In exercise of the powers conferred by sub section 1 of Section 16 of Indian Nursing Council Act,

रजिस्ट्री स.ं डी.एल.- 33004/99 REGD. No. D. L.-33004/99 xxxGIDHxxx सी.जी.-डी.एल.-अ.-25102024-258234 xxxGIDExxx CG-DL-E-25102024-258234 असाधारण EXTRAORDINARY भाग III—खण् ड 4 PART III—Section 4 प्राजधकार स ेप्रकाजित PUBLISHED BY AUTHORITY स.ं 843] नई दिल्ली, सोमवार, अक्त बू र 21, 2024/आज‍व न 29, 1946 No. 843] NEW DELHI, MONDAY, OCTOBER 21, 2024/ASVINA 29, 1946 Hkkjrh; mip;kZ ifj"kn~ अजधसचू ना नई दिल्ली, 7 अक् तूबर, 2024 Hkkjrh; mip;kZ ifj"kn~ ¿ulZ çSfDV'kuj bu VªkalIykaV uÉlx ¼,uihVh,u½ & LukrdksÙkj vkoklh; dk;ZØeÀ fofu;e] 2023 Qk- la- 11&1@2024&vkbZ,ulh (V)-&le;&le; ij ;Fkkla'kksfèkr Hkkjrh; mip;kZ ifj"kn~ vfèkfu;e] 1947 ¼1947 dk XLVIII½ dh èkkjk 16¼1½ ds vèkhu çnÙk 'kfDr;ks a dk ç;ksx djr s gq,] Hkkjrh; mip;kZ ifj"kn~ ,rí~okjk fuEufyf[kr fofu;e cukrh gS] ;Fkk & 1. y?kq 'kh"kZd ,oa çorZu i. ;s fofu;e Hkkjrh; mip;kZ ifj"kn~ ¿ulZ çSfDV'kuj bu VªkalIykaV uÉlx ¼,uihVh,u½ & LukrdksÙkj vkoklh; dk;ZØeÀ fofu;e] 2023 dg s tk,axsA ii. ;s fofu;e Hkkjr ds jkti= es a budh vfèklwpuk dh frfFk ls çHkkoh gksxa sA 2. ifjHkk"kk,a bu fofu;eksa es]a tc rd fd lanHkZ ls vU;Fkk visf{kr u gks] i. ^vfèkfu;e* dk vfHkçk; le;&le; ij ;Fkkla'kkfsèkr Hkkjrh; mip;kZ ifj"kn~] 1947 ¼1947 dk XLVIII½ ls gS( ii. ^ifj"kn~* dk vfHkçk; vfèkfu;e ds rgr xfBr Hkkjrh; mip;kZ ifj"kn~ ls gS( 6841 GI/2024 (1)2 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] iii. ^,l,uvkjlh* dk vfHkçk; lacafèkr jkT; ljdkjks a }kjk fdlh Hkh uke ls xfBr jkT; mip;kZ ,oa çlkfodk iathdj.k ifj"kn~ ls gS( iv. ^vkj,u ,aM vkj,e* dk vfHkçk; ,d iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½ ls gS vkSj ,d ,sl s ulZ dks n'kkZrk gS ftlu s ekU;rk çkIr uÉlx Lukrd ¼ch-,llh- uÉlx½ ;k fMIyksek bu tujy uÉlx ,aM feMokbQjh ¼th,u,e½ ikBîØe] tSlk fd ifj"kn ~ }kjk fuèkkZfjr fd;k x;k gks] lQyrkiwoZd iwjk dj fy;k gks vkSj fdlh ,d ,l,uvkjlh es a iathÑr mip;kZ ,oa iathÑr çlkfodk ds :i es a iathÑr gks( v. ^ulZ iathdj.k ,oa VªSÇdx ç.kkyh ¼,uvkjVh,l½* dk vfHkçk; ifj"kn~ }kjk jk"Vªh; lwpuk foKku dsaæ ¼,uvkbZlh½] Hkkjr ljdkj ds lg;ksx ls fodflr lkW¶Vos;j ç.kkyh ls gS] ftls Hkkjrh; mip;kZ jftLVj ds j[kj[kko o lapkyu ds fy, ,uvkbZlh }kjk gkWLV fd;k x;k gSA blesa iathÑr mip;kZ ,oa iathÑr çlkfodk ¼vkj,u ,aM vkj,e½@iathÑr lgk;d ulZ feMokbQ ¼vkj,,u,e½@iathÑr efgyk LokLF; ifjnÆ'kdk ¼vkj,y,poh½ ds vkadM+ks a ds laxzg ds fy, ^vkèkkj* ck;ksesfVªd çek.khdj.k ij vkèkkfjr ekudhÑr çk:i gSa( vi. ^,u;wvkbZMh* dk vfHkçk; ,uvkjVh,l ç.kkyh }kjk çR;k'kh dks fn;k tku s okyk ulsZt ;wfud vkbMsfaVfQds'ku uca j ls gS( vii. ^tujy uÉlx ,aM feMokbQjh ¼th,u,e½* dk vfHkçk; ifj"kn~ }kjk vfèkfu;e dh èkkjk 10 ds rgr LohÑr rFkk vfèkfu;e dh vuqlwph ds Hkkx&I es a 'kkfey fMIyksek bu tujy uÉlx ,aM feMokbQjh çf'k{k.k ls gSA ulZ çSfDV'kuj bu VªkalIykaV uÉlx ¼,uihVh,u½ & LukrdksÙkj vkoklh; dk;ZØe I. ifjp; ,oa i`"BHkwfe Hkkjr eas] LokLF; ds lHkh vk;keksa eas LokLF; ç.kkfy;ks a dk s iqu% vkdkj nsus dks jk"Vªh; LokLF; uhfr] 2017 es a ,d egRoiw.kZ vko';drk ds :i es a ekU;rk nh xbZ gSA ;g] fofu;eu rFkk dkuwu ds lkFk&lkFk f'k{kk vkSj çf'k{k.k ds {ks=ks a es a ekuo lalkèku fodkl ij cy nrs k gSA ljdkj lkoZtfud vkSj futh LokLF; nksuks a {ks=ks a eas r`rh;d n[s kHkky lsokvks a es a egRoiw.kZ foLrkj dk lEeku djrh gSA ;g cgqr gh egRoiw.kZ gS fd LokLF; n[s kHkky dfeZ;ks a dks viuh {kerk ds fuekZ.k eas fof'k"V vkSj vfr&fof'k"V lsokvks a esa mUur 'kS{kf.kd rS;kjh dh vko';drk gksrh gSA fof'k"V vkSj vfr&fof'k"V LokLF; n[s kHkky lsokvks a dk leFkZu djus gsrq] mUur rS;kjh ds lkFk fo'ks"kK uls± vko';d gSaA rr` h;d n[s kHkky {ks= eas çf'k{k.k dk;ZØe vkSj ikBîØe fodflr djuk le; dh vko';drk ds :i es a igpkuk x;k gSA ulZ çSfDV'kuj ¼,uih½ bl ekax dks iwjk dju s eas l{ke gksxa s c'krZs os vPNh rjg ls çf'kf{kr vkSj vH;kl dju s ds fy, l'kDr gksAa dsaæ vkSj jkT; Lrj ij u, laoxks± dh LFkkiuk ds lkFk] LukrdksÙkj Lrj ij rS;kj ulZ çSfDV'kuj r`rh;d ns[kHkky dsæa ks a eas VªkalIykaV lek;kstu eas jksfx;ks a dks ykxr çHkkoh] l{ke] lqjf{kr vkSj xq.koÙkk lapkfyr fo'ks"k uÉlx n[s kHkky çnku dju s eas l{ke gksxa sA ulZ çSfDV'kuj] ;w,l, es a 1960 ds n'kd ls] ;wds es a 1980 ds n'kd ls] vkWLVªfsy;k eas 1990 ds n'kd ls vkSj uhnjyaSM eas 2010 ls dke dj jgs gSaA r`rh;d n[s kHkky lek;kstuks a eas dk;Z dju s ds fy, VªkalIykaV uÉlx] xaHkhj n[s kHkky] vkWUdkys kWth] vkikrdkyhu n[s kHkky] U;wjksykWth] dkÆM;ksoLdqyj] ,usLFkhfl;k rFkk vU; fof'k"Vrkvks a eas ulZ çSfDV'kuj rS;kj fd, tk ldrs gSaA n`<+ 'kS{kf.kd rS;kjh mUgs a vaxnku dks c<k+ok nus ]s vax vLohÑfr dks jksdu s vkSj nkrk rFkk çkIrdrkZ ds LokLF;oèkZu es a lg;ksxkRed :i ls dke dju s esa l{ke cuk,xhA ifj"kn~ }kjk LukrdksÙkj Lrj ij ulZ çSfDV'kuj bu VªkalIykaV uÉlx ¼,uihVh,u½ rS;kj dju s dh fn'kk eas ,d ikBîp;kZ dh lajpuk@:ij[s kk çLrkfor gSA bl dk;ZØe dh [kkl ckr ;g gS fd ;g ,d uSnkfud vkoklh; dk;ZØe gS ftles a 15% lS)kafrd funsZ'k vkSj 85% vH;kl ds lkFk ,d lqn`<+ uSnkfud ?kVd ij cy fn;k x;k gSA n{krk vkèkkfjr çf'k{k.k çeq[k n`f"Vdks.k gS vkSj ulZ çSfDV'kuj f'k{kk baVjus'kuy dkmafly vkWQ ulsZt ¼vkbZlh,u] 2020½] u's kuy vkWxZukbts'ku vkWQ ulZ çSfDV'kuj QSdYVht ¼,uvks,uih,Q] 2022½] vkSj ,,lh,u ¼2021½ ls :ikarfjr n{krkvks a ij vkèkkfjr gSA çR;sd ikBîØe ml Lrj ds fy, çklafxd fof'k"V n{krkvks a dh miyfCèk ij vkèkkfjr gSA ulZ çSfDV'kuj bu VªkalIykaV uÉlx & vkoklh; dk;ZØe dk mís'; iathÑr ch-,llh- ulks± dks nkrk rFkk çkIrdrkZ dks mUur uÉlx n[s kHkky çnku dju s ds fy, rS;kj djuk gSA uÉlx n[s kHkky] jksfx;ks a dh fLFkfr dks fLFkj dju]s xaHkhj tfVyrkvks a dk s jksdu s vkSj vfèkdre LokLF; cgkyh ij dsfaær gSA bu ulZ çSfDV'kulZ dk s VªkalIykaV n[s kHkky bdkb;ks a eas vH;kl dju s dh vko';drk gksrh gSA dk;ZØe eas vè;;u ds fofHkUu ikBîØe 'kkfey gSa tks lqn`<+ oSKkfud uÈo ij vkèkkfjr gSa ftueas lk{; vkèkkfjr vH;kl vkSj tfVy LokLF; ç.kkfy;ks a dk çcaèku 'kkfey gSA bUgs a ch-,llh- çf'kf{kr ulks±[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 3 dh lS)kafrd vkSj vH;kl n{krkvks a ds vkèkkj ij rS;kj fd;k x;k gSA dk;ZØe ds iwjk gksus vkSj lacafèkr ,l,uvkjlh ds lkFk iathdj.k gksus ij os laLFkkxr çksVksdkWy@LFkk;h vkns'kks a ds vuqlkj ifj"kn~ ds ikBîØe dh ykWx cqd eas lwphc) lHkh n{krkvks a dk vH;kl dju s vkSj nkrk rFkk çkIrdrkZ dk Lor=a :i ls vkadyu dju]s uSnkfud ijh{k.kks a dk vkn's k nus ]s uSnkfud vkSj fpfdRlh; çfØ;kvks a dks dju]s fpfdRlk midj.kks a dks laHkkyus] vkS"kfèk nsus vkSj mipkj dju s ds fy, vfèkÑr gksxa sA ulZ çSfDV'kuj bu VªkalIykaV uÉlx bl çkfèkdkj dk ç;ksx djr s le;] fuEufyf[kr n{krkvks a ds fy, tokcngs gksxa s & a) nkrk rFkk çkIrdrkZ ds p;u esa lgk;rk( b) VªkalIykaV ds fy, nkrk rFkk çkIrdrkZ vkSj ifjtuks a dh rS;kjh( c) VªkalIykaV bdkbZ eas jksxh dk ços'k] vkbZlh;w@okMZ es a LFkkukarj.k vkSj Nqêh( d) vax vLohÑfr@tfVyrkvks a dh mfpr vkadyu }kjk 'kh?kz igpku( e) tfVyrkvks a vkSj vugkus h çfrfØ;kvks a dk çcaèku( f) vkS"kfèk ;k midj.kks a ;k mipkjksa dk p;u@ç'kklu( g) çfrj{kkneudkjh mipkj ¼bE;wukslqçSflo Fksjsih½ ds çfr jksfx;ks a dh çfrfØ;k dh fuxjkuh( h) bE;wukslçq Sflo Fksjsih ds mi;ksx] vax vLohÑfr dh jksdFkke@çkjfaHkd igpku ds fy, jksfx;ks a dh f'k{kk( i) mipkj foKku dh var%fØ;kvks a dh tkudkjh] ;fn dksbZ gks( j) ifj.kkeks a dk fu:i.k( k) uSnkfud vH;kl es a lk{;&vkèkkfjr uokpkjks a ds fy, ;ksxnku( l) vaxnku vkSj VªkalIykaV dks c<+kok nsus esa ljdkjh vkSj xSj&ljdkjh xfrfofèk;ks a eas HkkxhnkjhA ulZ çSfDV'kuj bu VªkalIykaV uÉlx viuh n[s kHkky ds rgr nkrk rFkk çkIrdrkZ dh n[s kHkky dh ftEens kjh yus s vkSj mÙkjnkf;Ro fuHkkus ds fy, rS;kj vkSj n{krk çkIr gksrs gSaA mDr LukrdksÙkj mikfèk dk s ,l,uvkjlh }kjk vfrfjDr ;ksX;rk ds :i eas iathÑr fd;k tk,xkA n'kZu ifj"kn~ dk ekuuk gS fd vkWxZu VªkalIykaV dh vko';drk oky s jksfx;ks a vkSj muds ifjtuks a dks xq.koÙkkiw.kZ n[s kHkky çnku dju s gsrq Hkkjr eas r`rh;d LokLF; n[s kHkky lsokvks a dh pqukSfr;ks a vkSj ekaxks a dks iwjk dju s ds fy, ulZ çSfDV'kuj bu VªkalIykaV uÉlx ¼,uihVh,u½ uked LukrdksÙkj dk;ZØe LFkkfir dju s dh vR;fèkd vko';drk gS] tSlk fd jk"Vªh; LokLF; uhfr] 2017 eas ifjyf{kr gSA ifj"kn~ dk ekuuk gS fd lqn`<+ uSnkfud ?kVd vkSj n{krk&vkèkkfjr çf'k{k.k ij dsfaær ,d vkoklh; dk;ZØe ls çkIr Bksl lS)kafrd vkSj lk{;&vkèkkfjr Kku ds vkèkkj ij LukrdksÙkj dk s uSnkfud {kerk dk çn'kZu dju s eas l{ke gksuk pkfg,A f'k{k.k vè;;u n`f"Vdks.k dk è;ku o;Ld vè;;u fl)karks]a n{krk&vkèkkfjr f’k{kk] lg;ksxh vè;;u] fpfdRlh; o uÉlx çhlsIVjks a ds lkFk minfs'kr@iwoZfuèkkZfjr uSnkfud vè;;u] vuqHkokRed vè;;u vkSj Lo&funsZf'kr vè;;u ij dsafær gksuk pkfg,A f'k{kk çnkrkvks@a çhlsIVjks@a xq#vks a dks viu s orZeku Kku vkSj vH;kl dks v|ru j[kuk pkfg,A çf'k{k.k es a çhlsIVjks a ds :i es a Hkkx yus s ds fy, fpfdRlk ladk; dks vkeaf=r fd;k tkrk gSA ifj"kn~ dk ;g Hkh ekuuk gS fd ;ksX; VªkalIykaV uÉlx ladk; dh deh dks njw djus ds fy, uSnkfud lek;kstu eas dbZ rjg dh 'kS{kf.kd j.kuhfr;ks a dk mi;ksx fd;k tk ldrk gSA vk'kk dh tkrh gS fd iathdj.k@ykblsla dh fn'kk es a uhfr;ks a dks fodflr dju s eas enn feysxh vkSj bu LukrdksÙkj ulZ çSfDV'kulZ bu VªkalIykaV uÉlx dk s VªkalIykaV n[s kHkky bdkbZ@r`rh;d n[s kHkky dsaæks a ds foHkkxks a eas dk;Z djus ds fy, inks a dk l`tu fd;k tk,xkA ulZ çSfDV'kuj bu VªkalIykaV uÉlx ¼,uihVh,u½ ikBîØe ds fy, ,d 'kS{kf.kd :ij[s kk fuEukuqlkj çLrkfor gS% ¼n[s ks a fp= 1½A4 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] II. dk;ZØe fooj.k ;g dk;ZØe VªkalIykaV uÉlx ds {ks= es a fo'ks"kKrk vkSj xgu le> fodflr dju s eas Nk=ks a dh lgk;rk ds fy, rS;kj fd;k x;k gSA ;g Nk=ks a dks VªkalIykaV uÉlx es a uÉlx eè;orZu ds fy, mUur dkS'ky fodflr dju s eas enn djsxkA ;g Nk=ks a dks VªkalIykaV uÉlx ds {ks= eas f'k{kd] çcaèkd vkSj 'kksèkdrkZ ds :i eas dk;Z dju s eas Hkh l{ke cuk,xkA ;g ,uih dk;ZØe ,d uÉlx vkoklh; dk;ZØe gS ftleas n{krk vkèkkfjr çf'k{k.k ij cy fn;k tkrk gSA lS)kfUrd ?kVd ds lkFk ikBîØe dh vofèk nks o"kZ dh gS ftleas eq[; ikBîØe] mUur vH;kl ikBîØe vkSj uSnkfud ikBîØe ds vykok uSnkfud vH;kl 'kkfey gSa tks fd ,d çeq[k ?kVd gS ¼n[s ks a ikBîp;kZ dh :ijs[kk½A III. y{; ulZ çSfDV'kuj bu VªkalIykaV uÉlx dk;ZØe] iathÑr ch-,llh- ulks± dks uSnkfud fo'ks"kK] çcaèkd] f'k{kd vkSj lykgdkj ds :i eas mUur vH;kl Hkwfedkvks a ds fy, rS;kj djrk gS] tks vkxs pydj ,e-,llh- uÉlx ¼ulZ çSfDV'kuj bu VªkalIykaV uÉlx½ curs gSaA IV. mís'; dk;ZØe ds iwjk gksus ij] ulZ çSfDV'kuj bu VªkalIykaV uÉlx fuEufyf[kr dk;ks± ds laiknu eas l{ke gks tk,axs & 1. VªkalIykaV n[s kHkky lek;kstuksa eas nkrk rFkk çkIrdrkZ dk s l{ke n[s kHkky vkSj mfpr ikfjokfjd n[s kHkky çnku dju s ds fy, ftEens kjh vkSj mÙkjnkf;Ro yus k( 2. VªkalIykaV n[s kHkky çnku djus eas uSnkfud {kerk@fo'ks"kKrk çnÆ'kr djuk ftles a nkrk rFkk çkIrdrkZ dk eYw ;kadu] f'k{kk] uSnkfud rdZ] tfVy fuxjkuh vkSj nkrk rFkk çkIrdrkZ dk mipkj] vkSj lalkèku ,tsfal;ksa ds lkFk laidZ djuk 'kkfey gS([भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 5 3. VªkalIykaV n[s kHkky es a mipkj@eè;orZu dks ykxw dju s eas lS)kafrd] iSFkksfQft;ksykWftdy o QkekZdkys kWftdy fl)karks a vkSj lk{; vkèkkj dks ykxw djuk( 4. fo’ks"kKrk lwpd funku dk mi;ksx djrs gq, VªkalIykaV dh vko';drk okyh fLFkfr;ks a dh igpku djuk rFkk jksxh ds LokLF; dks fLFkj vkSj cgky dju s ds fy, mipkj@eè;orZu djuk vkSj VªkalIykaV n[s kHkky ny ds ,d lnL; ds :i eas Lor=a :i ls ;k lg;ksxkRed :i ls tfVyrkvks a dks de djuk ;k çcafèkr djuk( 5. VªkalIykaV n[s kHkky dh fujarjrk eas VªkalIykaV n[s kHkky ny eas vU; LokLF; n[s kHkky dÆe;ks a ds lkFk lg;ksx djukA V. ulZ çSfDV'kuj bu VªkalIykaV uÉlx ¼,uihVh,u½ dk;ZØe 'kq# djus ds fy, U;wure vko';drk,a laLFkku dks ,uihVh,u dk;ZØe vkSj mlds Nk=ks a ds çfr tokcngs h Lohdkj djuh gksxh vkSj ifj"kn~ ds ekudks a ds vuq:i dk;ZØe dh is'kd'k djuh gksxhA bls fuEufyf[kr vko';drkvks a dks iwjk djuk gksxk% 1. vfuok;Zrk çek.ki= a. tks dkbs Z Hkh laLFkku ulZ çSfDV'kuj bu VªkalIykaV uÉlx dk;ZØe 'kq# djuk pkgr s gSa] mUgs a jkT; ls vfuok;Zrk çek.k i=@ljdkjh vkns'k yus k gksxkA b. fuEufyf[kr laLFkkuks a dks vfuok;Zrk çek.k i= yus s ls NwV nh xbZ gS% i. ifj"kn~ }kjk vfèkfu;e dh èkkjk 13 vkSj 14 ds rgr mi;qDr ik, x, rFkk ch-,llh- uÉlx ;k ,e-,llh- uÉlx dk;ZØeks a dh igys ls gh is'kd'k dju s okys laLFkku@fo'ofo|ky;( ii. ,echch,l@Mh,uch dk;ZØeks a dh is'kd'k dju s oky s laLFkku@fo'ofo|ky;A 2. vLirky a. laLFkku dk de ls de 200 'k¸;k okyk viuk ewy vLirky@r`rh;d n[s kHky dsæa gksuk pkfg,A ftles a ,d VªkalIykaV bdkbZ gksuh pkfg,A b. eyw vLirky vfèkekur% ,d esfMdy d‚yst@uÉlx d‚yst ls lac) gksuk pkfg,A 3. VªkalIykaV bdkbZ 'k¸;k vLirky es a de ls de 10 'k¸;k okyh VªkalIykaV bdkbZ gksuh pkfg, vkSj çfr o"kZ 50 VªkalIykaV djus pkfg,A 4. VªkalIykaV bdkbZ LVkQ a. VªkalIykaV bdkbZ eas vfèkekur% ch-,llh- uÉlx ;k ,e-,llh- uÉlx vgZrkèkkjd ,d çHkkjh ulZ gksuk pkfg,( b. xaHkhj ns[kHkky bdkbZ ds fy, ulZ jksxh vuqikr 1 % 1 gksuk pkfg,( c. 'ks"k lHkh 'k¸;kvks a ds fy, çR;sd ikjh esa ulZ jksxh vuqikr 1 % 6 gksuk pkfg,( d. vkjf{kr vodk'k ds fy, vfrfjDr 40% çf'kf{kr uÉlx LVkQ dk çkoèkku gksuk pkfg,( e. fpfdRld jksxh vuiq kr 1 % 5 gks ldrk gSA 5. ladk;@LVkQ lalkèku a. uSnkfud {ks=% i. uÉlx çhlsIVj% iw.kZdkfyd th,u,e ds ckn VªkalIykaV bdkbZ eas 6 o"kZ dk vuqHko ;k ch-,llh- ¼uÉlx½ ds ckn VªkalIykaV bdkbZ eas 2 o"kZ dk vuHq ko ;k efsMdy lÆtdy uÉlx@ihfM;kfVªDl uÉlx eas ,e-,llh- ds ckn VªkalIykaV bdkbZ eas ,d o"kZ dk vuHq ko( ii. efsMdy çhlsIVj% efsMdy ihth@buVsfalfoLV@VªkalIykaV fQftf’k;u( iii. çhlsIVj Nk= vuqikr% uÉlx 1 % 10] efsMdy 1 % 10 ¼çR;sd Nk= ds fy, ,d efsMdy vkSj ,d uÉlx çhlsIVj gksuk pkfg,½A6 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] b. f'k{k.k ladk;% i. çksQslj@,lksfl,V çksQslj% 1 ¼f'k{k.k vuHq ko% LukrdksÙkj ds ckn 5 o"kZ½ & efsMdy lÆtdy uÉlx@ ihfM;kfVªDl uÉlx eas ,e-,llh- ¼çR;sd 10 Nk=ks a ds fy, ,d ladk;½( ii. lgk;d çksQslj% 1 ¼vuHq ko% ,e-,llh- uÉlx ds ckn 3 o"kZ dk vuqHko½A c. mijksDr ladk; nksgjh Hkwfedk fuHkk,axs ;k ,e-,llh- uÉlx ;ksX;rk ds lkFk VªkalIykaV bdkbZ eas dk;Zjr ,d ofj"B ulZ gksxa sA d. QkekZdksykWth] iSFkksfQft;ksykWth vkSj vax VªkalIykaV ds fy, vfrfFk çkè;kidA 6. vLirky@dkWyst eas HkkSfrd vkSj f'k{k.k lalkèku a. uSnkfud {ks= eas ,d vè;;u d{k@lEeys u d{k( b. flE;qysVsM vè;;u ds fy, dkS'ky ç;ksx'kkyk ¼vLirky@dkWyst½( c. vkWuykbu if=dkvks a rd igqap ds lkFk iqLrdky; vkSj daI;wVj lqfoèkk,a( d. bZ&yÆud lqfoèkk,aA 7. VªkalIykaV bdkbZ ds fy, midj.kks adh lwph ¼layXu ifjf'k"V 1½ 8. Nk= HkrÊ@ços'k lacaèkh vko';drk,a a. ukekadu ls igys vkosndks a dks vfèkekur% fdlh Hkh VªkalIykaV lek;kstu eas de ls de 1&o"kZ ds uSnkfud vuHq ko ds lkFk iathÑr ch-,llh- uÉlx@ih-ch-ch-,llh- uÉlx vgZrkèkkjd gksuk pkfg,( b. ifj"kn~ }kjk mi;qDr ik, x, laLFkku ls ch-,llh- uÉlx dh gksuh pkfg, vkSj lacafèkr ,l,uvkjlh }kjk iathÑr gksuk pkfg,( c. ch-,llh- uÉlx dk;ZØe es a dqy çkIrkad 55% ls de ugÈ gksus pkfg,( d. p;u ,d ços'k ijh{kk dh Js"Brk vkSj l{ke çkfèkdkjh }kjk vk;ksftr lk{kkRdkj ds vkèkkj ij gksuk pkfg,( e. 'kkjhfjd :i ls LoLFk gksuk pkfg,A vH;fFkZ;ks adh la[;k% 4&5 VªkalIykaV bdkbZ 'k¸;k ds fy, 1 vH;FkhZA osru% 1. lsokjr vH;FkhZ dks fu;fer osru feysxkA 2. vU; vH;fFkZ;ks a ds fy, othQk@osru ml vLirky dh osru lajpuk ds vuqlkj gksxk tgka ikBîØe lapkfyr fd;k tk jgk gSA VI. ijh{kk fofu;e ijh{kk eas cSBus ds fy, ik=rk mifLFkfr% fo'ofo|ky; dh vafre ijh{kk eas cSBus ls igy s lS)kafrd vkSj ç;ksxkRed ds fy, U;wure 80%] yfsdu fMxzh çnku djus ls igy s ç;ksxkRed es a 100% iwjh djuh vfuok;Z gSA vkarfjd vkadyu vadks a ds fy, dksbZ U;wure lhek ugÈ gS] D;ksfad mÙkh.kZ ?kksf"kr dju s ds fy, vkarfjd vkSj cká vad ,d lkFk tksM+ s tkr s gSaA ijh{kk lapkyu ,oa fMxzh çnkrk çkfèkdj.k% lacafèkr fo'ofo|ky;A ifj.kkeks adh ?kks"k.kk ;fn çkIrkad 60% ;k mlls vfèkd gSa rks vH;FkhZ dk s ijh{kk eas mÙkh.kZ ?kksf"kr dj fn;k tkrk gSA ;g çkIrkad çR;sd ikBîØe@fo"k; eas lS)kafrd vkSj ç;ksxkRed dh vkarfjd ,oa cká fo'ofo|ky;h nksuks a ijh{kkvks a dk dqy ;ksx gS vkSj 60% ls de vuqÙkh.kZ ekuk tk,xkA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 7 Js.kh dh x.kuk ds fy,] nksuks a o"kZ ds dqy vadks a dks ekuk tk,xkA ;fn dksbZ vH;FkhZ lS)kfUrd vFkok ç;ksxkRed ijh{kk eas vuqÙkh.kZ gks tkrk gS] rks mls og ç'u&i= fQj ls nus k gksxk ftleas og vuqÙkh.kZ gqvk gSA fdlh Hkh fo"k; eas vuqÙkh.kZ gksus oky s vH;FkhZ dh Js.kh ?kksf"kr ugÈ dh tk,xhA dk;ZØe dks iwjk dju s dh vfèkdre vofèk 4 o"kZ gksxhA çk;ksfxd ijh{kk vks,llhbZ ijh{kk ds lkFk&lkFk ekSf[kd ijh{kk gksxh & ifjf'k"V 2 eas fn, x, vks,llhbZ fn'kkfunsZ'k n[s ksAa çk;ksfxd ijh{kk ds fy, çfr fnu Nk=ks a dh vfèkdre la[;k 10 gksxhA ijh{kk dsoy uSnkfud {ks= eas gh vk;ksftr djuh gksxhA rhu&lnL;h; çk;ksfxd ijh{kd ny eas fuEufyf[kr lnL; 'kkfey gksxa s% i. ,d vkarfjd ijh{kd ¿,uihVh,u dk;ZØe i<k+u s ds 2 o"kZ ds vuqHko ds lkFk ,e-,llh- uÉlx ladk;@ LukrdksÙkj ds mijkar 5 o"kZ ds vuqHko ds lkFk ,e-,llh- uÉlx ladk; ¼vfèkekur% efsMdy lÆtdy uÉlx½À( ii. ,d cká ijh{kd ¼mijksDr ds leku½( vkSj iii. ,d fpfdRlh; vkarfjd ijh{kd] ftlu s ,uihVh,u dk;ZØe ds fy, ,d çhlsIVj dh rjg dk;Z fd;k gksA 'kksèk fucaèk 'kksèk xkbM% eq[; xkbM & LukrdksÙkj ds mijkar ,uih dk;ZØe eas i<k+us ds 3 o"kZ ds vuqHko okyk uÉlx ladk;] lg&xkbM% efsMdy çhlsIVjA 'kksèk çLrko dh çLrqfr% çFke o"kZ es a ços'k dh frfFk ds 6&9 ekg mijkarA xkbM Nk= vuiqkr% 1 % 5 'kksèk lfefr% dkWyst@vLirky eas 'kksèk dh çxfr dk ekxZn'kZu vkSj i;Zos{k.k dju s ds fy, ,d vyx 'kksèk lfefr gksxh ¼çèkkukpk;Z ;k lh,uvks] tks ,e-,llh- uÉlx mikfèk èkkjd gksuk pkfg,] ds lkFk U;wure 5 lnL;½A uSfrd eta wjh% pwqfd bles a uSnkfud 'kksèk 'kkfey gS] laLFkkxr leh{kk cksMZ@vLirky vkpkj lfefr }kjk ufSrd eta wjh çkIr djuh gksxhA fo"k; dk p;u% fo"k; VªkalIykaV uÉlx ds fy, çklafxd gksuk pkfg, tks uÉlx eè;orZu eas tkudkjh ;k lk{; tksM+As 'kksèk fdlh Hkh VªkalIykaV lek;kstu es a vk;ksftr fd;k tk ldrk gSA MsVk laxzg.k% MsVk laxzg.k ds fy, 7 lIrkg vkoafVr fd, tkr s gSa] ftls igy s o"kZ eas 6 ekg ds ckn vkSj nwlj s o"kZ eas 6 ekg ls igy s uSnkfud vuHq ko ds nkSjku ,dhÑr fd;k tk ldrk gSA 'kksèk fjikVsZ y[sku% nlw js o"kZ ds 6&9 ekg easA 'kksèk fucaèk dh çLrqfr% nlw js o"kZ ds iwjk gksus ls 3 ekg igysA 'kksèk fucaèk ijh{kk vkarfjd vkadyu% ekSf[kd ijh{kk vkSj 'kksèk fucaèk fjikVs Z ¾ 50 vad fo'ofo|ky;h ijh{kk% ekSf[kd vkSj 'kksèk fucaèk fjikVs Z ¾ 50 vad ¼vkadyu gsrq vU; ,e-,llh- uÉlx fof'k"Vrkvks a ds fy, mi;ksx eas yk, tkus oky s vad fn'kkfunsZ'kks a dk mi;ksx fd;k tk ldrk gSA½ VII. vkadyu ¼jpukRed vkSj ;ksxkRed½  ç’u i=] ç’uksÙkjh  lsfeukj8 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]  fyf[kr fufgr dk;Z@vkofèkd ijh{kk i=  ekey s dk vè;;u@uSnkfud çLrqfr  uSnkfud vkSj ns[kHkky ekxZ@ekeys dh vè;;u fjiksVZ  vkS"kfèk vè;;u  uSnkfud çn'kZu fu:i.k  oLrqfu"B lajfpr uSnkfud ijh{kk ¼vks,llhbZ½ ¼vkadyu fn'kkfunsZ'kks a ds fy, ifjf'k"V 2 ns[ksa½ vafre ijh{kk dh ;kstuk Ø-la- 'kh"kZd lS)kfUrd % çk;ksfxd % ?kaVs vkarfjd cká ?kaVs vkarfjd cká çFke o"kZ ewy ikBîØe 1 mUur uÉlx vH;kl ds fy, lS)kafrd vkèkkj 2 ?kaV s 50 2 VªkalIykaV uÉlx eas 'kksèk vuqç;ksx rFkk lk{; vkèkkfjr 3 ?kaV s 30 70 vH;kl 3 urs `Ro] çcaèku rFkk f'k{k.k es a mUur dkS'ky 3 ?kaV s 30 70 mUur vH;kl ikBîØe 4 VªkalIykaV uÉlx eas vuqç;qDr mUur iSFkksfQft;ksykWth rFkk 3 ?kaV s 30 70 mUur QkekZdksykWth 5 mUur LokLF;@'kkjhfjd vkadyu 3 ?kaV s 30 70 50 50 f}rh; o"kZ fof'k"V ikBîØe 1 VªkalIykaV uÉlx vH;kl ds ewy vkèkkj 3 ?kaV s 30 70 100 100 2 VªkalIykaV uÉlx I 3 ?kaV s 30 70 100 100 3 VªkalIykaV uÉlx II 3 ?kaV s 30 70 100 100 4 'kksèk fucaèk vkSj ekSf[kd ijh{kk 50 50 VIII. ikBîØe vuqns'k Ø-la- 'kh"kZd lS)kfUrd ¼?kaVs½ ç;ksx'kkyk@dkS'ky uSnkfud ¼?kaVs½ ç;ksx'kkyk ¼?kaVs½ çFke o"kZ ewy ikBîØe I mUur uÉlx vH;kl ds fy, lS)kafrd vkèkkj 40 II VªkalIykaV uÉlx eas 'kksèk vuqç;ksx rFkk lk{; 56 24 336 ¼7 lIrkg½ vkèkkfjr vH;kl[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 9 III urs `Ro] çcaèku rFkk f'k{k.k es a mUur dkS'ky 56 24 192 ¼4 lIrkg½ mUur vH;kl ikBîØe IV VªkalIykaV uÉlx eas vuqç;qDr mUur 60 336 ¼7 lIrkg½ iSFkksfQft;ksykWth V VªkalIykaV uÉlx eas vuqç;qDr mUur QkekZdksykWth 54 336 ¼7 lIrkg½ VI mUur LokLF;@'kkjhfjd vkadyu 70 48 576 ¼12 lIrkg½ dqy ;ksx ¾ 2208 ?kaVs 336 ¼7 lIrkg½ 96 ¼2 lIrkg½ 1776 ¼37 lIrkg½ f}rh; o"kZ VII VªkalIykaV uÉlx vH;kl ds ewy vkèkkj 96 48 576 ¼12 lIrkg½ VIII VªkalIykaV uÉlx I 96 48 576 ¼12 lIrkg½ IX VªkalIykaV uÉlx II 96 48 624 ¼13 lIrkg½ dqy ;ksx ¾ 2208 ?kaVs 288 ¼6 lIrkg½ 144 ¼3 lIrkg½ 1776 ¼37 lIrkg½ ,d o"kZ eas miyCèk lIrkgks a dh la[;k ¾ 52 & 6 ¼okÆ"kd vodk'k] vkdfLed vodk'k] #X.krkodk'k ¾ 6 lIrkg½ ¾ 46 lIrkg × 48 ?kaVs ¾ 2208 ?kaVs nks o"kZ ¾ 4416 ?kaVs ¼ijh{kk uSnkfud inLFkkiu ds nkSjku½ funsZ'kkRed ?kaVs% lS)kafrd ¾ 624 ?kaVs] dkS'ky ç;ksx'kkyk ¾ 240 ?kaVs] uSnkfud ¾ 3552 ?kaVs] dqy ;ksx ¾ 4416 ?kaVs çFke o"kZ% 336&96&1776 ?kaVs ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¼lS)kfUrd ¾ 15%] dkS'ky ç;ksx'kkyk vkSj uSnkfud ¾ 85%½ f}rh; o"kZ% 288&144&1776 ?kaVs ¼lS)kfUrd&dkS'ky ç;ksx'kkyk&uSnkfud½ ¼lS)kfUrd ¾ 15%] dkS'ky ç;ksx'kkyk vkSj uSnkfud ¾ 85%½ çFke o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46 × 48 ?kaVs½ ¼lS)kfUrd $ ç;ksx'kkyk% 44 lIrkg ds fy, 7-5 ?kaV s çfr lIrkg ¾ 336 $ 96 ?kaVs*½ *lS)kfUrd $ ç;ksx'kkyk ¾ 96 ?kaVs ifjp;kRed CykWd d{kkvks a vkSj dk;Z'kkykvks a ds :i eas 2 lIrkg ds fy, fn, tk ldr s gSa f}rh; o"kZ ¾ 46 lIrkg@2208 ?kaVs ¼46 × 48 ?kaVs½ ¼lS)kfUrd $ ç;ksx'kkyk% 45 lIrkg ds fy, 8-5 ?kaVs çfr lIrkg ¾ 384 $ 48 ?kaVs½ ¼1 lIrkg CykWd d{kk,a ¾ 48 ?kaVs½ uSnkfud vH;kl A. uSnkfud vkoklh; vuqHko% U;wure 48 ?kaVs çfr lIrkg fuèkkZfjr gS] gkykafd] ;g vyx&vyx ikfj;ks a vkSj vkWu dkWy MîVw h djus ds ckn Nqêh ds vkèkkj ij ifjorZu'khy gSA B. lIrkg esa ,d fnu dh Nqêh ds lkFk 8 ?kaVs dh MîwVh vkSj ,d vkWu dkWy MîwVh çfr lIrkg uSnkfud inLFkkiu çFke o"kZ% 44 lIrkg ¼ifjp;kRed CykWd d{kkvks a vkSj dk;Z'kkyk ds 2 lIrkg dk s NksM+dj½10 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]  VªkalIykaV vksihMh & 4  çh&VªkalIykaV bdkbZ & 4  iksLV&VªkalIykaV okMZ & 4  funku foHkkx & 2  VªkalIykaV vkbZlh;w & 8  LVSi Mkmu vkbZlh;w & 6  VªkalIykaV vksVh & 8  nkrk n[s kHkky bdkbZ rFkk vkbZlh;w@vkikrdkyhu bdkbZ & 8 f}rh; o"kZ% 45 lIrkg ¼ifjp;kRed CykWd d{kkvks a dk ,d lIrkg NkMs +dj½  gVZ&yxa VªkalIykaV bdkbZ & 7  jhuy VªkalIykaV bdkbZ & 8  fyoj] iSufØ;kt] buVSLVkbu VªkalIykaV bdkbZ & 10  cksu eSjks VªkalIykaV bdkbZ & 8  vkbZ VªkalIykaV bdkbZ & 2  Mk;fyfll bdkbZ & 2  VªkalIykaV vksihMh & 2  ihfM;kfVd VªkalIykaV bdkbZ & 6 C. f'k{k.k i)fr;ka% f'k{k.k & lS)kafrd] ç;ksx'kkyk rFkk uSnkfud fuEufyf[kr rjhdks a ls fd;k tk ldrk gS vkSj uSnkfud inLFkkiu ds nkSjku ,dhÑr fd;k tk ldrk gS &  vuqHkokRed vè;;u  Çpru'khy vè;;u  fleqy’sku  uSnkfud lEeys u  ekey s dh çLrqfr@uSnkfud çLrqfr  xgu vkS"kfèk vè;;u] çLrqfr vkSj fjiksVZ  uÉlx jkmaM~l  uSnkfud laxksf"B;ka  tuZy Dyc  ekey s dk vè;;u@uÉlx çfØ;k  mUur LokLF; vkadyu  uSnkfud {ks= eas ladk; O;k[;ku  funsZf'kr iBu  fufgr dk;Z  ekey s dk vè;;u fo'ys"k.k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 11  dk;Z'kkyk,a D. çfØ;k,a@ykWx cqd% çR;sd unS kfud inLFkkiu ds var eas] uSnkfud ykWx cqd ¼fof'k"V çfØ;kRed n{krk,a@ uSnkfud dkS'ky½ ¼ifjf'k"V 3½ vkSj uSnkfud vgZrk,a ¼ifjf'k"V 4½ dks v|ru fd;k tkuk pkfg, vkSj ml ij çhlsIVj }kjk gLrk{kj fd, tku s pkfg,A E. Nk=ks a dks laLFkkxr çksVksdkWy@LFkk;h vkns'kks a ds vuqlkj Lora= :i ls nkrk rFkk çkIrdrkZ dk vkadyu dju]s uSnkfud ijh{k.kks a dk vkns'k nus s] uSnkfud rFkk fpfdRlh; çfØ;kvks a dk s dju]s fpfdRlk midj.kks a dk s laHkkyus] vkS"kfèk o mipkjks a dks ç'kkflr dju s ds fy, çf'kf{kr fd;k tk,xk ¼ifjf'k"V 5 LFkk;h vkn's k½A vkikrdkyhu vkS"kfèk;ka lacafèkr fpfdRld ds ijke'kZ ls nh tkrh gSa vkSj ckn es a fyf[kr vkn's k }kjk leÆFkr dh tkrh gSaA ikBîp;kZ dk dk;kZUo;u & laHkkfor ;kstuk çFke o"kÊ; ikBîØe ifjp;kRed dk;Z'kkyk uSnkfud vH;kl esa f'k{k.k i)fr;ka ¼fo"k; fuÆn"V d{kk,a ,dhÑr fl)kar fd;k tk ldrk gS½ 1- mUur uÉlx vH;kl ds fy, 8 ?kaV s 1 × 32 ¾ 32 ?kaVs  lsfeukj@lS)kafrd vuqç;ksx lS)kafrd vkèkkj ¼40½  O;k[;ku ¼ladk;½ 2- VªkalIykaV uÉlx eas 'kksèk 8 ?kaV s 40 ¼5 fnu½ 1 × 24 ¾ 24 ?kaVs  'kksèk vè;;u fo'ys"k.k vuqç;ksx rFkk lk{; vkèkkfjr $ 8 ?kaVs  vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½ vH;kl ¼56 $ 24½ 3- urs `Ro] çcaèku rFkk f'k{k.k eas 12 $ 2 ?kaVs 1 × 26 ¾ 26 ?kaVs  uSnkfud lEeys u mUur dkS'ky ¼56 $ 24½ 2-5 × 16 ¾ 40 ?kaVs  lsfeukj  vH;kl@fufgr dk;Z ¼ç;ksx'kkyk½ 4- VªkalIykaV uÉlx eas vuqç;qDr 1-5 × 40 ¾ 60 ?kaVs  ekey s dh çLrqfr