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S.Shayanthini vs The Principal Secretary To ...
2022 Latest Caselaw 7716 Mad

Citation : 2022 Latest Caselaw 7716 Mad
Judgement Date : 12 April, 2022

Madras High Court
S.Shayanthini vs The Principal Secretary To ... on 12 April, 2022
                                                           W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                                              WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                                                  7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                                                                       7688, 7689 & 7690 of 2022




                                  IN THE HIGH COURT OF JUDICATURE AT MADRAS

                                                  DATED : 12.04.2022

                                                       CORAM:

                                  THE HONOURABLE DR.JUSTICE ANITA SUMANTH

                                  W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                   WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                     7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                               7688, 7689 & 7690 of 2022

                     S.Shayanthini                         ... Petitioner in W.P.No.7596 of 2022

                     R.Deepika                             ... Petitioner in W.P.No.7599 of 2022

                     T.Raajneesh                           ... Petitioner in W.P.No.7600 of 2022

                     Mohamed Nidhal.S                      ... Petitioner in W.P.No.7607 of 2022

                     R.J.Sakthi Venkatesh                  ... Petitioner in W.P.No.7683 of 2022

                     N.Khamini                             ... Petitioner in W.P.No.7689 of 2022


                                                          Vs




                     1/32



https://www.mhc.tn.gov.in/judis
                                                        W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                                           WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                                               7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                                                                    7688, 7689 & 7690 of 2022




                     1.The Principal Secretary to Government of Tamil Nadu
                       Health and Family Welfare Department, Secretariat,
                       Chennai – 600 009.

                     2.The Director of Medical Education,
                       No.162, EVR Periyar Salai, Kilpauk,
                       Chennai – 600 010.
                     3.The Director of Medical and
                       Rural Health Services,
                       No.359, Anna Salai,
                       Chokkalingam Nagar,
                       Chennai – 600 006.
                                                      ... Respondents in W.P.Nos.7596, 7599,
                                                             7600, 7607, 7683 &7689 of 2022
                     4.The Dean,
                       Madras Medical College,
                       Chennai – 600 001.
                                                    ... Respondents in W.P.Nos.7596, 7599,
                                                                         7600 & 7607 of 2022
                     4.The Dean,
                       Thanjavur Medical College,
                       Thanjavur – 613 004.
                                                       ... Respondent in W.P.No.7683 of 2022

                     4.The Dean,
                       Government Mohan
                       Kumaramangalam Medical College,
                       Salem – 636 002.



                     2/32



https://www.mhc.tn.gov.in/judis
                                                          W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                                             WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                                                 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                                                                      7688, 7689 & 7690 of 2022




                                                       ... Respondent in W.P.No.7689 of 2022
                     The Director General of Health Services (DGHS),
                     Ministry of Health and Family Welfare,
                     Government of India,
                     Nirman Bhawan,
                     Maulana Azad Road,
                     New Delhi – 110 011
                                                  ... 5th Respondent in the above W.Ps.
                     (R5 suo motu impleaded vide
                     this order)

                     COMMON PRAYER:- Writ Petition filed under Article 226 of the
                     Constitution of India, praying for the issuance of a Writ of Certiorarified
                     Mandamus, to call for the records of the 1st Respondent in G.O.Ms. No.
                     185, Health and Family Welfare (MCA1) Department dated 13.04.2020
                     clarified by the 1st Respondent by Govt. Letter No.4713/MCA-1/2022-1
                     dated 10.02.2022 thereby restricting submission of bank guarantee to
                     Super Speciality non service aspirants within the state of Tamil Nadu
                     selected through NEET All India quota to other states or private
                     institutions or DrNB (Doctorate of National Board) and quash the same
                     and consequently direct the 4th Respondent to return the original
                     certificates to the petitioner on extension of surety bond already executed
                     by the petitioner in the custody of the 4th Respondent without


                     3/32



https://www.mhc.tn.gov.in/judis
                                                            W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                                               WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                                                   7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                                                                        7688, 7689 & 7690 of 2022




                     submission of the Bank Guarantee, in order to produce the same for
                     pursuing Super Speciality course.

