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F.No. 8-10/2010-Admn. II (A) Government of India
Office of the Medical Superintendent Safdarjang Hospital & VMMC New Delhi-110029
Applications are invited from the eligible candidates for filling up various posts of Group ‘C, Group ‘B’ (Non-Gazetted) on Direct recruitment/Deputation basis in VMMC & Safdarjang Hospital, New Delhi. Details of posts including number of vacancies, pay band and grade pay, category, age, requisite qualification, experience are as under:
S.No. 1.
2.
3.
4. 5.
Name of the post Craft Instructor PB-1 (520020200) + Rs. 2400/- GP (pre-revised)
Statistical Assistant PB-1 (520020200) + Rs. 2800/- GP (pre-revised)
Pharmacist PB-1 (520020200) + Rs. 2800/- GP (pre-revised)
Carpenter PB-1 (520020200) + Rs. 1900/- GP (pre-revised) Remedial Gymnaster PB-2 (930034800) + Rs. 4200/- GP (pre-revised)
Mode of recruitment By Direct Recruitment
By Direct Recruitment
By Direct Recruitment
By Direct Recruitment
By Direct Recruitment
No. of vacancies 01-UR, post will be filled by PWD i.e. OL (One Leg), BL(Both Leg), LV (Low Vision), HH(Hearing Impaired effected) 01-UR, post will be filled by PWD i.e. OL (One Leg), BL (Both Leg), B(Blind), LV (Low Vision), HH(Hearing Impaired effected) 01-OBC, post will be filled by PWD i.e. OL (One Leg), BL (Both Leg)
01-UR
01-UR
Age limit 21-28 years
Between 18 & 25 years (relaxable for Govt. servants upto 40 years)
20-30 years
Between 20 to 30 years (relaxable for Govt. servants upto 35 years) Not exceeding 30 years (relaxable for Govt. servants upto 40 years)
Educational Qualification
Essential: Matriculation or its equivalent qualification from a recognized Board. Diploma or certificate in craft work. Desirable: Preference will be given to persons knowing more than 2 crafts.
Bachelors’ Degree in any discipline with Statistics or Mathematics as one of the subject from a recognized University.
Degree in Pharmacy
Or
Matriculation or equivalent
qualification from a recognized
Board and qualified and
registered
Compounder,
Pharmacist or eligible for
registration under Pharmacy Act,
1948.
Matric or equivalent qualification
from a recognized Board with
certificate in Carpentry from
I.T.I.
Essential: 1.10+2 or its equivalent qualification from a recognized Board/ University. 2.Diploma in Physical Education from a recognized institute. 3.Three years experience in the related field.
6. 7. S.No. 8.
9.
Respiratory Laboratory Assistant PB-1 (520020200) + Rs. 2000/- GP (pre-revised)
Instructor (Prosthetics & Orthotics) PB-1 (520020200) + Rs. 2800/- GP (pre-revised)
Post and pay scale (revised) Senior Orthotist PB-1 (520020200) + Rs. 2800/- GP (pre-revised)
CSR Assistant PB-1 (520020200) + Rs. 1900/- GP (pre-revised)
By Direct Recruitment
By Direct Recruitment
No. of vacancies 01
01
01-UR
01-UR
Mode of recruitment Transfer on deputation (short term contract)
By Deputation/ Absorption
Between 18-25 1. Matriculation or equivalent
years
from
a
recognized
(relaxable for
Board/University.
Govt. servants 2. Two years’ experience in
upto 35 years) handling
fibre-optic
bronchoscope and various lung
function test machines in
respiratory laboratory of a
Government Hospital/ Teaching
Institution/ Nursing Home.
Between 18 and Essential:
25 years
1.Matric
or
equivalent
(relaxable for
qualifications from a recognized
Govt. servants board/ University.
upto 5 years)
2.Three years’ Diploma/ Two
years certificate in Prosthetic and
Orthotic from a recognized
Institution.
3.Two years practical experience
in manufacturing and assembling
of artificial limbs for
diploma/degree holders or three
years’ experience for certificate
holders.
Qualification and experience
Eligibility:-
Officers of the Central Government
(a) (i) Holding analogous posts on a
regular basis;
(ii) With three years’ regular service in
posts in the scale of Rs. 1350-2200
[revised as PB-1 (5200-20200) +
Rs. 2800/- GP]
(b)
Possessing
the
following
qualifications and experience:
Essential:
(i)Matriculation or equivalent
qualification from a recognized
Board.