mUur iSFkksfQft;ksykWth ¼60½  lsfeukj  uSnkfud lEesyu 5- VªkalIykaV uÉlx eas vuqç;qDr 10 ?kaVs 1 × 44 ¾ 44 ?kaVs  uÉlx jkmaM~l mUur QkekZdksykWth ¼54½  vkS"kfèk vè;;u çLrqfr  LFkk;h vkns'k@çLrqfr 6- mUur LokLF;@'kkjhfjd 8 ?kaV s 2 × 26 ¾ 52 ?kaVs  uSnkfud çn'kZu ¼ladk;½ vkadyu ¼70 $ 48½ 1-5 × 18 ¾ 27 ?kaVs  okilh çn'kZu 1 × 15 ¾ 15 ?kaVs  uÉlx jkmaM~l 2 × 6 ¾ 12 ?kaVs  'kkjhfjd vkadyu ¼lHkh ç.kkfy;ka½ 2 × 2 ¾ 4 ?kaVs  ekey s dk vè;;u dqy ;ksx 48 ?kaVs 48 ?kaVs 336 ?kaVs çFke o"kZ & ifjp;kRed d{kk,a ¾ 1 lIrkg ¼48 ?kaVs½] dk;Z'kkyk ¾ 1 lIrkg ¼48 ?kaVs½] 44 lIrkg ¾ 7-5 ?kaVs çfr lIrkg ¼330@336 ?kaV½s12 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] f}rh; o"kZ ikBîØe uSnkfud vH;kl esa f'k{k.k i)fr;ka 1 lIrkg CykWd d{kk,a ¼48 ?kaVs½ 1- VªkalIykaV uÉlx vH;kl ds ewy 9 ?kaV s × 16 lIrkg ¾ 144 ?kaVs  çn'kZu ¼ç;ksx'kkyk½ vkèkkj  okilh çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48 ?kaVs½ ¾ 144 ?kaVs  uSnkfud çf'k{k.k  ekey s dk vè;;u  lsfeukj  uSnkfud lEeys u  ladk; O;k[;ku 2- VªkalIykaV uÉlx I 9 ?kaV s× 16 lIrkg ¾ 144 ?kaVs  çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48 ?kaVs½ ¾ 144 ?kaVs  okilh çn'kZu ¼ç;ksx'kkyk½  uSnkfud lEeys u@tuZy Dyc  lsfeukj  ekey s dh çLrqfr  vkS"kfèk vè;;u ¼vkS"kèkh; ikjLifjd çHkko lfgr½  uÉlx jkmaM~l  ladk; O;k[;ku 3- VªkalIykaV uÉlx II 9 ?kaV s× 16 lIrkg ¾ 144 ?kaVs  çn'kZu ¼ç;ksx'kkyk½ ¼96 $ 48 ?kaVs½ ¾ 144 ?kaVs  okilh çn'kZu  uÉlx jkmaM~l  uSnkfud lEeysu@tuZy Dyc  lsfeukj  ladk; O;k[;ku f}rh; o"kZ% CykWd d{kk,a & 1 lIrkg] 45 lIrkg & 8-5@9 ?kaVs çfr lIrkg çR;sd f'k{k.k i)fr gsrq fo"k; dks lacafèkr f'k{kd@laLFkku }kjk foLr`r ;kstuk eas fuÆn"V fd;k tk,xkA ewy ikBîØe I. mUur uÉlx vH;kl ds fy, lS)kafrd vkèkkj n{krk,a 1- oSf'od LokLF; n[s kHkky ço`fÙk;ks a vkSj pqukSfr;ks a dk fo'ys"k.k djukA 2- Hkkjr eas LokLF; n[s kHkky rFkk f'k{kk uhfr;ks a ds uÉlx ij çHkko dk miyCèk nLrkostks a ls ijke'kZ djds fo'ys"k.k djukA 3- Hkkjr es a LokLF; lsok forj.k ç.kkyh vkSj bldh pqukSfr;ks a dh xgu le> fodflr djukA 4- VªkalIykaV uÉlx eas LokLF; lsokvks a ds forj.k ds fy, çklafxd vkÆFkd fl)karks a dks ykxw djukA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 13 5- ykxr] xq.koÙkk rFkk larqf"V tSls LokLF; ifj.kkeks a dk s çHkkfor dju s ds fy, LokLF; tkudkjh dk çcaèku vkSj :ikarj.k djukA 6- ulZ çSfDV’kuj dh Hkwfedkvks a rFkk n{krkvks a dk vH;kl djus es a tokcngs h vkSj ftEens kjh Lohdkj djukA 7- VªkalIykaV n[s kHkky eas LokLF; n[s kHkky ny ds lHkh lnL;ks a dks 'kkfey djr s gq, lg;ksxh vH;kl es a lfØ; :i ls Hkkx ysuk vkSj vfèkÑr nk;j s ds vanj funsZ'kkRed Hkwfedk fuHkkukA 8- fofèkd] uSfrd vkSj mUur uÉlx vH;kl ds fu;eu dk vPNk Kku j[kus oky s uSfrd vH;kl eas layXu gksukA 9- lqfu;ksftr çhlsIVjf'ki ds ekè;e ls çnku fd, x, çf'k{k.k ds voljks a dk mi;ksx djuk rFkk uÉlx çfØ;k@ n[s kHkky iFk ;k uSnkfud iFk dks ykxw djr s gq, lqjf{kr vkSj l{ke ns[kHkky djukA 10- nkrk rFkk çkIrdrkZ dk s l{ke ns[kHkky çnku dju s eas uÉlx fl)karks a dh tkudkjh dk s ykxw djukA 11- fofHkUu LokLF; n[s kHkky lek;kstuksa eas] fo'ks"k :i ls Hkkjr eas] ulZ çSfDV’kuj dh Hkwfedkvks a eas vkxkeh pqukSfr;ks a dk iwokZuqeku yxkukA funsZ'ku vofèk% 40 ?kaVs Ø-la- fo"k; ?kaVs 1- oSf'od LokLF; n[s kHkky pqukSfr;ka vkSj #>ku ¼n{krk 1½ 2 2- Hkkjr es a LokLF; ç.kkyh & Hkkjr eas LokLF; n[s kHkky forj.k ç.kkyh & cnyr s ifjn`'; ¼n{krk 3½ 2 3- jk"Vªh; LokLF; ;kstuk & iapo"kÊ; ;kstuk,a vkSj jk"Vªh; LokLF; uhfr ¼n{krk 2½ 2 4- LokLF; vFkZ'kkL= vkSj LokLF; n[s kHkky foÙkiks"k.k ¼n{krk 4½ 4 5- uÉlx lwpuk foKku lfgr LokLF; lwpuk ç.kkyh ¼daI;wVj dk mi;ksx½ ¼n{krk 5½ 4 mUur uÉlx vH;kl ¼,,uih½ 6- ,,uih & ifjHkk"kk] nk;jk] n'kZu] tokcngs h] Hkwfedk vkSj ftEens kfj;ka ¼lg;ksxh vH;kl vkSj ulZ fuèkkZfjr 3 Hkwfedk,a½ ¼n{krk 6 o 7½ 7- fofu;eu ¼çf'k{k.k laLFkkuks a dh ekU;rk vkSj çek.ki=½ vkSj mUur uÉlx vH;kl Hkwfedk ds uSfrd vk;ke 3 ¼n{krk 8½ 8- ulZ çSfDV’kuj% Hkwfedk] çdkj] n{krk] vH;kl ds fy, uSnkfud lek;kstu] lkaLÑfrd {kerk ¼n{krk 6½ 3 9- ,uih ds fy, çf'k{k.k & çhlsIVjf'ki ¼n{krk 9½ 2 10- ,uih vH;kl dh Hkfo"; dh pqukSfr;ka ¼n{krk 11½ 4 11- ,ih,u eas vuqç;qDr uÉlx ds fl)kar ¼n{krk 10½ 3 12- ,ih,u eas vuqç;qDr uÉlx çfØ;k@ns[kHkky iFk ¼n{krk 9½ 2 Lo&vè;;u fufgr dk;Z 6 1- LokLF; n[s kHkky rFkk f'k{kk uhfr;ks a dh igpku djuk vkSj uÉlx ij blds çHkko dk fo'ys"k.k djuk 2- ,uih vH;kl ds fy, Hkkjr eas dkuuw h fLFkfr dk o.kZu djukA vU; n's kks a eas bu uhfr;ks a dh çklafxdrk ds lkFk Hkkjr eas uhfr fuèkkZfjr djus okyh ulZ dk Hkfo"; D;k gS\ 3- VªkalIykaV n[s kHkky bdkb;ks a eas ik, tku s okys ,uih vH;kl ls lacafèkr uÉlx çksVksdkWy dh tkap djuk dqy ;ksx 40 ?kaVs14 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] lanHkZ xzaFk lwph  ,,lh,u ¼2021½ n ,lsfa’k;Yl% dksj daihVsla ht QkWj çksQs’kuy uÉlx ,twds’ku & ,aVªh yos y ,aM ,MokaLM yos y uÉlx ,twds’ku] vesfjdu ,lksfl,'ku vkWQ dkWystst vkWQ uÉlx  MsfuLdks ,aM ckdZlZ ,-,e- ¼2015½ ,MokaLM çSfDVl uÉlx% ,lsfa’k;y uksyst QkWj n çksQs’ku ¼r`rh; laLdj.k½ eSlkpqlsV~l% tksla ,Ma ckVZyVs ifCy'klZ bad-  fgdh ts-oh-] vksbesV vkj-,e- ,aM osusxksuh ,l-,y- ¼1996½ ,MokaLM çSfDVl uÉlx% pasÇtx jksYl ,aM fDyfudy ,Iyhds'kUl] fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl  vkbZlh,u ¼2020½ xkbMykbal vkWu ,MokaLM çSfDVl uÉlx] ftusok% vkbZlh,u  ,uvk,s uih,Q ¼2022½ ulZ çSfDV'kuj jksy daihVsla ht] us’kuy vkQxsZukbts’ku vkWQ ulZ çSfDV'kuj QSdYVht  Ldkscj ,e- ,aM vQkjk ,Q-,- ¼2006½ ,MokaLM uÉlx çSfDVl] vkWDlQksMZ% CySdosy ifCyÇ'kx  LVhoVZ th-ts- ,aM MsfuLdks ,l-,e- ¼2015½ jksy MsoyieasV QkWj n ulZ çSfDV'kuj] ;w,l,% ÇLçxj ifCyÇ'kx daiuh II. VªkalIykaV uÉlx esa 'kksèk vuqç;ksx rFkk lk{; vkèkkfjr vH;kl n{krk,a 1- VªkalIykaV uÉlx eas Lor=a 'kksèk djus es a xgu 'kksèk tkudkjh vkSj dkS'ky dk s ykxw djukA 2- jksxh n[s kHkky xq.koÙkk es a lqèkkj ykus ds fy, lg;ksxh 'kksèk eas Hkkx yus kA 3- bZchih dk mRiknu djus ds fy, mUur vH;kl es a 'kksèk fu"d"kks± dh O;k[;k vkSj mi;ksx djukA 4- mUur vH;kl eas loksZÙke vH;klks a vkSj LokLF; ifj.kkeks a rFkk xq.koÙkk n[s kHkky dk s fodflr dju s ds fy, orZeku vH;kl dk ijh{k.k@vkadyu djukA 5- n[s kHkky dh lqj{kk vkSj çHkko'khyrk dks c<+kus ds fy, VkªalIykaV uÉlx vH;kl es a fd, x, uÉlx eè;orZu ds lk{; dk fo'ys"k.k djukA 6- oSKkfud 'kksèk fjikVs Z y[s ku es a dkS'ky fodflr djukA funsZ'ku vofèk% lS)kfUrd% 56 ?kaVs $ ç;ksx'kkyk@dkS'ky ç;ksx'kkyk% 24 ?kaVs ¾ 80 ?kaVs Ø-la- fo"k; ?kaVs 1- 'kksèk vkSj mUur uÉlx vH;kl% 'kksèk vkSj mUur uÉlx Hkwfedk ls lacafèkr iwNrkN dk egRo ¼n{krk 1½ 2 2- ,ih,u ds fy, 'kksèk ,tsMa k% loksZÙke vH;kl fodflr dju s ds fy, orZeku vH;kl dk ijh{k.k] LokLF; 5 ifj.kke vkSj mUur vH;kl es a xq.koÙkkiw.kZ n[s kHkky ds ladsrd ¼n{krk 3] 4] 5½] 'kksèk laLÑfr dks c<+kok nus k 3- 'kksèk dk Kku vkSj dkS'ky% ,ih,u ds fy, vko';d 'kksèk n{krk,a 40 ¼'kksèk dh O;k[;k vkSj mi;ksx] vH;kl dk vkadyu] lg;ksxh 'kksèk eas Hkkxhnkjh½ ¼5 fnolh; lk{; vkèkkfjr vH;kl ¼bZchih½ ifj;kstuk dk ifjp; & PiCOT ç'u] ;kstuk ds pj.k] dk;kZUo;u] dk;Z'kkyk½ vkadyu vkSj çlkj ¼ifj;kstuk çLrko vkSj ifj;kstuk fjiksVZ½ 'kksèk fØ;kfofèk pj.k@lksiku ¼'kksèk ç'u] lkfgfR;d leh{kk] oSpkfjd lajpuk] 'kksèk fMtkbu] ueuw kdj.k] MsVk laxzg.k] i)fr;ka vkSj midj.k] fo'ys"k.k vkSj fjikÉsVx½ 'kksèk çLrko vkSj 'kksèk fjikVs Z y[s ku ¼n{krk 1 vkSj 2½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 15 Ø-la- fo"k; ?kaVs 4- çdk'ku ds fy, y[s ku ¼ys[ku dk;Z'kkyk & ik.Mqfyfi rS;kj djuk] y[s ku] çdk’ku] lgdeÊ leh{kk vkSj 5 foÙk iks"k.k ds lzksr <w<a uk½ ¼n{krk 6½ ¼dk;Z'kkyk½ 5- lk{; vkèkkfjr dk;Z ¼n{krk 3] 4] 5½ 4  voèkkj.kk,a] fl)kar] egRo vkSj pj.k  VªkalIykaV uÉlx eas bZchih dk s ,dhÑr djuk  VªkalIykaV n[s kHkky es a lk{; ds {ks=  bZchih dks ykxw dju s eas ckèkk,a  bZchih dks c<+kok nsus dh j.kuhfr;ka dqy ;ksx 56 ?kaVs ç;ksx'kkyk@dkS'ky ç;ksx'kkyk rFkk fufgr dk;Z% 24 ?kaVs  'kksèk çkFkfedrkvks a dh igpku djuk  'kksèk ç'u] mís'; vkSj ifjdYiuk ij vH;kl ys[ku  'kksèk çLrko@bZchih ifj;kstuk çLrko ys[ku  oSKkfud i= y[s ku & çdk'ku ds fy, ikaMqfyfi rS;kj djuk  O;ofLFkr leh{kk y[s ku & VªkalIykaV bdkbZ es a fn, x, uÉlx eè;orZu ds lk{; dk fo'ys"k.k djuk çk;ksfxd  çk;ksfxd 'kksèk% fucaèk ¼336 ?kaVs ¾ 7 lIrkg½@lk{; vkèkkfjr vH;kl ifj;kstuk ¼bZchih ifj;kstuk½ lanHkZ xzaFk lwph  xzs ts- ,aM xzkso ,l-ds- ¼2020½ cUlZ ,aM xzksOl% n çSfDVl vkWQ uÉlx fjlp%Z vçsty] ÇlFksfll ,aM tsujs'ku vkWQ ,foMsla ¼9oka laLdj.k½ lsVa yqbl% ,Ylsfo;j lkWUMlZ  iksfyr Mh-,Q- ,aM csd lh-Vh- ¼2021½ uÉlx fjlpZ% tsusjsÇVx ,aM ,lsÇlx ,foMsla QkWj uÉlx çSfDVl ¼11oka laLdj.k½ ubZ fnYyh% okWYVlZ ,aM Dywoj  f'eV ,u-,- ,aM czkmu ts-,e- ¼2021½ ,foMsla csLM çSfDVl QkWj ulsZl vçsty ,aM ,fIyds'ku vkWQ fjlpZ] ,lMh% tkasl ,aM ckVZyVs ifCy'klZ bad- III. usr`Ro] çcaèku rFkk f'k{k.k esa mUur dkS'ky n{krk,a 1- VªkalIykaV bdkbZ eas usr`Ro vkSj çcaèku ds fl)karks a dks ykxw djukA 2- fl)karks a ds csgrj Kku dk mi;ksx djds VªkalIykaV bdkb;ks a eas ruko o la?k"kks± dks çHkkoh <xa ls çcafèkr djukA 3- leL;k lekèkku vkSj fu.kZ; ysus ds dkS'ky dks çHkkoh <ax ls ykxw djukA 4- urs `Ro çnku dju s eas egRoiw.kZ Çpru vkSj lapkj dkS'ky dk mi;ksx djuk rFkk VªkalIykaV bdkb;ks a eas jksxh n[s kHkky dk çcaèku djukA 5- ny cukuk vkSj VªkalIykaV n[s kHkky bdkbZ;ks a eas nwljksa dks çsfjr djukA 6- bdkbZ dk ctV rS;kj djuk] vkiwÆr vkSj LVkQ dk çHkkoh <ax ls çcaèku djukA 7- uokpkj vkSj cnyko ds le; mfpr :i ls Hkkx ysukA 8- f'k{k.k ds Bksl fl)karks a ds vkèkkj ij çHkkoh f'k{k.k fofèk;ks]a ehfM;k vkSj vkadyu dk mi;ksx djukA16 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 9- jksxh n[s kHkky es a i{kèkj Hkwfedk fodflr djuk] VªkalIykaV bdkb;ks a eas xq.koÙkk vkSj uSfrdrk cuk, j[kukA 10- ifjtuks a vkSj jksfx;ks a dks ijke'kZ çnku djukA funsZ'ku vofèk% lS)kfUrd% 56 ?kaVs $ ç;ksx'kkyk@dkS'ky ç;ksx'kkyk% 24 ?kaVs ¾ 80 ?kaVs Ø-l- fo"k; ?kaVs 1- fl)kar] urs `Ro 'kSyh vkSj orZeku #>ku 2 2- fl)kar] çcaèku 'kSyh vkSj orZeku #>ku 2 3- VªkalIykaV n[s kHkky bdkb;ks a eas vuqç;qDr usr`Ro vkSj çcaèku ds fl)kar 4 4- ruko çcaèku ,oa Vdjko çcaèku & VªkalIykaV n[s kHkky okrkoj.k ds fl)kar vkSj vuçq ;ksx] çHkkoh le; 4 çcaèku 5- xq.koÙkk lqèkkj ,oa ijh{k.k 4 6- VªkalIykaV n[s kHkky uÉlx vH;kl es a vuqç;qDr leL;k lekèkku] egRoiw.kZ Çpru o fu.kZ;] lapkj dkS'ky 5 7- VªkalIykaV bdkbZ eas ny cukuk] çsfjr djuk vkSj lykg nsuk 2 8- ekuo lalkèku lfgr ctV o lalkèku çcaèku & VªkalIykaV bdkbZ ctV] lkexzh çcaèku] LVkQ] dk;Z 5 9- cnyko vkSj uokpkj 2 10- LVkQ çn'kZu vkSj vkadyu ¼çn'kZu vkadyu½ 6 11- VªkalIykaV uÉlx eas vuqç;qDr f'k{k.k&vè;;u fl)kar vkSj fu;e 2 12- n{krk vkèkkfjr f'k{kk vkSj ifj.kke vkèkkfjr f'k{kk 2 13- f'k{k.k fofèk;ka@j.kuhfr;ka] ehfM;k% VªkalIykaV lek;kstu es a jksfx;ks a vkSj deZpkfj;ks a dks f'kf{kr djuk 8 14- deZpkjh f'k{kk vkSj vkadyu es a midj.kks a dk mi;ksx 4 15- ,ih,u & ,d f'k{kd ds :i eas Hkwfedk 2 16- VªkalIykaV n[s kHkky okrkoj.k es a leFkZu Hkwfedk,a 2 dqy ;ksx 56 ?kaVs ç;ksx'kkyk@dkS'ky ç;ksx'kkyk% 24 ?kaVs  LVkQ jksxh fufgr dk;Z rS;kj djuk  bdkbZ dk ctV rS;kj djuk  LVkQ MîwVh jksLVj rS;kj djuk  jksxh n[s kHkky ijh{k.k  uÉlx n[s kHkky ekud vkSj çksVksdkWy rS;kj djuk  midj.k vkSj vkiwÆr çcaèku  laØe.k fu;a=.k vH;klks a dh fuxjkuh] vkadyu vkSj fjikVs Z y[s ku  LVkQ rFkk Nk=ks a ds fy, f'k{k.k ;kstuk dk fodkl  lw{e f'k{k.k l=  jksxh rFkk deZpkfj;ks a ds fy, çf'k{k.k i)fr vkSj ehfM;k rS;kj djuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 17  vks,llhbZ@vks,lihbZ dh ;kstuk cukuk vkSj lapkyu djuk  deZpkfj;ks a ds ewY;kadu ds fy, midj.kks a dk fuekZ.k  ruko çcaèku ijke'kZ  oLrq lwph rS;kj djuk fufgr dk;Z% fdlh ,d VªkalIykaV bdkbZ ds fy, uÉlx n[s kHkky ekud rS;kj djuk lanHkZ xzaFk lwph  cLVscy ,l-ch- ¼2019½ ulZ ,t ,MqdsVj% Ççfliy vkWQ VhÇpx ,aM yÉux QkWj uÉlx çSfDVl ¼5oka laLdj.k½ ubZ fnYyh% tkasl ,aM ckVZyVs ifCy'klZ bad-  fcÇyXl Mh-,e- ,aM gkyLVMs ts-,- ¼2019½ VhÇpx bu uÉlx% , xkbM QkWj QSdYVh ¼6oka laLdj.k½ lsVa yqbl felkSjh% lkWUMlZ ,Ylsfo;j  DykdZ lh-lh- ¼2010½ fØ;fsVo uÉlx yhMj'khi ,aM eSusteasV] ubZ fnYyh% tksla ,aM ckVZyVs ifCy'klZ bad-  yhcyj ts-th- ,aM eSddkus ys lh-vkj- ¼2008½ eSustesVa fçafliYl QkWj gSYFk çksQs'kuYl] lMcjh ,e-,% tksla ,aM ckVZysV ifCy'klZ bad-  jkSlsy ,y- ,aM LokalcxZ vkj-lh- ¼2010½ eSustesVa ,aM yhMj'khi QkWj ulZ ,MfefuLVªVs lZ ¼5oka laLdj.k½ ubZ fnYyh% tksla ,Ma ckVZyVs ifCy'klZ bad- mUur uÉlx ikBîØe IV. VªkalIykaV uÉlx esa vuqç;qDr mUur iSFkksfQft;ksykWth n{krk,a 1- VªkalIykaV n[s kHkky eas funku vkSj n[s kHkky ;kstuk fodflr dju s eas iSFkksfQft;ksykWftdy çfØ;k dh tkudkjh dks ,dhÑr djukA 2- tfVyrkvks a ds y{k.k çcaèku vkSj ekè;fed jksdFkke ea s iSFkksfQft;ksykWftdy fl)karks a dks ykxw djukA 3- funku] mipkj] n[s kHkky vkSj jksxfunku ds eYw ; dk s igpkurs gq, çR;sd vax VªkalIykaV dh vko’;drk okyh fLFkfr ds fy, çklafxd iSFkksfQft;ksykWftdy ifjorZuks a dk fo'ys"k.k djukA funsZ'ku vofèk% lS)kfUrd% 60 ?kaVs bdkbZ ?kaVs fo"k; I 14 ân; VªkalIykaV dh vko';drk okyh ân; lacaèkh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k  dutsfuVy gVZ QsY;j  dksjksujh vkVZjh fMlht  ,aM&LVts gVZ QsY;j  fMdaisulsVsM oYowyj gVZ fMlht  dkÆM;ksek;ksiSFkh  fjÝsDVjh ,utkbuk  ukWu&vkWCLVªfDVo gkbijVªkWfQd gVZ fMlht  fjÝsDVjh dkÆM;kstsfud 'kkWd18 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkbZ ?kaVs fo"k;  okYoqyj gVZ fMlht  çksxxsflo iYeksujh gkbijVas’ku  ykbQ FkzsVfuxa @esfyxuasV vfjFkfe;kl II 10 Qq¶Qqlh; VªkalIykaV dh vko';drk okyh Qq¶Qqlh; fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k  baVjfLVfl;y yxa fMlht  ØkWfud vkWClVªfDVo iYeksujh fMtht ¼lhvksihMh½  iYeksujh vkfVZfj;y gkbijVs’aku  czksfad;ksykbfVl vksfCyVjUl  flfLVd ,aM iYeksujh Qkbczksfll  fjlfVªfDVo yax fMlht  ,aQhlsek Mî w Vq vYQk&1 ,aVhfVªfIlu MsfQfl,alh  jls fijVs jh QsY;j  VîwelZ  lkjdkWbMksfll  czksfUdbDVfsll  dksfoM&19 III 6 o`Dd VªkalIykaV dh vko';drk okyh o`Dd fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k  Mk;csfVd uÝs ksiSFkh  laoguh fodkj  ikWyhflfLVd fdMuh fMlht  eVs kcksfyd ,jlZ  vkWVks&bE;wu fMlht  vkWCLVªfDVo ;wjksiSFkh  ,aM&LVts jhuy fMlht  jhuy Vîwej  vekbykWbMksfll  laØe.k & ik;yksusÝkbfVl] Xykses#yksusÝkbfVl IV 14 VªkalIykaV dh vko';drk okyh xSLVªksbaVSLVkbuy vkSj gsisVksfcyjh fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k vkar ¼baVSLVkbu½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 19 bdkbZ ?kaVs fo"k;  tUetkr foÑfr & Leky ckWoy vVªsfl;k] ,xSfUXyvksuksfll  'kkWVZ ckWoy ÇlMªkse  QaD’kuy fMlvkZMZj & bais;MZ eksfVfyVh  vkbZchMh & ØksgUl fMlht  baVSLVkbuy QsY;j vXU;k'k; ¼iSufØ;kt½  vudaVªksYM Vkbi I Mk;fcVht ;Ñr ¼fyoj½  ,aM&LVts fyoj fMlht & vYdksgfyd fyoj fMlht] gsisVkbfVl] dksysLVsfVd fyoj fMlht ¼ihchlh] ih,llh½] ukWu&vYdksgfyd LVhVksgsisVkbfVl ¼,u,,l,p½  eVs kcksfyd fMlhtst & vYQk 1 ,aVhfVªfIlu fMlht] gseksØkseSVksfll] vekbykWbMksfll] vkWDlsyfj;k  vkWVks&bE;wu fMlht  cM&fp;kjh ÇlMªkse  iYeksujh fMlht ¼iksVksZ iYeksujh gkbijVs’aku@gsisVksiYeksujh ÇlMªkse½  fu;ksIykfl;k & gsisVkslsyqyj dkÆluksek  ,D;wV QqyfeuasV fgisfVd QsY;j  Øksfud ok;jy gsisVkbfVl V 10 VªkalIykaV dh vko';drk okyh gseVksykWftdy fLFkfr;ks a dh mUur iSFkksfQft;ksykWftdy çfØ;k  Y;wdsfe;k  gkWtfdal ,aM ukWu&gkWtfdal ÇyQksek  eYVhiy ek;yksek  tsufsVd fMlvkWMZj ¼vkuqoaf'kd fodkj½  vkWVksbE;wu fMlvkWMZj  cksu ejs ks QsY;j ÇlMªkse & vIykfLVd ,uhfe;k  Vîwej VI 3 VªkalIykaV dh vko';drk okyh vka[k dh mUur iSFkksfQft;ksykWftdy çfØ;k  dkWÆu;y fMlht & fMtuj’sku] ijQksjs’ku] fMLVªksQh  dsjkVksdksul  cqyl dsjkVksiSFkh  dsjkVkbfVl VII 3 ekuo çfrj{kk ç.kkyh dh mUur iSFkksfQft;ksykWftdy çfØ;k  vLohÑfr ¼fjtSD’ku½20 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkbZ ?kaVs fo"k;  laØe.k ¼buQSD’ku½ 60 ?kaVs lanHkZ xzaFk lwph  cdkZsfoV~t ,- ¼2021½ fDyfudy iSFkksfQft;ksykWth ¼f}rh; laLdj.k½ esMekLVj bad-  áwFkj ,l-bZ-] edSal ds-,y- ,aM czs’klZ oh-,y- ¼2019½ vaMjLVsÇaMx iSFkksfQft;ksykWth ¼7oka laLdj.k½ lsVa yqbl] felkSjh% ,Ylsfo;j  ukWfjl Vh-,y- ¼2020½ iksFlZ ,lsfa'k;Yl vkWQ iSFkksfQft;ksykWth ¼5oka laLdj.k½ okWYVlZ ,aM Dywoj  iksFkZ lh-,e- ¼2014½ ,lsfa'k;Yl vkWQ iSFkksfQft;ksykWth% dkWUlsIV~l vkWQ ,YVMZ gSYFk LVVs ~l ¼prqFkZ laLdj.k½ fQykMsfYQ;k% fyÇidkWV fofy;El ,Ma foÇYdl  LVksjh ,y- ,aM Myqx'k ,y- ¼2019½ ,MokaLM iSFkksfQft;ksykWth QkWj n ,MokaLM çSfDVl ulZ ¼çFke laLdj.k½ tkUs l ,aM ckVZysV ifCy'klZ bad-  fofyl ,y-,e- ¼2019½ çksQs'kuy xkbM Vw iSFkksfQft;ksykWth ¼prqFkZ laLdj.k½ ,yMCY;wMCY;w V. VªkalIykaV uÉlx esa vuqç;qDr mUur QkekZdksykWth n{krk,a 1- VªkalIykaV n[s kHkky es a nkrk rFkk çkIrdrkZ nksuks a dks ns[kHkky çnku dju s eas vkS"kèkh; fl)karks a dks ykxw djukA 2- VªkalIykaV n[s kHkky eas mi;ksx dh tkus okyh vkS"kfèk;ks a ls lacafèkr QkekZdksFksjsI;fwVDl vkSj QkekZdkMs k;ufseDl dk fo'ys"k.k djukA 3- fl)karks a rFkk laLFkkxr çksVksdkWy ds vkèkkj ij lqjf{kr vkS"kfèk nus kA 4- lVhd nLrkost rS;kj djuk vkSj vuqorÊ ns[kHkky çnku djukA 5- VªkalIykaV n[s kHkky eas jksfx;ks a ds fy, vkS"kfèk;ks a ds çcaèku eas vkS"kfèk ds ikjLifjd çHkko dh csgrj tkudkjh ykxw djuk vkSj muds ifjtuks a dk Lo&ns[kHkky çcaèku es a ekxZn'kZu djukA funsZ'ku vofèk% lS)kfUrd% 54 ?kaVs bdkbZ ?kaVs fo"k; I 2 QkekZdksykWth dk ifjp;  bfro`Ùk  vkS"kfèk;ks a dk oxÊdj.k rFkk vulq wph II 3 QkekZdksdkbusfVDl vkSj QkekZdksMk;usfeDl  ifjp;  vkS"kfèk;ks a dk lekos'k] forj.k] p;kip; vkSj mRltZu  IykTek dalaVª’sku] gkQ ykbQ  vkS"kfèk;ks a dh yksÇMx vkSj j[kj[kko  fpfdRlh; lwpdkad vkSj vkS"kfèk lqj{kk  {kerk vkSj çHkkodkfjrk  vkS"kfèk nsus ds fl)kar[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 21 bdkbZ ?kaVs fo"k; - vkS"kfèk nsus ds vfèkdkj - eki ç.kkyh - vkarfjd vkS"kfèk nus k - lkef;d vkS"kfèk nsuk - iSjasVsjy vkS"kfèk nus k III 6  VªkalIykaV&iwoZ ân; jksxks a eas ç;qDr vkS"kèkh; mipkj & [kqjkd] var%fØ;k] nq"çHkko] fuxjkuh vkSj varfoZjksèkd ladsr IV 6 QkekZdksykWth ,aM iYeksujh  VªkalIykaV&iwoZ Qq¶Qqlh; jksxks a eas ç;qDr vkS"kèkh; mipkj & [kqjkd] var%fØ;k] nq"çHkko] fuxjkuh vkSj varfoZjksèkd ladsr V 6  VªkalIykaV&iwoZ o`Dd jksxks a eas ç;qDr vkS"kèkh; mipkj & [kqjkd] var%fØ;k] nq"çHkko] fuxjkuh vkSj varfoZjksèkd ladsr  o`Dd jksxks a eas ç;qDr vkS"kèkh; mipkj & mPpjDrpkijksèkh vkS"kfèk;ka] usÝksVkWfDld vkS"kfèk;ka] QkWLQksjl ckbaMlZ] ,fjFkzksiksbfVu mipkj VI 8  VªkalIykaV&iwoZ vka=] vXU;k'k; vkSj ;Ñr jksxks a eas ç;qDr vkS"kèkh; mipkj & [kqjkd] var%fØ;k] nq"çHkko] fuxjkuh vkSj varfoZjksèkd ladsr VII 8  VªkalIykaV&iwoZ gsesVksykWftdy jksxks a eas ç;qDr vkS"kèkh; mipkj & [kqjkd] var%fØ;k] nq"çHkko] fuxjkuh vkSj varfoZjksèkd ladsr VIII 15 QkekZdksykWftdy Fksjsiht bu iksLV&VªkalIykaV ds;j  VªkalIykaV n[s kHkky es a ç;qDr vkS"kèkh; mipkj & ladsr] [kqjkd] vkS"kèkh; var%fØ;k] nq"çHkko] fuxjkuh] vkS"kèkh; ijh{k.k vkSj varfoZjksèkd ladsr] ykxr o foÙkh; fufgrkFkZ  lIyhesVa ~l ¼iwjd½  ,uYtsfl;k  tfVy lg&#X.krk oky s jksxh ds çcaèku es a ,aVh&dks,xqyasV] ,aVh&ekbØksfc;y] ,aVh&Qaxy vkSj ,aVh&ok;jy dk mi;ksx  bE;wukslçslUs V~l & çdkj] ladsr] varfoZjksèkd ladsr] oxÊdj.k] fØ;k r=a vkSj [kqjkd fn'kkfunsZ'k rFkk VªkalIykaV eas ç;qDr vkS"kfèk;ks a dh fuxjkuh  bE;quksXykscqfyu 54 ?kaVs22 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] lanHkZ xzaFk lwph  bZlsu ,p-ts- ¼2020½ QkekZdksykWth vkWQ bE;wukslqçs'ku ¼çFke laLdj.k½ ÇLçxj  eSds th-,- ,aM okWYVlZ ,e-vkj- ¼2021½ fDyfudy QkekZdkys kWth ,aM FksjsI;fwVDl ¼10oka laLdj.k½ foyh&CySdosy  O;u s ,-,y-] ow Vh-,e- ,aM vksy;kbZ ,-ts- ¼2007½ QkekZdksFksjsI;fwVDl QkWj ulZ çSfDV'kuj fçLØkbclZ ¼f}rh; laLdj.k½ fQykMsfYQ;k% Msfol VI. mUur LokLF;@'kkjhfjd vkadyu n{krk,a 1- mi;qDr ç.kkyh ds vuqlkj ijh{k.k dkS'ky fodflr djus es a 'kkjhfjd vkadyu fl)karks a dks ykxw djukA 2- lkekU; vkSj vlkekU; fu"d"kks± dh fofoèkrkvks a ds chp varj dju s ds fy, mUur LokLF; vkadyu dkS'ky dk mi;ksx djukA 3- ijh{k.k ds fu"d"kks± vkSj laLFkkxr çksVksdkWy ds vkèkkj ij LØhÇux vkSj uSnkfud ijh{k.k ds vkn's k nus kA 4- 'kkjhfjd ijh{k.k ds fu"d"kks± rFkk fofHkUu tkpa ks a ds ifj.kkeksa dk fo'ys"k.k djuk vkSj uSnkfud fodkl ds fy, vkikrdkyhu fpfdRldkas ds lkFk feydj dke djukA 5- LokLF; n[s kHkky ny ds lnL;ks]a jksfx;ks a vkSj ifjokjks a dh lk>snkjh es a nLrkost vkadyu] funku] rFkk çcaèku djuk vkSj vuqorÊ n[s kHkky dh fuxjkuh djukA funsZ'ku vofèk% lS)kfUrd% 70 ?kaVs $ ç;ksx'kkyk@dkS'ky ç;ksx'kkyk% 48 ?kaVs ¾ 118 ?kaVs bdkbZ ?kaVs fo"k; I 4 ifjp;  bfro`Ùk ysuk  'kkjhfjd tkap II 7 ân; ra=  ân; lacaèkh bfro`Ùk  'kkjhfjd tkap  ân; ç;ksx'kkyk vè;;u & tSo jklk;fud ekdZj] #fèkj lacaèkh vè;;u  ân; jksx funku vè;;u & byDs VªksdkÆM;ksxzke] bdksdkÆM;ksxzkQh] LVªsl VSÇLVx] jfsM;ksykWftdy beÇstx III 7 'olu ra=  bfro`Ùk  'kkjhfjd tkap  'olu fuxjkuh & vkfVfZj;y CyM xSlst] iYl vkWDlhesVªh] ,aM&VkbMy dkcZu MkbvkWDlkbM ekWfuVfjxa  'olu funku ijh{k.k & pSLV jsfM;ksxzkQh] osfaVys'ku ij¶;wtu LdSÇux] iYeksujh ,aft;ksxzkQh] czksda ksLdkis h] FkksjSlsUVfsll] LI;wVe dYpj] iYeksujh QaD'ku VSLV IV 7 raf=dk ra=  rfa=dk lacaèkh bfro`Ùk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 23 bdkbZ ?kaVs fo"k;  lkekU; 'kkjhfjd tkap  laKkukRed dk;Z dk vkadyu  diky raf=dk dk;Z dk vkadyu  is'kh; vkadyu & ekalisf'k;ks a dh rkdr] 'kfDr vkSj ltxrk  laosnh vkadyu & peZjksx vkadyu  U;wjksMk;XuksfLVd vè;;u & lhVh LdSu] ,evkjvkbZ] ihbZVh V 6 o`Dd ra=  bfro`Ùk  'kkjhfjd tkap  o`Dd ra= dk vkadyu  byDs VªksykbV~l vkSj ,flM csl cSyasl dk vkadyu  ¶Y;wM larqyu dk vkadyu  o`Dd funku vè;;u & jhuy ck;ksIlh] jhuy MkWiyj] jhuy ,aft;ksxzke] vYVªklksuksxzkQh VI 5 tBjka= ra=  bfro`Ùk  'kkjhfjd tkap  iks"k.k vkadyu  ç;ksx'kkyk vè;;u & ;Ñr ds dk;Z dk vè;;u] jDr iSjkehVj] ey ijh{k.k  uSnkfud vè;;u & jfsM;ksykWftdy vkSj beÇstx vè;;u] baMksLdksfid vè;;u] ck;ksIlh VII 4 var%L=koh ra=  bfro`Ùk  'kkjhfjd tkap  ç;ksx'kkyk vè;;u  Mk;XuksfLVd LVMht vkWQ vkbyVs ~l vkQ yaSxjgal VIII 4 #fèkj ra=  bfro`Ùk  'kkjhfjd tkap  ç;ksx'kkyk vè;;u & CyM iSjkehVlZ  uSnkfud vè;;u & cksu ejs ks ,fLij's ku IX 3 vè;o.kÊ ra=  bfro`Ùk  'kkjhfjd tkap24 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkbZ ?kaVs fo"k;  jksx ijh{k.k & Ård ijh{k.k X 6 gkM+ Çitj ra=  bfro`Ùk  'kkjhfjd tkap  ç;ksx'kkyk vè;;u  uSnkfud vè;;u XI 5 çtuu ç.kkyh  bfro`Ùk  'kkjhfjd tkap  ç;ksx'kkyk vè;;u  uSnkfud vè;;u XII 6 f'k'kq vkadyu  o`f) ,oa fodkl  iks"kkgkj vkadyu  fof'k"V ç.kkyh vkadyu XIII 6 cqtqxZ jksfx;ksa dk vkadyu  bfro`Ùk  'kkjhfjd tkap  euf'pfdRlh; vkadyu  fof’k"V ç.kkyh vkadyu 70 ?kaVs dkS'ky ç;ksx'kkyk esa vH;kl djus gsrq dkS'ky lwph ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a }kjk vH;kl 'kkfey gS½  O;kid bfro`Ùk ysuk  dsafær bfro`Ùk ysuk ¼ç.kkyhokj½  O;kid 'kkjhfjd tkap  dsafær 'kkjhfjd tkpa ¼ç.kkyhokj½  uSnkfud ekinMa ks a dh fuxjkuh ¼ç.kkyhokj½  buosflo chih ekWfuVÇjx] eYVh&iSjkehVj ekWfuVlZ] bZlhth] iYl baMsDl daVhU;wvl dkÆM;d vkmViqV ¼PiCCO½] isfjQsjy oSLdqyj LVsVl] ABG] iYl vkWDlhesVªh] ,aM VkbMy CO (ETCO )] baVªkØSfu;y çs'kj ¼ICP½] Xyklxks 2 2 dksek Ldsy ¼GCS½] ØSfu;y uoZ vlslesVa ] isu ,aM lhMs’ku Ldksj] is'kh; vkadyu] laosnh vkadyu] xqnZs ds dk;Z dk ijh{k.k] ¶Y;wM larqyu] ,flM csl cSyasl] byDs VªksykbV~l] ckWosy lkmaM~l] mnj nkc] fyoj QaD'ku VSLV] GRBS] ç;ksx'kkyk ijh{k.k] jfsM;ksykWftdy ,aM besÇtx VSLV ¼ç.kkyhokj½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 25  LØhÇux rFkk uSnkfud ijh{k.kks a dk vkn's k nus k vkSj O;k[;k djuk ¼ç.kkyhokj½ ¼layXu ifjf'k"V 5½  cPpks a vkSj o;Ldks a dk vkadyu lanHkZ xzaFk lwph  fcDyh ,y-,l- ,aM fLtykxh ih-th- ¼2013½ csV~l xkbM V w fQftdy ,Dtkfeu’sku ,aM fgLVªh VÇsdx ¼lkmFk ,f’k;u laLdj.k½ okWYVlZ Dywoj bafM;k çkbZosV fyfeVMs  jksM~l ts- ¼2013½ ,MokaLM gSYFk vlslesVa ,aM Mk;XuksfLVd jhtÇux ¼f}rh; laLdj.k½ fQykMsfYQ;k% fyÇidkWV fofy;El ,aM foÇYdl  foYlu ,l-,Q- ,aM fxMsla ts-,Q- ¼2021½ gSYFk vlslesVa QkWj uÉlx çSfDVl ¼7oka laLdj.k½ ,Ylsfo;j% gSYFk lkbalst fMfotu VªkalIykaV uÉlx fof'k"V ikBîØe ¼VªkalIykaV uÉlx vH;kl ds ewy vkèkkj] VªkalIykaV uÉlx I vkSj VªkalIykaV uÉlx II½ n{krk,a 1- VªkalIykaV n[s kHkky ls lacafèkr #>ku vkSj eqíks a dh ljkguk djukA 2- bu voèkkj.kkvks a dh vPNh tkudkjh ds vkèkkj ij VªkalIykaV uÉlx dh mUur voèkkj.kkvks a dks ykxw djukA 3- VªkalIykaV n[s kHkky ds nkrkvks a rFkk çkIrdrkZvks a dk 'kkjhfjd] eukslkekftd vkSj vkè;kfRed vkadyu djukA 4- nkrk rFkk çkIrdrkZ dh n[s kHkky ls lacafèkr fofHkUu uSnkfud] fpfdRlh; vkSj 'kY; fpfdRlh; çfØ;kvks a esa lgk;rk djukA 5- nkrkvks a vkSj VªkalIykaV ltZjh ls igys rFkk ckn es a çkIrdrkZvks a ds çcèa ku es a mUur dkS'ky@{kerk çnÆ'kr djukA 6- LokLF; n[s kHkky ny