                                  In all W.Ps.
                                  For Petitioner      : Mr.M.Sriram

                                  For Respondents     : Mr.D.Ravichander
                                                        Special Government Pleader – R1 to R4

                                                      Mr.V.Chandrasekaran
                                                      Senior Panel Counsel - R5

                                             COMMON ORDER

                                  All petitioners were initially aspiring for seats for super

                     speciality courses. Pending Writ Petitions, 6 out of 7 have been

                     successful in securing admission. The petitioner in W.P.No.7588 of 2022

                     awaits selection and his case has thus been de-linked and listed for

                     hearing on 19.04.2022.

                                  2. Of the remaining, the case of the petitioners in W.P.Nos.7599

                     of 2022 and 7600 of 2022, Dr.R.Deepika and Dr.T.Raajaneesh are liable



                     4/32



https://www.mhc.tn.gov.in/judis
                                                              W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                                                 WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                                                     7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                                                                          7688, 7689 & 7690 of 2022




                     to be accepted in line with letter dated 10.02.2022 of the Principal

                     Secretary to Government, Health and Family Welfare Department that

                     relaxes the condition of bank guarantee in respect of doctors who have

                     secured admission in a Government Medical College within the State of

                     Tamil Nadu.

                                    3. The case of the petitioners in W.P.No.7596 of 2022 –

                     Dr.S.Shayanthini, W.P.No.7683 of 2022 – Dr.J.Sakthi venkatesh,

                     W.P.No.7607 of 2022 – Dr.S.Mohamed Nidhal, W.P.No.7589 of 2022 –

                     Dr.N.Khamini are distinguishable in that they have secured admission in

                     Institutions in other States as well as private colleges.

                                    4. The details of admissions secured are tabulated below:

                                  SL.NO   WRIT PETITION       PETITIONER’S                  ALLOTED
                                                                  NAME                    INSTITUTIONS
                                   1.       7596 OF 2022    DR.S.SHAYANTHINI                Sri Jayadeva
                                                                                             Institute of
                                                                                           Cardiovascular
                                                                                             Science &
                                                                                              research,




                     5/32



https://www.mhc.tn.gov.in/judis
                                                            W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                                               WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                                                   7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                                                                        7688, 7689 & 7690 of 2022




                                                                                       Banglore, Govt. of
                                                                                           Karnataka
                                  2.      7683 OF 2022       Dr.J.SAKTHI               Osmania Medical
                                                             VENKATESH                      College,
                                                                                       Hyderabad, Govt.
                                                                                          of Telangana
                                  3.      7607 OF 2022     DR.S.MOHAMED                       DrNB
                                                               NIDHAL                  NeuroAnaesthesia,
                                                                                       Global Hospitals,
                                                                                        Chennai, under
                                                                                       National Board of
                                                                                       Education (NBE),
                                                                                         Govt. of India.
                                  4.      7589 OF 2022      DR.N.KHAMINI               DrNB Nephrology,
                                                                                       Apollo Hospitals,
                                                                                        Chennai, under
                                                                                       National Board of
                                                                                       Education (NBE),
                                                                                         Govt.of India.
                                  5.      7599 OF 2022      DR.R.DEEPIKA                Stanley Medical
                                                                                       College, Chennai,
                                                                                         Govt. of Tamil
                                                                                              Nadu.
                                  6.      7600 OF 2022     DR.T.RAJNEESH                Madras Medical
                                                                                       College, Chennai,
                                                                                         Govt. of Tamil
                                                                                              Nadu
                                  7.      7588 OF 2022      DR.M.VIGNESH                  Awaiting 2nd
                                                               KUMAR                         round.