(ii)Three years’ Diploma/Two years
certificate in Prosthetic & Orthotic
from a recognized institution.
(iii)Two years practical experience
in pre-fabricating and fitting of
appliances for diploma holders and
three years practical experience for
certificate holders.
Officers under the Central or State Government:
(a) (i) Holding analogous posts on regular
basis; or
(ii) With three years regular service in
posts in the Pay Band-1, Rs.5200-
20200 + 1800/- GP.
(b) Possessing the qualifications and
experience prescribed for direct recruits as
10
Vocational
01
.
Counsellor PB-
2 (9300-34800)
+ Rs. 4600/-
GP
(pre-revised)
11.
Technical
01
Supervisor
(Radiography)
PB-2 (9300-
34800) + Rs.
4600/- GP
(pre-revised)
By deputation
Promotion/ Transfer on deputation
under: Essential: (i)Matriculation or equivalent with Science as a subject from a recognized Board. (ii)Training in Sterilization techniques from a recognized Hospital or Medical Institute. Or One year experience in Central Sterilization Services Department of a Hospital or Medical Institute.
Officers under the Central Government:(a) (i) Holding analogous posts on regular basis; or (ii) With three years’ service in the grade rendered after appointment thereto on a regular basis in the scale of pay of Rs. 5500-9000 or equivalent in the parent cadre/department; or (iii) With six years’ service in the grade rendered after appointment thereto on a regular basis in the scale of pay of Rs. 5000-8000/- or equivalent in the parent cadre/department; or (iv) With eight years’ service in the grade rendered after appointment thereto on a regular basis in the scale of pay of Rs. 4500-7000 or equivalent in the parent cadre/department; and (b) Possessing the following qualification and experience: Essential: 1.Master’s degree in Psychology from a recognized University or equivalent. 2.Diploma in Vocational Guidance from a recognized University or equivalent. 3.Two years’ experience in vocational counseling, vocational training and placement of handicapped persons.
Officers under the Central Government:(a) (i) Holding analogous posts on regular basis; or (ii) with 3 years regular service in the scale of Rs.1640-2900 as per 4th CPC corresponding to Pay Band Rs.9300 – 34800 + Rs.4200 (G.P.) as per 6th CPC or equivalent in the parent cadre / department ; or (iii) With 5 years regular service in the posts in the scale of pay of Rs.1640-2660 as per 4th CPC corresponding to pay scale Rs.9300 – 34800 + Rs.4200 (GP)
as per 6th CPC or equivalent .
(b) Possessing the following qualification and
experience:
Essential:
i)
Diploma in Radiology from a
recognized
University
/Institution or equivalent ;
ii)
2 years experience of imaging
work in a department of imaging
services
Eligible candidates should submit their application through ordinary/speed post in the prescribed proforma (Annexure-I) for posts at Sl. No. 1-7 (Posts to be filled by Direct Recruitment basis) and Annexure-II for posts at Sl. No. 8-11 (Posts to be filled by Deputation basis) along-with attested copies of the testimonials, mark-sheets, educational certificates, caste certificate (if applicable), experience certificate, date of birth certificate etc. to The Medical Superintendent, Safdarjung Hospital, New Delhi-
110029 within 30 days from the date of issue of advertisement in employment
newspaper.(However, if last date for submission of applications falls on national holiday, Sunday or
any other holiday declared by Government of India, the next working day will be assumed as closing date). 2. The envelope containing application form must be super-scribed in bold letter name of the post applied for. 3. Crucial date for determining the age limit shall be the closing date for receipt of application. Even if closing date will be extended due to national holiday or Sunday or any other holiday declared by Government of India, crucial date for determining the age limit remain calculated from the 30th day from the date of issue of advertisement. 4. Candidates who wish to apply for more than one post should send separate application for each post. 5. Applications which are incomplete in any manner or not in prescribed format, would be summarily rejected. Candidates must ensure that application is complete in all respects and all the documents enclosed with application and photograph pasted on the application are attested by a Gazetted officer. No correspondence what so ever shall be entertained in this regard. 6. The hospital reserves the right to place a reasonable limit on the total number of candidates to be called for written test. The hospital reserves the right not to fill up the posts, cancel the advertisement in whole or part without assigning any reason and its decision in this regard will be final. 7. Persons having 40% or more disability would be considered eligible for reservation under Physically Handicapped quota as per rule. 8. The candidate who is already in Govt. service should apply through proper channel and have to submit ‘No Objection Certificate’ from the employer. 9. Upper age limit for direct recruitment is relaxable for OBC/Ex-servicemen/Physically Handicapped and Govt. servants as per rule of Govt. of India. 10. Candidate should note that the Date of Birth as recorded in the Matriculation Secondary Examination Certificate or an equivalent certificate available on the date of submission of application will only be accepted by this hospital for determining the age and no subsequent request for its change will be considered or granted. 11. Central Government Civilian employees claiming age relaxation has to submit a certificate from their office, in respect of the length of continuous service which should be for not less than 3 years during the period immediately preceding the closing date for receipt of application. They should remain Central Government civilian employees till the time of appointment, in the event of their selection. 12. For Deputation posts (Sl. No. 8-10): (a) Candidates who once applied for deputation posts will not allowed to withdraw their candidature.
