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Malabar Medical College Hospital & ... vs Kerala University Of Health Sciences
2025 Latest Caselaw 10225 Ker

Citation : 2025 Latest Caselaw 10225 Ker
Judgement Date : 29 October, 2025

Kerala High Court

Malabar Medical College Hospital & ... vs Kerala University Of Health Sciences on 29 October, 2025

Author: Anil K. Narendran
Bench: Anil K. Narendran
W.A.No.2463 of 2025               1
                                                     2025:KER:81119

                IN THE HIGH COURT OF KERALA AT ERNAKULAM

                                PRESENT

             THE HONOURABLE MR. JUSTICE ANIL K. NARENDRAN

                                      &

             THE HONOURABLE MR. JUSTICE MURALEE KRISHNA S.

   WEDNESDAY, THE 29TH DAY OF OCTOBER 2025 / 7TH KARTHIKA, 1947

                          WA NO. 2463 OF 2025

AGAINST THE JUDGMENT DATED 09.09.2025 IN W.P.(C) NO.25194 OF 2025

                        OF HIGH COURT OF KERALA


APPELLANTS/PETITIONERS:

      1      MALABAR MEDICAL COLLEGE HOSPITAL & RESEARCH CENTRE
             MODAKKALLUR, ULLIYERI, KOZHIKODE.
             REPRESENTED BY ITS CHAIRMAN, V. ANILKUMAR,
             PIN - 673323

      2      V. ANILKUMAR
             AGED 56 YEARS
             CHAIRMAN, SREE ANJANEYA MEDICAL TRUST IV FLOOR,
             KANCHAS COMPLEX, OPPOSITE INDOOR STADIUM,
             KOZHIKODE, PIN - 673323


             BY ADVS.
             SRI.S.VINOD BHAT
             KUM.ANAGHA LAKSHMY RAMAN
             SMT.V.NAMITHA
             SMT.GITANJALI SADAN PILLAI



RESPONDENTS/RESPONDENTS:

      1      KERALA UNIVERSITY OF HEALTH SCIENCES
             MEDICAL COLLEGE P.O. THRISSUR
             REPRESENTED BY ITS REGISTRAR,
             PIN - 680596

      2      MEDICAL ASSESSMENT RATING BOARD
             NATIONAL MEDICAL COMMISSION (NMC), POCKET-14,
 W.A.No.2463 of 2025              2
                                                    2025:KER:81119

             SECTOR-8, DWARAKA, PHASE-1, NEW DELHI -
             REPRESENTED BY ITS PRESIDENT, PIN - 110077

      3      NATIONAL MEDICAL COMMISSION
             POCKET-14, SECTOR-8, DWARAKA PHASE-1 NEW DELHI
             REPRESENTED BY ITS CHAIRMAN, PIN - 110077


             BY ADVS.
             SHRI.S.GANESH, SC, KERALA UNIVERSITY OF HEALTH
             SCIENCES
             SHRI.P.SREEKUMAR (SR.)



OTHER PRESENT:

             SRI. P. SREEKUMAR, SR. COUNSEL FOR R1;
             SRI. PRENJITH KUMAR, SC, NATIONAL MEDICAL COMMISSION
             FOR
             R2 AND R3


       THIS WRIT APPEAL HAVING COME UP FOR ADMISSION ON 29.10.2025,
THE COURT ON THE SAME DAY DELIVERED THE FOLLOWING:
 W.A.No.2463 of 2025              3
                                                     2025:KER:81119


                                                                C.R.
                            JUDGMENT

Anil K. Narendran, J.

The appellants-petitioners, namely, Malabar Medical College

Hospital and Research Centre and the Chairman of Sree Anjaneya

Medical Trust, filed W.P.(C)No.25194 of 2025, invoking the writ

jurisdiction of this Court under Article 226 of the Constitution of

India, seeking a writ of mandamus commanding the 1st respondent

Kerala University of Health Sciences to allow Ext.P3 application

dated 30.10.2024 made by the petitioners and Ext.P6

representation dated 10.01.2025 and Ext.P12 representation

dated 06.06.2025 and issue consent of affiliation/provisional

affiliation for three seats to DM Critical Care, for the academic year

2025-26, expeditiously, within a time limit to be fixed by this

Court.