                                   5. All petitioners challenge G.O.Ms.No.185, Health and Family



                     6/32



https://www.mhc.tn.gov.in/judis
                                                               W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                                                  WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                                                      7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                                                                           7688, 7689 & 7690 of 2022




                     Welfare (MCA1) Department dated 13.04.2020 and clarification issued

                     by the first respondent, i.e., the Principal Secretary to Government,

                     Health and Family Welfare Department dated 10.02.2022. The aforesaid

                     G.O. dealt with a condition imposed by the State upon the request of

                     students who had sought return of their certificates for continuance of

                     higher speciality/fellowship course.

                                     6. In paragraph 2, the Secretary to Government states as

                     follows:

                                  2. The Director of Medical Education has stated that the
                                  Non-Service Post Graduate Board Speciality (Degree/Diplo-
                                  ma)/Higher Speciality candidates who have studied in State
                                  of Tamil Nadu and have selected to Higher Speciality/Fel-
                                  lowship      courses    in     other    States/Private  Self
                                  Financing/Deemed University before getting posting order
                                  for starting their bond service and the Candidates who have
                                  joined the service in State of Tamil Nadu (before completing
                                  their bond period) are requesting to return their original
                                  certificates to continue their Higher Speciality/Fellowship




                     7/32



https://www.mhc.tn.gov.in/judis
                                                               W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 &
                                                                  WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610,
                                                                      7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685,
                                                                                           7688, 7689 & 7690 of 2022




                                  courses in other states/ Private Self Financing/ Deemed Uni-
                                  versity.

                                     7. Based on the experience of the State that non-service post

                     graduate candidates more often than not, do not comply with the service

                     conditions imposed on them and breach the bond conditions, the State

                     had decided to obtain bank guarantees from candidates aspiring for

                     higher studies. This is the sum and substance of paragraph 3 of the G.O.,

                     extracted below:

                                  3. In order to prevent the Non Service Post Graduate Broad
                                     Speciality/Degree/Diploma/Higher Speciality candidates
                                     from escaping the bond conditions, the Director of Medi-
                                     cal Education has decided to obtain Bank Guarantee
                                     from those candidates before leaving to service and re-
                                     quested the Government to issue necessary order in this
                                     regard.
                                  8. The proposals as aforesaid were examined by the State and the

                     following orders issued:

                                     ....

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

4. The Government have examined the proposal of the Direc- tor of Medical Education and decided to accept the same. Accordingly, the Government do hereby issue orders to the Director of Medical Education as detailed below:- I). to permit the Non service Post Graduate candi- dates who have completed their Broad Speciality (MD/MS/Diploma) Course in State of Tamil Nadu (not completed their bond condition) and have se- lected for Higher Speciality courses through en- trance examination (either/neither NEET-SS) in other State/Private self-financing/Deemed Univer- sity to pursue the Higher Speciality course after ob- taining the Bank Guarantee equivalent to the bond amount as prescribed in the respective year prospectus during the admission to Broad speciality courses from the academic year 2016-2017. II). to permit the Non service Post Graduate candi- dates who have competed their Higher Speciality (DM/M.Ch) Course in State of Tamil Nadu (not completed their bond condition) and have selected for Fellowship Course through entrance examina- tion (either/neither NEET-SS) in other State/ Pri- vate self-financing/Deemed University to pursue the Fellowship course after obtaining the Bank Guar-

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

antee equivalent to the bond amount as prescribed in the respective year prospectus during the admis- sion to Higher speciality courses from the academic years 2016-17.

9. After issuance of G.O.185 dated 13.04.2020, the State

considered the position of those students who continue to study in the

State of Tamil Nadu even for post graduate/super speciality courses and

since the State continues to retain control, as the students are continuing

their education in Government colleges within the State, the rigour of

G.O.185 was relaxed to this limited extent.

10. This was based upon several representations from post

graduate students who continued in the State who pointed out that their

certificates were being held by the Government Institutions within the

State control and thus some measure/degree of control is retained to

ensure that they do not breach the bond conditions. The logic of their

request found acceptance in letter dated 10.02.2022.