(b) The period of deputation shall ordinarily not exceed three years. (c) Maximum age limit for appointment by deputation shall not exceed 56 years as on the closing date of receipt of application. (d) Candidates who are applying for deputation posts should submit their applications through proper channel along-with copies of last five years ACRs/APARs, Vigilance Clearance and integrity certificate duly verified by the head of the institution. (e) NOC in the form of undertaking form for the employer to the effect that in the case of selection, the department will spare the candidate for joining service in the Hospital should be attached with the application. 13. Candidates must ensure that they have requisite academic qualification and experience from a recognized institution for the post applied for on or before the date of issue of advertisement. 14. If a candidate produces false documents, he/she will not only be disqualified/dismissed from services, if already appointed but may also be liable for criminal proceedings. 15. Candidates trying to use any influence or adopt any unfair means would be disqualified from the selection. 16. Failure to comply with any of the instructions contained in this notification may entail rejection of candidature. 17. Application Fees: (Fee for Direct Recruitment Posts only) Application fees for General candidates is Rs. 200/-, fees for OBC/SC/ST candidates is Rs. 100/-. Persons with disabilities are exempted from payment of application fee subject to submission of necessary certificate from a competent authority in support of their claim of disability. Fees shall be paid through Demand Draft drawn in favour of Medical Superintendent, Safdarjung Hospital, New Delhi, alongwith application form. The application fees will be non refundable. No fee for applicants applying for Deputation posts.
Sd/-
(C.S. Mishra) Dy. Director (Admn.)
Safdarjung Hospital
FORMAT FOR APPLICATION FORM (Must be filled properly by the candidate in his/her
Own handwriting in block letters only)
Annexure I
1. Name of the post applied for:
Affix Photo duly
2. Full Name (IN BLOCK LETTERS)l
attested by
(As mentioned in matriculation certificate)
Gazetted
3. Father’s Name
Officer
4. Date of Birth (as mentioned in matriculation certificate)
5. Address (with phone no., E mail ID etc)
(i) Correspondence
(ii) Permanent
6. Whether SC/ST/OBC
7. Whether Ex-Serviceman
8. Whether Physically Handicapped (if so percentage & details of disability)
Whether seeking age relaxation
9. Whether Govt. Servant (if yes, please indicate name of the institution and length of
service)
10. Details of Examination passed
Sl. Examination University/Board Year of Name/Address of Percentage
No.
Passing Institution
of the marks
attended
obtained
11. Experience: (a) Name of the employer (b) Designation (c) Pay Scale (d) Nature of duties (e) Period of employment (f) Last Pay drawn
12. Any additional information: I solemnly declare that the statement made by me in this application best of my knowledge & belief. I undertake that if any information given at any time, it will render me ineligible for the job applied above. Dated: Place:
Signature of the Candidate
Annexure II
PROFORMA
1. Name and Address
Attested
2. Date of Birth (in Christian era)
Photograph
3. Date of retirement under Central/State Government Rules
4. Educational Qualifications
5. Whether Educational and other qualifications required for the post are satisfied (if any
qualification has been treated as equivalent to the one prescribed in the Rules, State
the authority for the same).:
Qualifications/Experience Qualifications/Experience
required
possessed by the Officer
Essential: (1)
(2)
(3)
6. Please state clearly whether in the light of entries made above, you meet the
requirements of the post
7. Details of employment, in chronological order. Enclose a separate sheet, duly
authenticated by your signature, if the space below is insufficient.
