (fr) sssTzorz, R-e fr&s{(fi) ss+/zotz d crfud Eti srd eniu7ft"fq d 3ratfi-{ vi.ft vq qrr+qqfqfdq d oifrq eiliv7ftuiq d ergrm ffia frrn .rt qd d q.fqxRmt of scqT fr qMi .ft d woor i r

sfii qE ig d-{d (oL) go t{ Mq fr qr, eI-i r

qT5-<Tfu-o. eneq oTffi d q-< w qERd-e oN gc oqf46 y*irFctrdf, fr . W.cft . qffi .r,/ MRrfi -fr Cwfr cRt r crd.qf,c ( B. S c. N urs in g/Post Basic B.Sc. Nursing Certificate in Community Health lntegrated Course)utr 3rqfddi 6r qinrrER, riq.fqx tfu d oilErts q{ q+q fu-fl qr}m

r

a

a

Tiqr,r ftm rsi a ftflqEd frff

s(Ea 5m Rfffid u,tan EaM{g* efan Eaffi{ft-aro,fon

ffinhf, 3q{'qd

ffiflftrflE(ilh

rq frrsl{,1

ifirG( sT{edq-r-qft

fliqhililfr

f,c Rrdrr.t

3ririftd 3fi{t{dwilft

Tiqfriilft

rq ftEsr

{rf

{ss 500 248 76 63 63 B 3 2 2 19 6 5 5

fr-drfl$ 700 277 158 107 B8 9 5 4 3 22 1Z B 7

d 480 246 74 52 60 8 2 2 2 19 6 4 5

{fifl 500 72 302 1.4 63 2 10 0 2 6 1 5

frixqr 520 122 257 23 66 4 I 1 2 9 20 2 5

T6rsl'F 2700 965 867 259 340 31 29 9 11 /5 67 )o 27

1l

1. qqFi-d orqFfrqi A fr\ qmtq vi erq Ef+rrt -1.1 qr5<tfu-6 ereq oIMI (rifuil) d tq fr od o{i d +ir+ qFdqrd rlPr

t. ro,sool- (eftrfi ocd fraa rqir qrs {il qrr) itr{ q{5rd gq qrar ii6rd-T(lf-{ SrqrRd mffilt{ {R[ lPerformance Based Incentive) gftrll6

arBf,f,q srRr t. $,ooo/- oo fr qri,ft I {s sqq i ftsrc {"lEo, {Etqwneq frqrc E,t{r q{q-srq qt qr0 f{fl-F-ftT 6p1e)-i t

qr{d g*FN, rst{ea vs qR-qR "tr@rur

riTrd-q, ftffi1 rsq, C ftd em qtft

srffiq q-{ F.z-1s01s /4/zotg-NHM-l (Part-t) ftqlifi zs ;lcl*rq 2019 it ftn trdF*{trsR grgErfuo gr+sa elffii of .ffi Integrated Nursing course t HFdepqffir d o1 qrft t I erfl, qr5Erfu-o wrcqq 3lffi (community Health officer)

r< fu fter5wr 9)eTFrfi end-or d,ft ,-2.i cr{rdl clw ffiareq q qffftd-e oN {c oqfta i-* sfufuo fr.Ys.

m. cRt r qf.i,-{trc (B.Sc. Nursing Certificate in Community Health lntegrated

Course) gff t

sIerql

qralf,I qTkI Ms-qmq q qffftd-e 4N {c 6qftA i"er q+Fqfu-a q'lw

tRfO fr.q-q1.{fr qRf-rf qf6-q-rpq (Post Basic B.Sc. Nursing Certificate in Community

Health Integrated Course) gffiuf I

2.2 3rrqeff 6T Effi€lr-d qffirr ordftrd t frfud q-frT{ +{r 3rftqrd t I

Edqrg qRtr orsRrd it frfufl riftfi T€r *i o1 Rerfr t qqq S q{qrd

+s ft+g oI wFI q<rq fuqr qd'n t

urg frtr :-..',- 3q',ufi o1 urg ftqi6 ot.ot.zozt o] zr q{ ir oq ftiT 35 sS t sIBo rS