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

11. The relevant portion of letter dated 10.02.2022 is extracted

below:

2. A number of Post Graduate students represented that when they have to join Super Speciality or from Diploma to Post Graduate Seats in Government medical institutions within the State, citing G.O.M- s.No.185, Health and Family Welfare Department, dated 13.04.2020, bank guarantee is being insisted upon.

3.The G.O.Ms.No.185, Health and Family Welfare Department, dated 13.04.2020 referred to students joining other State/Private Self financing and Deemed University without completing bond crite- ria whereas these students are joining Government Colleges within the State and not other State/Pri- vate Self-financing/Deemed University. Thus the bond criteria and the bank guarantee is not applica- ble to them.

4.I am to state that the Director of Medical Educa- tion need not insist upon bank guarantee and sent the certificate of such candidates (who are going to join in Government Medical Institutions within the State) to the institution to which the candidates are going to join and to ensure that the students pursu-

ing Post Graduate and Super Speciality are not

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

forced to obtain a bank guarantee. Instead, a simple undertaking may be obtained that on completion of the Super Speciality course/Post Graduate course, the respective conditions of agreeing to serve in the State, as the case may be, depending on the avail- ability of the vacancies within the time frame may be obtained.

12. Pending Writ Petitions, all petitioners were permitted to

participate in counselling to ascertain the success of their candidature as

this would have a bearing on the decisions to be made. This is for the

reason that prima facie I had felt that a distinction ought to be made

between Government Colleges not just in the State of Tamil Nadu but in

any part of the Country, vis-a-vis private institutions within and without

the State.

13. The petitioners are thus participated in the counselling and

the result of the counselling is that Dr.R.Deepika and Dr.T.Raajnesh have

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

been successful in securing seats in Stanley Medical College, Chennai

and Madras Medical College, Chennai respectively. Being Government

Institutions, there is no necessity for them to pursue their challenge to

G.O. 185 as modified by letter dated 10.02.2022, as they fall within the

exempted category, and benefit from clarification dated 10.02.2022.

14. Hence, W.P.Nos.7599 and 7600 of 2022 are closed

recording the above position. There is no hurdle to their certificates being

returned forthwith upon their complying with the conditions as

applicable to them and I order so.

15. Adverting to the case of the other four petitioners, clearly,

the imposition of, or exemption from any condition, falls within the

domain of the State. This position has been settled by the Hon’ble

Supreme Court in the case of Association of Medical Super Speciality

Aspirants and Residents & Others V. Union of India and others (W.P.(C)

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

No.376 of 2018) decided on 19.08.2019).

16. The challenge in that case related to compulsory bonds to

be executed for admission to post graduate medical courses and super

speciality courses. The petitioner association had sought a mandamus

quashing such compulsory bond conditions as imposed in the States of

Andhra Pradesh, Goa, Gujarat, Himachal Pradesh, Karnataka, Kerala,

Maharashtra, Orissa, Rajasthan, Tamil Nadu, Telengana and West Bengal.

17. A consequential direction had been sought by the members

of the petitioner association seeking return of their original mark sheets,

certificates and other documents that had been retained by the respective

States post completion of the speciality courses, insisting upon and

invoking the bond conditions.

18. The restrictions imposed by the different States are of

various hues and not all uniform in nature. The basis of the imposition

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

was however for the same reason, to retain some degree of control over

the candidates/doctors, to ensure that they serve the State for a given,

stated period.

19. All the States invest substantially in setting up and

maintaining the medical colleges, and the uniform thinking was that

having benefitted from the resources of the State, the candidates must be

prevailed upon the give back to the State, some of the expertise gained

by them.

20. The Hon’ble Court held that the conditions imposed fell

within the permitted authority that vested in the State, and was

reasonable and not in violation of any constitutional principle. Such

policy, to permit the States to engage in the exercise of imposing

reasonable restrictions upon those candidates who were the beneficiaries

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

of State sponsored infrastructure, was premised on the minimum need of

deprived sections of society to have access to proper health and tertiary

care.