Office/Institution/ Post held From To Scale of pay &
Nature of
Organisation
Last Basic Pay
duties
8. Nature of present employment i.e. Temporary or quasi permanent or permanent.
9. In case the present employment is held on deputation basis/contract basis, please
state:
(a) The date of initial appointment
(b) Period of appointment on deputation/contract
(c) Name of the parent office/organization to which you belong
10. Additional details about present employment. Please state whether working under:
(a) Central Government
(b) State Government
(c) Autonomous Organization
(d) Universities
(e) Government Undertaking
(f) Others
11. Please state whether you are working in the same Department and are in the feeder
grade or feeder to feeder grade.
12. Are you in revised scale of pay? If yes, give the date from which the revision took
place and also indicate the pre-revised scale.
13. Total Emoluments, per month now drawn.
14. Additional information, if any, which you would like to mention in support of your
suitability for the post. (This among other things may provide information with
regard to (i) additional Academic qualifications (ii) Professional training and (iii)
work experience over and above prescribed in the vacancy Circular/Advertisement)
(Note: Enclose a separate sheet, if the space is insufficient.)
15. Whether belongs to SC/ST/OBC 16. Remarks: (The candidate may indicate information with regard to (i) Research
publications and reports on special projects (ii) Awards/Scholarships/Official Application (iii) Affiliation with the professional bodies/institutions/societies and (iv) any other information. (Note: Enclose a separate sheet, if the space is insufficient). I have carefully gone through the vacancy circular/advertisement and I am well aware that the Curriculum Vitae duly supported by documents submitted by me will also be assessed by the Selection Committee at the time of selection for the post. Date:
Signature of the candidate Name____________________ Address___________________ Countersigned ___________________ (Employer) 1. Certified that particulars furnished by Shri/Smt./Kum.______________________ have been verified from his/her record found correct. 2. No vigilance case is pending or contemplated against Shri/Smt./Kum.__________ His/Her integrity is certified. 3. No major or minor penalty was imposed on Shri/Smt/Kum___________________ during the last 10 years as per records in the Ministry/Department.
Place: Date:
Signature of Head of Office/Department with stamp
Office of the Medical Superintendent Safdarjang Hospital & VMMC New Delhi-110029
Applications are invited from the eligible candidates for filling up various posts of Group ‘C, Group ‘B’ (Non-Gazetted) on Direct recruitment/Deputation basis in VMMC & Safdarjang Hospital, New Delhi. Details of posts including number of vacancies, pay band and grade pay, category, age, requisite qualification, experience are as under:
S.No. 1.
2.
3.
4. 5.
Name of the post Craft Instructor PB-1 (520020200) + Rs. 2400/- GP (pre-revised)
Statistical Assistant PB-1 (520020200) + Rs. 2800/- GP (pre-revised)
Pharmacist PB-1 (520020200) + Rs. 2800/- GP (pre-revised)
Carpenter PB-1 (520020200) + Rs. 1900/- GP (pre-revised) Remedial Gymnaster PB-2 (930034800) + Rs. 4200/- GP (pre-revised)
Mode of recruitment By Direct Recruitment
By Direct Recruitment
By Direct Recruitment
By Direct Recruitment
By Direct Recruitment
No. of vacancies 01-UR, post will be filled by PWD i.e. OL (One Leg), BL(Both Leg), LV (Low Vision), HH(Hearing Impaired effected) 01-UR, post will be filled by PWD i.e. OL (One Leg), BL (Both Leg), B(Blind), LV (Low Vision), HH(Hearing Impaired effected) 01-OBC, post will be filled by PWD i.e. OL (One Leg), BL (Both Leg)
01-UR
01-UR
Age limit 21-28 years
Between 18 & 25 years (relaxable for Govt. servants upto 40 years)
20-30 years
Between 20 to 30 years (relaxable for Govt. servants upto 35 years) Not exceeding 30 years (relaxable for Govt. servants upto 40 years)
Educational Qualification
Essential: Matriculation or its equivalent qualification from a recognized Board. Diploma or certificate in craft work. Desirable: Preference will be given to persons knowing more than 2 crafts.
Bachelors’ Degree in any discipline with Statistics or Mathematics as one of the subject from a recognized University.