6q arBc I EfrsrE qrq d {Qr{-q ffi o) t+rfRd 3lfuf,dq erg frm35 s{ t os a{ qe q<rt fu-qr rrr}'n r uflwtq qlrcffi qFrrdl qYns{ futrrrr

gnr frftq qqT d fieft ,rtr tg eng rfiw fr W d r{tiq i s{q-rr{q q{

qrft ft{yrl3{rtYr7ft+n (uur*ivilBo) dr.1 d'n, fu-{ s'fr @ oi fr'f,l-f,t3rfuf,dc eng frn +s q{ t ertro rfr *fr t

ftqq lii srd :-4.1 qrdrdT qrw ffisrflq i1 strft,d-e oH gc oqfrA i-oer (Fqfu-d fr.rs.

m. qftt f qf.d-q-q;q (B.Sc. Nursing Certificate in Community Health Integrated

course) str G qEfrd-e oN g< ogftA fu *p6. +€ nfu6

fr.y*ffr. Cffi-.f qqS-f,C (Post Basic B.Sc. Nursing Certificate in Community Health

Integrated Coursel u6o1 3pqRfru\ oT l]qrrfqt{, {trqR q-g-fi tRz {$tqR o1 qtft

t

4.2 {iqm-ER/q"tffi 3nqfU?it o1 sisr sqE.ler fttr qEJ +1 €cqr t eTE-6 diqi tS qrrw erfrftm sr,qidqi o1 q'1* riuff crfroq qft q{rEx 3r<r

€qFr fr sqdcr R-ffi qdi tg oitifufuq o{ q(*elnrqr of qri'ft t

4.

1"2l

4.3 rll5-ffi-o ERe4 3lfu6rfi q< q{ qff ig 3ffi{ eni6q g 3Tfu-d teTFro

+.{dr d qrw sffi d eiltrR qs fr tfu qA iqr ot qrn'ft t (fr.vs.fr.

-qRtrrZ+€ tfuo qRftT d 3Tfrq sS o1 3ioqfr i 3Tfu-d \'fi-i-e 316

fuq eirn6a g ,fir qd) {S tR-c d entm qq erqfftt or qqq fu-ql

qri.n t

qilqrrql era d a-w fu qr< slrHi o1 {44fr sq-{rf, tRe d ernm qs

3ilsrs@-dT51Tr 6-4667ffii orsfufri'r 3ndfua of qri'ft, fuflfr1

Wd{r ysm t ffiFtrq Me d qnqq t fr qrhft t

4.5 n$q Erw{ frrTq d qrrq *isrffi ffi, zote d er5wn ed q-Ci d

"qdtiT ergwx erfuo-m fi< X<r 3rrqlfi d {fr r{qrrr+n qrfi"rf,l d

srTErTq qt q-srRd a1 qfuft I

4.6 tS enqfi 6 qffftrd-e oN gc oqftA i"el sFqfuo fr.Vsrfr cffiq

4.4

qr.d.q-fiq (B.Sc. Nursing certificate in community Health Integrated courseJ 3lel cIT

srdrflT qTkI ffisreq t eERrd-e oN gc 6EFre i-cer qFqfud f€tfuo ft.qfl.fr. cffi-.r qqrrf,c (post Basic B.Sc. Nursing certificare in community