2. In W.P.(C)No.25194 of 2025, the learned Standing

Counsel for the 1st respondent University filed a statement dated

18.08.2025, opposing the relief sought for. The petitioner filed a

reply affidavit dated 22.07.2025, producing therewith Ext.P14

show cause notice dated 13.08.2025 issued by the 3rd respondent

National Medical Commission and Ext.P15 letter dated 21.08.2025

2025:KER:81119

addressed to the Registrar of the 1st respondent University. After

considering the rival contentions, the learned Single Judge by the

impugned judgment dated 09.09.2025, dismissed the writ

petition. Paragraphs 9 to 11 and also the last paragraph of that

judgment read thus;

"9. On 31.12.2024, the 1st respondent had issued notification inviting fresh application for DM Critical Care for the academic year 2025-2026. The said notification contained error inasmuch as the notification was intended to be issued for the academic year 2026-2027. Hence, Ext.P7 Erratum Notification was issued. The contention of the petitioners is that in spite of the Erratum Notification, their application should be considered for the year 2025-2026.

10. The petitioner had the opportunity to apply for Consent of Affiliation for the academic year 2025-2026. The last date for submission of applications was 31.01.2024. The petitioners did not apply for the said course then. The University has conducted inspections and scrutiny for granting Consent of Affiliation for the petitioners for starting of DM Critical Care course for the academic year 2026-2027.

11. The petitioners did not submit application for the academic year 2025-2026 in the concerned subject within the stipulated time. The petitioners have submitted application based on a subsequent notification in which the academic year was erroneously shown as 2025-206, and in respect of which an Erratum Notification was subsequently issued. In the circumstances, I find the writ petition is without any merit and the writ petition is hence dismissed."

2025:KER:81119

3. Challenging the judgment dated 09.09.2025 of the

learned Single Judge in W.P.(C)No.25194 of 2025, the appellants-

petitioners are before this Court in this writ appeal, invoking the

provisions under Section 5(i) of the Kerala High Court Act, 1958.

Along with this writ appeal, the appellants have placed on record

Annexure A1 statement dated 24.03.2025 filed by the 1st

respondent University in another writ petition, i.e.,

W.P.(C)No.10989 of 2025; Annexure A2 relevant extract of

notification dated 12.09.2025 issued by the 1st respondent

University; and Annexure A3 letter dated 29.09.2025 of the 2 nd

appellant addressed to the Registrar of the 1st respondent

University.

4. We heard arguments of the learned counsel for the

appellants-petitioners, the learned Senior Counsel for the 1st

respondent Kerala University of Health Sciences and the learned

Standing Counsel for National Medical Commission for

respondents 2 and 3.

5. The issue that requires consideration is as to whether

any interference is warranted in the impugned judgment dated

09.09.2025 of the learned Single Judge in W.P.(C)No.25194 of

2025:KER:81119

2025, whereby the writ petition stands dismissed for the reasons

stated therein.