ds vU; lnL;ks a ds lkFk feydj dke djuk vkSj VªkalIykaV n[s kHkky dh vko';drk okys jksfx;ks a ds vkadyu o çcaèku es a n[s kHkky@uSnkfud ekxZ rS;kj djukA 7- VªkalIykaV ls lacafèkr vkikr fLFkfr;ks a rFkk tfVyrkvks a dh igpku djuk vkSj mfpr mik; djukA 8- vaxnku dks c<k+ok nus s rFkk VkªalIykaV ltZjh okys jksfx;ks a ds LokLF; laoèkZu vkSj iquokZl ds fy, jk"Vªh; LokLF; dk;ZØeks a eas Hkkx yus kA 9- VªkalIykaV n[s kHkky ls lacafèkr tfVy eqíks a ds fy, ufSrd :i ls lqn`<+ lekèkku ykxw djukA 10- VªkalIykaV n[s kHkky ds fy, çklafxd laØe.k fu;a=.k fl)karks a dks viukukA 11- jksxh] ifjtuks a o leqnk; ds fgr eas VªkalIykaV n[s kHkky es a n's k ds dkuuw h <kap s ds vanj Lor=a :i ls vH;kl djukA 12- fpfdRlh; lacaèkks a dks 'kq: dju]s fodflr dju s vkSj can dju s ds fy, ykxw lapkj] ijke'kZ] i{k&leFkZu vkSj ikjLifjd dkS'ky dk mi;ksx djukA 13- tksf[ke çcaèku j.kuhfr;ks a rFkk xq.koÙkk lqèkkj dk mi;ksx djds ,d lqjf{kr fpfdRlh; okrkoj.k cukuk vkSj cuk, j[kukA 14- ijke'kZ dkS'ky dk mi;ksx djds jksxh vkSj muds ifjtuks a dks HkkoukRed rFkk vkè;kfRed ladV] nq%[k o Çprk ls fuiVu s eas lgk;rk djukA 15- tc Hkh ykxw gks] ifjokj ds lnL;ks a ds lkFk ckrphr es a thou ds var dh ns[kHkky ds fl)karks a dks 'kkfey djukA 16- nyh; dk;Z ds eYw ; dk s igpkurs gq, jksxh n[s kHkky xfrfofèk;ks a dk leUo; djuk vkSj LokLF; n[s kHkky dfeZ;ks a ds chp c<+rs ruko o tyu ds çfr laosnu'khy jgukA 17- lk{;&vkèkkfjr uÉlx vH;kl dks 'kkfey djus oky s uokpkjks a dk s ykxw djuk@lq>ko nus k vkSj VªkalIykaV uÉlx ds {ks= eas 'kksèk {ks=ks a dh igpku djukA26 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 18- VªkalIykaV ls tqM+h dkuuw h vkSipkfjdrkvks a vkSj nLrkosthdj.k çfØ;kvks a ls ifjfpr gksukA 19- VªkalIykaV bdkbZ dk ,d [kkdk rS;kj djuk vkSj VªkalIykaV n[s kHkky ds fy, ekud lapkyu çksVksdkWy fodflr djukA 20- efsMdy lÆtdy LokLF; ny ds lnL; ds :i eas ,uih bu VªkalIykaV uÉlx@VªkalIykaV ulZ dksvkWfMZuVs j@ Lisf’k;fyLV dh Hkwfedk fuHkkukA VII. VªkalIykaV uÉlx vH;kl ds ewy vkèkkj funsZ'ku vofèk% lS)kfUrd% 96 ?kaVs $ ç;ksx'kkyk@dkS'ky ç;ksx'kkyk% 48 ?kaVs ¾ 144 ?kaVs bdkbZ ?kaVs fo"k; I 10 VªkalIykaV uÉlx dk ifjp;  ikBîØe dk ifjp;  vax VªkalIykaV dk ,sfrgkfld fodkl% çdkj] #>ku vkSj eqís] VªkalIykaV ds rkSj&rjhds  'kCnkoyh  VªkalIykaV uÉlx dh ifjHkk"kk vkSj nk;jk  VªkalIykaV uÉlx dh voèkkj.kk] fl)kar vkSj uÉlx n`f"Vdks.k  midj.k vkSj vkiwÆr lfgr VªkalIykaV n[s kHkky bdkbZ dh LFkkiuk  VªkalIykaV ny dh Hkwfedk,a vkSj dk;Z  vax VªkalIykaV eas ulks± dh Hkwfedk  VªkalIykaV n[s kHkky es a orZeku ,oa Hkfo"; dh pqukSfr;ka vkSj uokpkj II 15 VªkalIykaV uÉlx vH;kl ij ykxw lexz ns[kHkky dh voèkkj.kk  VªkalIykaV n[s kHkky dh vko';drk okys jksfx;ks a dh n[s kHkky es a uÉlx çfØ;k vkSj ,dhÑr n[s kHkky@uSnkfud ekxks± dk vuqç;ksx  VªkalIykaV n[s kHkky bdkbZ es a jksfx;ks a dk ços'k vkSj fuxjkuh  VªkalIykaV n[s kHkky dk voyksdu  ,;jos çcaèku  b"Vre ifjlapj.k vkSj Ård vkWDlhtus'ku  gseksMk;ufsed fuxjkuh  rkieku j[kj[kko  nnZ çcaèku  ¶Y;wM vkSj byDs VªksykbV larqyu  vax lqj{kk  laØe.k fu;a=.k  dkÆM;ks&iYeksujh&czsu fjllhV’sku  ch,y,l  ,lh,y,l  ih,,y,l[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 27 bdkbZ ?kaVs fo"k;  vkWDlhtus'ku vkSj vkWDlhesVªh] vkWDlhtu forj.k midj.kks a ds lkFk jksxh dh n[s kHkky  osfaVys'ku vkSj osfaVysVj leFkZu ¼vkæÊdj.k o bugsYM Mªx Fksjsih ds lkFk½] buosflo vkSj ukWu& buosflo osfaVys'ku ds lkFk jksxh dh ns[kHkky  VªkalIykaV n[s kHkky es a vojksèk & HkkSfrd] jklk;fud vkSj vojksèkks a ds fodYi  VªkalIykaV n[s kHkky bdkbZ es a e`R;q & thou ds vafre {k.kks a eas ns[kHkky@eju s oky s dh ns[kHkky] vkSj ifjokj dh ns[kHkky  LokLF; ny ds lnL;ks a ds chp ruko vkSj cuZvkmV ÇlMªkse III 10 VªkalIykaV ltZjh djkus okys jksfx;ksa dh leh{kk xaHkhj :i ls chekj jksfx;ksa dk VªkalIykaV ls igys@ckn esa vkadyu  ân; lacaèkh vkadyu  'olu vkadyu  xqnZs dk vkadyu  U;wjksykWftdy vkadyu  xSLVªksbaVLs Vkbuy vkadyu VªkalIykaV ls igys@ckn esa xaHkhj :i ls chekj jksfx;ksa dh fuxjkuh  vkfVZfj;y CyM xSl ¼,chth½  dSIuksxzkQh  gseksMk;ufseDl  byDs VªksdkÆM;ksxzkQh ¼bZlhth½  Vªkal,lksQsft;y bdksdkÆM;ksxzke  Xyklxks dksek Ldsy ¼thlh,l½  fjpeaM ,thVs’ku lhMs’ku Ldsy ¼vkj,,l,l½  isu Ldksj  czSMsu Ldkjs IV 6 nnZ dk vkadyu vkSj çcaèku  VªkalIykaV ltZjh ds ckn nnZ çcaèku  nnZ & çdkj] fl)kar  fQft;ksykWth] nnZ vkSj nnZ ds euksfoKku ds çfr ç.kkyhxr çfrfØ;k,a & leh{kk  rhoz nnZ lsok,a  nnZ dk vkadyu & nnZ ds iSeku]s O;ogkj vkSj ekSf[kdhdj.k  nnZ çcaèku & vkS"kèkh;  xSjvkS"kèkh; çcaèku  VªkalD;wVsul byfsDVªdy uoZ fLVeqys’ku ¼Vsla ½28 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkbZ ?kaVs fo"k; V 8 eukslkekftd vkSj vkè;kfRed ifjorZu% vkadyu vkSj çcaèku  ruko vkSj lkbdksU;wjksbE;wuksykWth  vfHk?kkrt ds ckn dh ruko çfrfØ;k  rhoz euksfoÑfr] Çprk] mÙkstuk] çyki  VªkalIykaV n[s kHkky es a vkè;kfRed pqukSfr;ka  ruko vkSj chekjh ls fuiVuk  VªkalIykaV foKku ds eqís & lkekftd&lkaLÑfrd] uSfrd] euksoSKkfud vkSj foÙkh;@vkÆFkd eíq s VI 4 jksxh vkSj ifjokj f'k{kk rFkk ijke'kZ  VªkalIykaV n[s kHkky es a çkIrdrkZ vkSj ifjtuks a dh lwpukRed vko';drk,a  jksxh vkSj ikfjokfjd f'k{kk dh pqukSfr;ka  jksxh rFkk ifjokj dh ijke'kZ vko';drk,a vkSj pqukSfr;ka  ladV rFkk 'kksd ijke'kZ] vkSj lapkj VII 6  ¶Y;wM] byDs VªksykbV vkSj ,flM csl csysla dh leh{kk  ¶Y;wM] byDs VªksykbV vkSj ,flM csl bacsysla dk vkadyu vkSj çcaèku VIII 4 rkiØe ¼FkeksZjsX;wys'ku½ vkSj çcaèku  rkiØe ij leh{kk  vfrrki ¼gkbijFkfeZ;k½  vYi rikoLFkk ¼gkbiksFkfeZ;k½  FkeksZjsxqyVs jh eqíks a oky s jksfx;ks a dk çcaèku IX 6 VªkalIykaV bdkbZ esa laØe.k fu;a=.k  vLirky ls mRiUu laØe.k  dhVk.kq'kksèku] folaØe.k  ekud lqj{kk mik;  fjolZ cSfj;j uÉlx  LVkQ+ çksQkbySfDll  jksxk.kqjksèkh fpfdRlk & leh{kk  laØe.k fu;a=.k uhfr;ka vkSj çksVksdkWy  VªkalIykaV ls igy s vkSj ckn es a & laØe.k ds lkekU; y{k.k vkSj çcaèku fn'kkfunsZ'k  çkIrdrkZ laØe.k dh jksdFkke & Vhdkdj.k] vkS"kfèk;ka] lqjf{kr thou ds fy, j.kuhfr;ks a dh igpku X 12 VªkalIykaV ns[kHkky esa dkuwuh vkSj uSfrd eqís & ulks± dh Hkwfedk dkuwuh igyw[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 29 bdkbZ ?kaVs fo"k;  VªkalIykaV n[s kHkky ls lacafèkr dkuuw o fu;e & ekuo vax vkSj Ård çR;kjksi.k vfèkfu;e ¼FkksVk½  ulks± dh dkuuw h ftEens kfj;ka  vax çR;kjksi.k ds fy, jk"Vªh; fn'kkfunsZ'k  jk"Vªh; vkSj jkT; vax çR;kjksi.k dk;ZØe rFkk jftLVªh  jk"Vªh; vax ,oa Ård çR;kjksi.k laxBu ¼uksVks½  {ks=h; vax ,oa Ård çR;kjksi.k laxBu ¼jksVks½  jkT; vax ,oa Ård çR;kjksi.k laxBu ¼lksVks½  Hkkjr es a czsu LVes MsFk dh ?kks"k.kk vkSj bldh çfØ;k  ifjdfYir lgefr  vaxnku ls lacafèkr uhfr;ka vkSj çksVksdkWy  vaxnku ls lacafèkr nLrkosthdj.k uSfrd eqís  ifjp;  Hkkjr es a uÉlx vkpkj lafgrk] is'ksoj vkpj.k lafgrk vkSj vH;kl ekud  vaxnku vkSj VªkalIykaV ds uSfrd igyw  VªkalIykaV n[s kHkky es a uSfrd fu.kZ; yus k & mipkj jksduk] VªkalIykaV n[s kHkky es a nqyZHk lalkèkuks a dk çcaèku djuk  uSfrd fu.kZ; yus s dks c<+kok nus s ds fy, j.kuhfr;ka  Mw ukWV fjllhVsV ¼Mh,uvkj½] bPNke`R;q] fyÇox foy XI 8  VªkalIykaV bdkb;ks a dk n'kZu] y{; vkSj mís';  VªkalIykaV n[s kHkky bdkb;ks a dk fMtkbu  VªkalIykaV n[s kHkky bdkb;ks a ij ykxw xq.koÙkk vk’oklu ekWMy  ekud] çksVksdkWy] uhfr;ka] çfØ;k,a  laØe.k fu;a=.k uhfr;ka vkSj çksVksdkWy  ekud lqj{kk mik;  VªkalIykaV n[s kHkky ls lacafèkr uÉlx ijh{k.k  LVkÇQx XII 3 VªkalIykaV uÉlx esa lk{; vkèkkfjr vH;kl  VªkalIykaV n[s kHkky esa lk{; vkèkkfjr vH;kl  dk;kZUo;u es a ckèkk,a  dk;kZUo;u dks c<+kok nsus ds fy, j.kuhfr;ka 4 d{kk ijh{k.k 96 ?kaVs30 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] dkS'ky ç;ksx'kkyk esa vH;kl djus gsrq dkS'ky lwph ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a }kjk vH;kl 'kkfey gS½  CPR ¼BLS vkSj ACLS½  ,;jos çcaèku  lD’kfuax & [kqyk@can  vkWjksQsÇjft;y ,;jos  uSlksQsÇjft;y ,;jos  yÇsjft;y ekLd ,;jos o MsfQfufVo ,;jos çcèa ku  ,aMksVªfsdvy baVqcs'ku o lÆtdy ,;jos çcaèku  fØdksFkk;jkbMksVkWeh  VªsdksLVkseh  vkWDlhdj.k vkSj vkWDlheVs ªh] vkWDlhtu forj.k midj.kks a ds lkFk jksxh dh ns[kHkky o vkWDlhtu@vkWDlhdj.k dk s ekiu s ds fy, midj.k  vkWDlhesVªh & iYl vkWDlheVs ªh] ohul vkWDlhesVªh  PF (PaO /FiO ) vuqikr 2 2 o dSIuksxzkQh o ukWu&buosflo osfaVys’ku  de çokg okys ifjorZu'khy fu"iknu midj.k% usty dSFksVj@dSuqyk@Mcy usty çksXa l] Qsl ekLd] fjtjok;j cSx ds lkFk Qsl ekLd  vfèkd çokg okys ifjorZu'khy fu"iknu midj.k% ,aVªus esVa ¼ospa qjh½ fMokbl] ,uvkbZoh] Vh ihl] czhÇnx lÆdV  osfaVys'ku vkSj osfaVysVj liksVZ o osfaVysVj yxkuk o osfaVysVj ls tksM+uk o osfaVysVj ls gVkuk o ,DlVqcs'ku o áfwefMQk;j o uCs;qykbtj & tsV] vYVªklksfud o bugsy's ku Fksjsih & ehVMZ Mkst bugsylZ ¼MDI½] MªkbZ ikmMj bugsylZ ¼DPI½  ifjlapj.k vkSj i¶;wZtu ¼gseksMk;ufsed vkadyu vkSj rjax xzkfQDl lfgr½ o fcuk phjQkM+ ds jDrpki dh fuxjkuh o phjQkM+ ds lkFk jDrpki dh fuxjkuh o f'kjkijd nkc ¼ifjèkh;] eè; vkSj Qq¶Qqlh; èkeuh vojksèku nkc½ o vkfVZfj;y ykbu dk varosZ'ku vkSj gVkuk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 31 o lsVa ªy ykbu dk varosZ'ku vkSj gVkuk o iYl baMsDl daVhU;wvl dkÆM,d vkmViqV ¼PiCCO½ o byDs VªksdkÆM;ksxzkQh ¼ECG½ o rjax  ¶Y;wM vkSj byDs VªksykbVl~ o ¶Y;wM x.kuk vkSj çcaèku o jDr vkSj jDr mRiknks a dk çcaèku o buksVªksi ldqZys'ku] vuqekiu vkSj çcaèku o byDs VªksykbV djsD'ku ¼lksfM;e] iksVsf'k;e] dSfY'k;e] QkWLQksjl] eSXuhf'k;e½ o ¶Y;wM fMLisla j] flÇjt iai vkSj bU¶;wtu iai dk mi;ksx  vEy {kkj fLFkfr dk vkadyu o vkfVZfj;y CyM xSl ¼,chth½ o vEyjDrrk vkSj {kkje;rk dk lqèkkj  FkeksZjsX;wys'ku] gkbij@gkbiksFkÆe;k oky s jksxh dh n[s kHkky o rkieku tkap o gkbij vkSj gkbiksFkÆe;k çcaèku  Xykblsfed fu;a=.k] Xykblsfed vlarqyu okys jksxh dh ns[kHkky o thvkjch,l fuxjkuh o balqfyu Fksjsih ¼LykbÇMx Ldsy vkSj bU¶;wtu½ o gkbijXykblhfe;k dk çcaèku o gkbiksXykblhfe;k dk çcaèku  nnZ] csgk's k djus dh fØ;k] O;kdqyrk vkSj çyki dk vkS"kèkh; çcaèku o dsydqy’sku] yksfMax vkSj bu¶;wtu o ,fiMîjw y ,ukYtsfl;k  vax vkSj Ård nku ds ckjs es a tulkèkkj.k eas tkx:drk iSnk djuk  ijke'kZ & O;fDrxr vkSj ikfjokfjd  O;fDrxr vkSj ikfjokfjd f'k{kk VIII. VªkalIykaV uÉlx I funsZ'ku vofèk% lS)kfUrd% 96 ?kaVs $ ç;ksx'kkyk@dkS'ky ç;ksx'kkyk% 48 ?kaVs ¾ 144 ?kaVs bdkbZ ?kaVs fo"k; I 6 vkWxZu VªkalIykaV bE;wuksykWth  ekuo çfrj{kk ç.kkyh vkSj VªkalIykaV bE;wuksykWth dh lkekU; voèkkj.kk,a  bE;wuksykWftdy tkfs[ke vkadyu  nkrk p;u] feyku & ,p,y, vkSj fgLVksdEiSfVfcfyVh  vax ;k xzk¶V vLohÑfr vkSj çdkj  çfrj{kkneu  VªkalIykaV ds ckn ,aVhckWMh ij[k32 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkbZ ?kaVs fo"k; II 5 VªkalIykaV esa ç;qDr vkS"kfèk;ka  vax fudkyuk] HkaMkj.k vkSj igqapkus ds nkSjku mi;ksx dh tku s okyh vkS"kfèk;ka vkSj ?kksy  iwjd ¼lIyhesVa ~l½  bE;wukslçslUs V~l vkSj bldh fo"kkDrrk rFkk tfVyrkvks a dh rS;kjh vkSj jksdFkke  ,aVhck;ksfVDl  jDr vkSj jDr ?kVd  VªkalIykaV eas mi;ksx dh tku s okyh jksxfujksèkh vkSj lgk;d vkS"kfèk;ka  uÉlx ftEesnkjh III 5 VªkalIykaV esa eukslkekftd eqís  nkrk vkSj çkIrdrkZ es a VªkalIykaV dk euksoSKkfud çHkko  nkrk vkSj çkIrdrkZ dk eukslkekftd vkadyu  jksdFkke% cgqfo"k;d n[s kHkky  ulks± dh Hkwfedk  lgk;rk lewgkas dh Hkwfedk IV 10 vaxnku  efLr"d e`R;q ewY;kadu vkSj vaxnku çfØ;k  vaxnku çfrKk & i{k&leFkZu  nkrkvks a ds çdkj & ân; e`R;q ds ckn nku ¼MhlhMh½] efLr"d e`R;q ds ckn nku ¼MhchMh½] thfor lacaèkh nkrk] thfor vlacaèkh nkrk ¼ijksidkjh nkrk½  VªkalIykaV nkrk ds fy, ik=rk ekunaM  vaxnku ds varfoZjksèk  mPp tksf[ke nkrk vkSj ;fn vaxks a dk mi;ksx fd;k tkrk gS rks laHkkfor çHkko  laHkkfor nkrk dk çcaèku  LFkkuh; vkSj jk"Vªh; nksuks a rjg dh is'kd'k ds fy, vaxks a dk vkoaVu  xzk¶V ds çdkj & fLIyV] ekftZuy] Mksfeuks+  dksYM bLdhfed Vkbe ¼lhvkbZVh½] oke Z bLdhfed Vkbe ¼MCY;wvkbZVh½ vkSj nku fd, x, vax ds thfor jgu s ij bldk çHkko  VªkalIykaV csfufQV Ldksj ¼Vhch,l½ dh x.kuk es a 'kkfey nkrk vkSj çkIrdrkZ dkjd  vax vkoaVu  cgq&vax iquçkZfIr  vaxnku ds fy, ikfjokfjd n`f"Vdks.k vkSj ikfjokfjd ns[kHkky V 5 nkrk vkSj vax dh ns[kHkky  nkrk vkadyu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 33 bdkbZ ?kaVs fo"k;  nkrk dh n[s kHkky  vax yus k] laj{k.k] HkaMkj.k vkSj igqapkuk  vkWxZu ij¶;wtu vkSj Ård laj{k.k  ikfjokfjd lapkj@ijke'kZ  VªkalIykaV leUo;d@,uih bu VªkalIykaV uÉlx dh Hkwfedk & nkrk vkSj çkIrdrkZ  çrh{kk lwph çcaèku VI 5 vkWijsfVo :e çcaèku  HkkSfrd rS;kjh & HkkSfrd lsV vi] vkWij's ku VªkWyh rS;kj djuk  vksvkj ny  vkWxZu ij¶;wtu & ;wMCY;w vkSj ,pVhds lksY;’wkal  vksVh eas fpfdRlh; okrkoj.k  vax VªkalIykaV eas lgk;rk djuk  nkrk rFkk çkIrdrkZ dk var%fØ;kRed çcaèku vkSj fuxjkuh VII 15 gVZ ,aM okYo VªkalIykaV  ân; ç.kkyh dh 'kkjhfjd jpuk vkSj 'kjhj foKku dh leh{kk  ân; vkSj okYo VªkalIykaV ds y{k.k rFkk varfoZjksèk  VªkalIykaV çkIrdrkZ ds fy, ik=rk ekunaM  VªkalIykaV çkIrdrkZ dk ewY;kadu  nkrk dk p;u ,oa feyku  VªkalIykaV iwoZ vkadyu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkap vkSj uSnkfud çfØ;k,a  çkIrdrkZ dh VªkalIykaV ls igy s vkSj ckn dh ns[kHkky  mipkj ds rkSj&rjhds & lhihvkj] ,lh,y,l] fMfQfczy's ku] dkÆM;ksotZu] vkbZ,chih  VªkalIykaV çfØ;k vkSj nkrk vax vkSj çkIrdrkZ dh var%fØ;kRed n[s kHkky  laHkkfor lÆtdy tfVyrkvks]a laØe.k] ;k vLohÑfr dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  ân; VªkalIykaV ds ckn tfVyrk,a vkSj çcaèku  ân; VªkalIykaV ds nkSj ls xqtj jgs jksfx;ks a dh n[s kHkky es a ulks± dh Hkwfedk  ân; VªkalIykaV ds ckn mi;ksx dh tku s okyh vkS"kfèk;ka  VªkalIykaV ds ckn ân; iquokZl vkSj vuqorÊ dkjZokbZ VIII 15 yax VªkalIykaV  QsQM+ s dh 'kkjhfjd jpuk vkSj 'kjhj fØ;k foKku dh leh{kk  QsQM+ s ds VªkalIykaV ds y{k.k vkSj varfoZjksèk  VªkalIykaV çkIrdrkZ ds fy, ik=rk ekunaM34 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkbZ ?kaVs fo"k;  VªkalIykaV çkIrdrkZ dk ewY;kadu  nkrk dk p;u ,oa feyku  VªkalIykaV iwoZ vkadyu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkap vkSj uSnkfud çfØ;k,a  çkIrdrkZ dh VªkalIykaV ls igy s vkSj ckn dh ns[kHkky  mipkj ds rkSj&rjhds & bZlh,evks  vax iquçkZfIr rFkk VªkalIykaV çfØ;k vkSj var%fØ;kRed ns[kHkky  laHkkfor lÆtdy tfVyrkvks]a laØe.k] ;k vLohÑfr dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  QsQM+ s ds VªkalIykaV eas ulks± dh Hkwfedk  QsQM+ks a ds VªkalIykaV eas mi;ksx dh tku s okyh vkS"kfèk;ka  iquokZl vkSj vuoq rÊ dkjoZ kbZ IX 15 jhuy VªkalIykaV  xqnZs dh 'kkjhfjd jpuk vkSj 'kjhj fØ;k foKku dh leh{kk  nkrk vkSj çkIrdrkZ dk ewY;kadu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkpa vkSj uSnkfud çfØ;k,a  xqnZs ds VªkalIykaV ds y{k.k vkSj varfoZjksèk  VªkalIykaV çkIrdrkZ ds fy, ik=rk ekunaM  VªkalIykaV çkIrdrkZ dk ewY;kadu  nkrk dk p;u ,oa feyku  ,chvks vlaxr VªkalIykaV] LoSi VªkalIykaV  çkIrdrkZ dh VªkalIykaV iwoZ ns[kHkky  mipkj ds rkSj&rjhds & gseksMk;fyfll] ifsjVksfu;y Mk;fyfll vkSj FksjsI;fwVd IykTek ,Dlpast  VªkalIykaV ds ckn æo çcaèku çksVksdkWy  nkrk vkSj çkIrdrkZ dh vkWijs'ku ds ckn dh n[s kHkky  VªkalIykaV çfØ;k vkSj var%fØ;kRed ns[kHkky  laHkkfor lÆtdy tfVyrkvks]a laØe.k] ;k vLohÑfr dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  xqnkZ VªkalIykaV eas ulks± dh Hkwfedk  xqnkZ VªkalIykaV eas mi;ksx dh tku s okyh vkS"kfèk;ka & fpfdRlh; vkS"kfèk fuxjkuh  iquokZl vkSj vuoq rÊ dkjoZ kbZ X 15 fyoj VªkalIykaV  ;Ñr dh 'kkjhfjd jpuk vkSj 'kjhj fØ;k foKku dh leh{kk  ;Ñr VªkalIykaV ds y{k.k vkSj varfoZjksèk  ;Ñr VªkalIykaV çkIrdrkZ ds fy, ik=rk ekunaM  VªkalIykaV çkIrdrkZ dk ewY;kadu  fyoj VªkalIykaV ds çdkj & thfor nkrk@'ko nkrk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 35 bdkbZ ?kaVs fo"k;  nkrk dk p;u ,oa feyku  VªkalIykaV&iwoZ vkadyu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkap vkSj uSnkfud çfØ;k,a  çkIrdrkZ dh VªkalIykaV&iwoZ n[s kHkky  vax iquçkZfIr vkSj laj{k.k  nkrk rFkk çkIrdrkZ ds vkWij's ku ds ckn ds fyoj QaD’ku dh fuxjkuh vkSj çcaèku  gseksMk;fyfll lfgr xqnZs ds dk;Z dh fuxjkuh vkSj çcaèku  VªkalIykaV çfØ;k vkSj var%fØ;kRed n[s kHkky  laHkkfor lÆtdy tfVyrkvks]a laØe.k] ;k vLohÑfr dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  iks"k.k çcaèku  fyoj VªkalIykaV eas ulks± dh Hkwfedk  fyoj VªkalIykaV eas mi;ksx dh tku s okyh vkS"kfèk;ka  iquokZl vkSj vuoq rÊ dkjoZ kbZ 96 ?kaVs dkS'ky ç;ksx'kkyk esa vH;kl djus gsrq dkS'ky lwph ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a }kjk vH;kl 'kkfey gS½A  vaxnku & efLr"d e`R;q dk fu:i.k & vaxnku ds fy, ijke'kZ  vax dh lqjf{kr iquçkZfIr] HkaMkj.k vkSj igqapkuk  vax lap;u es a lgk;rk djuk  VªkalIykaV ltZjh eas lgk;rk djuk  vkWijs'ku VªkWyh lfgr VªkalIykaV vksVh dh LFkkiuk  nkrk dh n[s kHkky  çkIrdrkZ dh ns[kHkky & VªkalIykaV ls igy s vkSj ckn esa IX. VªkalIykaV uÉlx II funsZ'ku vofèk% lS)kfUrd% 96 ?kaVs $ ç;ksx'kkyk@dkS'ky ç;ksx'kkyk% 48 ?kaVs ¾ 144 ?kaVs bdkbZ ?kaVs fo"k; I 8 VªkalIykaV tfVyrk,a% laØked vkSj xSj&laØked jksx & jksdFkke vkSj mipkj ds rjhds  nkrk ls lapfjr laØe.k  VªkalIykaV ds ckn laØe.k  xSj&laØked tfVyrk,a & vLohÑfr II 16 cksu eSjks VªkalIykaV  jDr] vfLFk eTtk] Iyhgk vkSj ylhdk dh 'kkjhfjd jpuk vkSj 'kjhj foKku dh leh{kk36 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkbZ ?kaVs fo"k;  #fèkj foKku ç.kkyh dk uSnkfud vkadyu vkSj uSnkfud çfØ;k,a  Cksu ejs ks VªkalIykaV ds y{k.k vkSj varfoZjksèk  VªkalIykaV çkIrdrkZ ds fy, ik=rk ekunaM  VªkalIykaV çkIrdrkZ dk ewY;kadu  nkrk dk p;u ,oa feyku  isjhQsjy CyM LVSe lSy VªkalIykaV  cksu esjks LVSe lSy VªkalIykaV  vkWVksykWxl cuke ,ykstsfud LVSe lSy VªkalIykaV  LVSe lSy gkosZÇLVx  jksxh dks VªkalIykaV ds fy, rS;kj djuk & daMh'kÇux  mipkj ds rkSj&rjhds & jDrkèkku vkSj jDr mRikn  vkuoq af'kd ijke'kZ vkSj ulks± dh Hkwfedk  cksu ejs ks VªkalIykaV ds ckn jksxh dh n[s kHkky  laHkkfor lÆtdy tfVyrkvks]a laØe.k] ;k vLohÑfr dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  cksu ejs ks VªkalIykaV oky s jksfx;ks a dh n[s kHkky es a ulks± dh Hkwfedk  cksu ejs ks VªkalIykaV eas vkSj mlds ckn mi;ksx dh tku s okyh vkS"kfèk;ka  iquokZl vkSj vuoq rÊ dkjoZ kbZ III 12 vXU;k'k; ¼iSufØ;kt½ VªkalIykaV  vXU;k'k; dh 'kkjhfjd jpuk vkSj 'kjhj fØ;k foKku dh leh{kk  nkrk vkSj çkIrdrkZ dk LokLF; vkadyu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkpa vkSj uSnkfud çfØ;k,a  vXU;k'k; VªkalIykaV ds y{k.k vkSj varfoZjksèk  VªkalIykaV çkIrdrkZ ds fy, ik=rk ekunaM  VªkalIykaV çkIrdrkZ dk ewY;kadu  nkrk dk p;u ,oa feyku  çkIrdrkZ dh vkWij's ku ls igys vkSj ckn dh ns[kHkky  VªkalIykaV çfØ;k vkSj var%fØ;kRed ns[kHkky  laHkkfor lÆtdy tfVyrkvks]a laØe.k] ;k vLohÑfr dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  iks"k.k vkSj CyM xqywdkst yos y dk çcaèku  vXU;k'k; VªkalIykaV ds ckn uÉlx çcaèku  vXU;k'k; VªkalIykaV eas mi;ksx dh tku s okyh vkS"kfèk;ka  iquokZl vkSj vuoq rÊ dkjoZ kbZ IV 12 vka= ¼buVSLVkbu½ VªkalIykaV  thvkbZ ç.kkyh dh 'kkjhfjd jpuk vkSj 'kjhj foKku dh leh{kk[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 37 bdkbZ ?kaVs fo"k;  nkrk vkSj çkIrdrkZ dk LokLF; vkadyu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkpa vkSj uSnkfud çfØ;k,a  vka= VªkalIykaV ds y{k.k vkSj varfoZjksèk  VªkalIykaV çkIrdrkZ ds fy, ik=rk ekunaM  VªkalIykaV çkIrdrkZ dk ewY;kadu  nkrk dk p;u ,oa feyku  çkIrdrkZ dh vkWij's ku&iwoZ ns[kHkky  nkrk vkSj çkIrdrkZ dh vkWijs'ku ds ckn dh n[s kHkky  VªkalIykaV çfØ;k vkSj var%fØ;kRed ns[kHkky  laHkkfor lÆtdy tfVyrkvks]a laØe.k] ;k vLohÑfr dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  iks"k.k lacaèkh fopkj  vka= VªkalIykaV eas ulks± dh Hkwfedk  vkarks a ds VªkalIykaV eas mi;ksx dh tkus okyh vkS"kfèk;ka  iquokZl vkSj vuoq rÊ dkjoZ kbZ V 10 us= ¼vkbZ½ VªkalIykaV  vka[k dh 'kkjhfjd jpuk vkSj 'kjhj fØ;k foKku dh leh{kk  LokLF; vkadyu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkpa vkSj uSnkfud çfØ;k,a  vka[k@dkWÆu;y VªkalIykaV ds y{k.k vkSj varfoZjksèk  nkrk dh n[s kHkky vkSj vax iquçkZfIr  VªkalIykaV çkIrdrkZ dk ewY;kadu  çkIrdrkZ dh vkWij's ku ls igys vkSj ckn dh ns[kHkky  VªkalIykaV çfØ;k vkSj var%fØ;kRed ns[kHkky  VªkalIykaV ds ckn laHkkfor tfVyrkvks a dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  VªkalIykaV eas ulks± dh Hkwfedk  VªkalIykaV eas mi;ksx dh tku s okyh vkS"kfèk;ka  iquokZl vkSj vuoq rÊ dkjoZ kbZ VI 8 Fkkbel vkSj xHkkZ'k; VªkalIykaV  Fkkbel vkSj xHkkZ'k; dh 'kkjhfjd jpuk vkSj 'kjhj foKku dh leh{kk  nkrk vkSj çkIrdrkZ dk LokLF; vkadyu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkpa vkSj uSnkfud çfØ;k,a  Fkkbel vkSj xHkkZ'k; VªkalIykaV ds y{k.k vkSj varfoZjksèk  VªkalIykaV çkIrdrkZ dk ewY;kadu  çkFkfed çfrj{kk dh deh vkSj Fkkbel folaxfr  VªkalIykaV ds ckn laHkkfor tfVyrkvks a dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  nkrk vkSj çkIrdrkZ dh vkWijs'ku ls igy s vkSj ckn dh ns[kHkky38 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] bdkbZ ?kaVs fo"k;  VªkalIykaV eas ulks± dh Hkwfedk  iquokZl vkSj vuoq rÊ dkjoZ kbZ VII 10 Ropk] ekalis'kh raf=dk] f'kjk] gìh vkSj d.Mjk dk VªkalIykaV cksu cSaÇdx  U;wjkseLdqyksLdsysVy ç.kkyh dh 'kkjhfjd jpuk vkSj 'kjhj foKku dh leh{kk  nkrk vkSj çkIrdrkZ dk LokLF; vkadyu & bfro`Ùk] 'kkjhfjd ijh{k.k] tkpa vkSj uSnkfud çfØ;k,a  rfa=dk] f'kjk] gìh vkSj d.Mjk VªkalIykaV ds y{k.k vkSj varfoZjksèk  VªkalIykaV çkIrdrkZ dk ewY;kadu  Ropk dh [kjkch] ely ,aM eLdqyksD;wVsfu;l ¶+ySIl] czsfd;y IyDs ll pksV] VasMu vkSj raf=dk LFkkukarj.k@VªkalIykaV] cksu xzk¶V  nkrk vkSj çkIrdrkZ dh vkWijs’ku ls igys vkSj ckn dh n[s kHkky  VªkalIykaV çfØ;k vkSj var%fØ;kRed ns[kHkky  VªkalIykaV ds ckn laHkkfor tfVyrkvks a dh fuxjkuh vkSj ewY;kadu rFkk mudk çcaèku  VªkalIykaV eas ulks± dh Hkwfedk  VªkalIykaV vkSj bE;wukslçs'ku es a mi;ksx dh tku s okyh vkS"kfèk;ka  iquokZl vkSj vuoq rÊ dkjoZ kbZ VIII 10 cPpksa esa VªkalIykaV  nkrk  çkIrdrkZ  cPpks a eas vax VªkalIykaV ds ckn uSnkfud Çprk,a IX 10 VªkalIykaV ds ckn LoLFk thou  nkrk vkSj çkIrdrkZ dh fuoZgu rS;kjh  iquokZl vkSj vuoq rÊ dkjoZ kbZ  iks"k.k] vkjke] O;k;ke lfgr LoLFk thou'kSyh  VªkalIykaV ds ckn ds eukslkekftd igyw  VªkalIykaV ds ckn LokLF; tksf[ke vkSj fuxjkuh  dkeqdrk  VªkalIykaV ds ckn lqjf{kr thou  D;wvks,y eqís & VªkalIykaV ds ckn 96 ?kaVs dkS'ky ç;ksx'kkyk esa vH;kl djus gsrq dkS'ky lwph ¼48 ?kaVs eas ladk; }kjk çn'kZu vkSj Nk=ks a }kjk vH;kl 'kkfey gS½A  ikfjokfjd f'k{kk  LokLF; f'k{kk dk fuoZgu  ijke'kZ[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 39  VªkalIykaV jksxh dks lkSaiuk  nLrkosthdj.k vkSj lR;kiu  vLohÑfr ds ladsrks a dh fuxjkuh djuk  bE;wukslçslUs V dk ç'kklu  iks"k.k lacaèkh vkadyu  VªkalIykaV ds mijkar jksfx;ks a ds fy, vkgkj ;kstuk  LokLF; vkadyu  çfrj{kkneudkjh xzkgd dh fuxjkuh fo'ks"k ikBîØeks a ds rgr lwphc) dkS'ky tSls VªkalIykaV uÉlx vH;kl ds eyw vkèkkj] VªkalIykaV uÉlx I vkSj VªkalIykaV uÉlx II ladk; }kjk dkS'ky ç;ksx'kkyk eas i<k+, tkr s gSaA ç;ksx'kkyk eas vH;kl dju s ds ckn Nk= VªkalIykaV bdkbZ eas vH;kl djuk tkjh j[ksxa sA ykWx cqd iwjh dh tkus okyh lHkh vgZrkvks a vkSj dkS'kyks a dh lwph dks fuÆn"V djrh gS] ftl ij Nk=ks a }kjk Lora= :i ls dkS'ky dju s eas n{krk fodflr dju s ds ckn çhlsIVj }kjk gLrk{kj fd, tku s gksrs gSaA lanHkZ xzaFk lwph  czwuj ,aM lqMkFlZ ¼2014½ VSDLVcqd vkWQ efsMdy lÆtdy uÉlx ¼[kaM 1] 13oka laLdj.k½ lkmFk ,f’k;u laLdj.k] okWYVlZ ,aM Dywoj ifCy’kj  cqlqfVy vkj-MCY;w- ,aM ÇDyVekYe th-ch- ¼2015½ VªkalIykaVs’ku vkWQ n fyoj ¼r`rh; laLdj.k½ lkWUMlZ ifCy’kj  diYl ,Q- ,aM lSaMªk ¼2016½ dksj D;wjhdqye QkWj VªkalIykaV ulsZt ¼f}rh; laLdj.k½ okWYVlZ ,aM DywolZ ifCy’kj  nslkbZ lh-ts- ¼2022½ VSDLV cqd vkWQ fyoj VªkalIykaVs’ku ¼çFke laLdj.k½ ikjl esfMdy ifCy’kj  dsU;u ,e- ,aM csfcd ,- ¼2003½ n ;wjksfi;u CyM ,aM eSjks VªkalIykaV's ku ¼çFke laLdj.k½ VSDLV cqd QkWj ulsZt] ÇLçxlZ ifCy’kj  fddZ ,-Mh-] Duspy ,l-ts-] yklZu lh-ih-] eSMlu ts-lh-] fi;jlu ts-lh- ,aM oscj ,l-,- ¼2014½ VDs LV cqd vkWQ vkWxZu VªkalIykaV's ku] foyh&CydS osy ifCy’kj  ekWfjl ih-ts- ,aM Duspy ,l-ts- ¼2019½ fdMuh VªkalIykaV's ku% fçafliYl ,aM çSfDVl ¼8oka laLdj.k½ ,Ylsfo;j ifCy’kj  ekWVZu ih-th- ,aM QkWuVus Mh-ds- ¼2013½ fØfVdy ds;j uÉlx% , gksfyfLVd vçksp ¼10oka laLdj.k½ fyÇidkWV fofy;El ,aM foÇYdl% fQykMsfYQ;k iwjk djus ds fy, vuq'kaflr ikBîØe  BLS  ACLS  PALS ifjf'k"V 1 1- vkbZlh;w ,MtLVscy bySDVªksfud dkWV fon eSVjsl & 10 2- vkbZoh LVaSM & 20 3- cSM lkbM ykQdj & 11 ¼10 & jksxh( 1 & LVkWd½ 4- vksoj csM VªkWyh & 10 5- MªÇslx VªkWyh ¼NksVh½ & 540 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 6- MªÇslx VªkWyh ¼eè;e½ & 2 7- flÇjt iai & 20 8- bU¶;wtu iai & 15 9- ekWfuVj & 11 ¼10 & jksxh( 