21. The laudable object is thus that health care must not be

restricted only to those who have the resources to visit speciality and

corporate hospitals, but must be available even to those living in the

remote areas of a State. In the upshot, the claim of the Association was

dismissed and all doctors who had executed the bonds were held to be

bound by the conditions contained therein.

22. A suggestion was made by the Hon’ble Bench in

conclusion that, bearing in mind the rigour imposed by the States and the

need for uniformity in the matter relating to compulsory bonds, suitable

steps be taken by the Union of India and the Medical Council of India to

formulate a uniform policy regarding the compulsory service to be

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

rendered by doctors trained in Government Institutions.

23. Though rendered on 19.08.2019, nothing is placed before

me by learned counsel for the respondents to show that the suggestion of

the Hon’ble Supreme Court has borne any fruit. As a result, the disparity

in bond conditions continues.

24. The common counter of the respondents, sets out at

paragraph 5, the estimate of costs incurred by the State in running the

medical colleges, that is in excess of Rs.10 crores per year. This is

quantified approximately at a sum of Rs.27.00 lakhs per student per

annum. On the other hand, the fee structure is extremely subsidized and

reasonable and some of the petitioners were also paid stipend by the

Government.

25. It is best to extract the defence of the State in its own words.

“It is further submitted that every Department in the government Medical Colleges

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

requires the following doctors, besides other staff and infrastructural facilitites.

                                  Sl. Name of the Post       No.of        Approximate Total
                                  No                         Posts          Annual Pay
                                   .
                                   1. Professor                8             Rs.       18305760
                                   2. Associate                14            Rs.       24136728
                                      Professor
                                   3. Assistant                28            Rs.       44462544
                                      Professor
                                   4. Senior Resident          4             Rs.        6254208
                                                             Total           Rs.       93159240

The salary of Staff and other infrastructural facilities provided to every Department would cross about Rs.10,00,00,000/- (Rupees Ten Crores) per year. Thus for each petitioner to undergo the course, the Government incurs Rs.27,00,000/- (Rupees Twenty Seven Lakhs) approximately per annum and similar amount for the 2nd and 3rd year also whether they continue their study or not. Whereas the petitioners are required to pay the tuition fees of Rs.30,000/- per year and special fee of Rs.500/- per year, in all a total of Rs.30,500/- only for their one year course. Apart from that, the petitioners were paid stipend by the

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

Government to the tune of Rs.11,71,500/- from May- 2018 to May-2021.

The candidates trained at such low cost with stipend must utilize their knowledge gained for the benefit of the poor patients coming for treatment at Government Medical College Hospitals. The Government is offering all such speciality courses at a very low cost when compared to the private institutions with a fond hope that he/she will serve the poor. The prime objective of the Government is to provide specialized treatment to the poor people who are unable to afford the high cost involved in treatments outside Government Institutions, and to increase the availability of skilled manpower.

Hence, it is natural that the Government desires to ensure that these doctors who have undergone Post Graduate training at a very low cost by utilizing the poor people to serve the poor and the needy of this country at large and this State in particular. The public have the right to expect the Specialists to utilize the skills they acquired during their training for the benefit of the sick, the poor and the needy. To ensure that the services of trained Post Graduate Doctors are made available to the poor and needy patients, a bond signed by the candidate with 3 sureties is obtained from the candidates at the time of their admission. The candidate is a well qualified registered medical practitioner with adequate knowledge and only after

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

carefully reading the bond condition and understanding it and after being fully aware of the terms and conditions of the bond he/she has signed the bond and he/she has not been forced to sign the bond. It is sincerely believed that if allowed this will encourage an attitude of not paying attention to those poor people at whose expense they have been educated which is not good and acceptable.”

26. The State also points out that some of the petitioners have

engaged in COVID duty on contract basis for some time. The legitimate

claim of the respondents is that in spite of executing a bond, as

admittedly enforcement of the bond is almost non-existent, many of the

candidates do not come back to serve the State. Thus, the purpose of the

bond is defeated resulting in considerable shortage in the number of

doctors employed in Government Institutions in the State.