6. As noticed by the learned Single Judge in the impugned

judgment, the appellant-petitioner submitted an application

seeking provisional affiliation for DM Critical Care with three seats

in Malabar Medical College Hospital and Research Centre, pursuant

to a notification issued by the 1st respondent University, inviting

applications from institutions which are having affiliated courses

of the University for provisional affiliation to start new under

graduate/post graduate/superspeciality courses mentioned in the

appendix to the said notification. In the notification dated

31.12.2024, the academic year was erroneously mentioned as

'2025-26' against all medical postgraduate/superspeciality

courses, instead of '2026-27'. Therefore, the 1st respondent

University issued Ext.P7 erratum notification dated 15.01.2025,

whereby the academic year in the notification dated 31.12.2024

was corrected as '2026-27', instead of '2025-26'. In view of Ext.P7

erratum notification dated 15.01.2025 issued by the 1st

respondent University, the application made by the appellants-

petitioners for provisional affiliation for DM Critical Care with three

2025:KER:81119

seats in Malabar Medical College Hospital and Research Centre can

be considered only for the academic year 2026-27. Therefore, by

invoking the writ jurisdiction of this Court under Article 226 of the

Constitution of India, the appellants-petitioners cannot seek a writ

of mandamus, as sought for in W.P.(C)No.25194 of 2025,

commanding the 1st respondent University to consider the said

application for provisional affiliation for the academic year 2025-

26, since no mandamus can be issued directing the statutory

authorities to do something contrary to the statute. See:

Bhaskara Rao A.B. v. CBI [(2011) 10 SCC 259].

7. The appellants-petitioners had earlier approached this

Court in W.P.(C)No.10989 of 2025 seeking provisional affiliation

for DM Critical Care with three seats in Malabar Medical College

Hospital and Research Centre, for the academic year 2025-26, as

a special case. The said writ petition ended in dismissal by Ext.P10

judgment dated 26.03.2025. In paragraph 19 of the said

judgment, the learned Single Judge declined the reliefs sought for

in that writ petition, considering the fact that the original

application submitted by the petitioners are for the academic year

2026-27 and that the deadline for making applications and for

2025:KER:81119

allotment of seats for the academic year 2025-26 had long

expired. It is after the dismissal of W.P.(C)No.10989 of 2025, the

appellants-petitioners have chosen to file another writ petition

before this Court, i.e., W.P.(C)No.25194 of 2025 seeking the very

same relief, i.e., provisional affiliation for DM Critical Care with

three seats in Malabar Medical College Hospital and Research

Centre, for the academic year 2025-26, which is legally

impermissible.

8. From the pleadings and materials on record, we notice

that even without obtaining consent of affiliation/provisional

affiliation from the 1st respondent University for starting DM

Critical Care with three seats in Malabar Medical College Hospital

and Research Centre, for the academic year 2025-26, the

appellants-petitioners have chosen to submit an application before

the 2nd respondent Medical Assessment and Rating Board (MARB)

of the 3rd respondent National Medical Commission, pursuant to

Ext.P4 public notice dated 18.09.2024. The document marked as

Ext.P5 is an application made by the appellants pursuant to Ext.P4

notification. The said application made through web portal is

extracted hereunder;

2025:KER:81119

9. As evident from Ext.P5 application made by the

appellants through web portal, instead of the consent of affiliation

2025:KER:81119

or provisional affiliation obtained from the 1st respondent

University, the appellants have attached Ext.P2 essentiality

certificate dated 22.12.2022 issued by the State Government in

PDF format, against the column 'Consent of Affiliation' which has

already been attached in Ext.P5 application, against the column

'Essentiality Certificate'. It is pertinent to note at this juncture,

condition No.5 stipulated in Ext.P4 public notice dated 18.09.2024

issued by the 2nd respondent Medical Assessment and Rating

Board (MARB) inviting applications for the academic year 2025-

26, which reads thus;

"5. The medical college/institution are instructed to upload the following three documents in PDF format in the online application form-

• Valid Essentiality Certificate (EC) in the prescribed Proforma for starting of new Post-Graduate medical courses in an established medical institution, establishing a new Post-Graduate Medical Institution (standalone PG institute) under the heading/column "Essentiality Certificate". (As per Annexure 1) • Valid Consent of Affiliation (CoA) in the prescribed Proforma. (As per Annexure 2) and • Justification for the number of requested seats (as per Annexure 3)"