1 & LVkWd½ 10- VªkaliksVZ ekWfuVj@iYl vkWDlhehVj & 2 11- osfaVysVj & 5 12- iksVsZcy osfaVysVj &1 13- ,chth e'khu & 1 14- bZlhth e'khu & 1 15- vYVªklkmaM e'khu & 1 16- MkWiyj e'khu & 1 17- MhfQfczysVj & 2 18- isfjQsjy uoZ fLVeqysVj & 1 19- CyM okeZj ,aM ¶Y;wM okeZj & 1 20- jksxh okeZj & 2 21- lhDosfa’k;y daçs’ku fMokbl & 5 22- ,ybZMh 'khYM & 1 23- ØS'k dkVZ & 1 24- VªkaLQj VªkWyh & 4 25- vksVh baLVªew asV VªkWyh & 2 26- lsQ LykbMj & 2 27- csu lÆdV & 6 28- vkWDlhtu ¶yksehVj & 15 29- tkj ds lkFk lD'ku iksVZ & 10 30- ,;j ¶yksehVj@iYeks&,M& 2 31- fÝt & 2 ¼1 & [kk| inkFkZ] 1 & vkS"kfèk;ka½ 32- eVs y QqVLVis @QqV LVwy & 7 33- ,acqys’ku p;s j & 5 34- ¶ySV VªkWyh & 1 35- daVhU;wvl jhuy fjIyls esaV Fksjsih ¼lhvkjvkjVh½ e'khu & 2 36- LikWVykbV & 2 37- XywdksehVj & 5 38- fofHkUu vkdkjks a ds vacq cSx & 10 lsV 39- Q+kbcjvkWfIVd czksda ksLdksi & 1[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 41 40- baVqcsÇVx ohfM;ksLdkis & 1 41- fofHkUu çfØ;kvks a ds fy, LVsjkby lsV@fMLikstscy lsV ds lkFk Vªs ¼mnkgj.k ds fy, lsVa ªy ohul dSFksVj dk varosZ'ku] Vªds kLs Vkseh vkfn½ 42- Mk;ykbtj ifjf'k"V 2 vkadyu fn'kkfunsZ'k ¼vks,llhbZ fn'kkfunsZ'kksa lfgr½ vkarfjd vkadyu ¼lS)kafrd vkSj çk;ksfxd½ çFke o"kZ 1- mUur uÉlx vH;kl ds fy, lS)kafrd vkèkkj dkWyst ijh{kk & dsoy lS)kafrd % 50 vad vkarfjd vkadyu% ç'u&i= vkSj ç'uksÙkjh% 10 vad fyf[kr dk;Z@vkofèkd ç'u&i=% 10 vad ¼oSf'od vkSj jk"Vhª; LokLF; n[s kHkky ds #>ku vkSj uhfr;ka½ uSnkfud lsfeukj% 5 vad ¼ fof'k"V uSnkfud fLFkfr es a uSnkfud@ns[kHkky ekxZ@fof'k"V uÉlx fl)kar dk vuqç;ksx½ vafre lS)kafrd dkWyst ijh{kk% 25 vad dqy% 50 vad 2- VªkalIykaV uÉlx esa 'kksèk vuqç;ksx rFkk lk{; vkèkkfjr vH;kl lS)kfUrd% ç'u&i=% 20 vad fyf[kr dk;Z% 5 vad ¼lkfgR;d leh{kk@'kksèk midj.k dh rS;kjh½ tuZy Dyc% 5 vad ¼VªkalIykaV uÉlx n{krkvks a ds fy, 'kksèk lk{; dk fo'ys"k.k½ dqy% 30 vad 3- usr`Ro] çcaèku rFkk f'k{k.k dkS'ky esa mUur dkS'ky lS)kfUrd% ç'u&i=% 15 vad tuZy Dyc ¼urs `Ro@çcaèku@f'k{k.k eas #>ku½ % 5 vad fyf[kr dk;Z% 5 vad ¼dk;ZLFky fgalk½ odZ Iysl okWbysla lw{e f'k{k.k% 5 vad dqy% 30 vad 4- VªkalIykaV uÉlx esa vuqç;qDr mUur iSFkksfQft;ksykWth rFkk mUur QkekZdksykWth lS)kfUrd% ç'u&i= vkSj ç'uksÙkjh% 20 vad ¼iSFkksfQft;ksykWth% 10] QkekZdksykWth% 10½ vkS"kfèk vè;;u% 5 vad ¼vkS"kfèk vè;;u ,oa çLrqfrdj.k½ ekey s dh çLrqfr vkSj ekey s dh vè;;u fjikVs Z ¼iSFkksfQft;ksykWth½% 5 vad dqy% 30 vad42 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 5- mUur LokLF;@'kkjhfjd vkadyu lS)kfUrd% ç'u&i=% 20 vad fyf[kr dk;Z% 10 vad ¼uSnkfud@tkap fjiksVZ & O;k[;k vkSj fu"d"kks± dk fo'ys"k.k½ dqy% 30 vad çk;ksfxd% uSnkfud çn'kZu vkadyu% 10 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad ekey s dh çLrqfr vkSj ekeys dh vè;;u fjikVs Z% 5 vad vkarfjd vks,llhbZ% 25 vad dqy vkarfjd çk;ksfxd% 50 vad inLFkkiu i'pkr ijh{kk dk vk;kstu VªkalIykaV bdkbZ esa fd;k tk ldrk gS f}rh; o"kZ 1- VªkalIykaV uÉlx vH;kl ds ewy vkèkkj lS)kfUrd% ç'u&i= vkSj ç'uksÙkjh% 20 fyf[kr dk;Z% 10 vad ¼VªkalIykaV çksVksdkWy½ dqy% 30 vad çk;ksfxd% uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad vkS"kfèk vè;;u ¼vkS"kfèk vè;;u vkSj çLrqfr½% 10 vad ekey s dh çLrqfr vkSj ekey s dh vè;;u fjikVs Z ¼ikfjokfjd f'k{kk@ijke'kZ½% 5 vad ekey s dh çLrqfr ¼uSnkfud@ns[kHkky ekxZ dk vuçq ;ksx½% 5 vad vkarfjd vks,llhbZ% 50 vad dqy vkarfjd çk;ksfxd% 100 vad 2- VªkalIykaV uÉlx I lS)kfUrd% ç'u&i= vkSj ç'uksÙkjh% 20 vad uSnkfud lsfeukj vkSj tuZy Dyc% 10 vad dqy vad% 30 vad çk;ksfxd% uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 43 uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjikVs Z% 10 vad vkarfjd vks,llhbZ% 50 vad dqy vkarfjd çk;ksfxd% 100 vad 3- VªkalIykaV uÉlx II lS)kfUrd% ç'u&i=% 20 vad uSnkfud lsfeukj % 10 vad dqy% 30 vad çk;ksfxd% uSnkfud çn'kZu vkadyu% 20 vad inLFkkiu ds i'pkr ijh{kk ¼vks,llhbZ½% 10 vad uSnkfud çLrqfr% 10 vad ekey s dh vè;;u fjikVs Z ¼fodflr uSnkfud@n[s kHkky ekxZ½% 10 vad vkarfjd vks,llhbZ% 50 vad dqy vkarfjd çk;ksfxd% 100 vad inLFkkiu i'pkr ijh{kk dk vk;kstu VªkalIykaV vkbZlh;w@LVSi Mkmu bdkbZ esa fd;k tk ldrk gS 4- 'kksèk fucaèk çk;kSfxd% 50 vad cká ¼vafre½ ijh{kk ¼ikBîØe esa nh xbZ vuqlwph ds vuqlkj½ lS)kafrd% y?kq mÙkj vkSj fucaèk çdkj ds ç'u ¼Hkkfjrk fo'ofo|ky; }kjk r; dh tk ldrh gS½ ¿fucaèk 2 × 15 vad ¾ 30] laf{kIr mÙkj 5 × 6 vad ¾ 30] vfry?kq 5 × 2 vad ¾ 10À vkarfjd vkSj cká çk;ksfxd ijh{kk ds fy, vks,llhbZ fn'kkfunsZ'k çFke o"kZ I. LokLF; vkadyu vkarfjd vks,llhbZ% 25 vad eq[; n{krk {ks= 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k 2- o;Ld jksxh dh ldsfaær 'kkjhfjd tkpa 3- cky jksxh dk ldsafær bfro`Ùk yus k 4- cky jksxh dh ldsafær 'kkjhfjd tkap 5- bfro`Ùk vkSj 'kkjhfjd tkpa fu"d"kks± dh O;k[;k 6- ç;ksx’kkyk vkSj uSnkfud ijh{k.kks a ds ifj.kkeks a dh O;k[;k44 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 7- uSnkfud ekinMa ks a dh fuxjkuh LVs'kuksa dh la[;k% 5 ¼4 $ 1 jSLV LVs'ku½ çR;sd LVs'ku ds fy, le;% 10 feuV çR;sd LVs'ku ds fy, vad% 5 vad ¼n{krk tkap lwph vkSj vkoafVr vadksa ds vuqlkj½ dqy vad% 4 × 5 ¾ 20 vad ekSf[kd ijh{kk ¾ 5 vad dqy ¾ 25 vad cká vks,llhbZ% 50 vad eq[; n{krk {ks= 1- o;Ld jksxh dk dsfaær bfro`Ùk yus k 2- o;Ld jksxh dh dsfaær 'kkjhfjd tkap 3- cky jksxh dk dsfaær bfro`Ùk ysuk 4- cky jksxh dh dsfaær 'kkjhfjd tkpa 5- bfro`Ùk dh O;k[;k vkSj 'kkjhfjd ijh{kk ds fu"d"kZ 6- ç;ksx'kkyk vkSj uSnkfud ijh{k.kks a ds ifj.kkeks a dh O;k[;k 7- uSnkfud ekinMa ks a dh fuxjkuh LVs'kuksa dh la[;k% 10 ¼8 $ 2 jsLV LVs'ku½ çR;sd LVs'ku ds fy, le;% 10 feuV çR;sd LVs'ku ds fy, vad% 5 vad ¼n{krk psd lwph vkSj vkoafVr vadks ds vuqlkj½ dqy vad% 8 × 5 ¾ 40 vad ekSf[kd ijh{kk ¾ 10 vad dqy ¾ 50 vad ykWx cqd vkSj uSnkfud vko';drkvksa esa çfØ;kRed n{krkvksa ds iwjk gksus ij] ,uih Nk= vafre çk;ksfxd ijh{kk esa cSBus ds fy, ;ksX; gksrk gSA f}rh; o"kZ II. VªkalIykaV uÉlx vH;kl ds ewy vkèkkj vkarfjd vks,llhbZ% 50 vad eq[; n{krk {ks= 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkpa vkSj ifj.kkeks a dh O;k[;k djuk 2- cky jksxh dk ldsafær bfro`Ùk yus k] 'kkjhfjd tkpa vkSj ifj.kkeksa dh O;k[;k djuk 3- fuxjkuh n{krk,a ¼buosflo rFkk ukWu&buosflo½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 45 4- n[s kHkky ;kstuk dk fodkl 5- ikfjokfjd f'k{kk vkSj ijke'kZ 6- VªkalIykaV bdkbZ dh rS;kjh 7- laØe.k fu;a=.k 8- fpfdRlh; eè;orZu ftles a vkS"kfèk ç'kklu 'kkfey gS LVs'kuksa dh la[;k% 5 ¼4 $ 1 jsLV LVs'ku½ çR;sd LVs'ku ds fy, le;% 10 feuV çR;sd LVs'ku ds fy, vad% 10 vad ¼n{krk tkap lwph vkSj vkoafVr vadksa ds vuqlkj½ dqy vad% 10 × 4 ¾ 40 vad ekSf[kd ijh{kk ¾ 10 vad dqy ¾ 50 vad cká vks,llhbZ% 100 vad eq[; n{krk {ks= 1- o;Ld jksxh dk ldsfaær bfro`Ùk yus k] 'kkjhfjd tkpa vkSj ifj.kkeks a dh O;k[;k djuk 2- cky jksxh dk ldsafær bfro`Ùk yus k] 'kkjhfjd tkpa vkSj ifj.kkeksa dh O;k[;k djuk 3- fuxjkuh n{krk,a ¼buosflo rFkk ukWu&buosflo½ 4- n[s kHkky ;kstuk dk fodkl 5- ikfjokfjd f'k{kk vkSj ijke'kZ 6- VªkalIykaV bdkbZ dh rS;kjh 7- laØe.k fu;a=.k 8- fpfdRlh; eè;orZu ¼vkikrdkyhu çfØ;k,a½ ftleas vkS"kfèk ç'kklu 'kkfey gS LVs'kuksa dh la[;k% 10 ¼8 $ 2 jsLV LVs'ku½ çR;sd LVs'ku ds fy, le;% 10 feuV çR;sd LVs'ku ds fy, vad% 10 vad ¼n{krk tkap lwph vkSj vkoafVr vadks ds vuqlkj½ dqy vad% 8 × 10 ¾ 80 vad ekSf[kd ijh{kk ¾ 20 vad dqy ¾ 100 vad VªkalIykaV uÉlx I vkSj II vkarfjd vks,llhbZ% 50 vad eq[; n{krk {ks= 1- o;Ld vkSj cky jksxh dk ldsfaær bfro`Ùk ysuk] 'kkjhfjd tkap vkSj ifj.kkeks a dh O;k[;k djuk 2- fuxjkuh n{krk,a ¼buosflo rFkk ukWu&buosflo½46 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3- czsuLVSe dk;Zç.kkyh dk ewY;kadu 4- vaxnku ds fy, ikfjokfjd f'k{kk vkSj ijke'kZ 5- VªkalIykaV çkIrdrkZ dk ijke'kZ 6- n[s kHkky@n[s kHkky ekxZ ;kstuk dk fodkl 7- VªkalIykaV ltZjh ds fy, vkWijsÇVx :e dh rS;kjh 8- vkS"kfèk ç'kklu 9- fpfdRlh; eè;orZu LVs'kuksa dh la[;k% 5 ¼4 $ 1 jsLV LVs'ku½ çR;sd LVs'ku ds fy, le;% 10 feuV çR;sd LVs'ku ds fy, vad% 10 vad ¼n{krk tkap lwph vkSj vkoafVr vadks ds vuqlkj½ dqy vad% 10 × 4 ¾ 40 vad ekSf[kd ijh{kk ¾ 10 vad dqy ¾ 50 vad cká vks,llhbZ% 100 vad eq[; n{krk {ks= 1- o;Ld vkSj cky jksxh dk ldsfaær bfro`Ùk ysuk] 'kkjhfjd tkap vkSj ifj.kkeks a dh O;k[;k djuk 2- fuxjkuh n{krk,a ¼buosflo rFkk ukWu&buosflo½ 3- czsuLVSe dk;Zç.kkyh dk ewY;kadu 4- vaxnku ds fy, ikfjokfjd f'k{kk vkSj ijke'kZ 5- VªkalIykaV çkIrdrkZ dk ijke'kZ 6- n[s kHkky@n[s kHkky ekxZ ;kstuk dk fodkl 7- VªkalIykaV ltZjh ds fy, vkWijs’ku :e dh rS;kjh 8- vkS"kfèk ç'kklu 9- fpfdRlh; eè;orZu LVs'kuksa dh la[;k% 10 ¼8 $ 2 jsLV LVs'ku½ çR;sd LVs'ku ds fy, le;% 10 feuV çR;sd LVs'ku ds fy, vad% 10 vad ¼n{krk tkap lwph vkSj vkoafVr vadksa ds vuqlkj½ dqy vad% 8 × 10 ¾ 80 vad ekSf[kd ijh{kk ¾ 20 vad dqy ¾ 100 vad ykWx cqd vkSj uSnkfud vko';drkvksa esa çfØ;kRed n{krkvksa ds iwjk gksus ij] ,uih Nk= vafre çk;ksfxd ijh{kk esa cSBus ds fy, ;ksX; gksrk gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 47 ifjf'k"V 3 dk;ZØe ds fy, uSnkfud ykWx cqd ¼çfØ;kRed n{krk,a@dkS'ky½ ifjf'k"V 3d% çFke o"kZ ds fy, uSnkfud ykWx cqd Ø-la- fof'k"V n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj I 'kksèk vuqç;ksx rFkk lk{; vkèkkfjr vH;kl 1 'kksèk midj.k dh rS;kjh 2 çdk'ku ds fy, ikaMqfyfi rS;kj djuk ¼çFke@f}rh; o"kZ½ 3 O;ofLFkr leh{kk@lkfgR;d leh{kk ys[ku 4 'kksèk fucaèk ¼f}rh; o"kZ½ fo"k;% II 1 LVkQ jksxh fufgr dk;Z rS;kj djuk 2 bdkbZ dk ctV rS;kj djuk 3 LVkQ MîwVh jksLVj rS;kj djuk 4 jksxh n[s kHkky laijh{k.k 5 uÉlx n[s kHkky ekud@çksVksdkWy rS;kj djuk 6 midj.k vkSj vkiwÆr çcaèku 7 laØe.k fu;a=.k ls lacafèkr fuxjkuh] vkadyu vkSj fjiksVZ y[s ku 8 lw{e f'k{k.k@jksxh f'k{kk l= 9 jksfx;ks a vkSj deZpkfj;ks a dks i<+ku s ds fy, f'k{k.k ;kstuk rFkk ehfM;k rS;kj djuk 10 vks,llhbZ@vks,lihbZ ;kstuk cukuk vkSj lapkyu djuk 11 ijh{k.k fuekZ.k III LokLF; vkadyu 1 O;kid bfro`Ùk ysuk 2 ldfsaær bfro`Ùk ysuk ¼çfØ;kokj½ 3 O;kid 'kkjhfjd tkap 4 ldfsaær 'kkjhfjd tkap ¼çfØ;kokj½ 4-1 'olu r=a 4-2 ân; r=a48 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Ø-la- fof'k"V n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj 4-3 tBjkU= 4-4 Luk;fod 4-5 o`Dd 5 vk;q fof'k"V bfro`Ùk vkSj 'kkjhfjd tkap 5-1 cqtqxZ 5-2 o;Ld 5-3 ckyd IV uSnkfud çfØ;k,a 1 jDr uewuk ysuk 1-1 ck;ksdSfeLVªh 1-2 uSnkfud jksx funku 1-3 ekbØksck;ksykWth 1-4 ,chth 1-5 CyM dYpj 2 çfØ;kvksa esa lgk;rk djuk 2-1 iSjklsUVfsll 2-2 fyoj ck;ksIlh 2-3 jhuy ck;ksIlh 2-4 cksu eSjks ,fLijs'ku 3 çfØ;kvksa dks ns[kuk 3-1 iSV LdSu 3-2 bZlhvkjih 3-3 ,aMksLdksih 3-4 ,evkjvkbZ@lhVh 3-5 vYVªklkmaM 3-6 bdkds kÆM;ksxzke 3-7 bZlh,evks 3-8 jhuy MkWiyj@,aft;ksxzke V ewy n{krk,a 1 ços'k[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 49 Ø-la- fof'k"V n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj 2 LFkkukarj.k 3 NqV~Vh@ykek 4 efsMdk&s yhxy daiykbal 5 ikfjokfjd f’k{kk 6 VªkalIykaV ns[kHkky midj.kksa dh LFkkiuk] mi;ksx vkSj j[kj[kko 6-1 ekWfuVj 6-2 VªkUlMîlw j@çSlj cSx 6-3 VSaijps j çksCl 6-4 SpO çksCl 2 6-5 vuqØfed laihM+u midj.k 6-6 12&yhM bZlhth ekWfuVj 6-7 CyM@¶Y;wM okeZj 6-8 flÇjt iai 6-9 bU¶;wtu iai 6-10 vYQk@,;j eSVªls 7 7-1 vkfVZfj;y CyM xSl ¼,chth½ 7-2 vkWDlhtu lspqj’sku 7-3 ,aMksVªfsp;y Vîcw dQ çslj 7-4 gseksMk;ufseDl 7-5 byDs VªksdkÆM;ksxzke ¼bZlhth½ 7-6 pSLV ,Dljs 7-7 ukWu&buosflo chih ekWfuVÇjx 7-8 Xyklxks dksek Ldkjs 7-9 lsMs'ku Ldksj 7-10 isu Ldksj 7-11 czSMsu Ldkjs 7-12 ckWosy lkmaM 7-13 thvkjch,l50 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Ø-la- fof'k"V n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj 8 VªkalIykaV ns[kHkky 8-1 VªkalIykaV ls igy s O;k;ke 8-2 jhuy VªkalIykaV eas ¶Y;wM çcaèku 8-3 fpfdRlh; vkS"kfèk fuxjkuh 8-4 fpfdRlh; IykTek fofue; 8-5 ?kko çcaèku 8-6 xzk¶V vLohÑfr dk çcaèku 9 ijke'kZ 9-1 O;fDrxr 9-2 ikfjokfjd 10 vaxnku ij lkoZtfud tkx:drk iSnk djuk *Nk= ds dkS'ky çn'kZu es a l{ke ik, tkus ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA Nk=% Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd dbZ ckj djs a tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkr]s ftlds ckn çhlsIVj çR;sd n{krk ds le{k gLrk{kj djsxa sA çhlsIVj@ladk;% ;g lqfuf'pr djuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fn, x, gSaA  Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu dj ldrk gSA  Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu dj ldrk gSA  Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu dju s eas l{ke ugÈ gSA fVIi.kh% 5&10% nqyZHk çfØ;kvks a dk vH;kl dkS'ky ç;ksx'kkyk eas fd;k tk ldrk gS vkSj Lrj 3 n{krk çkIr djuh pkfg,A dk;ZØe leUo;d@ladk; ds gLrk{kj foHkkxkè;{k@çèkkukpk;Z ds gLrk{kj ifjf'k"V 3[k% f}rh; o"kZ ds fy, uSnkfud ykWx cqd Ø-la- fo'ks"k n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj mUur n{krk,a 1 VªkalIykaV ns[kHkky midj.kksa dh LFkkiuk] mi;ksx vkSj j[kj[kko 1-1 osfaVysVj 1-2 fMfQfczyVs lZ 1-3 CPAP/BiPAP 1-4 ØS'k VªkWyh[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 51 Ø-la- fo'ks"k n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj 2 ej.kklUu dh ns[kHkky 3 e`R;qi;±r n[s kHkky 4 laØe.k fu;a=.k vH;kl 5 ekud lkoèkkfu;ka 6 dhVk.kq'kksèku@folaØe.k 7 ch,y,l 8 ,lh,y,l 9 9-1 dsuksxzkQh 9-2 PiCCO 9-3 baVªkØsfu;y çs’kj ¼vkbZlhih½ 9-4 buosflo chih ekWfuVfjax 10 vkS"kfèk ç'kklu 10-1 lhMs’ku 10-2 ely fjysDlasV 10-3 byDs VªksykbV djsD’ku 10-4 balqfyu bu¶;wtu 10-5 buksVªksi ç'kklu 10-6 dksfVZdksfLVjkWbM 10-7 vkbZthth@,Vhth dk ç'kklu 11 ân; çR;korZu dk çcaèku 11-1 ¶Y;wM ,MfefuLVªs'ku ¼dksyksbM@fØLVkyksbM½ 11-2 jDr vkSj jDr mRikn ç'kklu 11-3 lhohih ykbu yxkuk vkSj ns[kHkky djuk 11-4 lhohih ykbu gVkuk 11-5 vkfVZfj;y ykbu yxku s eas lgk;rk djuk 11-6 vkfVZfj;y ykbu dh n[s kHkky 11-7 vkfVZfj;y ykbu dks gVkuk 11-8 Qq¶Qqlh; èkeuh dSFksVj yxku s eas lgk;rk djuk52 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Ø-la- fo'ks"k n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj 11-9 vkfVZfj;y ykbu ls jDr laxzg.k 12 Qq¶Qqlh; çR;korZu dk çcaèku 12-1 ,;jos ,fIyds’ku 12-2 yÇsjX;y ekLd ,;jos 12-3 baVqcs'ku es a lgk;rk djuk 12-4 bZVh Vîwc dh ns[kHky djuk 12-5 ,DlVîcw s'ku 12-6 Vªsfd;ksLVkseh yxku s eas lgk;rk djuk 12-7 Vªsfd;ksLVkseh n[s kHkky vkSj lD'kÇux 12-8 ,aMksVªfsp;y lD’kfuxa & [kqyk 12-9 ,aMksVªfsp;y lD’kfuxa & can 12-10 iksLVîqjy Mªus ts 12-11 ucs qykbts'ku 12-12 eSdsfudy osfaVysVj ij jksfx;ks a dh n[s kHkky 12-13 ukWu&buosflo osfaVys'ku 12-14 osfaVysVj yxkuk 12-15 osfaVysVj gVkuk 12-16 Vh&Vîcw vkSj osuVîqjh midj.k dk mi;ksx 12-17 Vªsfd;ksLVkseh ls gVkuk 12-18 pLs V fQft;ksFksjsih 13 vaxnku çfØ;k 13-1 laHkkfor nkrk dh n[s kHkky 13-2 laHkkfor nkrk dh igpku 13-3 laHkkfor nkrk dh tkap 13-4 czsuLVSe MSFk bosY;q,’ku 13-5 vaxnku ds fy, ikfjokfjd ijke'kZ 13-6 çkfèkÑr djus vkSj lgefr nsus dh çfØ;k 13-7 lqjf{kr vax igqapkuk 14 o`Dd çR;korZu dk çcaèku[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 53 Ø-la- fo'ks"k n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj 14-1 gseksMk;fyfll ds fy, dSU;qy's ku es a lgk;rk djuk 14-2 gseksMk;fyfll dh 'kq#vkr vkSj lekiu 14-3 gseksMk;fyfll ij jksxh dh ns[kHkky 14-4 isfjVksfu;y Mk;fyfll 'kq: djuk 14-5 isfjVksfu;y Mk;fyfll ij jksxh dh ns[kHkky 15 tBjkU= çR;korZu dk çcaèku 15-1 iks"k.k vkadyu 15-2 fpfdRlh; vkgkj ;kstuk 15-3 xSLVªksLVkseh@tstquksLVkWeh QhÇMx 15-4 isjsVa js y iks"k.k 16 var%lzkoh çR;korZu dk çcaèku 16-1 VkbVªsfVax balqfyu 16-2 LVsjkWbM&çcèa ku dh x.kuk 17 çfØ;k vkSj tkap ds vkns'k 17-1 bZlhth 17-2 ,chth 17-3 pLs V ,Dl&js 17-4 vYVªklkmaM 17-5 tSojlk;fud tkap 17-6 ekbØksck;ksykWth tkap 18 mipkj ds vkns'k 18-1 ucs qykbts'ku 18-2 vkWDlhtu Fksjsih 18-3 pSLV fQft;ksFksjsih 18-4 ;wfjujh dsFksVj yxkuk vkSj gVkuk 18-5 VSLV QhM~l 18-6 'kY;&fpfdRlh; ejge&iêh 18-7 Vkads gVkuk 18-8 fgeksMk;yfsll çkjHa k djuk54 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Ø-la- fo'ks"k n{krk,a@dkS'ky çn'kZu dh frfFk çhlsIVj*@ladk; ds xbZ la[;k gLrk{kj 18-9 fgeksMk;yfsll can djuk 18-10 FkzksEcksf¶yfcfVl@,DlVªkosl's ku ds fy, bDFkkeksy fXyljhu@eSXuhf'k;e lYQsV ejge&iêh dk vuçq ;ksx 18-11 xeZ vkSj BaMk vuçq ;ksx 19 vkWxZu fjVªhoy rFkk VªkalIykaV ds fy, vkWijs'ku d{k n{krk,a 19-1 vkWijs'ku ls igy s nLrkostks a dk+ lR;kiu 19-2 jksxh dks rRdky iksLV&vkWijfsVo vkbZlh;w dks lkSaiuk 19-3 vksVh eas ulks± ds nLrkost cuk, j[kuk 19-4 vkWijs'ku VªkWyh dh LFkkiuk 19-5 LØc ulZ ds :i es a vksVh eas lgk;rk djuk & vaxnku 19-6 LØc ulZ ds :i es a vksVh eas lgk;rk djuk & VªkalIykaVs’ku 19-7 ldqZysVjh ulZ ds :i eas vkVs h eas lgk;rk djuk 19-8 vkWxZu ij¶;wtu eas lgk;rk djuk 19-9 balqfyu fMªi çcaèku 19-10 vksVh ¶;wehxs’ku 19-11 vkWxZu gkoZsfLVxa eas lgk;rk djuk 20 çkIrdrkZ dh ns[kHkky 20-1 VªkalIykaV ds fy, O;fDrxr@ikfjokfjd ijke'kZ 20-2 çkIrdrkZ dh ns[kHkky & vkWij's ku ls igys vkSj ckn esa 20-3 rRdkfyd VªkalIykaV jksfx;ks a dh fuxjkuh 20-4 bE;wukslçslUs V~l dk ç'kklu vkSj fuxjkuh 21 VªkalIykaV ds ckn LokLF; f'k{kk & O;fDrxr rFkk ikfjokfjd *Nk= ds dkS'ky çn'kZu es a l{ke ik, tkus ij] ml ij çhlsIVj }kjk gLrk{kj fd, tk,axsA Nk=% Nk=ks a ls ;g vis{kk dh tkrh gS fd os lwphc) dkS'kyks@a n{krkvks a dks rc rd dbZ ckj djs a tc rd fd os Lrj 3 n{krk rd ugÈ igqap tkr]s ftlds ckn çhlsIVj çR;sd n{krk ds le{k gLrk{kj djsxa sA çhlsIVj@ladk;% ;g lqfuf'pr djuk pkfg, fd çR;sd n{krk ds fy, gLrk{kj] Lrj 3 ij igqapus ds ckn gh fn, x, gSaA  Lrj 3 n{krk ;g n'kkZrh gS fd ,uih Nk= i;Zos{k.k ds fcuk ml n{krk dk laiknu dj ldrk gSA  Lrj 2 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk çR;sd n{krk dk laiknu dj ldrk gSA  Lrj 1 n{krk ;g n'kkZrh gS fd Nk= i;Zos{k.k ds lkFk Hkh ml n{krk@dkS'ky dk çn'kZu dju s eas l{ke ugÈ gSA[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 55 fVIi.kh% 5&10% nqyZHk çfØ;kvks a dk vH;kl dkS'ky ç;ksx'kkyk eas fd;k tk ldrk gS vkSj Lrj 3 n{krk çkIr djuh pkfg,A dk;ZØe leUo;d@ladk; ds gLrk{kj foHkkxkè;{k@çèkkukpk;Z ds gLrk{kj ifjf'k"V 4 ¼,uihVh,u½ ds fy, uSnkfud vgZrk,a Ø-la- uSnkfud vko';drk,a frfFk çhlsIVj@ladk; ds gLrk{kj 1 uSnkfud lsfeukj@tuZy Dyc@uSnkfud lEesyu 1-1 VªkalIykaV uÉlx vH;kl ds ewy vkèkkj ¼uSnkfud lEesyu½ fo"k; dk 'kh"kZd% 1-2 VªkalIykaV uÉlx I ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% 1-3 VªkalIykaV uÉlx I ¼tuZy Dyc½ fo"k; dk 'kh"kZd% 1-4 VªkalIykaV uÉlx II ¼uSnkfud lsfeukj½ fo"k; dk 'kh"kZd% 1-5 VªkalIykaV uÉlx II ¼tuZy Dyc½ fo"k; dk 'kh"kZd% 2 uSnkfud nkSjs ¼uÉlx LVkQ] ladk;] Nk=ksa ds lkFk½ & uSnkfud@ekeys dh çLrqfr ¼fyf[kr fjiksVZ tek djus ds fy, gSa½ 2-1 VªkalIykaV uÉlx vH;kl ds ewy vkèkkj ¼ikfjokfjd f'k{kk@ijke'kZ½ fyf[kr fjiksVZ 'kh"kZd dk uke% 2-2 VªkalIykaV uÉlx vH;kl ds ewy vkèkkj ¼vkikrdkyhu ns[kHkky ekxZ½ 'kh"kZd dk uke% 2-3 VªkalIykaV uÉlx I ¼uSnkfud fLFkfr½ uSnkfud fLFkfr dk uke% 2-4 VªkalIykaV uÉlx I ¼ekeys dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke%56 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Ø-la- uSnkfud vko';drk,a frfFk çhlsIVj@ladk; ds gLrk{kj 2-5 VªkalIykaV uÉlx II ¼uSnkfud fLFkfr½ uSnkfud fLFkfr dk uke% 2-6 VªkalIykaV uÉlx II ¼ekeys dh vè;;u fjiksVZ½ uSnkfud fLFkfr dk uke% vkS"kfèk vè;;u ¼LFkk;h vkns'kksa ds rgr lwphc) vkS"kfèk;ka½ csMlkbM çLrqfr ¼ikap fyf[kr fjiksVZ½ 2-7 vkS"kfèk dk uke% 2-8 vkS"kfèk dk uke% 2-9 2-10 2-11 2-12 2-13 2-14 2-15 2-16 3 varÆo"k;d uSnkfud nkSj s ¼VªkalIykaV ny ds lkFk½ & uSnkfud@ekeys dh çLrqfr 3-1 VªkalIykaV uÉlx I uSnkfud fLFkfr dk uke% 3-2 3-3 3-4 3-5 ¼ekey s dh vè;;u fjikVs Z½ 3-6 VªkalIykaV uÉlx II 3-7 3-8 3-9 ¼ekey sdh vè;;u fjikVsZ½[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 57 Ø-la- uSnkfud vko';drk,a frfFk çhlsIVj@ladk; ds gLrk{kj 3-10 fyf[kr fjiksVZ ¼fodflr uSnkfud@ns[kHkky ekxZ½ fVIi.kh% uSnkfud çLrqfr dks ekeys dh vè;;u fjikVs Z ds fy, fy[kk tk ldrk gSA dk;ZØe leUo;d@ladk; ds gLrk{kj foHkkxkè;{k@çèkkukpk;Z ds gLrk{kj uSnkfud vuqHko fooj.k VªkalIykaV bdkbZ uSnkfud fLFkfr ns[kHkky fnuksa ladk;@çhlsIVj ds dh la[;k gLrk{kj dk;ZØe leUo;d@ladk; ds gLrk{kj foHkkxkè;{k@çèkkukpk;Z ds gLrk{kj58 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ifjf'k"V 5 LFkk;h vkns'k ulZ çSfDV'kuj bu VªkalIykaV uÉlx ¼,uihVh,u½ ulZ çSfDV'kuj] VªkalIykaV jksfx;ks a dh ns[kHkky ds fy, ftEens kjh vkSj mÙkjnkf;Ro laHkkyus ds fy, rS;kj vkSj ;ksX; gksrs gSaA os mPp rh{.kr vko’;drk okys jksfx;ks a ds fy, lVhd fpfdRlk lqfuf'pr dju s gsrq buVsfalfoLV] fQftf’k;u] ltZu] vkSj fo'ks"kKks a ds lkFk lg;ksx djr s gSaA dk;ZØe ds iwjk gksus ij] ulZ çSfDV'kuj dks laLFkkxr çksVksdkWy@LFkk;h vkn's kks a ds vuqlkj LFkk;h vkn's kks a eas lwphc) vkS"kfèk;ks a dks ç'kkflr dju s dh vuqefr gksxhA mUgs a uSnkfud ijh{k.k@ çfØ;kvks a vkSj mipkjks a dk vkns'k nus @s dju s dh Hkh vuqefr gksxhA VªkalIykaV n[s kHkky bdkbZ es a ulZ çSfDV'kuj }kjk fuEufyf[kr baVªkosul bta sD'ku ;k bU¶;wtu fn, tk ldrs gSa% dSVsdksykekbu 1- ,fMªuSfyu 2- uksjkMªus kykbu 3- Mksikekbu 4- MksC;wVkekbu ,aVhfMlfjFkfed 5- ,Msukslkbu 6- vfe;ksMsjksu 7- fyMksdsu@tkbyksdkMZ ,MªsuÆtd ,tsaV 8- ,QsfMªu czksadksMkbZysVlZ 9- ,feuksQkbfyu 10- MsjhQkbfyu ukWu&fMiksyjkbftax LdsysVy ely fjySDlsaV 11- ,VªkD;wfj;e ¼osD;wjksfu;e] iSuD;wfj;e½ dksyhuèkeZjksèkh 12- ,Vªksfiu lYQsV ,aVhfgLVehu 13- ,foy mPpjDrpkijksèkh 14- DyksfuMhu 15- fXyljhu VªkbZfuVªVs 16- vkblksIVhu[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 59 dksÆVdksLVsjksbM 17- gkbMªksdkÆVlksu 18- MsDlkeFs kklksu lhMsfVo vkSj fjysDlsaV~l 19- oSfy;e 20- feMktksye 21- ekWÆQu lYQsV 22- isVa ktkls kbu ySDVsV ¼QksVZfou½ 23- isfFkMhu gkbMªksDyksjkbM 24- çkWiksQksy bysDVªksykbV~l vkSj ,flM csl djsD'ku ,tsaV 25- lksMk ckbdkcksZusV 8-4% 26- lksMk ckbdkcksZusV 7-5% 27- eSXuh'kh;e lYQsV 28- iksVsf'k;e DyksjkbM 29- ukeZy lsykbu 30- N/2 ,aVhck;ksfVDl vkSj ,aVhQaxy 31- fçvkWijsfVo 32- iksLVvkWijfsVo jDr 'kdZjk Lrj lqèkkj ,tsaV 33- ,p- ,DVªsfiM 34- MsDlVªkst 25% 35- MsDlVªkst 5% ulZ çSfDV'kuj }kjk fuEufyf[kr tkap vkSj mipkj dk vkns'k fn;k tk ldrk gS% tkap vkns'k Mipkj vkns'k  ECG  ucs qykbts'ku  ABG  pLs V fQft;ksFksjsih  pSLV ,Dl js  ;wfjujh dSFksVj yxkuk vkSj gVkuk  eyw tSojlk;fud tkap & Hb, PCV, TIBC, WBC  ,MfefuLVª’sku vkWQ vkWDlhtus’ku VksVy] WBC fMQjasf'k;Yl] ESR, byDs VªksykbV~l] ;wfj;k]  TEDS fØ,fVukbu] IysVyVs ~l] PT, aPTT, INR, CRP CyhÇMx vkSj DykWÇVx Vkbe] çksdSfYlVksfuu] D Mk;ej] HbA1C,  'kY;&fpfdRlh; ejge&iêh60 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] dksysLVªkWy VksVy] HIV, HbsAg, HCV, LFT, RFT,  Mk;fyfll 'kq# djuk vkSj can djuk CBC, lhje byDs VªksykbV~l] ,l- çksVhu ysoy  ,Iyhds’ku vkWQ eXS uhf'k;e lYQsV MªÇslx QkWj  cqfu;knh ekbØksck;ksykWth tkpa & CyM lsia y QkWj dYpj ,aM FkzksEcksf¶yfcfVl@,DlVªkokls'ku lsfalfVfoVh] fVIl vkWQ oLdwyj ,lsl ,aM bZVh Vîwc QkWj  vkblksesfVªd ,aM vkblksVksfud ,Dljlkbt dYpj]] ;wfju lsia y QkWj jasMe] ekbØks ,aM dYpj  gkWV o dkYs M ,Iyhds’ku  çsLØkbfcax lIyhesVa ~l laLFkkxr LFkk;h vkns'k vkSj çksVksdkWy çR;sd vLirky eas] vkikrdkyhu fLFkfr;ks a ds nkSjku nh tkus okyh fof'k"V [kqjkd ds lkFk vkS"kfèk ç'kklu ds fy, LFkk;h vkns'k vkSj ;ksX;rk çek.ku ds ckn ,uih }kjk fu"ikfnr dh tku s okyh fof'k"V fpfdRlh; çfØ;kvks@a xfrfofèk;ks a dks ,uihVh,u Lukrdks a ds fy, fn'kkfunsZ'kks a ds :i eas miyCèk djk;k tk ldrk gSA ,uihVh,u Nk=ks a dks çhlsIVlZ@,uih ladk; dh n[s kjs[k eas bu vkS"kfèk;ks a dks ç'kkflr dju s vkSj fpfdRlh; çfØ;k,a dju s ds fy, çf'kf{kr fd;k tk,xk( vkSj ;ksX;rk dks ,uih ladk; }kjk çekf.kr fd;k tk,xkA p;fur tkap ds vkn's k nus s vkSj fof'k"V fpfdRlh; çfØ;kvks a dks iwjk dju s ds fy, çksVksdkWy ,uihVh,u Nk=ks a dks çf'kf{kr djus okys çR;sd vLirky es a Hkh miyCèk gks ldrs gSaA MkW- Vh- fnyhi dqekj] vè;{k [जवज्ञापन-III/4/असा./612/2024-25] INDIAN NURSING COUNCIL NOTIFICATION New Delhi, the 7th October 2024 INDIAN NURSING COUNCIL {NURSE PRACTITIONER IN TRANSPLANT NURSING (NPTN) - POSTGRADUATE RESIDENCY PROGRAM} REGULATIONS, 2023 F.No. 11-1/2024-INC (V).—In exercise of the powers conferred by sub-section (1) of Section 16 of Indian Nursing Council Act, 1947 (XLVIII of 1947), as amended from time to time, the Indian Nursing Council hereby makes the following regulations, namely:— 1. SHORT TITLE AND COMMENCEMENT i. These Regulations may be called the Indian Nursing Council {Nurse Practitioner in Transplant Nursing (NPTN) - Postgraduate Residency Program} Regulations, 2023. ii. These shall come into force on the date of notification of the same in the Official Gazette of India. 