Health Integrated course) gtr d ({* A-Agq d *id'{ Appendix-l srfgN

tntegrated -aou.r" B_tr EIi q'T qrTM-q-{ vqD-d q-drfuq.rf,q d qrqrd t

6wler{ zrqrfir ffic enn6a a6 qqq erqds znrqr 3TM EtTrt

ffarq{ ftfU n-o sqK P\q{Fro 9s 3rq snidrc Wi 6q qftod g 31oen

3ilifi qa oora er6go o-s frqr qrtn oen {s \{.iq fr ot$ qa q+arq

qrq r€t frtqr rnr}{r r {?,,-S fi qRRerfr it st< o1 frfu q qqt,t q' {fionrfr H qt-i

t

ffia qqrrrarq q-{t ig €ciE-d €qFr d 3ffi( 3ri srd ftTdt a {rrrfi-q

ffi fi qra dii r t+ga slTrrr d or6q ffi q ft-di +1 fuifr i erq

{iqlrr d 3rqf#r o} ernepr sq tR-c d snErx q-< qqfro fu-qr qrilrt

qqn 3io di of ei-flan ii eiD'-o vs d eps?ff ol qrerfr--fiaT fr wilft t

+.ro sn-sfiq s{arr;ii t t-{|I-d ePqeff dnr orgfufuq a +{H r{qen q'r 3r-{rqfu

q-snq w{ e-qd d€r srFqrd +[l4.11 adw.To srrcr< gxr qrft ernerq ffi cr1*'ft qrq fr gs €'-itT t sdq'i-a

qrr*r< trr,lrq qrrRr-{ ftffT Enr vr{q-q{q q< crt fuqq fi art di'} t wfr

& eelq qrffi em qrft urft sqr"r-c-r e-qgd 6i"Ir 3{Flqrd dflll.rz (e) Efrrr-rd YIT{FI srnq q$r*Fi fuqFr d qRq' Fqio

W/20-4/2014/311.s./1_3 TqI lEIg{, R{io 270s2014 3t5{fl-{ d-{d FfqRr

"fm.,i,rqd il einerq A fti-d qz dii, d oc r) oq ao sF{td s'rf,

ft-qrrrdT ir uw d r o\ qk eixaq ol dIq BzFT q-f,i d' sd eerq

tR_d,-d etg arsr qtft fr'q.r rqT ft-qrrrdr gqlq-qa q-qd q'i=Ir crmqrd e]-'n t

4.8

4.9

1-3l

(<) wro o-srq fleqFr d'Trdq, rr+fr q-+q. Tqr {qg{ d sntsr ftqio zs'

os.2o14 d f{trd d urotn<rTfln sqfl qd d ftit sqg_ffi oL (ro qr) fuqrq

fi qn ei-i r {a qrlu-qa (Krilq qclTtFI d sqq q-qd o-{rT 3IF=4d

dTrt

a.13 ffi qftfi G R-qn of frqqrgqT{ ernaq kqr qr}'nr Toqd frF-6 qs

lH, *"tU+ o\ ssq srffi glqr qrt eqrq-qa e-qd 6rqr 3rFqd

*ql t

414 q({qN;fl r} gd 3r,qrff ol snsitT q-r E-wrsR orcr IrIr, ffi rro sq-frffqs w s+ i-oer cs ad+s e-c{ d tq i fu€ifu-d BqFIfezI d< i oq toq oa q{ oo ord orqr sTFqrd *rr t

4.15 qrrftt qfteTrldqi o) snl<q qe d rrer fiqr$rlr vJ_@' ffi d crEqq tqqr o<cr *Tr t

qIT

ffiffi@

go o.r fu+<"r

'100

200

300

cil,qeff oilifi g@ grrdn o1 {$-E e{qi qr€ elFtqrd sq t rdJ otfu

g@q-qrqdid'oRur-3Tqr{fr'dqriwer.qssrqr<Tlqfuttg.Idrqarrfl-< u-rgo os sd t

ffi{ snifi a1 cE qr ,-

5.1 orqfffir t taq.Xo a-fl{r{e www.cghealth.nic'in w fuc ad-fi

ft1i6 os.rr.zozt I zs.tt.zozr r+rq os:oo qd a@ {a-mR frri qriF}terq

ffiqrZsTriYrZqn-orft rft sm Mz d qrqq t ft qri'ft t

5.2 3Fqtrdt dI3ffic aTdfi q-, qtr \JIFII 3#|qrd 5}rn1 qaq qfu-qr a etilq

(fiTt-ils qfuTor o1 sfuqr d {qq 3]Ti<q' d qq-w q-wra"il or qm vftaor

fuqt qrS-n t

5.3 sffiq qi gA 3ililfi i oqr ewrNi d qfiHq n frtfr fi q?FR d ZE d

ftrior.sgfiqEdII_d"oqffi<ndtir.r.fuzEq-istiotor+*eiltaqTFd-6 o-rffi d sr+.ft. ftilsd ftd'ff enqsff qkrrf,

