Radiation Safety Certification for Regularization of Radiation Therapy Technologists 2015 (RS-RTT-2015) This has reference to application received till March, 20 2015 by AERB against the circular (AERB/RSD/RT/RT-Tech-Qualification/2012/500 dated 11 January, 2012) and directive issued by Head, RSD, AERB on 17 July 2012 to attend the Safety Certification Program for regularization of radiotherapy technologist, whose qualification is not in line with AERB requirements (appended below). Based on the details provided by the candidates in the application form, they have been allocated training centers for undergoing the RS-RTT course 2015 which is being organized by RP&AD, BARC in collaboration with the centre concerned. Details of training centre, duration, and centre coordinator along with the list of the candidates are mentioned below. Candidates are requested to contact the respective course coordinator for further information. General Information: 1. Candidates are requested to confirm their participation to the concerned centre coordinator at the earliest possible but not later than April 15, 2015. 2. A candidate has to bring the requisite original certificates (10+2 in science, professional qualification certificate and experience certificates) for verification prior to joining the training program. 3. Each candidate has to fill up a declaration cum verification form (Annexure-1) prior to joining the regularisation programme. The course coordinator of the centre concerned will verify and authenticate the original certificates (10+2 in science, professional qualification certificate and experience certificates issued by the institutions) of the participants prior to inducting them for above said program. One set of duly attested copies of the above mentioned certificates has to be submitted along with the declaration cum verification form. 4. In case a candidate is unable to show the above mentioned original certificates, he /she will not be permitted to attend the course. 5. Candidates are requested to download the declaration cum verification form enclosed herewith and fill the desired information in advance to avoid unwanted delay. 6. Course conducting institutions will not liable to provide any TA/DA and accommodation during the training program. Candidates have to make their own arrangement for attending the above mentioned training program. However, centre coordinator may be requested for getting some help in arranging accommodation. 7. Allotted Training centre will not be changed in normal circumstances. However, in case of genuine reasons, the request for the change of training centre may be considered. In this regard, you may contact Dr. S. D. Sharma Scientific Officer (G) Head, Medical Physics Section Radiological Physics & Advisory Division, BARC CT&CRS Building, Anushaktinagar, Mumbai - 400094, Phone: 022-25598713 Email: [email protected]/ [email protected] Page 1 of 8 Note 1: Provisional list of candidates who will be eligible for regularization through radiation safety certification program in the year 2016 will be intimated in due course of time. Note 2: Candidates who wish to get enrolled in RT training programme and institutions conducting RT training programme are advised to note the contents of the AERB directive dated 17/07/2012 regarding eligibility criteria for RT technologists. Candidates not fulfilling the criteria will not be considered for regularization through safety certification programme and will not be eligible to work as RT technologists in the country. Therefore, Candidates who are interested to pursue radiotherapy technologist training programme are