2. DEFINITIONS In these Regulations, unless the context otherwise requires, i. ‘the Act’ means the Indian Nursing Council Act, 1947 (XLVIII of 1947) as amended from time to time; ii. ‘the Council’ means the Indian Nursing Council constituted under the Act; iii. ‘SNRC’ means the State Nurse and Midwives Registration Council, by whichever name constituted, by the respective State Governments; iv. ‘RN & RM’ means a Registered Nurse and Registered Midwife (RN & RM) and denotes a nurse who has completed successfully, recognised Bachelor of Nursing (B.Sc. Nursing) or Diploma in General Nursing and Midwifery (GNM) course, as prescribed by the Council and is registered in a SNRC as Registered Nurse and Registered Midwife; v. ‘Nurses Registration & Tracking System (NRTS)’ means a system developed by the Council and software developed in association with National Informatics Centre (NIC), Government of India, and hosted by NIC for the purpose of maintenance and operation of the Indian Nurses Register. It has standardised forms for collection of the data of Registered Nurse and Registered Midwife (RN & RM)/ Registered Auxiliary Nurse Midwife (RANM)/Registered Lady Health Visitor (RLHV) upon Aadhar based biometric authentication; vi. ‘NUID’ is the Nurses Unique Identification Number given to the registrants in the NRTS system;[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 61 vii. ‘General Nursing and Midwifery (GNM)’ means Diploma in General Nursing and Midwifery qualification recognized by the Council under Section 10 of the Act and included in Part-I of the Schedule of the Act. NURSE PRACTITIONER IN TRANSPLANT NURSING (NPTN) - POSTGRADUATE RESIDENCY PROGRAM I. Introduction and Background In India, reshaping health systems in all dimensions of health has been recognized as an important need in the National Health Policy, 2017. It emphasizes human resource development in the areas of education and training alongside regulation and legislation. The government recognizes significant expansion in tertiary care services both in public and private health sectors. In building their capacity, it is highly significant that the health care professionals require advanced educational preparation in specialty and super-specialty services. To support specialized and super- specialized health care services, specialist nurses with advanced preparation are essential. Developing training programs and curriculum in the area of tertiary care is recognized as the need of the hour. Nurse Practitioners (NPs) will be able to meet this demand provided they are well trained and empowered to practice. With establishment of new cadres in the Center and State level, master level prepared NPs will be able to provide cost effective, competent, safe, and quality driven specialized nursing care to patients in the transplant settings in tertiary care centers. Nurse Practitioners have been prepared and functioning in USA since 1960s, UK since 1980s, Australia since 1990s and Netherlands since 2010. Nurse Practitioners in Transplant Nursing, acute care, oncology, emergency care, neurology, cardiovascular, anesthesia and other specialties can be prepared to function in tertiary care settings. Rigorous educational preparation will enable them to work collaboratively to promote organ donation, prevent organ rejection and to promote donor and recipient’s health. A curricular structure/framework is proposed by the Council towards preparation of the Nurse Practitioner in Transplant Nursing (NPTN) at master’s level. The special feature of this program is that it is a clinical residency program emphasizing a strong clinical component with 15% of theoretical instruction and 85% of practicum. Competency based training is the major approach and NP education is based on competencies adapted from International Council of Nurses (ICN, 2020), National Organization of Nurse Practitioner Faculties (NONPF, 2022), and AACN (2021). Every course is based on achievement of pertinent competencies specific to that level. Nurse Practitioner in Transplant Nursing (NPTN) – Residency Program is intended to prepare registered B.Sc. Nurses to provide advanced nursing care to organ donors and recipients. The nursing care is focused on stabilizing patients’ condition, preventing acute complications and maximizing restoration of health. These NPs are required to practice in the transplant care units. The program consists of various courses of study that are based on strong scientific foundations including evidenced based practice and the management of complex health systems. These are built upon the theoretical and practice competencies of B.Sc. trained nurses. On completion of the program and registration with respective SNRC they are authorized to practice all competencies listed in the log book of the Council syllabus and independently perform donor and recipient assessment, order diagnostic tests, perform diagnostic and therapeutic procedures, handle medical equipment, administer drugs and therapies as per institutional protocols/standing orders. While exercising this authority, the Nurse Practitioners in Transplant Nursing are accountable for demonstrating competencies in - a) Assisting in donor and recipient selection; b) Preparation of donor, recipient, and families for transplantation; c) Patient admission into the transplant units, transfer to ICU/wards and discharge; d) Early identification of organ rejection/complications through appropriate assessment; e) Management of complications and untoward reactions; f) Selection/administration of medication or devices or therapies; g) Monitoring of patients’ response to immunosuppressive therapy; h) Patients’ education for use of immunosuppressive therapy, prevention/early identification of organ rejection; i) Knowledge of interactions of therapeutics if any; j) Evaluation of outcomes; k) Contribution towards evidence-based innovations in clinical practice; l) Participation in Government and non-governmental activities in promoting organ donation and transplantation. The Nurse Practitioner in Transplant Nursing is prepared and qualified to assume responsibility and accountability for the care of donors and recipients under his/her care. The said postgraduate degree will be registered as an additional qualification by the SNRC. Philosophy The Council believes that there is a great need to establish a postgraduate program titled Nurse Practitioner in Transplant Nursing (NPTN) to meet the challenges and demands of tertiary health care services in India which is62 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] reflected in the National Health Policy, 2017 to provide quality care to patients requiring organ transplant and their families. The Council believes that postgraduates from a residency program focused on strong clinical component and competency-based training must be able to demonstrate clinical competence based on sound theoretical and evidence- based knowledge. The teaching learning approach should focus on adult learning principles, competency-based education, collaborative learning, preceptored clinical learning with medical and nursing preceptors, experiential learning, and self-directed learning. Education providers/preceptors/mentors must update their current knowledge and practices. Medical faculty are invited to participate as preceptors in the training. The Council also believes that a variety of educational strategies can be used in the clinical settings to address the deficit of qualified Transplant Nursing faculty. It is hoped to facilitate developing policies towards registration/licensure and create cadre positions for appropriate placement of these postgraduate Nurse Practitioners in Transplant Nursing to function in Transplant care units/Departments of tertiary care centers. An educational framework for the Nurse Practitioners in Transplant Nursing (NPTN) curriculum is proposed as follows (See Figure 1). II. Program Description This program is designed to assist students in developing expertise and in-depth understanding in the field of Transplant Nursing. It will help students to develop advanced skills for nursing intervention in Transplant Nursing. It will further enable the student to function as educator, manager and researcher in the field of Transplant Nursing. The NP program is a nursing residency program with a focus on competency-based training. The duration is of two years with the curriculum consisting of theory that includes core courses, advanced practice courses and clinical courses besides clinical practicum which is a major component (Refer Curricular framework). III. Aim The Nurse Practitioner in Transplant Nursing program prepares registered B.Sc. nurses for advanced practice roles as clinical experts, managers, educators and consultants leading to M.Sc. Nursing (NP in Transplant Nursing) IV. Objectives[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 63 On completion of the program, the Nurse Practitioner in Transplant Nursing will be able to - 1. Assume responsibility and accountability to provide competent care to donors and recipients and family centered care in transplant care settings; 2. Demonstrate clinical competence/expertise in providing transplant care which includes donor and recipient assessment, education, diagnostic reasoning, complex monitoring, and therapies of donors & recipients, and liaising with resource agencies; 3. Apply theoretical, pathophysiological and pharmacological principles and evidence base in implementing therapies/interventions in transplant care; 4. Identify the conditions requiring transplant using differential diagnosis and carry out treatment/ interventions to stabilize and restore patient’s health and minimize or manage complications independently or collaboratively as a part of transplant care team; 5. Collaborate with other health care professionals in the transplant care team, across the continuum of transplant care. V. Minimum requirements to start the Nurse Practitioner in Transplant Nursing (NPTN) program The institution must accept the accountability for the NPTN program and its students and offer the program congruent with the Council standards. It must fulfill the following requirements: 1. Essentiality Certificate a. Any institution who wishes to start Nurse Practitioner in Transplant Nursing program shall obtain an Essentiality Certificate/Government Order from the State. b. The following institutions are exempted from obtaining Essentiality Certificate: i. Institutions/Universities already offering B.Sc. Nursing or M.Sc. Nursing programs and found suitable by the Council under Sections 13 and 14 of the Act; ii. Institutions/Universities offering MBBS/DNB programs. 2. Hospital a. The institute should have a parent hospital/tertiary care centre with a minimum of 200 beds. It must have a transplant care unit. b. It is preferable to have a medical college/nursing college attached to the parent hospital. 3. Transplant Unit Beds The hospital should have a transplant unit with a minimum of 10 beds and performing 50 transplants per year. 4. Transplant Unit Staffing a. Transplant unit should have a Charge Nurse preferably with B.Sc. Nursing or M.Sc. Nursing qualification; b. The nurse patient ratio should be 1 : 1 for the acute care unit; c. For the remaining beds the nurse patient ratio should be 1 : 6 for every shift; d. There must be provision of additional 40% trained nursing staff towards leave reserve; e. Doctor patient ratio can be 1 : 5. 5. Faculty/Staff Resources a. Clinical Area: i. Nursing Preceptor: Full-time qualified GNM with 6 years’ experience in Transplant unit or B.Sc. Nursing with 2 years’ experience in transplant unit or M.Sc. in Medical Surgical Nursing/Pediatric Nursing with one year transplant unit experience; ii. Medical Preceptor: Medical PG/Intensivist/Transplant Physician; iii. Preceptor Student Ratio: Nursing 1 : 10, Medical 1 : 10 (Every student must have a medical and a nursing preceptor). b. Teaching Faculty: i. Professor/Associate Professor: 1 (Teaching experience: 5 years post PG) - M.Sc. in Medical Surgical Nursing/Pediatric Nursing (One faculty for every 10 students);64 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] ii. Assistant Professor: 1 (Experience: 3 years post M.Sc. Nursing). c. The above faculty shall perform dual role or be senior nurses with M.Sc. Nursing qualification employed in the transplant unit. d. Guest lecturers for pharmacology, pathophysiology, and organ transplantation. 6. Physical and Learning Resources at Hospital/College a. One class room/conference room at the clinical area; b. Skill lab for simulated learning (hospital/college); c. Library and computer facilities with access to online journals; d. E-learning facilities. 7. List of Equipment for Transplant Unit (enclosed Appendix 1) 8. Student Recruitment/Admission Requirements a. Applicants must possess a registered B.Sc. Nursing/P.B.B.Sc. Nursing qualification with a minimum of one- year clinical experience, preferably in any transplant setting prior to enrollment; b. Must have undergone the B.Sc. Nursing in an institution found suitable by the Council and have been registered by the respective SNRC; c. Must have scored not less than 55% aggregate marks in the B.Sc. Nursing program; d. Selection must be based on the merit of an entrance examination and interview held by the competent authority; e. Must be physically fit. Number of candidates: 1 candidate for 4-5 transplant unit beds. Salary 1. In-service candidates will get regular salary. 2. Stipend/Salary for the other candidates as per the salary structure of the hospital where the course is conducted. VI. Examination Regulations Eligibility for appearing in the Examination Attendance: Minimum 80% for theory and practical before appearing for final University examination but must complete 100% in practical before the award of degree. There is no minimum cut off for the internal assessment marks, as internal and external marks are added together for declaring pass. Examining and Degree Awarding Authority: Respective University. Declaration of Results The candidate is declared to have passed the exam if the score is 60% and above. This score is the aggregate of both internal and external University examination in theory and practical in every course/subject and less than 60% is fail. For calculating the rank, the aggregate of the two years’ marks will be considered. If a candidate fails in theory or practical, he/she must appear for the paper in which he/she has failed. Rank will not be declared for candidates who fail in any subject. Maximum period to complete the program is 4 years. Practical Examination OSCE type of examination is to be followed alongside viva (oral examination) - Refer OSCE Guidelines found in Appendix 2. Maximum number of students for practical exam per day is 10 students. Examination is to be held in clinical area only. The team of three practical examiners will include:[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 65 i. one internal examiner {M.Sc. Nursing faculty with two years of experiences in teaching the NPTN program/M.Sc. Nursing faculty (Medical Surgical Nursing preferable) with 5 years of post PG experience}; ii. one external examiner (same as above); and iii. one medical internal examiner who should have served as preceptor for NPTN program. Dissertation Research Guides: Main guide - Nursing faculty (3 years Post PG experience) teaching NP program, Co-guide: Medical preceptor. Submission of Research Proposal: 6-9 months after date of admission in the first year. Guide Student Ratio: 1 : 5 Research Committee: There shall be a separate research committee in the college/hospital to guide and oversee the progress of the research (minimum of 5 members with Principal or CNO who is M.Sc. Nursing qualified). Ethical clearance must be obtained by the Institutional Review Board/Hospital Ethics Committee since it involves clinical research. Topic Selection: The topic should be relevant to Transplant Nursing that will add knowledge or evidence for nursing intervention. The research should be conducted in any of the transplant settings. Data Collection: 7 weeks are allotted for data collection, which can be integrated during clinical experience after 6 months in first year and before 6 months in second year. Writing the Research Report: 6-9 months in second year. Submission of Dissertation Final: 3 months before completion of the second year. Dissertation Examination Internal Assessment: Viva and Dissertation report = 50 marks University Examination: Viva and Dissertation report = 50 marks (Marking guide used for other M.Sc. Nursing specialties can be used for evaluation). VII. Assessment (Formative and Summative)  Test paper, Quiz  Seminar  Written assignments/Term papers  Case study/Clinical presentation  Clinical and care pathway/Case study report  Drug studies  Clinical performance evaluation  Objective Structured Clinical Examination (OSCE) (See Appendix 2 for Assessment Guidelines) Scheme of Final Examination S.No. Title Theory % Practical % Hours Internal External Hours Internal External Ist year Core Courses 1 Theoretical Basis for Advanced Nursing 2 hours 50 Practice 2 Research Application and Evidence Based 3 hours 30 70 Practice in Transplant Nursing66 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Title Theory % Practical % Hours Internal External Hours Internal External 3 Advanced Skills in Leadership, Management 3 hours 30 70 and Teaching Advanced Practice Courses 4 Advanced Pathophysiology & Advanced 3 hours 30 70 Pharmacology applied to Transplant Nursing 5 Advanced Health/Physical Assessment 3 hours 30 70 50 50 IInd year Specialty Courses 1 Foundations of Transplant Nursing Practice 3 hours 30 70 100 100 2 Transplant Nursing I 3 hours 30 70 100 100 3 Transplant Nursing II 3 hours 30 70 100 100 4 Dissertation and viva 50 50 VIII. Courses of Instruction S.No. Title Theory Lab/Skill Lab Clinical (hours) (hours) (hours) Ist year Core Courses I Theoretical Basis for Advanced Nursing Practice 40 II Research Application and Evidence Based Practice in 56 24 336 (7 weeks) Transplant Nursing III Advanced Skills in Leadership, Management and 56 24 192 (4 weeks) Teaching Advanced Practice Courses IV Advanced Pathophysiology applied to Transplant 60 336 (7 weeks) Nursing V Advanced Pharmacology applied to Transplant 54 336 (7 weeks) Nursing VI Advanced Health/Physical Assessment 70 48 576 (12 weeks) TOTAL = 2208 hours 336 (7 weeks) 96 (2 weeks) 1776 (37 weeks) IInd year Specialty Course VII Foundations of Transplant Nursing Practice 96 48 576 (12 weeks) VIII Transplant Nursing I 96 48 576 (12 weeks) IX Transplant Nursing II 96 48 624 (13 weeks) TOTAL = 2208 hours 288 (6 weeks) 144 (3 weeks) 1776 (37 weeks) Number of weeks available in a year = 52 - 6 (Annual leave, Casual leave, Sick leave = 6 weeks) = 46 weeks × 48 hours = 2208 hours Two years = 4416 hours (Examination during clinical posting)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 67 Instructional hours: Theory = 624 hours, Skill Lab = 240 hours, Clinical = 3552 hours, Total = 4416 hours Ist year: 336-96-1776 hours (Theory-Skill Lab-Clinical) (Theory = 15%, Skill Lab and Clinical = 85%) IInd year: 288-144-1776 hours (Theory-Skill Lab-Clinical ) (Theory = 15%, Skill Lab and Clinical = 85%) Ist year = 46 weeks/2208 hours (46×48 hours) (Theory + Lab: 7.5 hours per week for 44 weeks = 336+96 hours*) *Theory + Lab= 96 hours can be given for 2 weeks in the form of introductory block classes and workshops IInd year = 46 weeks/2208 hours (46 × 48 hours) (Theory + Lab: 8.5 hours per week for 45 weeks = 384 + 48 hours) (1 week Block Classes = 48 hours) CLINICAL PRACTICE A. Clinical Residency experience: A minimum of 48 hours per week is prescribed, however, it is flexible with different shifts and OFF followed by on call duty. B. 8 hours duty with one day OFF in a week and ON CALL duty one per week Clinical Placements Ist year: 44 weeks (excludes 2 weeks of introductory block classes and workshop)  Transplant OPD - 4  Pre-transplant unit - 4  Post-transplant ward - 4  Diagnostic department - 2  Transplant ICU - 8  Step down ICU - 6  Transplant OT - 8  Donor care unit and ICU/Emergency unit - 8 IInd year: 45 weeks (excludes one week of introductory block classes)  Heart lung transplant unit - 7  Renal transplant unit - 8  Liver, pancreas, intestine transplant unit - 10  Bone marrow transplant unit - 8  Eye transplant unit - 2  Dialysis unit - 2  Transplant OPD - 2  Paediatric transplant unit - 6 C. Teaching Methods: Teaching - Theoretical, Lab and Clinical can be done in the following methods and integrated during clinical posting -  Experiential learning  Reflective learning  Simulation  Clinical conference  Case/clinical presentation  In depth drug study, presentation, and report  Nursing rounds  Clinical seminars  Journal clubs68 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]  Case study/nursing process  Advanced health assessment  Faculty lecture in the clinical area  Directed reading  Assignments  Case study analysis  Workshops D. Procedures/Log Book: At the end of each clinical posting, Clinical Log Book (Specific Procedural Competencies/Clinical Skills) (Appendix 3) and Clinical Requirements (Appendix 4) are to be updated and signed by the preceptor. E. Institutional Protocol/Standing Orders based administration of drugs & ordering of investigations and therapies: The students will be trained to independently perform donor and recipient assessment, order diagnostic tests, perform diagnostic and therapeutic procedures, handle medical equipment, administer drugs and therapies as per institutional protocols/Standing Orders (Appendix 5 Standing Orders). Administration of emergency drugs is carried out in consultation with concerned physicians and endorsed later by written orders. Implementation of Curriculum - Tentative Plan Ist year Courses Introductory Workshop Theory integrated Methods of Teaching classes into Clinical (Topic can be specified) Practicum 1. Theoretical Basis for 8 hours 1 × 32 = 32 hours  Seminar/Theory Application Advanced Nursing Practice  Lecture (Faculty) (40) 2. Research Application and 8 hours 40 (5 days) 1 × 24 = 24 hours  Research Study Analysis Evidence Based Practice in + 8 hours  Exercise/Assignment (Lab) Transplant Nursing (56+24) 3. Advanced Skills in 12 + 2 hours 1 × 26 = 26 hours  Clinical Conference Leadership, Management and 2.5 × 16 = 40 hours  Seminar Teaching (56+24)  Exercises/Assignment (Lab) 4. Advanced Pathophysiology 1.5 × 40 = 60 hours  Case Presentation applied to Transplant Nursing  Seminar (60)  Clinical Conference 5. Advanced Pharmacology 10 hours 1 × 44 = 44 hours  Nursing Rounds applied to Transplant Nursing  Drug Study Presentation (54)  Standing Orders/Presentation 6. Advanced Health/Physical 8 hours 2 × 26 = 52 hours  Clinical Demonstration Assessment (70+48) (Faculty)  Return Demonstration 1.5 × 18 = 27 hours  Nursing Rounds 1 × 15 = 15 hours  Physical Assessment (all 2 × 6 = 12 hours systems)  Case Study 2 × 2 = 4 hours TOTAL 48 hours 48 hours 336 hours Ist year: Introductory classes = 1 week (48 hours), Workshop = 1 week (48 hours), 44 weeks = 7.5 hours per week (330/336 hours)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 69 IInd year Courses Theory including Skill Lab Methods of Teaching integrated into Clinical 1 week Block Classes (48 hours) Practicum 1. Foundations of Transplant 9 hours × 16 weeks = 144 hours  Demonstration (Lab) Nursing Practice  Return Demonstration (Lab) (96 + 48 hours) = 144 hours  Clinical Teaching  Case Study  Seminar  Clinical Conference  Faculty Lecture 2. Transplant Nursing I 9 hours × 16 weeks = 144 hours  Demonstration (Lab) (96 + 48 hours) = 144 hours  Return Demonstration (Lab)  Clinical Conference/Journal Club  Seminar  Case Presentation  Drug Study (including drug interaction)  Nursing Rounds  Faculty Lecture 3. Transplant Nursing II 9 hours × 16 weeks = 144 hours  Demonstration (Lab) (96 + 48 hours) = 144 hours  Return Demonstration  Nursing Rounds  Clinical Conference/Journal Club  Seminar  Faculty Lecture IInd year: Block classes - 1 week, 45 weeks - 8.5/9 hours per week Topic for every teaching method will be specified in the detailed plan by the respective teacher/institution concerned. CORE COURSES I. Theoretical Basis for Advanced Nursing Practice COMPETENCIES 1. Analyses the global healthcare trends and challenges. 