10. In exercise of the powers conferred vide sub-section

(2) of Section 57 read with Sections 26, 28 and 29 of the National

2025:KER:81119

Medical Commission Act, 2019, the National Medical Commission

made the Establishment of New Medical Institutions, Starting of

New Medical Courses, Increase of Seats for Existing Courses and

Assessment and Rating Regulations, 2023, in short the

Establishment of Medical institutions, Assessment and Rating

Regulations, 2023 (EMAR 2023). The said Regulations came into

force with effect from 02.06.2023, the date of publication in the

official gazette. Section 2(e) of EMAR 2023 defines 'Consent of

Affiliation' (in its abbreviated form CoA) to mean a letter in writing

obtained from a recognised University, issued in the name of the

applicant, agreeing to affiliate the medical institution for the award

of the necessary qualifications by the University. Section 2(f)

defines 'Essentiality Certificate' (in its abbreviated form EC) to

mean written permission from the Central or concerned State

Government or the Union Territory administration, as the case

may be, for the establishment of a new medical institution.

11. As per Section 4 of EMAR 2023, no medical college or

medical institution can be established, or new medical course or

courses can be started, unless it is granted permission by the

MARB in writing, in response to an application submitted in this

2025:KER:81119

regard. As per the proviso to Section 4, any such permission by

the MARB may be issued subject to such conditions as it may think

fit to impose.

12. In view of the provisions contained in Section 9 of

EMAR 2023, no application submitted by the eligible entity shall

be entertained unless it is accompanied by the Essentiality

Certificate (EC) issued by the concerned State Government or

Union Territory administration or the appropriate authority, as the

case may be, unless otherwise specified, which shall be valid at

the time of application, and a Consent of Affiliation (CoA) letter

obtained from a recognised university, issued in the name of the

applicant entity in writing, which shall also be valid at the time of

application. Section 9 of EMAR 2023 reads thus;

"9. No application submitted by the eligible entity shall be entertained unless it is accompanied with a. Essentiality Certificate (EC) issued by the concerned State Government or Union Territory administration or the appropriate authority as the case may be unless otherwise specified. The EC shall be valid at the time of application; and b. A Consent of Affiliation (CoA) letter obtained from a recognized university, issued in the name of the applicant entity in writing. The CoA shall be valid at the time of application, and c. Documentary proof indicating the establishment of a corpus

2025:KER:81119

fund by the entity dedicatedly applicable to functioning of the new medical institution year after year, and d. A solvency certificate issued by a Chartered Accountant within ninety days prior to the last date of submission of the application as mandated by the Notification issued by the MARB, and e. Documents by way of proof that such reasonable area of land is either owned or arranged under lease or such other arrangement by the eligible entity, and f. Capabilities with regard to the provision of required basic infrastructure, administrative and financial support of the applicant, if the eligible entity is other than Central in a State Government or Territory administration, and g. Documentary proof of owning or naming a hospital of required capacity as indicated in the MSRs. h. Proof indicating remittance of prescribed application fee and bank guarantee; and i. Any such other documents are to be notified from time to time by the MARB Explanation 1 - the period of validity of the EC indicated in (a) above shall be in accordance with that mentioned by the issuing authority for a period of three years from the date of issue or an earlier date if the issuing authority has specified. Explanation 2 - the CoA obtained from a recognized university issued in the name of the eligible entity shall lose its validity after the application for which it was used. The eligible entity shall obtain a new CoA if the application is rejected. Provided the CoA shall have a total life of three years from the date of its issuance or an earlier date if the issuing authority has specified.

2025:KER:81119

Explanation 3 - Established medical institutions applying for seats for new medical courses, may be exempted from some of these documents as will be specified, while calling the applications Provided any incomplete applications received, meaning applications without the mandated documents specified in the present Regulation, shall be rejected by the MARB Provided further that once rejected the eligible entity shall lose the chance of reapplying till the next window of opportunity in calling for the applications."

13. In Medical Council of India v. V.N. Public Health

and Educational Trust [(2016) 11 SCC 216], a decision relied

on by the learned Senior Counsel for the 1st respondent University,

the Apex Court reiterated the law laid down by a Three-Judge

Bench in Royal Medical Trust v. Union of India [(2015) 10

SCC 19] that the initial assessment of the application at the first

level should comprise of checking necessary requirements such as

essentiality certificate, consent for affiliation and physical features

like land and hospital requirement. If an applicant fails to fulfil

these requirements, the application on the face of it would be

incomplete and be rejected. Those who fulfil the basic

requirements would be considered at the next stage.