advised to verify with the institution conducting the training programme and enroll themselves only with those institutions whose training programme is in line with AERB requirements. List of institutions conducting radiotherapy technologist training programme whose course is in line with AERB requirements is available on our website. Page 2 of 8 Page 3 of 8 Declaration cum Verification Form-2015 Annexure-1 1. Name of the candidate: 2. Father’s Name: 3. Date of Birth: 4. TLD Badge Number: 5. Total working experience as radiotherapy technologist on or before 31/03/2015 including previous job: 2. Mobile Number : 3. E:Mail: 1. Name & address of the institution, where presently employed: 2. Details of qualification and experience: (Please attach attested copies of basic, professional and experience certificates) A. Academic and professional qualification Sr. No. Educational qualification /Experience 1. 10th 1. 10+2(Science) 2. B.Sc./ M.Sc. 3. Professional Course Board/University (e.g. DRT/DMRT/PGDRT/ADRT/BMRT/BMXRT etc.) B. Experience as on or before March 31, 2015 Sr. No. Name of the institution where candidate has worked/working Duration of work (Months/Years) 3. Any Other Information 4. Declaration: “This is to state that all the information, certificates (academic, professional, experience) submitted by me and details given above to attend the safety certification program for the radiotherapy technologists are true to the best of my belief and knowledge. If any information provided by me is found to be non-genuine at any point of time, I understand that safety certificate issued to me will be revoked and I shall not be able to work as a radiotherapy technologist in the country”. Date: Signature : Place: Name of the candidate : Name of the Father/Husband: Verified with original documents (Signature of course co-ordinator) : Name Designation : : Seal Page 4 of 8 1. Course Venue: V.N. Cancer Centre, G.Kuppuswamy Naidu Memorial Hospital, P.N.Palayam, Coimbatore Course Duration: April 20 - 25, 2015 Centre Coordinator: Dr. T. Sundaram Chief Physicist & RSO, V.N. Cancer Centre, G.Kuppuswamy Naidu Memorial Hospital, P.N.Palayam, Coimbatore - 641 037 (TN) Ph: +91- 422-430 5250, Mobile: 09486588590 e-mail: [email protected] List of Candidates Provisionally Selected for Attending Radiation Safety Certification Programme at G.Kuppuswamy Naidu Memorial Hospital, Coimbatore during April 20 - 25, 2015. Sr. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. Name of the Candidate Institution City/ State Subhasis Singh Deo Mitta Venkateswarlu H.Abdul Sohail Basha Anithamol C. R. M. Srinivas Sunil Kumar.V Nijil U. M. Hima Sahadevan Bineesh A. B. Sharan Ashok Rekha K.C. Rejaneesh T.B. Baiju R Binu Peter Nimi Shaju K Jiya George Jesna Chacko Josiva Joseph Shereef M.S. Semeer H. Bijil Roy Antony Arun Kumar E S S. Sudharsan Abidha Farssana V.P. Anoop. A G. Kumaresan J. Anthoniammal R. Sampath Kumar Pandorra Syiemlieh Ghongade Shreyas Shrikant Anjali Abasaheb Bhosale Naresh Anjaiah Kongari Shinu Varghese Navratna Kumar Singh Sohan Kumar Kshitija Bajrang Gaikwad Mr. Manoj B. Belure CAIMS CH & Research Institute B. Indo-American CH&RI B. Indo-American CH&RI Continental Hospitals B. Indo-American CH&RI CAIMS CHRI Amala Institute of Medical Sciences Amala Institute of Medical Sciences, Amala Institute of Medical Sciences Amala Institute of Medical Sciences Govt. General Hospital Govt. General Hospital Govt. Medical college Govt. Medical college Amala Institute of Medical Sciences Amala Institute of Medical Sciences Amala Institute of Medical Sciences Amala Institute of Medical Sciences GTDMC Govt. T.D. Medical