2. Analyses the impact of healthcare and education policies in India on nursing consulting the documents available. 3. Develops in depth understanding of the healthcare delivery system in India, and its challenges. 4. Applies economic principles relevant to delivery of healthcare services in Transplant Nursing. 5. Manages and transforms health information to effect health outcomes such as cost, quality and satisfaction. 6. Accepts the accountability and responsibility in practicing the Nurse Practitioner’s roles and competencies. 7. Actively participates in collaborative practice involving all healthcare team members in transplant care and performs the prescriptive roles within the authorized scope. 8. Engages in ethical practice having a sound knowledge of law, ethics, and regulation of advanced nursing practice. 9. Uses the training opportunities provided through well planned preceptorship and performs safe and competent. care applying nursing process/care pathways or clinical pathways. 10. Applies the knowledge of nursing theories in providing competent care to donors and the recipients.70 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 11. Predicts future challenges of Nurse Practitioner’s roles in variety of healthcare settings particularly in India. Hours of Instruction: 40 hours S.No. Topic Hours 1 Global Health Care Challenges and Trends (Competency 1) 2 2 Health System in India - Health Care Delivery System in India - Changing Scenario 2 (Competency 3) 3 National Health Planning - 5-Year Plans and National Health Policy (Competency 2) 2 4 Health Economics and Health Care Financing (Competency 4) 4 5 Health Information System including Nursing Informatics (Use of Computers) (Competency 5) 4 Advanced Nursing Practice (ANP) 6 ANP - Definition, Scope, Philosophy, Accountability, Roles and Responsibilities (Collaborative 3 Practice and Nurse Prescribing Roles) (Competency 6 and 7) 7 Regulation (accreditation of training institutions and Credentialing) and Ethical Dimensions of 3 advanced nursing practice role (Competency 8) 8 Nurse Practitioner - Roles, Types, Competencies, Clinical settings for practice, cultural 3 competence (Competency 6) 9 Training for NPs - Preceptorship (Competency 9) 2 10 Future Challenges of NP practice (Competency 11) 4 11 Theories of Nursing applied to APN (Competency 10) 3 12 Nursing process/care pathway applied to APN (Competency 9) 2 Self-Learning Assignments 6 1 Identify Health Care and Education Policies and analyze its impact on nursing 2 Describe the legal position in India for NP practice. What is the future of nurse prescribing policies in India with relevance to these policies in other countries? 3 Examine the nursing protocols relevant to NP practice found in transplant care units Total 40 hours Bibliography  AACN (2021) The Essentials: Core Competencies for Professional Nursing Education - Entry Level and Advanced Level Nursing Education, American Association of Colleges of Nursing  DeNisco & Barkers A.M. (2015) Advanced Practice Nursing: Essential Knowledge for the Profession (3rd ed.) Massachussets: Jones & Bartlett Publishers Inc.  Hickey J.V., Ouimette R.M. & Venegoni S.L. (1996) Advanced Practice Nursing: Changing Roles and Clinical Applications, Philadelphia: Lippincott Williams & Wilkins  ICN (2020) Guidelines on Advanced Practice Nursing, Geneva: ICN  NONPF (2022) Nurse Practitioner Role Competencies, National Organization of Nurse Practitioner Faculties  Schober M. & Affara F.A. (2006) Advanced Nursing Practice, Oxford: Blackwell Publishing  Stewart G.J. & Denisco S.M. (2015) Role Development for the Nurse Practitioner, USA: Springer Publishing Company II. Research Application and Evidence Based Practice in Transplant Nursing COMPETENCIES 1. Applies sound research knowledge and skills in conducting independent research in Transplant Nursing. 2. Participates in collaborative research to improve patient care quality.[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 71 3. Interprets and uses research findings in advanced practice to produce EBP. 4. Tests/evaluates current practice to develop best practices and health outcomes and quality care in advanced practice. 5. Analyzes the evidence for nursing interventions carried out in Transplant Nursing practice to promote safety and effectiveness of care. 6. Develops skill in writing scientific research reports. Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours S.No. Topic Hours 1 Research and Advanced Practice Nursing: Significance of Research and inquiry related to 2 Advanced nursing role (Competency 1) 2 Research agenda for APN practice: Testing current practice to develop best practice, health 5 outcomes and indicators of quality care in advanced practice (Competency 3, 4, 5) promoting research culture 3 Research Knowledge and Skills: Research competencies essential for APNs (interpretation and 40 use of research, evaluation of practice, participation in collaborative research) (5 days Introduction to Evidence Based Practice (EBP) project - PiCOT question, steps of planning, workshop) implementation, evaluation and dissemination (project proposal and project report) Research Methodology Phases/steps (Research question, Review of literature, conceptual framework, research designs, sampling, data collection, methods and tools, Analysis and Reporting) Writing research proposal and research report (Competency 1 and 2) 4 Writing for Publication (writing workshop - manuscript preparation, writing, publishing, peer 5 reviewing and finding funding sources. (Competency 6) (workshop) 5 Evidence based practice (Competency 3, 4, 5) 4  Concepts, principles, importance and steps  Integrating EBP to transplant nursing  Areas of evidence in transplant care  Barriers to implement EBP  Strategies to promote EBP Total 56 hours Lab/Skill Lab and Assignments: 24 hours  Identifying research priorities  Writing exercises on research question, objectives, and hypothesis  Writing research proposal/EBP project proposal  Scientific paper writing - preparation of manuscript for publication  Writing systematic review - analyze the evidence for a given nursing intervention in Transplant unit Practicum  Research practicum: Dissertation 336 hours = 7 weeks)/Evidence Based Practice Project (EBP project) Bibliography  Gray J. & Grove S.K. (2020) Burns & Groves: The Practice of Nursing Research: Appraisal, Synthesis and Generation of Evidence (9th ed.) St. Louis: Elsevier Saunders  Polit D.F. & Beck C.T. (2021) Nursing Research: Generating and Assessing Evidence for Nursing Practice (11th ed.) New Delhi: Wolters & Kluwer72 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]  Schmidt N.A. & Brown J.M. (2021) Evidence-based Practice for Nurses Appraisal and Application of Research, Sd: Jones & Bartlett Publishers Inc. III. Advanced Skills in Leadership, Management and Teaching COMPETENCIES 1. Applies principles of leadership and management in Transplant unit. 2. Manages stress and conflicts effectively in Transplant units using sound knowledge of principles. 3. Applies problem solving and decision-making skills effectively. 4. Uses critical thinking and communication skills in providing leadership and managing patient care in Transplant units. 5. Builds teams and motivates others in Transplant care units. 6. Develops unit budget, manages supplies and staffing effectively. 7. Participates appropriately in times of innovation and change. 8. Uses effective teaching methods, media and evaluation based on sound principles of teaching. 9. Develops advocacy role in patient care, maintaining quality and ethics in Transplant units. 10. Provides counseling to families and patients. Hours of Instruction: Theory: 56 hours + Lab/Skill Lab: 24 hours = 80 hours S. No. Topic Hours 1 Theories, styles of leadership and current trend 2 2 Theories, styles of management and current trends 2 3 Principles of leadership and management applied to transplant care settings 4 4 Stress management and conflict management - principles and application to transplant care 4 environment, effective time management 5 Quality improvement and audit 4 6 Problem solving, critical thinking and decision making, communication skills applied to transplant 5 care nursing practice 7 Team building, motivating and mentoring within transplant unit 2 8 Budgeting and management of resources including human resources - transplant budget, material 5 management, staffing, assignments 9 Change and innovation 2 10 Staff performance and evaluation (performance appraisals) 6 11 Teaching-learning theories and principles applied to Transplant Nursing 2 12 Competency based education and outcome-based education 2 13 Teaching methods/strategies, media: educating patients and staff in transplant settings 8 14 Staff education and use of tools in evaluation 4 15 APN - roles as a teacher 2 16 Advocacy roles in transplant care environment 2 Total 56 hours Lab/Skill Lab: 24 hours  Preparation of staff patient assignment  Preparation of unit budget[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 73  Preparation of staff duty roster  Patient care audit  Preparation of nursing care standards and protocols  Management of equipment and supplies  Monitoring, evaluation, and writing report of infection control practices  Development of teaching plan for staff and student  Micro teaching sessions  Preparation of teaching method and media for patients and staff  Planning and conducting OSCE/OSPE  Construction of tools for staff appraisal  Stress management counselling  Preparation of inventory Assignment: Prepare Nursing care standards for one of the transplant units Bibliography  Bastable S.B. (2019) Nurse as Educator: Principles of Teaching and Learning for Nursing Practice (5th ed.) New Delhi: Jones & Bartlett Publishers Inc.  Billings D.M. & Halstead J.A. (2019) Teaching in Nursing: A Guide for Faculty (6th ed.) St. Louis Missouri: Saunders Elsevier  Clark C.C. (2010) Creative Nursing Leadership and Management, New Delhi: Jones & Bartlet Publishers Inc.  Liebler J.G. & McConnel C.R. (2008) Management Principles for Health Professionals, Sudbury M.A.: Jones & Bartlett Publishers Inc.  Roussel L. & Swansburg R.C. (2010) Management and Leadership for Nurse Administrators (5th ed.) New Delhi: Jones & Bartlett Publishers Inc. ADVANCED NURSING COURSES IV. Advanced Pathophysiology applied to Transplant Nursing COMPETENCIES 1. Integrates the knowledge of pathophysiological process in transplant care in developing diagnosis and plan of care. 2. Applies the pathophysiological principles in symptom management and secondary prevention of complications. 3. Analyzes the pathophysiological changes relevant to each condition requiring organ transplant recognizing the value of diagnosis, treatment, care and prognosis. Hours of Instruction: Theory: 60 hours Unit Hours Content I 14 Cardiovascular function Advanced pathophysiological process of cardiovascular conditions requiring cardiac transplantation  Congenital heart failure  Coronary artery diseases  End stage heart failure  Decompensated valvular heart disease  Cardiomyopathy  Refractory angina74 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content  Non-obstructive hypertrophic heart disease  Refractory cardiogenic shock  Valvular heart disease  Progressive pulmonary hypertension  Life threatening/Malignant arrythmias II 10 Pulmonary function Advanced pathophysiological process of pulmonary conditions requiring lung transplantation  Interstitial lung disease  Chronic obstructive pulmonary disease (COPD)  Pulmonary arterial hypertension  Bronchiolitis obliterans  Cystic and pulmonary fibrosis  Restrictive lung disease  Emphysema due to alpha-1 antitrypsin deficiency  Respiratory failure  Tumors  Sarcoidosis  Bronchiectasis  COVID-19 III 6 Renal function Advanced pathophysiological process of renal conditions requiring renal transplantation  Diabetic nephropathy  Vascular disorders  Polycystic kidney disease  Metabolic errors  Autoimmune diseases  Obstructive Uropathy  End Stage Renal Disease  Renal tumor  Amyloidosis  Infections - Pyelonephritis, Glomerulonephritis IV 14 Intestinal, Pancreas and liver function Advanced pathophysiological process of gastrointestinal and hepatobiliary conditions requiring transplantation Intestine  Congenital malformation - small bowel atresia, aganglionosis  Short bowel syndrome  Functional disorder - impaired motility[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 75 Unit Hours Content  IBD - Crohn’s disease  Intestinal failure Pancreas  Uncontrolled type I diabetes Liver  End-stage liver diseases - alcoholic liver disease, hepatitis, Cholestatic liver disease (PBC, PSC), Non-alcoholic steatohepatitis (NASH)  Metabolic diseases - Alpha 1 antitrypsin disease, Hemochromatosis, Amyloidosis, Oxaluria  Autoimmune diseases  Budd-Chiari syndrome  Pulmonary disease (Porto pulmonary hypertension/hepatopulmonary syndrome)  Neoplasia - Hepatocellular carcinoma  Acute fulminant hepatic failure  Chronic viral hepatitis V 10 Hematological function Advanced pathophysiological process of hematological conditions requiring transplantation  Leukaemia  Hodgkin’s and non-Hodgkin’s lymphoma  Multiple myeloma  Genetic disorders  Autoimmune disorders  Bone marrow failure syndrome - aplastic anaemia  Tumour VI 3 Advanced pathophysiological process of eye requiring transplantation  Corneal diseases - degeneration, perforation, dystrophy  Keratoconus  Bullous keratopathy  Keratitis VII 3 Advanced pathophysiological process of Human Immune System  Rejection  Infection 60 hours Bibliography  Berkowitz A. (2021) Clinical Pathophysiology (2nd ed.) MedMaster Inc.  Huether S.E., McCance K.L. & Brashers V.L. (2019) Understanding Pathophysiology (7th ed.) St. Louis, Missouri: Elsevier  Norris T.L. (2020) Porth’s Essentials of Pathophysiology (5th ed.) Walters & Kluwer  Porth C.M. (2014) Essentials of Pathophysiology: Concepts of Altered Health States (4th ed.) Philadelphia: Lippincott Williams & Wilkins76 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4]  Story L. & Dlugasch L. (2019) Advanced Pathophysiology for the Advanced Practice Nurse (1st ed.) Jones & Bartlett Publishers Inc.  Willis L.M. (2019) Professional Guide to Pathophysiology (4th ed.) LWW V. Advanced Pharmacology applied to Transplant Nursing COMPETENCIES 1. Applies the pharmacological principles in providing care to both donors and recipients in transplant care. 2. Analyzes pharmacotherapeutics and pharmacodynamics relevant to drugs used in the transplant care. 3. Performs safe drug administration based on principles and institutional protocols. 4. Documents accurately and provides follow up care. 5. Applies sound knowledge of drug interactions in administration of drugs to patients in transplant care and guiding their families in self-care management. Hours of Instruction: Theory: 54 hours Unit Hours Content I 2 Introduction to Pharmacology  History  Classification of drugs and schedules II 3 Pharmacokinetics and Pharmacodynamics  Introduction  Absorption, distribution, metabolism and excretion of drug  Plasma concentration, half life  Loading and maintenance dose  Therapeutic index and drug safety  Potency and efficacy  Principles of drug administration - The rights of drug administration - Systems of measurement - Enteral drug administration - Topical drug administration - Parenteral drug administration III 6 Pharmacology and Cardiovascular alterations in Transplant care  Pharmacological therapies used in pre-transplant cardiovascular diseases - dose, interactions, side effects, monitoring, and contraindications IV 6 Pharmacology and Pulmonary alterations in Transplant care  Pharmacological therapies used in pre-transplant pulmonary diseases - dose, interactions, side effects, monitoring and contraindications V 6 Pharmacology and Renal alterations in Transplant care  Pharmacological therapies used in pre-transplant renal diseases - dose, interactions, side effects, monitoring, and contraindications  Pharmacological therapies used in kidney disease - antihypertensive drugs, nephrotoxic drugs, phosphorous binders, erythropoietin therapy VI 8 Pharmacology and Intestinal, Pancreas and Liver alterations in Transplant care  Pharmacological therapies used in pre-transplant intestinal, pancreas and liver diseases - dose,[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 77 Unit Hours Content interactions, side effects, monitoring and contraindications VII 8 Pharmacology and Hematological alterations in Transplant care  Pharmacological therapies used in pre-transplant hematological diseases - dose, interactions, side effects, monitoring and contraindications VIII 15 Pharmacological therapies in post-transplant care  Pharmacological therapies used in transplant care - indications, dose, drug interactions, side effects, monitoring, drug assays and contraindications, cost and financial implications  Supplements  Analgesia  Use of anti-coagulatants, anti-microbials, anti-fungals and anti-virals in managing the patient with complex co-morbidities  Immunosuppressants - types, indication, contraindications, classification, mechanism of action and dosing guidelines and monitoring of drugs used in transplantation  Immunoglobulin 54 hours Bibliography  Eisen H.J (2020) Pharmacology of Immunosuppression (1st ed.) Springer  McKay G.A. & Walters M.R. (2021) Clinical Pharmacology and Therapeutics (10th ed.) Wiley-Blackwell  Wynne A.L., Woo T.M. & Olyaei A.J. (2007) Pharmacotherapeutics for Nurse Practitioner Prescribers (2nd ed.) Philadelphia: Davis VI. Advanced Health/Physical Assessment COMPETENCIES 1. Applies the physical assessment principles in developing appropriate system wise examination skills 2. Uses advanced health assessment skills to differentiate between variations of normal and abnormal findings 3. Orders screening and diagnostic tests based on the examination findings and institutional protocols 4. Analyzes the physical examination findings and results of various investigations and works collaboratively with emergency physicians for development of diagnoses 5. Documents assessment, diagnosis, and management and monitors follow up care in partnership with health care team members, patients, and families Hours of Instruction: Theory: 70 hours + Lab/Skill Lab: 48 hours = 118 hours Unit Hours Content I 4 Introduction  History taking  Physical examination II 7 Cardiovascular System  Cardiac history  Physical examination  Cardiac laboratory studies - biochemical markers, hematological studies  Cardiac diagnostic studies - electrocardiogram, echocardiography, stress testing, radiological imaging78 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content III 7 Respiratory System  History  Physical examination  Respiratory monitoring - arterial blood gases, pulse oximetry, end-tidal carbon dioxide monitoring  Respiratory Diagnostic tests - chest radiography, ventilation perfusion scanning, pulmonary angiography, bronchoscopy, thoracentesis, sputum culture, pulmonary function test IV 7 Nervous System  Neurological history  General physical examination  Assessment of cognitive function  Assessment of cranial nerve function  Motor assessment - muscle strength, power, and reflexes  Sensory assessment - dermatome assessment  Neurodiagnostic studies - CT scan, MRI, PET V 6 Renal System  History  Physical examination  Assessment of renal function  Assessment of electrolytes and acid base balance  Assessment of fluid balance  Renal diagnostic studies - renal biopsy, renal doppler, renal angiogram, ultrasonography VI 5 Gastrointestinal System  History  Physical examination  Nutritional assessment  Laboratory studies - liver function studies, blood parameters, stool test  Diagnostic studies - radiological and imaging studies, endoscopic studies, biopsy VII 4 Endocrine System  History  Physical examination  Laboratory studies  Diagnostic studies of islets of langerhans VIII 4 Hematological System  History  Physical examination  Laboratory studies - blood parameters  Diagnostic studies - bone marrow aspiration[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 79 Unit Hours Content IX 3 Integumentary System  History  Physical examination  Pathological examination - tissue examination X 6 Musculoskeletal System  History  Physical examination  Laboratory studies  Diagnostic studies XI 5 Reproductive System  History  Physical examination  Laboratory studies  Diagnostic studies XII 6 Assessment of Children  Growth and development  Nutritional assessment  Specific system assessment XIII 6 Assessment of Older Adults  History  Physical examination  Psychological assessment  Specific system assessment 70 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students)  Comprehensive history taking  Focused history taking (system wise )  Comprehensive physical examination  Focused physical examination (system wise)  Monitoring clinical parameters (system wise)  Invasive BP monitoring, Multi-parameter Monitors, ECG, Pulse index Continuous Cardiac Output (PiCCO), Peripheral vascular status, ABG, Pulse Oximetry, End Tidal CO (ETCO ), Intracranial Pressure (ICP), Glasgow 2 2 Coma Scale (GCS), Cranial nerve assessment, Pain and Sedation score, Motor assessment, Sensory assessment, Renal function tests, Fluid balance, acid base balance, electrolytes, Bowel sounds, Abdominal pressure, Liver function tests, GRBS, Lab tests, Radiological and Imaging tests(system wise)  Ordering and interpretation of screening and diagnostic tests (Enclosed Appendix 5)  Assessment of children and adults80 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Bibliography  Bickley L.S. & Szilagyi P.G. (2018) Bates’ Guide to Physical Examination and History Taking (South Asian edition) Wolters Kluwer India Pvt. Ltd.  Rhoads J. (2013) Advanced Health Assessment and Diagnostic Reasoning (2nd ed.) Philadelphia: Lippincott Williams & Wilkins  Wilson S.F. & Giddens J.F. (2021) Health Assessment for Nursing Practice (7th ed.) Elsevier: Health Sciences Division TRANSPLANT NURSING SPECIALTY COURSES (Foundations of Transplant Nursing Practice, Transplant Nursing I and Transplant Nursing II) COMPETENCIES 1. Appreciates trends and issues related to transplant care. 2. Applies advanced concepts of Transplant Nursing based on sound knowledge of these concepts. 3. Performs physical, psychosocial, and spiritual assessment of the donors and recipients of transplant care. 4. Assists in various diagnostic, therapeutic and surgical procedures related to donor and recipient care. 5. Demonstrates advance skills/competence in managing donors and recipients before and after transplant surgeries. 6. Works in collaboration with other healthcare team members and prepares care/clinical pathways in assessment and management of patients requiring transplant care. 7. Identifies emergencies and complications related to transplantation and take appropriate measures. 