14. In V.N. Public Health and Educational Trust

[(2016) 11 SCC 216] the Apex Court has referred to the decision

2025:KER:81119

in D.Y. Patil Medical College v. Medical Council of India

[(2015) 10 SCC 51], wherein the controversy had arisen due to

rejection of the application of the institution on the ground that

Essentiality Certificate was not filed along with the application

form. The Apex Court dwelled upon the principles stated in

Educare Charitable Trust v. Union of India [(2013) 16 SCC

474], Royal Medical Trust [(2015) 10 SCC 19] and various

other decisions and, after anaylsing the scheme of the Indian

Medical Council Act, 1956, held that as it is apparent from the

aforesaid decisions and the regulations that the application at the

first instance is required to be complete and incomplete

applications are liable to be rejected. Thereafter, there has to be

an inspection and other stages of decision-making process.

15. As already noticed hereinbefore, the mandate of

Section 9 of EMAR 2023 is that, no application submitted by the

eligible entity shall be entertained unless it is accompanied by the

Essentiality Certificate issued by the concerned State Government

or Union Territory administration or the appropriate authority, as

the case may be, unless otherwise specified, which shall be valid

at the time of application, and a Consent of Affiliation letter

2025:KER:81119

obtained from a recognised university, issued in the name of the

applicant entity in writing, which shall also be valid at the time of

application. When the application is not supported by an

Essentiality Certificate issued by the concerned State Government

or Union Territory Administration or the appropriate authority, as

the case may be, and the Consent of Affiliation/provisional

affiliation letter obtained from a recognised University, both valid

at the time of application, the application on the face of it would

be incomplete and liable to the rejected. Such an application,

which does not fulfill the basic requirements, is not required to be

considered at the next stage.

16. In the case at hand, admittedly, Ext.P5 application

made by the appellants-petitioners before the Medical Assessment

and Rating Board of the National Medical Commission for starting

DM Critical Care with three seats in Malabar Medical College

Hospital and Research Centre, for the academic year 2025-26, was

not supported by a consent of affiliation/provisional affiliation

letter issued by the 1st respondent University, valid at the time of

that application. Such an application on the face of it is incomplete,

which can only be rejected by the Medical Assessment and Rating

2025:KER:81119

Board. Therefore, instead of issuing Ext.P14 show cause notice

dated 13.08.2025, the Medical Assessment and Rating Board

should have rejected Ext.P5 application made by the appellants-

petitioners. When the aforesaid application made by the

appellants-petitioners was incomplete, in view of the mandatory

requirements of Section 9 of EMAR 2023, placing reliance on

Ext.P14 show cause notice, the appellants-petitioners cannot seek

a writ of mandamus for consideration of Ext.P3 application for

consent of affiliation by the 1st respondent University, for the

academic year 2025-26.

In the result, no interference is warranted in the impugned

judgment dated 09.09.2025 of the learned Single Judge in

W.P(C)No.25194 of 2025. This writ appeal fails and the same is

accordingly dismissed.

Sd/-

ANIL K. NARENDRAN, JUDGE

Sd/-

MURALEE KRISHNA S., JUDGE MSA

2025:KER:81119

APPENDIX OF WA 2463 OF 2025

PETITIONER ANNEXURES

Annexure A1 TRUE COPY OF THE STATEMENT OF THE 1ST RESPONDENT IN W.P.(C)NO.10989/2025 DATED 24- 03-2025 Annexure A2 TRUE COPY OF THE RELEVANT PAGES OF NOTIFICATION DATED 12-09-2025 ISSUED BY THE 1ST RESPONDENT Annexure A3 TRUE COPY OF LETTER DATED 29-09-2025 WRITTEN BY THE 1ST/ 2ND APPELLANT TO THE 1ST RESPONDENT

 
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