College Chiguru Cancer Care Pvt. Ltd Kasturba Medical College Hosptial Dr.Rai Memorial Cancer Institute Salem Cancer Institute SDSC&RC Kovai Medical Centre and Hospital Kovai Medical Centre and Hospital GKNM Hospital Jupiter Hospital Inlaks & Budhrani Hospital Nargis Dutt Memorial Cancer Hospital SSCH & Research Centre Bethany Hospital Inlaks & Budhrani Hospital Inlaks & Budhrani Hospital GM Foundation Ruby Hall Clinic Inlaks & Budhrani Hospital Karimnagar, AP Hyderabad, AP Hyderabad, AP Hyderabad, AP Hyderabad, AP Karimnagar, AP Trissur,Kerala Trissur, Kerala Trissur, Kerala Trissur, Kerala Ernakulam,Kerala Ernakulam,Kerala Kottayam, Kerala Kottayam, Kerala Trissur, Kerala Trissur, Kerala Trissur, Kerala Trissur, Kerala Alappuzha,Kerala Alappuzha,Kerala Bangalore, KT Mangalore, KT Chennai, TN Salem, TN Padukkottai, TN Coimbatore, TN Coimbatore, TN Coimbatore, TN Thane, Mah. Pune, Mah. Solapur, Mah. Solapur, Mah. Thane, Mah. Pune, Mah. Pune, Mah. Pune, Mah. Pune, Mah. Page 5 of 8 38. 39. 40. 41 Jamir Mustafa Ansari R. Sampath Kumar Karthi S. P. Jayamani B. Indo-American CH&RI V. N. Cancer Centre G. Viswanathan Hospital Govt. Royapettah Hospital Maharashtra Coimbatore, TN Trichy, TN Chennai, TN 2. Course Venue: Fortis Hospital, Noida Course Duration: April 27th to May 2nd , 2015 Centre Coordinator: Shri P. K. Sharma Head - Medical Physics Unit & RSO International Oncology Services Pvt. Ltd. Fortis Hospital, B - 22, Sector - 62, Noida- 201 301 (UP) Mobile :+91 96500 89852 Office :+91 0120 454 8512-513 Email: [email protected] List of Candidates Provisionally Selected for Attending Radiation Safety Certification Programme at Fortis Hospital, Noida during April 27th to May 2nd , 2015. Sr. Name of the Candidate Institution City/ State No. 1. Momi Bala Das Dr. B. Borooah Cancer Institute Guwahati, Assam 2. Badahun Shisha Hujon Cachar Cancer Hosp. & RC Silchar, Assam 3. Syeda Sabina Yasmin NE Cancer Hosp. & Research Institute Guwahati, Assam 4. Jagadish Baruah NE Cancer Hosp. & Research Institute Guwahati, Assam 5. Shweta JLMNC and Hospital Bhagalpur, Bihar 6. Ved Prakash Akela IGIMS Patna, Bihar 7. Shilpee Ranjan IGIMS Patna, Bihar 8. Mrityunjay Kumar Mandal IGIMS Patna, Bihar 9. Namrata Dutt Apollo Hospital Bilaspur, Chh. 10. Ku. Poonam Verma Pt.J.N.M. Medical College Raipur, Chh. 11. Ajay Kumar Chandrakar Pt.J.N.M. Medical College Raipur, Chh. 12. Sunil Kujur Pt.J.N.M. Medical College Raipur, Chh. 13. Toshan Lal Kannauje Pt.J.N.M. Medical College Raipur, Chh. 14. Priyanka P. Mishra M.K.C.G. Medical College Ganjam, Odisha 15. Chiranjibi Swain IMS & SUM Hospital Khordha, Odisha 16. Neelam Kumari Pt. B.D. Sharma PGIMS Rohtak, Haryana 17. Surender Lal Pt. B.D. Sharma PGIMS Rohtak, Haryana 18. Sonu Mehra Pt. B.D. Sharma PGIMS Rohtak, Haryana 19. Sanjeev Kumar Mohan Dai Oswal Hospital Ludhiana, Punjab 20. Kavita Kumari Mohan Dai Oswal Hospital Ludhiana, Punjab 21. Polinder Kumar Mohan Dai Oswal Hospital Ludhiana, Punjab 22. Gazala Perveen Tata memorial cancer care centre Sangrur, Punjab 23. Babloo Kumar Christian Medical College & Hospital Ludhiana, Punjab 24. Ms.Chhamta Dutt Mohan Dai Oswal Hospital Ludhiana, Punjab 25. Deo Kumar Mohan Dai Oswal Hospital Ludhiana, Punjab 26. Thakur Singh Pharswan Max Super Speciality Hospital Mohali, Punjab 27 Pervez UR Rehman ATRCT&R Institute Bikaner,Rajasthan 28. Arvind Kumar Dr. SNMC &AGH Jodhpur, Raj. 29 Lokender Tyagi JCCI&RC Ghaziabad, UP 30. Pratima Mahobe Keshlata Cancer Hospital Bareilly, UP 31. Neeraj Kumar Keshlata Cancer Hospital Bareilly, UP Page 6 of 8 32. 33. 34. 35. 36. 37. 38. 39. 40 41. 42. 43. 44 45 46. 47. 48. 49. 50. 