'o g gd-<n

dn I TqqT dtqadq qli<n qa lflt qqq Wt q arlTlqqdt eldl

erq qrdryt ft-5 :-

6.1 dq_ci sffiq uril6a 6 ffiq'ri frti qriiri r qtezeRsl/3ns-cId-{ sI 3i-dl

ffi fi qrwq t 3ilil({ ffio.ti r$ fran qifi t

v4l

3pqffi ig <ro-envfu Vq tR-e qfr Aqnn" a{qr$e cghealth.nic.in wqrfi d qrlrft cq gsd erarqr oi{ erq qrqq t qfud rS foqr qrirnl

{r$q Ercert fr{r</{rq slxfq gM qq-q-qrm q{ qffi sral

fr{n/oiri{r/ftqq qq1 {iYilkd anldti t

frffi $ s-6R of Rrorqf, A fuc ftqrc riqrd-6. {r*q wrqe-q frcH olFrutq Gifrq gq sfqrq 6tr[rt

fuc aTrilfi o-{d qqq gflq$ sTci {s{ or itr Nd +q-i w {-i-dtror ffi ent6q g qit eqr a{) giftf, rd, ffi sff rrff t s{fud

Grl-6rer ig €qdZq*rqR fu-qr qT e-d r qd'fl d'S srerqr ffi oqetdz{ e 3frraT{q enn6q rr{i qrd 3ps?ff qqqr rqri or Na cqr q {-t-dGTr{.S. fr cTrifi d qt I

errne+ 3U ego efia-arr+ qrtqq t A es ilql I dr-dr$c v5o 5'ron ortqfiin 6qi6 or sds oG qs fr sna-ec qrq frts 1

eixutzerse vs zftTd 3rilfif qq ot$ fr-4R Ts fsqr UTdfl f,QIr gs {iqer

t -A-cr

frffi qa-+ d 3lrifi qz (GFITI srrlrel ot fri qifi t

Gffiq urn6q q ritifud frffi {f qn-orff ig.r'rqff orqta{'q qwv =i<-<

ot71-25s301 w gs f{arrc d etiq ii fttfr di qli-rrft fu {ptrv =r<<

0771-2ss2sl w orqffiq R-{s fr qral: 11:oo e qgi 05:oo d qtq \4q-d ?F.i

wod dt

6.8 sm fugrqq A riEel t Erqr<Trqfu, ctft's gfr, q-freilr qfr' q'NifufrFr vq

3rdr g-q-kr q++ fu t{adi f+Trrft'q a3qT{e cehealth.nic.in qtr 3Iildifin

fl{A €1 31q frxfi'fi ffrq t o.Y{ tfr q++ rtt M qri'ftt

(fttrqdildfiemcrgqlFa) \'"llt$g*#7E'rvrS+ er*ea ftvn

u$-s'.ra

6.4

6.5

6.6

6.7

sl

Appendix-t

lFormat for Certification from principal for Applying for CHO, NHM, CG]

[For Candidates who shall be passed in Final Examination of B.Sc.

(Nursing)/Post Basic BSc (Nursing) along with integrated certificate course inCommunity Health (CCH)l

College Letter Head

Certificate

This is to certify that Mr./Ms./Mrs.University enrollment number .........Son/daughter/Wife

of ....................is a passed student of B.Sc. Nursing/Post Basic B.Sc.

Nursing course with integrated curriculum of Certificate inCommunity Health as per notification of University. He/She is due topassed in final examination of the course.

Dated:

Authorized Signatory

Signature With Seal

1-