Degree in Pharmacy
Or
Matriculation or equivalent
qualification from a recognized
Board and qualified and
registered
Compounder,
Pharmacist or eligible for
registration under Pharmacy Act,
1948.
Matric or equivalent qualification
from a recognized Board with
certificate in Carpentry from
I.T.I.
Essential: 1.10+2 or its equivalent qualification from a recognized Board/ University. 2.Diploma in Physical Education from a recognized institute. 3.Three years experience in the related field.
6. 7. S.No. 8.
9.
Respiratory Laboratory Assistant PB-1 (520020200) + Rs. 2000/- GP (pre-revised)
Instructor (Prosthetics & Orthotics) PB-1 (520020200) + Rs. 2800/- GP (pre-revised)
Post and pay scale (revised) Senior Orthotist PB-1 (520020200) + Rs. 2800/- GP (pre-revised)
CSR Assistant PB-1 (520020200) + Rs. 1900/- GP (pre-revised)
By Direct Recruitment
By Direct Recruitment
No. of vacancies 01
01
01-UR
01-UR
Mode of recruitment Transfer on deputation (short term contract)
By Deputation/ Absorption
Between 18-25 1. Matriculation or equivalent
years
from
a
recognized
(relaxable for
Board/University.
Govt. servants 2. Two years’ experience in
upto 35 years) handling
fibre-optic
bronchoscope and various lung
function test machines in
respiratory laboratory of a
Government Hospital/ Teaching
Institution/ Nursing Home.
Between 18 and Essential:
25 years
1.Matric
or
equivalent
(relaxable for
qualifications from a recognized
Govt. servants board/ University.
upto 5 years)
2.Three years’ Diploma/ Two
years certificate in Prosthetic and
Orthotic from a recognized
Institution.
3.Two years practical experience
in manufacturing and assembling
of artificial limbs for
diploma/degree holders or three
years’ experience for certificate
holders.
Qualification and experience
Eligibility:-
Officers of the Central Government
(a) (i) Holding analogous posts on a
regular basis;
(ii) With three years’ regular service in
posts in the scale of Rs. 1350-2200
[revised as PB-1 (5200-20200) +
Rs. 2800/- GP]
(b)
Possessing
the
following
qualifications and experience:
Essential:
(i)Matriculation or equivalent
qualification from a recognized
Board.
(ii)Three years’ Diploma/Two years
certificate in Prosthetic & Orthotic
from a recognized institution.
(iii)Two years practical experience
in pre-fabricating and fitting of
appliances for diploma holders and
three years practical experience for
certificate holders.
Officers under the Central or State Government:
(a) (i) Holding analogous posts on regular
basis; or
(ii) With three years regular service in
posts in the Pay Band-1, Rs.5200-
20200 + 1800/- GP.
(b) Possessing the qualifications and
experience prescribed for direct recruits as
10
Vocational
01
.
Counsellor PB-
2 (9300-34800)
+ Rs. 4600/-
GP
(pre-revised)
11.
Technical
01
Supervisor
(Radiography)
PB-2 (9300-
34800) + Rs.
4600/- GP
(pre-revised)
By deputation
Promotion/ Transfer on deputation
under: Essential: (i)Matriculation or equivalent with Science as a subject from a recognized Board. (ii)Training in Sterilization techniques from a recognized Hospital or Medical Institute. Or One year experience in Central Sterilization Services Department of a Hospital or Medical Institute.
Officers under the Central Government:(a) (i) Holding analogous posts on regular basis; or (ii) With three years’ service in the grade rendered after appointment thereto on a regular basis in the scale of pay of Rs. 5500-9000 or equivalent in the parent cadre/department; or (iii) With six years’ service in the grade rendered after appointment thereto on a regular basis in the scale of pay of Rs. 5000-8000/- or equivalent in the parent cadre/department; or (iv) With eight years’ service in the grade rendered after appointment thereto on a regular basis in the scale of pay of Rs. 4500-7000 or equivalent in the parent cadre/department; and (b) Possessing the following qualification and experience: Essential: 1.Master’s degree in Psychology from a recognized University or equivalent. 2.Diploma in Vocational Guidance from a recognized University or equivalent. 3.Two years’ experience in vocational counseling, vocational training and placement of handicapped persons.
