Recruitment of various post in Government General Hospital, Srikakulam

 

NOTIFICATION

 

 

Superintendent, Government General Hospital, Srikakulam  

 

 

Notification for recruitment for the posts  of 54 - Supporting Staff (MNOs-18, FNOs -18 & Anaesthesia Technicians 18) on Contract basis to work in GOVERNMENT GENERAL HOSPITAL, SRIKAKULAM for a period  of six (6) months  in view of predicted  COVID  3 rd wave.

The eligible candidates should submit the necessary documents along with the application form  and  Demand  Draft  of  Rs.300/-  for  the  post  of  Supporting  Staff  in  favour  of  Hospital Development Society, Government General Hospital, Srikakulam.

Schedule  of the Recruitment:

 

Issue of Notification

29.06.2021

Time period for submission of Applications

29-06-2021  to  05.07-2021


 

                                                                   APPLICATION FORM

REGISTRATIN NO:

(TO BE FILLED BY THE OFFICE)

 


POST FOR WHICH APPLICATION MADE

 

 

1

 

Name of the Candidate

 

 

 

 

 

 

 

 

Paste  photograph here  and sign across it

 

2a

 

Name of the father

 

 

2b

 

Name of the Mother

 

 

2c

 

Name of Husband / wife

 

(if married)

 

 

3

 

Sex

 

 

4

 

Date of Birth and age

 

 

 

 

5

 

 

 

Social status (Please  tick)

 

OC

BC A

BC B

BC C

BC D

BC E

SC

ST

 

Note: If the ST Candidate Comes under Local Scheduled area please submit their Local Scheduled Area Certificate issued by the Concerned MRO’s

 

6

 

Whether  Physically handicapped (Please  tick)

 

Yes / NO

 

6(a)

 

If yes please  mention category  (please  tick)

 

HH   /  OH   / VH

 

7

 

Whether  Ex-Service man / Women

 

Yes / No


DETAILS OF SCHOOL EDUCATION:

 

CLASS

YEAR OF PASSING

DISTRICT IN WHICH STUDIED

 

IV

 

 

 

V

 

 

 

VI

 

 

 

VII

 

 

 

VIII

 

 

 

IX

 

 

 

X

 

 

 

STUDY CERTIFICATES FROM IVth   TO Xth SHOULD BE ENCLOSED OTHERWISE CANDIDATE WILL BE TREATED AS NON-LOCAL

 

EDUCATIONAL QUALIFICATIONS:

 

 

QUALIFICATION

 

YEAR OF PASSING

NAME OF THE COLLEGE / UNIVERSITY

 

 

 

MARKS OBTAINED IN THE QUALIFYING EXAMINATION:

 

 

Qualifying

Examination

 

Total Marks

 

Marks Obtained in the qualifying examination

 

% of Marks obtained

 

 

 

 

 

 

 

 

 

 

 

 

EXPERIENCE in Govt. Sector:

 

Sl. No

 

Name of the Institution /

projects  of State / Central

Experience

No of Years completed

From

To

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

DECLARATION

 

 

I, Smt / Sri / Kum …………………………… D/o / S/o / W/o ………………….

 

…………………….. certify that above particulars furnished  by me are correct  to the best of my  knowledge.  I  also  agree  that  in  the  event  of  any  of  the  particulars  furn ished  in  my application being found to be incorrect  or false at a later date my candidature will be cancelled summarily

ADDRESS PARTICULARS:

 


Name                                          :

House No.                                  :

Street                                         

Village / Town                            

District                                        

Pin                                              

Cell No. / Phone No.                 :

 

Name and Signature

of the candidate    

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