27. I am now faced with the situation where the State of Tamil

Nadu has made a distinction between those candidates who continue to

study in Government colleges within the State and those who had opted

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

to leave the State to continue their studies elsewhere. In the latter case,

and if the bond conditions have not been fulfilled thus far by the doctors,

such conditions will spill over and merely be deferred to after the

completion of the super speciality courses.

28. In such an event, it becomes imperative for the State to, as

rightly contended by them, retain some measure/degree of control upon

the students, as in the alternative, there is every possibility that the

doctors would continue to greener pastures without feeling the need to

return to the State to serve.

29. Admittedly, the machinery for enforcement of the bond

conditions is not just poor but non-existent. It is, in such a situation that

the State has created an exemption from G.O.185 dated 13.04.2020 in

permitting continuance of original bond conditions in the cases of those

students who continue their studies in the State of Tamil Nadu.

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

30. However, the rigour of the Government Order continues in

the cases of those students who have secured admission outside the State

or in private institutions within the State. In such cases, the requirement

of a bank guarantee for a sum of Rs.40,00,000/- (Rupees forty lakhs

only) is insisted upon. Learned single Judges of this Court have

considered the pleas of candidates that the condition of bank guarantee is

onerous. Such consideration was prior to issuance of clarification dated

10.02.2022.

31. Ultimately, those petitioners were directed to furnish

guarantees for amounts less than the original liabilities which, as per

G.O.185 requires the bank guarantee to be equivalent to the bond amount

as prescribed in the prospectus in the respective year. (See orders dated

16.10.2020, 30.11.2020 and 03.12.2020 in W.P.Nos.14906 of 2020,

16849 of 2020 and 16842 of 2020 respectively). I am also told that the

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

aforesaid orders have been accepted by the State and bank guarantees

accepted for the negotiated amounts stated therein.

32. Having heard learned counsel, I am of the view that the

primary demarcation made under impugned Government Orders read

with clarification dated 10.02.2022 has some basis. I am also supported

in this view by the decision of the first Bench of this Court in Writ

Appeal No.799 of 2019 and a batch of Writ Petitions delivered on

06.10.2020. The conclusion of the Bench at paragraph 103 (v)

specifically takes note of the judgment of the Apex Court in the

Association case reiterating that that judgment laid down the law in

regard to the binding nature of bond/contract obligations.

33. The candidates in W.P.Nos.7607 and 7689 of 2022 have

secured admission in private institutions and hence are bound by

G.O.Ms.No.185 dated 13.04.2020 and clarification dated 10.02.2022.

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

Their writ petitions are dismissed, subject to relief as under.

34. The State has revealed its inclination to engage in

negotiation of the appropriate amount of bank guarantee to be executed

by the candidate opting for study in private institutions, both within and

without the State.

35. I thus direct Respondent 2, the Director of Medical

Education, to engage in a deliberation of the amount of bank guarantee to

be furnished by these petitioners, bearing in mind orders passed in

W.P.Nos.14906 of 2020, 16849 of 2020 and 16842 of 2020 as aforesaid

and decide the same within 24 hours from now.

36. The process of admission in the seats secured by these

candidates will be subject to this deliberation. It is made clear that the

candidates in question are bound by all conditions under G.O.185 dated

13.04.2020, including the furnishing of the bank guarantee, except for

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

the quantification of the bank guarantee to be furnished.

37. As regards those candidates who have secured admission in

Government Institutions in other parts of the Country, I am of the

considered and categoric view that the benefit of waiver of bank

guarantee extended by the State of Tamil Nadu to students studying in

Tamil Nadu, must be extended to those candidates as well. Learned

counsel for the respondents expresses some reservations on this score,

pointing out the absence of control that they hold in such matters.

38. Let us bear in mind that we are one unified Country and the

common aim of all State Governments is to improve the access of

underprivileged in their States to health care. A balance has to achieved

as between the aforesaid object and the interests of the Doctors upon

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

whom the condition of bank guarantee is imposed.