Officers under the Central Government:(a) (i) Holding analogous posts on regular basis; or (ii) with 3 years regular service in the scale of Rs.1640-2900 as per 4th CPC corresponding to Pay Band Rs.9300 – 34800 + Rs.4200 (G.P.) as per 6th CPC or equivalent in the parent cadre / department ; or (iii) With 5 years regular service in the posts in the scale of pay of Rs.1640-2660 as per 4th CPC corresponding to pay scale Rs.9300 – 34800 + Rs.4200 (GP)
as per 6th CPC or equivalent .
(b) Possessing the following qualification and
experience:
Essential:
i)
Diploma in Radiology from a
recognized
University
/Institution or equivalent ;
ii)
2 years experience of imaging
work in a department of imaging
services
Eligible candidates should submit their application through ordinary/speed post in the prescribed proforma (Annexure-I) for posts at Sl. No. 1-7 (Posts to be filled by Direct Recruitment basis) and Annexure-II for posts at Sl. No. 8-11 (Posts to be filled by Deputation basis) along-with attested copies of the testimonials, mark-sheets, educational certificates, caste certificate (if applicable), experience certificate, date of birth certificate etc. to The Medical Superintendent, Safdarjung Hospital, New Delhi-
110029 within 30 days from the date of issue of advertisement in employment
newspaper.(However, if last date for submission of applications falls on national holiday, Sunday or
any other holiday declared by Government of India, the next working day will be assumed as closing date). 2. The envelope containing application form must be super-scribed in bold letter name of the post applied for. 3. Crucial date for determining the age limit shall be the closing date for receipt of application. Even if closing date will be extended due to national holiday or Sunday or any other holiday declared by Government of India, crucial date for determining the age limit remain calculated from the 30th day from the date of issue of advertisement. 4. Candidates who wish to apply for more than one post should send separate application for each post. 5. Applications which are incomplete in any manner or not in prescribed format, would be summarily rejected. Candidates must ensure that application is complete in all respects and all the documents enclosed with application and photograph pasted on the application are attested by a Gazetted officer. No correspondence what so ever shall be entertained in this regard. 6. The hospital reserves the right to place a reasonable limit on the total number of candidates to be called for written test. The hospital reserves the right not to fill up the posts, cancel the advertisement in whole or part without assigning any reason and its decision in this regard will be final. 7. Persons having 40% or more disability would be considered eligible for reservation under Physically Handicapped quota as per rule. 8. The candidate who is already in Govt. service should apply through proper channel and have to submit ‘No Objection Certificate’ from the employer. 9. Upper age limit for direct recruitment is relaxable for OBC/Ex-servicemen/Physically Handicapped and Govt. servants as per rule of Govt. of India. 10. Candidate should note that the Date of Birth as recorded in the Matriculation Secondary Examination Certificate or an equivalent certificate available on the date of submission of application will only be accepted by this hospital for determining the age and no subsequent request for its change will be considered or granted. 11. Central Government Civilian employees claiming age relaxation has to submit a certificate from their office, in respect of the length of continuous service which should be for not less than 3 years during the period immediately preceding the closing date for receipt of application. They should remain Central Government civilian employees till the time of appointment, in the event of their selection. 12. For Deputation posts (Sl. No. 8-10): (a) Candidates who once applied for deputation posts will not allowed to withdraw their candidature.
(b) The period of deputation shall ordinarily not exceed three years. (c) Maximum age limit for appointment by deputation shall not exceed 56 years as on the closing date of receipt of application. (d) Candidates who are applying for deputation posts should submit their applications through proper channel along-with copies of last five years ACRs/APARs, Vigilance Clearance and integrity certificate duly verified by the head of the institution. (e) NOC in the form of undertaking form for the employer to the effect that in the case of selection, the department will spare the candidate for joining service in the Hospital should be attached with the application. 13. Candidates must ensure that they have requisite academic qualification and experience from a recognized institution for the post applied for on or before the date of issue of advertisement. 14. If a candidate produces false documents, he/she will not only be disqualified/dismissed from services, if already appointed but may also be liable for criminal proceedings. 15. Candidates trying to use any influence or adopt any unfair means would be disqualified from the selection. 16. Failure to comply with any of the instructions contained in this notification may entail rejection of candidature. 17. Application Fees: (Fee for Direct Recruitment Posts only) Application fees for General candidates is Rs. 200/-, fees for OBC/SC/ST candidates is Rs. 100/-. Persons with disabilities are exempted from payment of application fee subject to submission of necessary certificate from a competent authority in support of their claim of disability. Fees shall be paid through Demand Draft drawn in favour of Medical Superintendent, Safdarjung Hospital, New Delhi, alongwith application form. The application fees will be non refundable. No fee for applicants applying for Deputation posts.