8. Participates in national health programs to promote organ donation and health promotion and rehabilitation of patients undergoing transplant surgeries. 9. Applies ethically sound solutions to complex issues related to transplant care. 10. Practices principles of infection control relevant to transplant care. 11. Practices independently within the legal framework of the country in transplant care towards the interest of patients, families, and communities. 12. Uses applicable communication, counseling, advocacy, and interpersonal skills to initiate, develop and discontinue therapeutic relationships. 13. Creates and maintains a safe therapeutic environment using risk management strategies and quality improvement. 14. Supports patients and their families to cope with emotional and spiritual distress, grief and anxiety applying counselling skills. 15. Incorporates principles of end-of-life care in interacting with family members, whenever applicable. 16. Coordinates patient care activities recognizing the value of teamwork and be sensitive to the growing stress and burn out among health care professionals. 17. Applies/suggests innovations incorporating evidence-based nursing practice and identify the areas of research in the field of Transplant Nursing. 18. Familiarizes with the legal formalities and documentation processes associated with transplantation. 19. Designs a layout of Transplant Unit and develop Standard Operating Protocols for Transplantation care. 20. Performs the role of NP in Transplant Nursing/transplant nurse coordinator/specialist as a member of the medical surgical health team. VII. Foundations of Transplant Nursing Practice Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours Unit Hours Content I 10 Introduction to Transplant Nursing  Introduction to the course  Historical development of organ transplantation: type, trends and issues, transplant modalities[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 81 Unit Hours Content  Terminologies  Definition and scope of Transplant Nursing  Concept, principles, and nursing perspectives of Transplant Nursing  Transplant care unit set up including equipment and supplies  Transplant team roles and function  Role of nurse in the organ transplant  Current and future challenges and innovations in transplant care II 15 Concept of Holistic Care applied to Transplant Nursing Practice  Application of nursing process and integrated care/clinical pathways in caring for patients requiring transplant care  Admission and monitoring of patients in transplant care unit  Overview of transplant care  Airway management  Optimal circulation and tissue oxygenation  Hemodynamic monitoring  Temperature maintenance  Pain management  Fluid and electrolyte balance  Organ protection  Infection control  Cardio-pulmonary-brain resuscitation  BLS  ACLS  PALS  Oxygenation and oximetry, care of patient with oxygen delivery devices  Ventilation and ventilator support (including humidification and inhaled drug therapy), care of patient with invasive and noninvasive ventilation  Restraints in transplant care - physical, chemical and alternatives to restraints  Death in transplant care unit - end of life care/care of dying, and care of family  Stress and burnout syndrome among health team members III 10 Appraisal of the Patients undergoing Transplant Surgeries Assessment of the critically ill pre/post-transplant patients  Cardiac assessment  Respiratory assessment  Renal assessment  Neurological assessment  Gastrointestinal assessment Monitoring of the critically ill pre/post-transplant patients  Arterial blood gas (ABG)82 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content  Capnography  Hemodynamics  Electrocardiography (ECG)  Transesophageal echocardiogram  Glasgow Coma Scale (GCS)  Richmond agitation sedation scale (RASS)  Pain score  Braden score IV 6 Pain Assessment and Management  Pain management after transplant surgery  Pain - types, theories  Physiology, systemic responses to pain and psychology of pain - review  Acute pain services  Pain assessment - pain scales, behavior, and verbalization  Pain management - pharmacological  Non-pharmacological management  Transcutaneous electrical nerve stimulation (TENS) V 8 Psychosocial and Spiritual Alterations: Assessment and Management  Stress and psychoneuroimmunology  Post-traumatic stress reaction  Acute psychosis, anxiety, agitation, delirium  Spiritual challenges in transplant care  Coping with stress and illness  Issues in transplant science - socio-cultural, ethical, psychological, and financial/economic issues VI 4 Patient and Family Education and Counseling  Informational needs of recipient and families in transplant care  Challenges of patient and family education  Counseling needs of patient and family and the challenges  Crisis and grief counseling, and communication VII 6 Fluid, Electrolyte, and Acid Base Alterations  Review of fluid, electrolyte, and acid base balance  Assessment and management of fluid, electrolyte, and acid base imbalances VIII 4 Thermoregulation and Management  Review on thermoregulation  Hyperthermia  Hypothermia  Management of patients with thermoregulatory issues[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 83 Unit Hours Content IX 6 Infection Control in Transplant Unit  Nosocomial infection  Disinfection, sterilization  Standard safety measures  Reverse barrier nursing  Staff prophylaxis  Antimicrobial therapy - review  Infection control policies and protocols  Pre- and post-transplant - common symptoms of infection and management guidelines  Recipient infection prevention - vaccinations, medications, and identification of strategies for safe living X 12 Legal and Ethical Issues in Transplant Care - Nurse’s Role Legal Aspects  Legislations and regulations related to transplant care - Transplantation of Human Organs and Tissues Act (THOTA)  Legal responsibilities of nurses  National guideline for organ transplant  National and State organ transplant program and registry  National Organ and Tissue Transplant Organization (NOTTO)  Regional Organ and Tissue Transplant Organization (ROTTO)  State Organ and Tissue Transplant Organization (SOTTO)  Brain Stem Death Declaration in India and its procedure  Presumed consent  Policies and protocol related to organ donation  Documentation related to organ donation Ethical Issues  Introduction  Code of ethics, code of professional conduct and practice standards of nursing in India  Ethical aspects of organ donation and transplantation  Ethical decision making in transplant care - withholding treatment, managing scarce resource in transplant care  Strategies for promoting ethical decision making  Do Not Resuscitate (DNR), Euthanasia, Living will XI 8 Quality assurance  Philosophy, aims and objectives of transplant units  Design of transplant care units  Quality assurance models applicable to transplant care units  Standards, Protocols, Policies, Procedures  Infection control policies and protocols84 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content  Standard safety measures  Nursing audit relevant to transplant care  Staffing XII 3 Evidence based Practice in Transplant Nursing  Evidence based practice in transplant care  Barriers to implementation  Strategies to promote implementation 4 Class tests 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students)  CPR (BLS and ACLS)  Airway management  Suctioning - open/closed  Oropharyngeal airway  Nasopharyngeal airway  Laryngeal mask airway o Definitive airway management  Endotracheal intubation o Surgical airway management  Cricothyroidotomy  Tracheostomy  Oxygenation and oximetry, care of patient with oxygen delivery devices o Devices to measure oxygen/oxygenation  Oximetry - pulse oximetry, venous oximetry  PF (PaO /FiO ) ratio 2 2 o Capnography o Noninvasive ventilation  Low flow variable performance devices: nasal catheter/cannula/double nasal prongs, face mask, face mask with reservoir bags  High flow fixed performance devices: entrainment (venturi) devices, NIV, T-pieces, breathing circuits  Ventilation and ventilator support o Setting up of ventilators o Connecting to ventilator o Weaning from ventilator o Extubation o Humidifiers o Nebulizers - jet, ultrasonic o Inhalation therapy - metered dose inhalers (MDI), dry powder inhalers (DPI)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 85  Circulation and perfusion (including hemodynamic evaluation and waveform graphics) o Non-invasive BP monitoring o Invasive blood pressure monitoring o Venous pressure (peripheral, central and pulmonary artery occlusion pressure) o Insertion and removal of arterial line o Insertion and removal of central line o Pulse index Continuous Cardiac Output (PiCCO) o Electrocardiography (ECG) o Waveforms  Fluids and electrolytes o Fluid calculation and administration o Administration of blood and blood products o Inotrope calculation, titration, and administration o Electrolyte correction (sodium, potassium, calcium, phosphorus, magnesium) o Use of fluid dispenser, syringe pump and infusion pumps  Evaluation of acid base status o Arterial blood gas (ABG) o Correction of acidosis and alkalosis  Thermoregulation, care of patient with hyper/hypothermia o Temperature probes o Management of hyper and hypothermia  Glycemic control, care of patient with glycemic imbalances o Monitoring GRBS o Insulin therapy (sliding scale and infusion) o Management of hyperglycemia o Management of hypoglycemia  Pharmacological management of pain, sedation, agitation, and delirium o Calculation, loading and infusion o Epidural analgesia  Creating public awareness on organ and tissue donation  Counseling - individual and family  Individual and family education VIII. Transplant Nursing I Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours Unit Hours Content I 6 Organ transplant immunology  General concepts of human immune system and transplant immunology  Immunologic risk assessment  Donor selection, matching - HLA and histocompatibility  Organ or graft rejection and types86 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content  Immunosuppression  Post-transplant antibody assay II 5 Drugs used in transplant  Drugs and solutions used during harvesting, storage and transportation of organs  Supplements  Immunosuppressants and preparation and prevention of its toxicity and complications  Antibiotics  Blood and blood components  Prophylactic and adjuvant medications used in transplant  Nursing responsibility III 5 Psycho-social issues in transplantation  Psychological impact of transplant in donor and recipient  Psycho-social assessment of donor and recipient  Prevention: Multidisciplinary care  Role of nurse  Role of support groups IV 10 Organ donation  Brain death evaluation and organ donation process  Organ donation pledge - advocacy  Types of donors - Donation after Cardiac Death (DCD), Donation after Brain Death (DBD), Live related donor, Live unrelated donor (altruistic donor)  Eligibility criteria for transplant donor  Contraindications to organ donation  High risk donor and potential impact if organs used  Management of potential donor  Allocation of organs for both local and national offering  Types of grafts - split, marginal, domino  Cold Ischemic Time (CIT), Warm Ischemic Time (WIT) and its impact on the donor organ survival  Donor and recipient factors involved in the calculation of the Transplant Benefit Score (TBS)  Organ allocation  Multi-organ retrieval  Family approach for organ donation and family care V 5 Care of the donor and the organ  Donor assessment  Care of the donor  Organ procurement, preservation, storage, and transportation  Organ perfusion and tissue preservation[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 87 Unit Hours Content  Family communication/counseling  Role of transplant coordinator/NP in Transplant Nursing - donor and recipient  Waitlist management VI 5 Operative Room Management  Physical preparation - physical set up, operation trolley preparation  OR team  Organ perfusion - UW and HTK solutions  Therapeutic environment in OT  Assisting with organ transplantation  Intra-operative management and monitoring of donor and recipient VII 15 Heart and Valves Transplantation  Review of anatomy and physiology of cardiovascular system  Indication and contraindications for heart and valve transplant  Eligibility criteria for transplant recipient  Evaluation of transplant recipient  Selection of donor and matching  Pre-transplant assessment - history, physical examination, investigation and diagnostic procedures  Pre- and post-transplant care of the recipient  Treatment modalities - CPR, ACLS, defibrillation, cardioversion, IABP  Transplant procedure and intraoperative care of the donor organ and the recipient  Monitoring and evaluation for potential surgical complications, infections, or rejection and their management  Complications after heart transplant and management  Nurse’s role in caring for patients undergoing heart transplantation  Drugs used after heart transplant  Post-transplant cardiac rehabilitation and follow up VIII 15 Lung Transplantation  Review of anatomy and physiology of lung  Indication and contraindications for lung transplant  Eligibility criteria for transplant recipient  Evaluation of transplant recipient  Selection of donor and matching  Pre-transplant assessment - history, physical examination, investigation, and diagnostic procedures  Pre- and post-transplant care of the recipient  Treatment modalities - ECMO  Organ retrieval and transplant procedure and intraoperative care  Monitoring and evaluation for potential surgical complications, infections, or rejection and their88 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Content management  Nurses’ role in lung transplantation  Drugs used in lung transplantation  Rehabilitation and follow-up IX 15 Renal Transplantation  Review of anatomy and physiology of kidney  Donor and Recipient assessment - history, physical examination, investigation and diagnostic procedures  Indications and contraindication for renal transplant  Eligibility criteria for transplant recipient  Evaluation of transplant recipient  Selection of donor and matching  ABO incompatible transplant, Swap transplantation  Pre-transplant care of the recipient  Treatment modalities - hemodialysis, peritoneal dialysis and therapeutic plasma exchange  Fluid management protocol following transplant  Post-operative care of donor and recipient  Transplant procedure and intra-operative care  Monitoring and evaluation for potential surgical complications, infections, or rejection and their management  Nurse’s role in renal transplantation  Drugs used in renal transplantation - therapeutic drug monitoring  Rehabilitation and follow-up X 15 Liver Transplantation  Review of anatomy and physiology of liver  Indication and contraindications for liver transplant  Eligibility criteria for liver transplant recipient  Evaluation of transplant recipient  Types of liver transplant - live donor/cadaveric donor  Selection of donor and matching  Pre-transplant assessment - history, physical examination, investigation and diagnostic procedures  Pre-transplant care of the recipient  Organ retrieval and preservation  Monitoring and management of post-operative liver function of donor and recipient  Monitoring and management of renal function including Hemodialysis  Transplant procedure and intraoperative care  Monitoring and evaluation for potential surgical complications, infections, or rejection and their management[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 89 Unit Hours Content  Nutrition management  Nurse’s role in liver transplantation  Drugs used in liver transplantation  Rehabilitation and follow-up 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students)  Organ donation - Evaluation of brain death - Counselling for organ donation  Safe retrieval, storage and transport of the organ  Assisting with organ harvesting  Assisting with transplant surgeries  Setting up of transplant OT including operation trolley  Care of donor  Care of recipient - pre- and post-transplant IX. Transplant Nursing II Hours of Instruction: Theory: 96 hours + Lab/Skill Lab: 48 hours = 144 hours Unit Hours Topic I 8 Transplant Complications: Infectious and Non-infectious Diseases - Prevention and treatment modalities  Donor-transmitted infections  Post-transplant infection  Noninfectious complications - Rejection II 16 Bone marrow Transplantation  Review of anatomy and physiology of blood, bone marrow, spleen and lymphatics  Clinical assessment and diagnostic procedures of the hematological system  Indications and contraindications for bone marrow transplant  Eligibility criteria for transplant recipient  Evaluation of transplant recipient  Selection of donor and matching  Peripheral blood stem cell transplantation  Bone marrow stem cell transplantation  Autologous vs. Allogenic stem cell transplantation  Stem cell harvesting  Preparing a patient for transplantation - conditioning  Treatment modalities - transfusion of blood and blood products  Genetic counselling and role of a nurse90 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Topic  Care of patient after bone marrow transplantation  Monitoring and evaluation for potential surgical complications, infections, or rejection and their management  Nurse’s role in caring for patients undergoing bone marrow transplantation  Drugs used in and after the bone marrow transplantation  Rehabilitation and follow-up III 12 Pancreas Transplantation  Review of anatomy and physiology of the pancreas  Donor and recipient health assessment - history, physical examination, investigation, and diagnostic procedures  Indications and contraindications for pancreatic transplant  Eligibility criteria for transplant recipient  Evaluation of transplant recipient  Selection of donor and matching  Pre- and post-operative care of recipient  Transplant procedure and intraoperative care  Monitoring and evaluation for potential surgical complications, infections, or rejection and their management  Nutrition and management of blood glucose levels  Nursing management after pancreatic transplantation  Drugs used in pancreatic transplantation  Rehabilitation and follow-up IV 12 Intestine Transplantation  Review of anatomy and physiology of GI system  Donor and recipient health assessment - history, physical examination, investigation, and diagnostic procedures  Indications, and contraindications for intestinal transplant  Eligibility criteria for transplant recipient  Evaluation of transplant recipient  Selection of donor and matching  Pre-operative care of recipient  Post-operative care of donor and recipient  Transplant procedure and intraoperative care  Monitoring and evaluation for potential surgical complications, infections, or rejection and their management  Nutritional considerations  Nurse’s role in intestinal transplantation  Drugs used in intestinal transplantation  Rehabilitation and follow-up[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 91 Unit Hours Topic V 10 Eye Transplantation  Review of anatomy and physiology of the eye  Health assessment - history, physical examination, investigation and diagnostic procedures  Indications, and contraindications for eye/corneal transplant  Donor care and organ retrieval  Evaluation of transplant recipient  Pre- and post-operative care of the recipient  Transplant procedure and intraoperative care  Monitoring and evaluation for potential complications after transplant and their management  Nurse’s role in transplantation  Drugs used in transplantation  Rehabilitation and follow-up VI 8 Thymus and uterus Transplantation  Review of anatomy and physiology of thymus and uterus  Donor and recipient health assessment - history, physical examination, investigation, and diagnostic procedures  Indications, and contraindications for thymus and uterus transplantation  Evaluation of transplant recipient  Primary immune deficiency and thymus anomaly  Monitoring and evaluation for potential complications after transplant and their management  Pre- and post-operative care of donor and recipient  Nurse’s role in transplantation  Rehabilitation and follow-up VII 10 Transplantation of the skin, muscle nerve, vein, bone, and tendon Bone banking  Review of anatomy and physiology of neuromusculoskeletal system  Donor and recipient health assessment - history, physical examination, investigation, and diagnostic procedures  Indications, and contraindications for nerve, vein, bone and tendon transplantation  Evaluation of transplant recipient  Skin malignancy, muscle and musculocutaneous flaps, brachial plexus injury, tendon and nerve transfers/implants, bone graft  Pre- and post-operative care of donor and recipient  Transplant procedure and intraoperative care  Monitoring and evaluation for potential complications after transplant and their management  Nurse’s role in transplantation  Drugs used in transplantation and immunosuppression  Rehabilitation and follow-up92 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Unit Hours Topic VIII 10 Transplant in children  Donor  Recipient  Clinical concerns following organ transplantation in children IX 10 Healthy Living Post-transplant  Discharge preparation of donor and recipient  Rehabilitation and follow up  Healthy lifestyle including nutrition, rest, exercise  Psychosocial aspects in post-transplant  Health risks and surveillance post-transplant  Sexuality  Safe living after transplantation  QOL issues - post-transplant 96 hours List of skills to be practiced in the skill lab (48 hours include demonstration by the faculty and practice by the students)  Family education  Discharge health education  Counselling  Handing over of transplant patient  Documentation and verification  Monitoring signs of rejection  Administration of immunosuppressant  Nutritional assessment  Diet planning for post-transplant patients  Health assessment  Monitoring of immunosuppressive client The skills listed under the Specialty courses such as Foundations of Transplant Nursing Practice, Transplant Nursing I and Transplant Nursing II are taught by the faculty in skill lab. The students after practicing them in the lab, will continue to practice in the Transplant unit. The log book specifies all the requirements to be completed and the list of skills that are to be signed by the preceptor once the students develop proficiency in doing the skills independently. Bibliography  Brunner and Suddarths (2014) Textbook of Medical Surgical Nursing (Vol. 1, 13th ed.) South Asian Edition, Wolters and Kluwer Publisher  Busuttil R.W. & Klintmalm G.B. (2015) Transplantation of the Liver (3rd ed.) Saunders Publisher  Cupples F. & Sandra (2016) Core Curriculum for Transplant Nurses (2nd ed.) Wolters & Kluwers Publisher  Desai C.J. (2022) Text book of Liver Transplantation (1st ed.) Paras Medical Publisher  Kenyan M. & Babic A. (2003) The European Blood and Marrow Transplantation (1st ed.) Text book for Nurses, Springers Publisher  Kirk A.D., Knechtle S.J., Larsen C.P., Madsen J.C., Pearson J.C. & Webber S.A. (2014) Text Book of Organ Transplantation, Wiley-Blackwell Publisher[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 93  Morris P.J. & Knechtle S.J. (2019) Kidney Transplantation: Principles and Practice (8th ed.) Elsevier Publisher  Morton P.G. & Fontaine D.K. (2013) Critical Care Nursing: A Holistic Approach (10th ed.) Lippincott Williams and Wilkins: Philadelphia Recommended Courses to Complete  BLS  