51. Deepak Srivastava Sanjay K Singh Rathour Sushmit Benjamin Tusar Ranjan Podh Mrs. Kamaljeet Kaur Mr. Subash Chander Mr. Madan Lal Mr. Jagmohan Singh Mr. Anoop Thapa Mrs. Rajni Bhat Mr. Naulit Kumar Mr. Amar Kabir Mr. Kanchan Kumar Mr. Kaushlendra Kumar Ms. Rishu Jindal Mr. Shailesh Kumar Mr. Shakeel Ahmad Khanday Mr. Junaid Rafiq Wani Mr. Muzafer Rasool Hajam Md. Fayaz Mahmood Khan J K Cancer Institute S.N. Medical College Priyamaveda Birla CR Institute IIH&N OIC Foundation Govt. Medical College Govt. Medical College Govt. Medical College Govt. Medical College Govt. Medical College Govt. Medical College PGIMER PGIMER PGIMER PGIMER PGIMER PGIMER Govt. Medical College Govt. Medical College Govt. Medical College Govt. Medical College Kanpur, UP Agra, UP Satna, MP Indore, MP Jammu, J&K Jammu, J&K Jammu, J&K Jammu, J&K Jammu, J&K Jammu, J&K Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Chandigarh Srinagar, J&K Srinagar, J&K Srinagar, J&K Srinagar, J&K 3. Course Venue: RCC Indira Gandhi Medical College, Shimla Course Duration: April 27th to May 2nd , 2015 Centre Coordinators: Mr. Neeraj Parihar Department of Radiotherapy RCC, IGMC, Shimla-171001 [email protected] / [email protected] Tel: 0177 2883231 / 09418070708 Ms. Swati Verma Department of Radiotherapy RCC, IGMC, Shimla-171001 [email protected] Tel: 0177 2883241 / 08626845934 List of Candidates Provisionally Selected for Attending Radiation Safety Certification Programme at RCC Indira Gandhi Medical College, Shimla during April 27th to May 2nd , 2015 Sr. No. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. Name of the Candidate Institution City/ State Ruchika Meenakshi Ankush Kumar Nisha Shilpa Samrita Subhashni Kanika Sharma Ritika Sharma Mukesh Kumar Kalia Pushphash Sharma Nisha Garloo Ashish Kumar (Jagdish Chand) Himachal Pradesh University Himachal Pradesh University Dr. RP Govt. Medical College Vivekanand Medical Institute RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Himachal Pradesh University Dr. RP Govt. Medical College Dr. RP Govt. Medical College Himachal Pradesh University Shimla, HP Shimla, HP Kangra, HP Kangra, HP Shimla, HP Shimla, HP Shimla, HP Kangra, HP Kangra, HP Shimla, HP Kangra, HP Kangra, HP Shimla, HP Page 7 of 8 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. Sahil Sharma Ankita Gautam Gaurav Kaundal Ankita Kavita Devi Veena Devi Krishna Devi Pooja Devi Ravi Kumar Shifali Jassal Anjana Parmar Rajesh Rajinder Verma Indu Bala Deepa Azad Ashish Kumar (Ashok Kumar) Lalit Mohan Jyotsna Kumari Sharma Anoop Bhardwaj Ranjana Sharma Ratika Meetu Kumari Priyanka Bushehari Ridhi Pathania Banita Ritika Kambo Mamta Kanwar Priyanka Navita Koundal Devender Kumar Pritika Veena Kumari Amit Kumar Thakur Shilpa (Pushpender Kumar) Ashish Kumar (Rajender Kumar) Raghuveer Rita Rakesh Kumar Haneesh Thakur Narinder Kumar Dr. RP Govt. Medical College Dr. RP Govt. Medical College RCC, Indira Gandhi Medical College Himachal Pradesh University CHC Nagrota Bagavan Community Health Centre PHC , Pukhri Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College Dr. RP Govt. Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College RCC, Indira Gandhi Medical College Dr. RP govt. Medical College Himachal Pradesh University Civil Hospital Community Health Centre Civil Hospital RCC, Indira Gandhi Medical College Kangra, HP Kangra, HP Shimla, HP Shimla, HP Kangra, HP Kangra, HP Chamba, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Kangra, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Shimla, HP Kangra, HP Kangra, HP Solan, HP Mandi, HP Shimla, HP Shimla, HP Page 8 of 8
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