Sd/-
(C.S. Mishra) Dy. Director (Admn.)
Safdarjung Hospital
FORMAT FOR APPLICATION FORM (Must be filled properly by the candidate in his/her
Own handwriting in block letters only)
Annexure I
1. Name of the post applied for:
Affix Photo duly
2. Full Name (IN BLOCK LETTERS)l
attested by
(As mentioned in matriculation certificate)
Gazetted
3. Father’s Name
Officer
4. Date of Birth (as mentioned in matriculation certificate)
5. Address (with phone no., E mail ID etc)
(i) Correspondence
(ii) Permanent
6. Whether SC/ST/OBC
7. Whether Ex-Serviceman
8. Whether Physically Handicapped (if so percentage & details of disability)
Whether seeking age relaxation
9. Whether Govt. Servant (if yes, please indicate name of the institution and length of
service)
10. Details of Examination passed
Sl. Examination University/Board Year of Name/Address of Percentage
No.
Passing Institution
of the marks
attended
obtained
11. Experience: (a) Name of the employer (b) Designation (c) Pay Scale (d) Nature of duties (e) Period of employment (f) Last Pay drawn
12. Any additional information: I solemnly declare that the statement made by me in this application best of my knowledge & belief. I undertake that if any information given at any time, it will render me ineligible for the job applied above. Dated: Place:
Signature of the Candidate
Annexure II
PROFORMA
1. Name and Address
Attested
2. Date of Birth (in Christian era)
Photograph
3. Date of retirement under Central/State Government Rules
4. Educational Qualifications
5. Whether Educational and other qualifications required for the post are satisfied (if any
qualification has been treated as equivalent to the one prescribed in the Rules, State
the authority for the same).:
Qualifications/Experience Qualifications/Experience
required
possessed by the Officer
Essential: (1)
(2)
(3)
6. Please state clearly whether in the light of entries made above, you meet the
requirements of the post
7. Details of employment, in chronological order. Enclose a separate sheet, duly
authenticated by your signature, if the space below is insufficient.
Office/Institution/ Post held From To Scale of pay &
Nature of
Organisation
Last Basic Pay
duties
8. Nature of present employment i.e. Temporary or quasi permanent or permanent.
9. In case the present employment is held on deputation basis/contract basis, please
state:
(a) The date of initial appointment
(b) Period of appointment on deputation/contract
(c) Name of the parent office/organization to which you belong
10. Additional details about present employment. Please state whether working under:
(a) Central Government
(b) State Government
(c) Autonomous Organization
(d) Universities
(e) Government Undertaking
(f) Others
11. Please state whether you are working in the same Department and are in the feeder
grade or feeder to feeder grade.
12. Are you in revised scale of pay? If yes, give the date from which the revision took
place and also indicate the pre-revised scale.
13. Total Emoluments, per month now drawn.
14. Additional information, if any, which you would like to mention in support of your
suitability for the post. (This among other things may provide information with
regard to (i) additional Academic qualifications (ii) Professional training and (iii)
work experience over and above prescribed in the vacancy Circular/Advertisement)
(Note: Enclose a separate sheet, if the space is insufficient.)
15. Whether belongs to SC/ST/OBC 16. Remarks: (The candidate may indicate information with regard to (i) Research
publications and reports on special projects (ii) Awards/Scholarships/Official Application (iii) Affiliation with the professional bodies/institutions/societies and (iv) any other information. (Note: Enclose a separate sheet, if the space is insufficient). I have carefully gone through the vacancy circular/advertisement and I am well aware that the Curriculum Vitae duly supported by documents submitted by me will also be assessed by the Selection Committee at the time of selection for the post. Date:
Signature of the candidate Name____________________ Address___________________ Countersigned ___________________ (Employer) 1. Certified that particulars furnished by Shri/Smt./Kum.______________________ have been verified from his/her record found correct. 2. No vigilance case is pending or contemplated against Shri/Smt./Kum.__________ His/Her integrity is certified. 3. No major or minor penalty was imposed on Shri/Smt/Kum___________________ during the last 10 years as per records in the Ministry/Department.
Place: Date:
Signature of Head of Office/Department with stamp
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