ACLS  PALS Appendix 1 Equipment List for a Transplant Unit (Other equipment may be added as per institutional need) 1. ICU adjustable electronic cot with mattress - 10 2. IV stand - 20 3. Bed side locker - 11 (10 - patient; 1 - stock) 4. Over bed trolley - 10 5. Dressing trolley (small) - 5 6. Dressing trolley (medium) - 2 7. Syringe pump - 20 8. Infusion pump - 15 9. Monitors - 11 (10 - patient; 1 - stock) 10. Transport monitor/pulse oximeter - 2 11. Ventilators - 5 12. Portable ventilators - 1 13. ABG machine - 1 14. ECG machine - 1 15. Ultrasound machine - 1 16. Doppler machine - 1 17. Defibrillator - 2 18. Peripheral nerve stimulator - 1 19. Blood warmer and fluid warmer - 1 20. Patient warmer - 2 21. Sequential compression device - 5 22. LED shield - 1 23. Crash cart - 1 24. Transfer trolley - 4 25. OT instrument trolley - 2 26. Safe slider - 2 27. Bain circuit - 6 28. Oxygen flowmeter - 15 29. Suction port with jar - 10 30. Air flowmeter/pulmo-aid - 2 31. Refrigerator - 2 (1 - feeds, 1 - drugs) 32. Metal footstep/foot stool - 794 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 33. Ambulation chair - 5 34. Flat trolley - 1 35. Continuous Renal Replacement Therapy (CRRT) machine - 2 36. Spotlight - 2 37. Glucometer - 5 38. Ambu bag with different sizes - 10 sets 39. Fiberoptic bronchoscope - 1 40. Intubating videoscope - 1 41. Trays with sterile sets/disposable sets for various procedures (e.g. insertion of central venous catheter, tracheostomy etc.) 42. Dialyzer Appendix 2 ASSESSMENT GUIDELINES (including OSCE Guidelines) INTERNAL ASSESSMENT (Theory and Practical) Ist year 1. Theoretical Basis for Advanced Nursing Practice College examination of theory only: 50 marks Internal Assessment: Test paper and Quiz: 10 marks Written assignment/term paper: 10 marks (Global and national healthcare trends and policies) Clinical seminar: 5 marks (Clinical/Care pathway in specific clinical condition/Application of specific nursing theory) Final theory college exam: 25 marks Total: 50 marks 2. Research Application and Evidence Based Practice in Transplant Nursing Theory: Test papers: 20 marks Written assignment: 5 marks (Literature review/Preparation of research instrument) Journal club: 5 marks (Analysis of research evidence for Transplant Nursing competencies) Total: 30 marks 3. Advanced Skills in Leadership, Management and Teaching Skills Theory: Test papers: 15 marks Journal club (Trends in leadership/management/teaching): 5 marks Written assignment: 5 marks (Workplace violence) Microteaching: 5 marks Total: 30 marks 4. Advanced Pathophysiology and Advanced Pharmacology applied to Transplant Nursing Theory: Test papers and Quiz: 20 marks (Pathophysiology: 10, Pharmacology: 10)[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 95 Drug studies: 5 marks (Drug study and presentation) Case presentation and case study report (Pathophysiology): 5 marks Total: 30 marks 5. Advanced Health/Physical Assessment Theory: Test papers: 20 marks Written assignment: 10 marks (Diagnostic/Investigatory reports - interpretation and analysis of findings) Total: 30 marks Practicum: Clinical performance evaluation: 10 marks End of posting exam (OSCE): 10 marks Case presentation and case study report: 5 marks Internal OSCE: 25 marks Total Internal Practical: 50 marks End of posting exam can be conducted in Transplant unit IInd year 1. Foundations of Transplant Nursing Practice Theory: Test papers and Quiz: 20 Written assignment: 10 marks (Transplant protocols) Total: 30 marks Practicum: Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Drug studies (Drug study and presentation): 10 marks Case presentation and case study report (Family education/counseling): 5 marks Case presentation (Application of clinical/care pathway): 5 marks Internal OSCE: 50 marks Total Internal Practical: 100 marks 2. Transplant Nursing I Theory: Test papers and Quiz: 20 marks Clinical seminar and Journal club: 10 marks Total: 30 marks Practicum: Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Clinical presentation: 10 marks Case study report: 10 marks Internal OSCE: 50 marks Total Internal Practical: 100 marks96 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 3. Transplant Nursing II Theory: Test papers: 20 marks Clinical seminar: 10 marks Total: 30 marks Practicum: Clinical performance evaluation: 20 marks End of posting exam (OSCE): 10 marks Clinical presentation: 10 marks Case study report (Develop clinical/Care pathway): 10 marks Internal OSCE: 50 marks Total Internal practical: 100 marks End of posting exam can be conducted in Transplant ICU/Step down unit 4. Dissertation Practicum: 50 marks EXTERNAL (FINAL) EXAMINATION (As per schedule in syllabus) Theory: Short answer and essay type questions (Weightage can be decided by the University) {Essay 2 × 15 marks = 30, Short answers 5 × 6 marks = 30, Very short 5 × 2 marks = 10} OSCE GUIDELINES FOR INTERNAL AND EXTERNAL PRACTICAL EXAMINATION Ist year I. HEALTH ASSESSMENT INTERNAL OSCE: 25 marks CORE COMPETENCY DOMAINS 1. Focused history taking of adult patient 2. Focused physical examination of adult patient 3. Focused history taking of pediatric patient 4. Focused physical examination of pediatric patient 5. Interpretation of history and physical examination findings 6. Interpretation of results of lab and diagnostic tests 7. Monitoring clinical parameters Number of stations: 5 (4 + 1 Rest station) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency check list and allotted marks) Total: 4 × 5 = 20 marks Oral exam = 5 marks Total = 25 marks EXTERNAL OSCE: 50 marks CORE COMPETENCY DOMAINS[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 97 1. Focused history taking of adult patient 2. Focused physical examination of adult patient 3. Focused history taking of pediatric patient 4. Focused physical examination of pediatric patient 5. Interpretation of history and physical examination findings 6. Interpretation of results of lab and diagnostic tests 7. Monitoring clinical parameters Number of stations: 10 (8 + 2 Rest stations) Time for each station: 10 minutes Marks for each station: 5 marks (As per competency check list and allotted marks) Total: 8 × 5 = 40 marks Oral exam = 10 marks Total = 50 marks On completion of procedural competencies in log book and clinical requirements, the NP student is qualified to appear for final practical examination. IInd year II. FOUNDATIONS OF TRANSPLANT NURSING PRACTICE INTERNAL OSCE: 50 Marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of results of adult patient 2. Focused history taking, physical examination and interpretation of results of pediatric patient 3. Monitoring competencies (invasive and non-invasive) 4. Development of care plan 5. Family education and counseling 6. Transplant unit preparation 7. Infection control 8. Therapeutic interventions including drug administration Number of stations: 5 (4 + 1 Rest station) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 10 × 4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL OSCE: 100 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of results of adult patient 2. Focused history taking, physical examination and interpretation of results of pediatric patient 3. Monitoring competencies (Invasive and noninvasive) 4. Development of care plan98 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] 5. Family education and counseling 6. Transplant unit preparation 7. Infection control 8. Therapeutic interventions (Emergency procedures) including drug administration Number of stations: 10 (8 + 2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8 × 10 = 80 marks Oral exam = 20 marks Total = 100 marks TRANSPLANT NURSING I and II INTERNAL OSCE: 50 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of findings of adult and pediatric patient 2. Monitoring competencies (Invasive and noninvasive) 3. Evaluation of brainstem functioning 4. Family education and counseling for organ donation 5. Counseling of the transplant recipient 6. Development of plan of care/care pathway 7. Preparation of operating room for transplant surgery 8. Drug administration 9. Therapeutic interventions Number of stations: 5 (4 + 1 Rest station) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 10 × 4 = 40 marks Oral exam = 10 marks Total = 50 marks EXTERNAL OSCE: 100 marks CORE COMPETENCY DOMAINS 1. Focused history taking, physical examination and interpretation of findings of adult and pediatric patient 2. Monitoring competencies (Invasive and noninvasive) 3. Evaluation of brainstem functioning 4. Family education and counseling for organ donation 5. Counseling of the transplant recipient 6. Development of plan of care/care pathway 7. Preparation of operation room for transplant surgery 8. Drug administration 9. Therapeutic interventions[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 99 Number of stations: 10 (8 + 2 Rest stations) Time for each station: 10 minutes Marks for each station: 10 marks (As per competency check list and allotted marks) Total: 8 × 10 = 80 marks Oral exam = 20 marks Total = 100 marks On completion of procedural competencies in log book and clinical requirements, the NP student is qualified to appear for final practical examination. Appendix 3 CLINICAL LOG BOOK FOR NURSE PRACTITIONER IN TRANSPLANT NURSING PROGRAM (Specific Competencies/Skills) Appendix 3A: Clinical Log Book for Ist year S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty I RESEARCH APPLICATION AND EVIDENCE BASED PRACTICE 1 Preparation of research instrument 2 Preparation of a manuscript for publication (Ist year/IInd year) 3 Writing systematic review/literature review 4 Dissertation (IInd year) Topic: II ADVANCED SKILLS IN LEADERSHIP, MANAGEMENT AND TEACHING 1 Preparation of staff patient assignment 2 Preparation of unit budget 3 Preparation of staff duty roster 4 Patient care audit 5 Preparation of nursing care standards/protocols 6 Management of equipment and supplies 7 Monitoring, evaluation, and writing report related to infection control 8 Micro teaching/patient education sessions 9 Preparation of teaching plan and media for patients and staff 10 Planning and conducting OSCE/OSPE 11 Construction of tests III HEALTH ASSESSMENTS 1 Comprehensive history taking 2 Focus history taking (system wise) 3 Comprehensive physical examination 4 Focused physical assessment (system wise)100 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 4.1 Respiratory system 4.2 Cardiac system 4.3 Gastrointestinal 4.4 Nervous 4.5 Renal 5 Age specific history and physical examination 5.1 Geriatric 5.2 Adult 5.3 Child IV DIAGNOSTIC PROCEDURES 1 Collecting blood sample 1.1 Biochemistry 1.2 Clinical pathology 1.3 Microbiology 1.4 ABG 1.5 Blood culture 2 Assisting procedures 2.1 Paracentesis 2.2 Liver biopsy 2.3 Renal biopsy 2.4 Bone marrow aspiration 3 Witnessing procedures 3.1 PET Scan 3.2 ERCP 3.3 Endoscopy 3.4 MRI/CT 3.5 Ultrasound 3.6 Echocardiogram 3.7 ECMO 3.8 Renal doppler/angiogram V BASIC COMPETENCIES 1 Admission 2 Transfer 3 Discharge/LAMA 4 Medico-legal compliance[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 101 S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 5 Family education 6. Setting up, use and maintenance of transplant care equipment 6.1 Monitor 6.2 Transducer/pressure bag 6.3 Temperature probes 6.4 SpO probes 2 6.5 Sequential compressing device 6.6 12-lead ECG monitor 6.7 Blood/fluid warmer 6.8 Syringe pump 6.9 Infusion pump 6.10 Alpha/Air mattress 7 Monitoring and Interpretation of Critical Parameters 7.1 Arterial Blood Gas (ABG) 7.2 Oxygen saturation 7.3 Endotracheal tube cuff pressure 7.4 Hemodynamics 7.5 Electrocardiogram (ECG) 7.6 Chest X-ray 7.7 Noninvasive BP monitoring 7.8 Glasgow coma score 7.9 Sedation score 7.10 Pain score 7.11 Braden score 7.12 Bowel sounds 7.13 GRBS 8 Transplant Care 8.1 Pre-transplant work up 8.2 Fluid management in renal transplant 8.3 Therapeutic drug monitoring 8.4 Therapeutic plasma exchange 8.5 Wound management 8.6 Management of graft rejection 9 Counseling102 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 9.1 Individual 9.2 Family 10 Creating Public Awareness on Organ Donation *When the student is found competent to perform the skill, it will be signed by the preceptor. Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the preceptor signs against each competency. Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3.  Level 3 Competency denotes that the NP student can perform that competency without supervision.  Level 2 Competency denotes that the student can perform each competency with supervision.  Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision. Note: 5-10% of procedures that are rare can be practiced in skill lab and attained level 3 competency. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Appendix 3B: Clinical Log Book for IInd year S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty ADVANCED COMPETENCIES 1 Setting-up, Use and Maintenance of Transplant Care Equipment 1.1 Ventilator 1.2 Defibrillator 1.3 CPAP/BiPAP 1.4 CRASH trolley 2 End of life care 3 After life care 4 Infection control practices 5 Standard precautions 6 Disinfection/sterilization 7 BLS 8 ACLS 9 Monitoring and Interpretation of Critical Parameters 9.1 Capnography 9.2 PiCCO 9.3 Intracranial pressure (ICP) 9.4 Invasive BP monitoring 10 Administration of Medication 10.1 Sedation 10.2 Muscle relaxant[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 103 S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 10.3 Electrolyte correction 10.4 Insulin infusion 10.5 Inotrope administration 10.6 Corticosteroid 10.7 Administration of IgG/ATG 11 Management of Cardiovascular Alterations 11.1 Fluid administration (Colloid/Crystalloid) 11.2 Blood and blood product administration 11.3 Insertion and care of CVP line 11.4 Removal of CVP line 11.5 Assisting with insertion of arterial line 11.6 Care of arterial line 11.7 Removal of arterial line 11.8 Assisting with insertion of pulmonary artery catheter 11.9 Blood collection from arterial line 12 Management of Pulmonary Alterations 12.1 Airway application 12.2 Laryngeal mask airway 12.3 Assisting with intubation 12.4 Care of ET tube 12.5 Extubation 12.6 Assisting for tracheostomy insertion 12.7 Tracheostomy care and suctioning 12.8 Endotracheal suctioning - Open 12.9 Endotracheal suctioning - Closed 12.10 Postural drainage 12.11 Nebulization 12.12 Care of patient on mechanical ventilator 12.13 Non-invasive ventilation 12.14 Connecting to ventilator 12.15 Weaning from ventilator 12.16 Use of T-tube and venturi devices 12.17 Weaning from tracheostomy 12.18 Chest physiotherapy 13 Organ Donation Process104 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 13.1 Care of potential donor 13.2 Identification of potential donor 13.3 Screening of potential donor 13.4 Brainstem death evaluation 13.5 Family counseling for organ donation 13.6 Authorizing and consenting process 13.7 Safe organ transport 14 Management of Renal Alterations 14.1 Assisting with cannulation for hemodialysis 14.2 Starting and closing of hemodialysis 14.3 Care of patient on hemodialysis 14.4 Initiating peritoneal dialysis 14.5 Care of patient on peritoneal dialysis 15 Management of Gastrointestinal Alterations 15.1 Nutritional assessment 15.2 Therapeutic diet planning 15.3 Gastrostomy/Jejunostomy feeding 15.4 Parenteral nutrition 16 Management of Endocrine Alterations 16.1 Titrating insulin 16.2 Calculation of steroid administration 17 Ordering Procedures and Investigations 17.1 ECG 17.2 ABG 17.3 Chest X-ray 17.4 Ultrasound 17.5 Biochemistry investigations 17.6 Microbiology investigations 18 Ordering Treatment 18.1 Nebulization 18.2 O therapy 2 18.3 Chest physiotherapy 18.4 Insertion and removal of urinary catheter 18.5 Test feeds 18.6 Surgical dressing[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 105 S.No. Specific Competencies/Skills Number Date Signature of the Performed Preceptor*/Faculty 18.7 Suture removal 18.8 Starting hemodialysis 18.9 Closing hemodialysis 18.10 Application of Ichthammol Glycerin/Magnesium Sulphate dressing for Thrombophlebitis/extravasation 18.11 Hot and cold applications 19 Operation Room Competencies for Organ Retrieval and Transplant 19.1 Preoperative document verification 19.2 Handing over of patient to immediate post-operative ICU 19.3 Maintaining Nurses’ documentation in OT 19.4 Setting up of Operation Trolley 19.5 Assisting in OT as Scrub Nurse - organ donation 19.6 Assisting in OT as Scrub Nurse - transplantation 19.7 Assisting in OT as Circulatory Nurse 19.8 Assist with Organ Perfusion 19.9 Insulin Drip Management 19.10 OT Fumigation 19.11 Assist in Organ Harvesting 20 Care of Recipient 20.1 Counselling - individual/family for transplant 20.2 Care of recipient - pre- and post-operative 20.3 Monitoring of immediate transplant patients 20.4 Administration and monitoring of immunosuppressants 21 Post transplant health education - individual and family *When the student is found competent to perform the skill, it will be signed by the preceptor. Students: Students are expected to perform the listed skills/competencies many times until they reach level 3 competency, after which the preceptor signs against each competency. Preceptors/Faculty: Must ensure that the signature is given for each competency only after they reach level 3.  Level 3 Competency denotes that the NP student can perform that competency without supervision.  Level 2 Competency denotes that the student can perform each competency with supervision.  Level 1 Competency denotes that the student is not able to perform that competency/skill even with supervision. NOTE: 5-10% of procedures that are rare can be practiced in skill lab and attained level 3 competency. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal106 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Appendix 4 CLINICAL REQUIREMENTS FOR NURSE PRACTITIONER IN TRANSPLANT NURSING (NPTN) S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 1 Clinical Seminar/Journal Club/Clinical Conference 1.1 Foundations of Transplant Nursing Practice (Clinical Conference) Title of the topic: 1.2 Transplant Nursing I (Clinical Seminar) Title of the topic: 1.3 Transplant Nursing I (Journal Club) Title of the topic: 1.4 Transplant Nursing II (Clinical Seminar) Title of the topic: 1.5 Transplant Nursing II (Journal Club) Title of the topic: 2 Clinical Rounds (With Nursing Staff, Faculty, Students) -Clinical/Case Presentation (Written reports are for submission) 2.1 Foundations of Transplant Nursing Practice (Family Education/ Counseling) Written Report Title of the topic: 2.2 Foundations of Transplant Nursing Practice (Transplant Care Pathway) Title of the topic: 2.3 Transplant Nursing I (Clinical Presentation) Name of the clinical condition: 2.4 Transplant Nursing I (Case Study Report) Name of the clinical condition: 2.5 Transplant Nursing II (Clinical Presentation) Name of the clinical condition: 2.6 Transplant Nursing II (Case Study Report) Name of the clinical condition: Drug Studies (Drugs listed under Standing Orders) Bedside Presentation (Five written reports) 2.7 Name of the drug: 2.8 Name of the drug: 2.9 2.10[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 107 S.No. Clinical Requirement Date Signature of the Preceptor/Faculty 2.11 2.12 2.13 2.14 2.15 2.16 3 Interdisciplinary Clinical Rounds (With transplant team) - Clinical/Case Presentation 3.1 Transplant Nursing I Name of the clinical condition: 3.2 3.3 3.4 3.5 (Case study report) 3.6 Transplant Nursing II 3.7 3.8 3.9 (Case study report) 3.10 Written report (Developed Clinical/Care pathway) Note: Clinical presentation can be written for case study report. Signature of the Program Coordinator/Faculty Signature of the HOD/Principal CLINICAL EXPERIENCE DETAILS Transplant Unit Clinical Condition Number of days Signature of care given Faculty/Preceptor108 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] Signature of the Program Coordinator/Faculty Signature of the HOD/Principal Appendix 5 STANDING ORDERS NURSE PRACTITIONER IN TRANSPLANT NURSING (NPTN) Nurse practitioners are prepared and qualified to assume responsibility and accountability for the care of transplant patients. They collaborate with Intensivists, physicians, surgeons, and specialists to ensure accurate therapy for patients with high acuity needs. On completion of the program, the NPs will be permitted to administer drugs listed in standing orders as per the institutional protocols/standing orders. They will also be permitted to order/perform diagnostic tests/procedures and therapies. The following intravenous injections or infusions may be administered by the Nurse Practitioner in the transplant care units: Catecholamines 1. Adrenaline 2. Noradrenaline 3. Dopamine 4. Dobutamine Antidysrhythmic 5. Adenosine 6. Amiodarone 7. Lidocaine/Xylocard Adrenergic agent 8. Ephedrine Bronchodilators 9. Aminophylline 10. Deriphylline Non-depolarizing skeletal muscle relaxant 11. Atracurium (Vecuronium, Pancurium) Anticholinergic 12. Atropine sulphate[भाग III—खण् ड 4] भारत का रािपत्र : असाधारण 109 Antihistamine 13. Avil Antihypertensive 14. Clonidine 15. Glycerine trinitrate 16. Isoptin Corticosteroid 17. Hydrocortisone 18. Dexamethasone Sedatives and relaxants 19. Valium 20. Midazolam 21. Morphine sulphate 22. Pentazocin lactate (Fortwin) 23. Pethidine hydrochloride 24. Propofol Electrolytes and acid base correction agents 25. Soda bicarbonate 8.4% 26. Soda bicarbonate 7.5% 27. Magnesium sulphate 28. Potassium chloride 29. Normal saline 30. N/2 Antibiotics and antifungal 31. Preoperative 32. Postoperative Blood sugar level correction agents 33. H. Actrapid 34. Dextrose 25% 35. Dextrose 5% The following investigations and therapies may be ordered by the Nurse Practitioner Ordering Investigations Ordering Therapies  ECG  Nebulization  ABG  Chest physiotherapy  Chest X ray  Insertion and removal of urinary catheter  Basic Biochemistry investigations - Hb, PCV, TIBC, WBC  Administration of oxygenation Total, WBC differentials, ESR, Electrolytes, urea, creatinine,  TEDS platelets, PT, aPTT, INR, CRP bleeding and clotting time, procalcitonin, D dimer, HbA1C, Cholesterol, HIV, HbsAg,  Surgical dressing HCV, LFT, RFT, CBC, serum electrolytes, S. protein level  Starting and closing dialysis  Basic Microbiology investigations - blood samples for culture and sensitivity, tips of vascular access and ET tube  Application of magnesium sulphate dressing for thrombophlebitis/extravasation110 THE GAZETTE OF INDIA : EXTRAORDINARY [PART III—SEC.4] for culture, urine samples for random, micro and culture  Isometric and isotonic exercises  Hot and cold applications  Prescribing supplements INSTITUTIONAL STANDING ORDERS AND PROTOCOLS In every hospital, the standing orders for drug administration with specific dosage to be administered during emergency situations and specific therapeutic procedures/activities permitted to be performed by the NP after competency certification can be made available as guidelines for NPTN graduates. The NPTN students will be trained to administer these drugs and perform therapeutic procedures under supervision by preceptors/NP faculty and the competency to be certified by NP faculty. The protocols for ordering selected investigations and carrying out specific therapeutic procedures can also be available in every hospital that trains NPTN students. Dr. T. DILEEP KUMAR, President [ADVT.-III/4/Exty./612/2024-25] Uploaded by Dte. of Printing at Government of India Press, Ring Road, Mayapuri, New Delhi-110064 and Published by the Controller of Publications, Delhi-110054.