39. Moreover, the direction of the Hon’ble Court in the case of

the Association (supra) is that a uniform set of conditions must be

customised that would operate across all the States. To my mind, there is

a cue to be taken from this suggestion which is that some reciprocity

must be devised by States to enable quality medical education pan India

while at the same time, availing the benefit of the doctors who have been

the beneficiaries of such training.

40. There is no such mechanism available as of now to provide

for such reciprocity. However, bearing mind the compulsions of the

States, on the one hand, and students, on the other, a harmonious balance

must be struck and the States governments must reciprocally assist each

other in this respect.

41. The NEET prospectus contains a categoric condition to the

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

effect that students admitted must produce the certificates in hard copy,

and a declaration or certificate to the effect that they possess the required

qualification issued by other Institutions would not suffice. This

condition is evidently to get over the difficulties caused by breach of

bond conditions.

42. This condition has not however, conceived of the

certificates being held securely by the States themselves, albeit other

States, by putting in place an inter-State mechanism that would enable

candidates to avail opportunities in other States while still being bound

to return to the Home State to serve. That is, and to clarify, the Home

State must retain lien over the certificates of the candidates in question.

43. In addition, what is required is a mechanism whereby the

certificates of a Student from Tamil Nadu who has obtained admission to

a Government college in Karnataka, for example, may be securely held,

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

so as to satisfy the prospectus conditions, the requirements of the

admitting college (in Karnataka) and the Home State (TamilNadu).

44. Had such a mechanism been in place, which I believe will

be in the best interests of all stakeholders in the system, candidates who

have secured admission in Government Institutions though in other

States will also be entitled to the benefit of dispensation of the bank

guarantee too. Let such a mechanism be put in place forthwith to enable

such reciprocity.

45. The Director General of Health Services (DGHS), Ministry

of Health and Family Welfare, Government of India, Nirman Bhawan,

Maulana Azad Road, New Delhi – 110 011 is suo moto impleaded as 5th

respondent in the above Writ Petitions. Mr.V.Chandrasekaran, learned

Senior Panel Counsel accepts notice for DGHS and undertakes to convey

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

this order to the DGHS forthwith. The DGHS will appoint a Nodal

officer who will facilitate the process as indicated in the paragraphs as

above for the present academic year. Let this process be completed latest

by 14.04.2022.

46. The admission secured by the petitioners in W.P.No.7596 of

2022 and W.P.No.7683 of 2022, will await completion of this process and

further action in terms thereof. G.O.185 dated 13.04.2020 will be read

down to the extent as indicated in this order, and the aforesaid Writ

Petitions are ordered in the aforesaid terms.

12.04.2022 sl

Index : Yes / No Speaking Order / Non-Speaking Order

Note: Issue order copy on 12.04.2022.

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

To

1.The Principal Secretary to Government of Tamil Nadu Health and Family Welfare Department, Secretariat, Chennai – 600 009.

2.The Director of Medical Education, No.162, EVR Periyar Salai, Kilpauk, Chennai – 600 010.

3.The Director of Medical and Rural Health Services, No.359, Anna Salai, Chokkalingam Nagar, Chennai – 600 006.

4.The Dean, Madras Medical College, Chennai – 600 001.

5.The Dean, Thanjavur Medical College, Thanjavur – 613 004.

6.The Dean, Government Mohan Kumaramangalam Medical College, Salem – 636 002.

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

7.The Director General of Health Services (DGHS), Ministry of Health and Family Welfare, Government of India, Nirman Bhawan, Maulana Azad Road, New Delhi – 110 011

https://www.mhc.tn.gov.in/judis W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

DR.ANITA SUMANTH, J.

sl

W.P.Nos.7596, 7599, 7600, 7607, 7683 &7689 of 2022 & WMP.Nos.7599, 7600, 7601, 7604, 7605, 7606, 7610, 7612, 7613, 7616, 7617, 7618, 7682, 7684, 7685, 7688, 7689 & 7690 of 2022

12.04.2022

https://www.mhc.tn.gov.in/judis

 
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